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A compelling cover page is essential for every essay. It’s the initial point o ...

A compelling cover page is essential for every essay. It’s the initial point of engagement for your reader, and a well-crafted one signals your proficiency and attention to detail as a writer. Crafting the ideal cover page is straightforward if you adhere to simple guidelines. This article will guide you through the steps and styles of creating an effective essay cover page. Let’s dive in!

What is an Essay Cover Page?

An essay cover page, also known as the title page of an essay, is the first page of your academic document that formally introduces your work. It includes the title of your essay, your name, the course name, the instructor’s name, and the submission date.

In some cases, especially in formal or research-oriented essays, it may include an institutional affiliation or a running head. The essay cover page format can vary depending on the academic style guide you’re following.

The cover page of an essay is an opportunity to make a professional first impression, showcasing your attention to detail and adherence to academic standards. Different formatting styles, such as APA, MLA, or Chicago, have specific guidelines for how essay cover pages should be structured and presented. A well-crafted cover page essay sets the tone for your entire paper.
For those unsure how to format their cover page essay, looking at a title page example for essays can be helpful.

Many institutions provide an essay title page example to guide students. The requirements for a university essay title page or university essay cover page may be more specific, often including additional information such as student ID numbers or department names. Whether creating an academic essay title page for a high school assignment or a doctoral thesis, understanding the proper essay cover page format is crucial for presenting your work professionally.

When Should a Cover Page be Used?

A cover page is typically used in academic writing, especially when formal presentation and adherence to specific formatting guidelines are important. This includes various academic levels, from university essays and dissertations to when you write a research paper. 

The requirement for a cover page often depends on the formatting style adopted, such as APA, MLA, or Chicago, as each has its own rules for cover page presentation. Additionally, instructors or publishers might specifically request a cover page for submissions, regardless of general norms. 

Its usage is more common in formal and complex assignments like term papers, theses, or works submitted for academic journals or conferences, where it provides essential information at a glance and reflects a professional approach to academic writing.

Different Types of Cover Pages

Cover pages in academic writing vary primarily based on the formatting style used. Each style has its unique layout and content requirements, tailored to suit different academic disciplines and publication standards. The most commonly used types are APA, MLA, and Chicago styles.

  • APA Style Cover Page: Predominantly used in the social sciences, the APA (American Psychological Association) cover page includes the title of the paper, the author’s name, and the institutional affiliation. Key features often include a running head and a page number at the top.
  • MLA Style Cover Page: The MLA (Modern Language Association) style is frequently used in the humanities. This cover page typically includes the essay title, author’s name, course name, instructor’s name, and the date, aligned to the left-hand side of the page.
  • Chicago Style Cover Page: Common in history and some other fields, the Chicago style cover page presents the title halfway down the page, followed by the author’s name, course information, instructor’s name, and date, usually centered at the bottom part of the page.

Each style caters to specific academic needs and preferences, ensuring clarity, consistency, and a professional presentation of academic work. Choosing the appropriate style is important based on the essay’s subject matter and the requirements set forth by the academic institution or publication.

Essay Title Page Design

Designing an essay cover page involves adhering to the specific formatting style required for your essay while ensuring the layout is clean, professional, and visually appealing. Here are some general guidelines to consider, irrespective of the formatting style:

  • Title Placement and Font: The title of your essay should be prominently placed, often in the center of the page. Use a clear, legible font, typically the same font type and size used in the rest of your essay.
  • Margins: Generally, the standard margin for academic papers, including the cover page, is 1 inch on all sides (top, bottom, left, and right). This standard applies across various formatting styles, such as APA, MLA, and Chicago, unless specified otherwise by your instructor or specific publication guidelines.
  • Author Information: Include your name, and depending on the requirements, you might also need to add your institutional affiliation, course name, and instructor’s name. This information is usually placed below the title.
  • Spacing and Alignment: Maintain consistent spacing and alignment. In most cases, the title and author information are centered on the page. However, alignment might vary with different formatting styles.
  • Running Head and Page Number: For styles like APA, a running head (a shortened version of the title) and a page number may be required at the top of the page.
  • Additional Information: Depending on the guidelines, you might also include the date of submission, the academic term, or a class identifier.
  • Aesthetic Appeal: While professionalism is key, ensure the cover page is not cluttered. Use white space effectively to create a balanced, uncluttered look.
  • Adherence to Style Guidelines: Most importantly, align your cover page design with the specific guidelines of the formatting style you use – APA, MLA, or Chicago. Each has distinct requirements for how to organize and present the information.

APA Style

The American Psychological Association (APA) format is widely used in social sciences. The APA cover page has specific requirements for its layout and content.

APA Cover Page Format 

Running Head: The running head is a shortened version of your title. It should be aligned to the left at the top of every page. On the title page, precede the running head with “Running head:”

Title: The title of your paper should be placed in the upper half of the page. The title should be centered and written in boldface. It should be concise yet descriptive.

Author’s Name: Below the title, include your name without titles or degrees.

Institutional Affiliation: Beneath your name, write the name of your institution or college.

Page Number: Include a page number on the top right of every page, including the cover page.

