Common Screening Tests During Pregnancy

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MN576 Discussion Board: Common Screening Tests During Pregnancy – Peer Response

(Common Screening Tests During Pregnancy)

No plagiarism please.

Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.

Discuss the most common screening test and diagnostics used throughout pregnancy and the purpose of the tests. When during pregnancy are tests performed and what is the protocol when an abnormal test or diagnostic is found?

Peer Resp#1

Health care provider may recommend a variety of screenings, tests and imaging techniques during a pregnancy. These tests are designed to provide information about the health of your baby and may help you optimize your child’s prenatal care and development (American Pregnancy Association, 2018). Genetic screening can help diagnose the potential for certain genetic disorders before birth. First-trimester screening is a combination of fetal ultrasound and maternal blood testing. This screening process can help determine the risk of the fetus having certain birth defects. Second trimester prenatal screening may include several blood tests called multiple markers. These markers provide information about the risk of having a baby with certain genetic conditions or birth defects. The ultrasounds can be performed at different times during the pregnancy to check for fetal growth, estimate the due date and look for any structural abnormalities in the baby. Additional testing during pregnancy may include amniocentesis, chronic villus, sample (CVS) and fetal monitoring glucose testing and Group B strep culture. Many genetic abnormalities can be diagnosed before birth (American Pregnancy Association, 2018) . Therefore, the PCP or midwife may recommend genetic testing during pregnancy in case there is a family history of genetic disorders. other reason may also be to have genetic screening when the fetus or baby has a genetic abnormality.

Depending on the situation if an abnormal screening test comes the patient should be aware of and counsel the risk of having the baby and the percentage of survival of the fetus. It will be up to the parents of the unborn child to decide whether they should continue with the pregnancy. I have seen a patient who was advised to end the pregnancy because of the high risk of the death of the mother. depending on the situation, some parents may choose to abort the baby.  for example, this who recently found that she was 8—9 weeks pregnant via ultrasound for the fifth time, the patient who had 3 c sections 4 living children and was pregnant for the fifth her last baby was 10 months old. The physician had to explain the high risk of having a hysterectomy right after given birth and risk of bleeding to death.

Peer Resp#2

Pregnancy is a cascade of miracles occurring one after another.  The development of a growing embryo to a fetus to a full-term infant involves constant replication of cells and therefore any delivery of a healthy baby is truly a miracle.  Gestation typically last 40 weeks and is broken down into trimesters (i.e. 1st – 0-12 weeks, 2nd – 13-28 weeks, 3rd – 29 weeks to delivery).  Women typically request pregnancy testing, either at home or at their primary care provider’s office, when they have either missed a menstrual cycle or are having symptoms of pregnancy (i.e. nausea, breast tenderness, etc.).  These tests are designed to measure human chorionic gonadotropin (HCG), which is a hormone secreted by the placenta once a fertilized egg implants within the uterine lining (Mayo Clinic, 2018).

Because pregnancy is not a benign condition, many screening tests can be completed in order to identify any potential issues with the growing fetus (i.e. birth defects, low weight, etc.) at the earliest possible stage.

During the first trimester, the following tests can be ordered:

  1. Maternal blood screen to test for HCG and pregnancy associated plasma protein A (PAPP-A).  If either of these results are elevated, there can be an increased probability for chromosomal disorders. Blood typing also occurs at this time and if the mother is RH negative will need a Rhogam injection at 28 weeks and immediately after childbirth.
  2. Ultrasound in the first trimester can be used to look for anomalies such as fluid behind the fetus’ neck or presence of a nasal bone and is considered the most accurate method to determine estimated delivery date (EDD).  These two screening methods can accurately provide evidence of Trisomy 18 or 21 (Down Syndrome) (John Hopkins Medicine, 2016).

During the second trimester the following tests can be ordered:

  1. Between 15-20 weeks, a Quad screen tests for the presence of 4 proteins (alpha-fetoprotein (AFP), HCG, Estriol and Inhibin-A.
  2. Between 18-20 weeks, an anomaly ultrasound can be completed to determine size of the fetus and identification of any birth defects (Centers for Disease Control and Prevention, 2017).

During the third trimester, the following tests can be ordered:

  1. Oral glucose tolerance test (OGGT) to determine whether the patient has developed gestational diabetes (GDM) can be completed during the 24-28 weeks.  If found to have GDM, patient will need to be educated on diet changes and potentially get started on metformin.
  2. Group beta strep (GBS) can be tested for during the 35-37 weeks.  If positive, IV antibiotics will need to be administered prior to delivery of the child.
  3. Tdap for anyone who will be in contact with the infant to protect against pertussis and the influenza vaccine to protect against influenza.

If any of the genetic testing results in an anomaly, further diagnostic testing can take place.  These types of additional testing include amniocentesis and chorionic villus sampling (CVS) and can help differentiate between the exact genetic anomaly exists (Centers for Disease Control and Prevention, 2017).

 
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Influential Leadership Dynamics Analysis

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Influential Leadership Dynamics Analysis

(Influential Leadership Dynamics Analysis)

How Does This Leader Leverage Power, Politics, Networking, Or Negotiation In Order To Influence People?

Unit focuses on how leaders influence people by using—and potentially abusing—power, politics, networking, and negotiation. For this unit’s discussion forum, your initial discussion post should include two parts:

Part 1: link to video clip
Before you post in the discussion board, locate a video clip that demonstrates a leader’s influence through the use—or abuse—of power, politics, networking, or negotiation. Once you identify a video clip, be sure to copy the link and insert it into your discussion board post. To locate a video clip, you may use either YouTube or the Films on Demand database through the Online Library.

You may choose any leader for this video clip; it does not need to be the leader that serves as the topic for your research paper. Begin your discussion post by (a) providing the name of the leader and the title of the video clip and (b) posting a link to the video clip. The video clip should be less than three minutes in length. If it is longer than three minutes, feel free to post the link, but please indicate the time-stamp for a three-minute window within the video, so your professor and peer learners may view just that three-minute window. (Please demonstrate respect to your professor and peers by refraining from video clips that include vulgar language or behavior.)

Part 2: Discussion
Analyze this video clip as the basis for your discussion board post. How does this leader leverage power, politics, networking, or negotiation in order to influence people? In your opinion, does this leader use these strategies ethically? Explain. Evaluate the overall effectiveness of this leader’s influence. How does this leader’s influence—as well as his or her power, politics, networking, or negotiation—impact other people?

 
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Research Method

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Research Method

Research Method

LASA: Comparison and Contrast of Research Designs Shows the help line number for Argosy University Online Inc. The number is 1-866-4ARGOSY.

Click here to submit a content alert.
Description of LASA:

Choose an industrial/organizational (I/O) topic of interest. A nonexhaustive list of research topic suggestions includes leadership, job satisfaction, organizational culture, measuring performance, work–life balance, compensation, selection, recruitment, retention, employee engagement, training, and emotional intelligence.

Once you have selected your topic, you will conduct a literature review on that topic. Locate three scholarly peer-reviewed articles (published within the last five to seven years) that have investigated your research topic:

  • One of the articles needs to have employed an experimental research design.
  • One of the articles needs to have employed a quasi-experimental research design.
  • One of the articles needs to have employed a mixed-methods research design.

Tasks:

Read, summarize, analyze, and critique each of the articles. For each article, your analysis should:

  • Summarize the results of the study.
  • Evaluate the strengths and weaknesses of the research.
  • Discuss the appropriateness of the research design for the study, the reliability, the validity, sampling methods, and any potential bias.
  • Identify any ethical or diversity issues.

Having reviewed the same topic from a variety of research design approaches, reflect on what you have learned about the specific industrial/organizational (I/O) topic itself, as well as the impact that the research method employed had on the knowledge gained from the study. Be sure to include these reflections in the conclusion of your paper.

Write a 7- to 9-page paper based on your literature review, utilizing the three scholarly sources you review. Make sure you employ proper grammar and spelling and apply current APA standards for writing style to your work.

Use the following headings to organize your paper:

  • Research design methods defined:
    • Experimental
      • Strengths and limitations
    • Quasi-experimental
      • Strengths and limitations
    • Mixed methods
      • Strengths and limitations
  • Industrial/organizational (I/O) topic area of interest
  • Experimental design study summary:
    • Results
    • Experimental design study analysis and critique
      • Strengths and weaknesses of the study
      • Ethical, legal, and/or diversity considerations
  • Quasi-experimental design study summary
    • Results
    • Quasi-experimental design study analysis and critique
      • Strengths and weaknesses of the study
      • Ethical, legal, and/or diversity considerations
  • Mixed-methods research design study summary:
    • Results
    • Mixed-methods research design study analysis and critique
      • Strengths and weaknesses of the study
      • Ethical, legal, and/or diversity considerations
  • Conclusion
  • References
 
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Nursing Engagement & Outcomes

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Nursing Engagement & Outcomes

Nursing Engagement & Outcomes

Please Follow Instructions. Follow RUBRIC Please. Thanks

Prepare a 10-minute presentation (10-15 slides, not including title or reference slide) on organizational culture and values.

  1. Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes.
  2. Discuss how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem solving. Incorporate how system needs and the culture of health may influence the outcomes. How does this relate to health promotion and disease prevention in the larger picture?
  3. Identify a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes.

While APA style format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

RUBRIC:

Describes how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes.

A description to how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought

Discusses how an individual can use effective communication techniques to Overcome Workplace Challenges, Encourage Collaboration Across Groups, and Promote Effective Problem-Solving.

A discussion to how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem-solving is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. The influence of system needs and culture of health is thoroughly discussed; a strong correlation of how these relate to health promotion and disease prevention is established.

Identify a specific instance from your own professional experience in which the values of the organization and the values of individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes.

An example from your professional experience is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

Layout

The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in control of standard, written academic English.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Title slide is complete. References section includes correctly cited sources. Correct citations are included within the body of the presentation.

 
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Prescription Drug Abuse

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Prescription Drug Abuse

Prescription Drug Abuse

Use selected health policy issue as the basis for completing this assignment.Policy issued selected: (Prescription drug abuse)

Research a professional organization with influence over the health policy issue.

Locate at least one academic article focusing on the professional organization’s efforts to effect change on the health policy issue.

Contact the organization and ask at least two specific questions regarding the health policy issue that neither their website nor the article answered.

Prepare a marketable visual presentation (i.e., flyer, pamphlet, poster, etc.) on the organization. Include the following in your presentation:

1.The role and mission of the organization

2.The benefits of the organization to its members and the APRN community as a whole.

3. How will networking with this organization and with others in the industry help drive change in the area of your selected health policy issue?

4. Based on the article you selected and your research on the organization, how can the organization be used as a guiding coalition to address your health policy issue.

Other instructions: Please read carefully instructions above. US based.  I don’t need a paper. What i need is find a  professional organization with influence over Prescription drug abuse health policy. Then Locate at least one academic article focusing on the professional organization’s efforts to effect change on the health policy issue. then Contact the organization and ask at least two specific questions regarding the health policy issue that neither their website nor the article answered. Then lastly Prepare a marketable visual presentation (i.e., flyer, pamphlet, poster, etc.) on the organization. In the marketable visual presentation should include: 

1. The role and mission of the organization

2.The benefits of the organization to its members and the APRN community as a whole.

3. How will networking with this organization and with others in the industry help drive change in the area of your selected health policy issue?

4. Based on the article you selected and your research on the organization, how can the organization be used as a guiding coalition to address your health policy issue.

 
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Spiritual Assessment

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Spiritual Assessment

(Spiritual Assessment)

Exploring beliefs, practices, support, community, meaning, and values to understand spiritual well-being and its impact on health and healing

This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient to interview, be sure to focus on the interviewee’s experience as a patient.

Create a spiritual assessment for evaluating the spiritual needs of the patient. Create your own tool for assessing the spiritual needs of patient.

Your spiritual needs assessment survey must include a minimum of FIVE questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

  1. What went well?
  2. Were there any barriers or challenges that inhibited your ability to complete the assessment tool?      How would you address these in the future or change your assessment to better address these challenges?
  3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
  4. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.

Prepare this assignment according to the guidelines found in the APA Style Guide.

NO PLAGIARISM PLEASE, MINIMUM OF 3 REFERENCES

 
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Reflecting On Your Writing

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Reflecting on Your Writing: Instructor Feedback

(Reflecting On Your Writing)

As a scholar and part of the intellectual community, you will want to understand ways to integrate feedback to be able to join a larger conversation. A significant part of scholarly writing is revising based on your colleagues’ feedback, and now that you have a substantial amount of writing; it is time to reflect on the ways you have incorporated your Instructor’s feedback.

This week’s Learning Resources will help you examine rhetorical strategies for placing yourself in the scholarly conversation, such as using the personal pronoun, “I.” For this Discussion, you will reflect on how your voice fits into the scholarly conversation—beginning with the conversation between your Instructor and yourself. This initial Discussion is part of a continual conversation during the remainder of this course as your Instructor and yourself revise, review, and reflect on your writing.

To prepare for this Discussion:

  • Review      the Learning Resources on audience and sentence structure.
  • Reflect      on your ways you have incorporated your Instructor’s feedback and your      part in the scholarly conversation. You may even choose to consider how      you approached this specific Assignment in relation to scholarly voice and      transitions.

By Tuesday 12/26/2017, in APA format with at least one reference,

Post a 1- to 2-paragraph reflection on your use of your Instructor’s feedback throughout the past few weeks of this course and your participation in the scholarly conversation. (Note: You may choose to reflect specifically on how you will apply scholarly voice concepts in this week’s Assignment.)

Required Readings

Laureate Education. (2015). Evaluation: What is it? [Infographic]. Baltimore, MD: Author.

Walden University Writing Center. (2015i). Walden templates: General templates: APA course paper template (6th ed.). Retrieved from http://academicguides.waldenu.edu/writingcenter/templates/general

Laureate Education. (2015). [Infographic]. Point of View Analysis, Baltimore, MD: Author.

Prince, S. (2014, May 8). Breaking down the MEAL plan: Adding analysis [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2014/05/breaking-down-meal-plan-adding-analysis.html

Prince, S. (2012, August 28). You’re engaged?! [Blog post]. Retrieved from http://waldenwritingcenter.blogspot.com/2012/08/youre-engaged.html

Required Media

Walden University Writing Center (Producer). (2015, January 30). WriteCast: Student Q&A on flow, sentence length, and using “I” in academic writing (Episode 18) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/writecast018

Note: The approximate length of this media piece is 10 minutes.

Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep018

Walden University Writing Center (Producer). (2014, February 10). WriteCast: All about audience (Episode 6) [Audio podcast]. Retrieved from https://soundcloud.com/writecast/006-all-about-audience

Note: The approximate length of this media piece is 9 minutes.

Transcript: http://academicguides.waldenu.edu/writingcenter/transcripts/podcasts/ep006

Walden University Writing Center. (2015). APA formatting and style: Point of view [Video file]. Retrieved from http://academicguides.waldenu.edu/writingcenter/scholarlyvoice/pointofview#s-lg-box-6264281

Note: The approximate length of this media piece is 3 minutes.

Walden University Writing Center. (2015). Engaging writing: Tool 2-Sentence structure [Video file]. Retrieved from http://academicguides.waldenu.edu/writingcenter/scholarlyvoice/clarity#s-lg-box-6264315

Note: You will need to advance through the playlist to locate the correct video. The approximate length of this media piece is 3 minutes.

 
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Report on Project Feasibility

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Providing Health Services in a Rural Community: A Report on Project Feasibility

(Report on Project Feasibility)

Question description

Providing healthcare services to residents in rural areas has presented increased challenges that include access and cost. For your Capstone Project, you will be using a case study that focuses on Pocahontas Memorial Hospital located in Pocahontas County, West Virginia.

Pocahontas Memorial Hospital (PMH) would like to offer a comprehensive satellite health clinic within Pocahontas County. You have been contracted to prepare a report for the PMH Board of Directors to guide them in determining the feasibility of opening a satellite clinic as part of a strategic initiative for their annual strategic management planning process.

Your report should be organized according to the following structure and contain the elements described:

Introduction: This is where you introduce your audience to what this report will cover.

  • Description of PMH and potential project
  • Discussion of whether the organization’s mission, vision, and goals support the project

Assessment: This is your evaluation of various factors that affect the feasibility and development of the project.

  • Internal and external stakeholders involved and their buy-in for this project
  • Internal and external environmental challenges (e.g., access for consumers, medical equipment, technology, community involvement required)
  • A market analysis
  • A SWOT analysis

Recommendations and Implementation: This is where you detail your recommendations and strategies for implementation. Your recommendations should be based directly on what you outlined in your assessment.

  • Strategies for attracting healthcare professionals and staff
  • Feasibility for development of a satellite clinic
  • Value-adding support and resources (e.g., equipment, technology, etc.)
  • Develop strategic initiatives
  • Short- and long-terms plans for implementation of strategic initiatives
  • Brief discussion of how you will evaluate and benchmark this project

Conclusion: This brief summary should pull together your assessment and recommendations and leave the audience with a clear sense of what can be done.

Requirements:

  • Be 14–15 double-spaced pages in length, not including the cover or reference pages or appendices. Including introduction and conclusion
  • Include the strategic thinking maps and content you created for the earlier module assignments. They may be added in addition to/or as a part of the 14-15 pages of content or moved to the Appendix section.
  • Be formatted according to APA Requirements. Support your positions, claims, and observations for your statements with full APA in-text citations from a minimum of ten (10) scholarly references.
  • Include full market analysis and SWOT analysis diagrams in the Appendix, but present your narrative discussion of each in the Assessment section of your report.
  • Please no plagiarism and sources should not be older than 5 years.
 
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Self Management Paper

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Selected Behavior- Frequency of exercise added to  daily schedule
Self Management Paper

Self Management Paper

1st part– Track baseline data of your selected behavior that you would like to change over a 3-day period.

Use this information in your Self-Management Paper, due in Week 5.

Self Management Paper

Day One Day Two Day Three
Dimensions of measurement
Baseline measurement
Function of baseline behavior

Self Management Paper

2nd part- This cumulative assignment allows you to consider everything you have learned over the past 5 weeks in an attempt to change a behavior of your own. This overall process is similar to what a board-certified behavior analyst would compete with a new client.

Refer to the approved behavior you would like to change, based on your submission to your instructor in Week 3.- Exercise Frequency

 Write a 1,400- to 1,750-word paper that outlines an intervention plan for changing that behavior, in which you discuss the following:

  • Describe the target behavior.
  • Outline the dimensions of measurement/baseline measurement.
  • Describe the function of the baseline behavior.
  • Outline the goals of the behavioral change.
  • Propose a behavior intervention plan based on goals.
    • Provide a minimum of 2 antecedent changes.
    • Provide 4 to 5 consequence modifications. Choose consequences based on at least four of the following: positive reinforcement, negative reinforcement, negative punishment, positive punishment, and extinction.
  • Describe any potential barriers to treatment, as well as how you would overcome these barriers.
  • Describe the expected outcome if the behavior intervention plan was implemented and followed.

Format your paper according to APA guidelines. Use only peer reviewed articles

The following is my project submission for this project and some information may be useful for this project—

The behavior I have chosen is that of my exercise regime. Currently, I work full-time, homeschool my daughter, and attend online schooling. Due to this, I do not incorporate a lot of physical activity into my daily schedule and considering baseline data this shows my level of exercise is almost nonexistent. By choosing adding exercise to my daily routine as my topic for the self-management project I hope to become healthier. To begin this project, I will need to evaluate my bodies current abilities in regard to exercise and stamina. Determining the best approach at exercise in the amount of time allotted is imperative as well.  For each day of the project a record of which exercises completed, in addition to the amount of time dedicated will be logged. By keeping track of the different exercises and time, I should be able to modify by exercise regime to one that benefits my body and schedule, revising if deemed necessary. By keeping an observable and measurable record, I will be forced to hold myself accountable.

 

 
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Ethical Analysis: Contemporary Issues

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Ethical Analysis: Contemporary Issues

(Ethical Analysis: Contemporary Issues)

3 Page Rough Draft Due By Midnight Central Time!!!!! APA Reference Page

Rough Draft of Final Paper

In this course, you have looked at classical ethical theories of utilitarianism, deontology, and virtue ethics. You have also examined different perspectives on ethical issues introduced by relativism, ethical egoism, and emotivism. For this paper, you will apply these theories and perspectives to a current issue, selected from the list of issues below.

Choose one of the ethical issues from the list to research and write about. It is recommended that you choose a topic you are familiar with or that you have thought about previously, if possible. For example, you might choose an issue that either worries you or enrages you; you might choose one that you have worked on; or you might choose one that relates to recent events in your community.

Possible Issues

  • Corporate executive compensation
  • Corporate contributions to political campaigns
  • Affirmative action
  • The media and its responsibilities
  • Domestic surveillance
  • Whistle blowing in government or in a business
  • Religion in the workplace
  • Pornography
  • Consumer tracking
  • Ethical problems of gambling
  • Progressive taxation rates
  • Immigration
  • Women’s equality

In your paper, you will apply the ethical theories and perspectives to the issue that you select. You do not have to use all six, but you should apply at least two ethical theories and at least one ethical perspective in your paper. Make sure that you write primarily on ethical topics and concepts; do not get distracted by doing analyses that apply political, economic, religious, or legal perspectives. Describe, compare, and apply the ethical theories and perspectives to the topics. Explain your analysis of the issue using these theories and perspectives. What are the ethical issues? Where there breaches of ethical behavior? How could each theory help people think about what constitutes virtuous or ethical behavior?

Your draft must include at least three pages of text plus a title page and a references page. Your draft should include a clear thesis statement that states what you plan to argue. Also include a list of the sources you intend to use. You can also use the Sociology Research Guide located in the Ashford University Library. Format your rough draft according to APA style and properly cite and reference all your sources according to APA format. If you would like to refer to APA samples and tutorials, visit the Ashford Writing Center, located within the Learning Resources tab in the left navigation bar of your online course.

 
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