In APA format, essays, including the cover page, should be typed on standard white paper measuring 8.5 x 11 inches. The cover page appears as the first page of your essay.

Ensure that margins of 1 inch are set on all sides of the cover page – top, bottom, left, and right.

The text throughout your APA essay, including the cover page, should be double-spaced. The preferred font is Times New Roman in a 12 pt. size, though Arial is also acceptable.

It’s important to maintain double spacing on the entire cover page, with no single spacing in any section. This double-spacing rule applies to the entire paper formatted in APA style. Additionally, avoid adding extra spaces anywhere in the document, including the cover page, to adhere to APA guidelines.

APA Format Title Page Example

Here’s an APA title page example:

How to Write a Cover Page for an Essay

At the top left, the running head APA format example includes a shortened title version in all caps. The cover page is preceded by “Running head:” On subsequent pages, only the title (in caps) appears. This is a key element of the APA format first page.

The full title is in bold on the upper half of the page. It should concisely represent the content of your essay.

Below the title, the author’s name and their institutional affiliation APA requirement are centered and double-spaced. Remember, the APA cover sheet should be double-spaced, and the page number (1) should be in the top right corner.

This example follows the standard APA format for cover pages, demonstrating the essential components of an APA format front page. Creating a proper APA cover sheet ensures your paper makes a strong first impression and adheres to academic standards.

APA Cover Page Template

Running head: SHORTENED TITLE OF YOUR PAPER 1

Full Title of Your Paper

Your Name

Institutional Affiliation

MLA Style

The Modern Language Association (MLA) style is commonly used in the humanities. Unlike APA, an MLA cover page is not always required and often depends on your instructor’s preferences. When used, it has a specific format.

MLA Cover Page Format 

Begin with the first student’s name at the top of the page. If the paper has multiple authors, list each additional author’s name on a new line below the first. Following the final author’s name, add the instructor’s name on the next line, using their title (e.g., “Professor Green”) without the full name.

Below the instructor’s name, write the course name along with its numeric code. Then, on the subsequent line, indicate the date. The date can be formatted as day-month-year or month-day-year, ensuring the month is fully spelled out, as MLA does not use abbreviations for months.

Finally, leave four to five double-spaced lines after the date, and then center the title of the paper. The title should use standard text formatting, without bold or italics, and follow the standard rules for title capitalization, similar to the APA cover page format.

MLA Title Page Example

Here’s an example of an MLA cover page:

How to Write a Cover Page for an Essay

In this example:

The author’s name (Emily Johnson) is at the top.

The instructor’s name (Nurse Brown) follows.

The course name and number are below the instructor’s name (Nursing Fundamentals 204).

The date (15 January 2024) is on the next line, in the MLA-prescribed format.

The essay’s title (“Ethical Considerations in Patient Care”) is centered a few lines below the date. The title uses standard text formatting, maintaining MLA style guidelines for capitalization and formatting.

MLA Cover Page Template

[Your Name]

[Instructor’s Name]

[Course Name and Number]

[Date in Day Month Year Format]

[Title of Your Paper]– Should be centered

Chicago Style

The Chicago Manual of Style is widely used in history, literature, and some other fields. It has specific requirements for cover pages.

Chicago Style Cover Page Format

The Chicago cover page format is straightforward yet formal.

Title: Place the title of your paper centered, about a third of the way down the page. Ensure it is clear and prominent, often in a larger font size or bolded for emphasis. his is a key element of the Chicago title page.

Subtitle (if applicable): If your paper has a subtitle, end the main title with a colon and place the subtitle on the line directly below the main title.

Author’s Name and Class Information: A few lines after the title or subtitle, center your name. Below your name, also centered, include your class information, such as the course name and number and your instructor’s name. This information is crucial for a proper cover page Chicago style.

Date: Finally, include the date of submission, centered, a few lines below your class information. Following these guidelines ensures your Chicago style front page adheres to the required academic standards and presents a professional appearance for your paper.

Chicago Style Cover Page Example

Here’s an example of a Chicago format cover page:

How to Write a Cover Page for an Essay

On this cover page:

The title “The Impact of Technology in Modern Nursing Care” is centered a third down the page, in bold or a larger font for emphasis. The subtitle “Advancements and Challenges” follows directly below it, separated by a colon. Several lines below the subtitle, the author’s name, “Samantha Lee,” is centered. 

This is followed by the course details, “Nursing 301: Advanced Patient Care,” the instructor’s name, “Professor Jane Miller,” and the submission date, “April 10, 2024,” all centered and spaced accordingly.

Chicago Style Cover Page Template

Title of Your Paper

Subtitle (if applicable)

Your Name

Course Name

Instructor’s Name

Date of Submission

What’s the difference between a title page in APA format vs. MLA format?

In APA format, the cover page centers most information in the middle of the page. This includes the title of the paper, the author’s name, and the institutional affiliation. In contrast, an MLA format cover page usually places the majority of its information in the upper-left corner, except for the title, which is centered in the middle of the page. Both styles have distinct rules regarding the placement of information and adhere to specific formatting guidelines.

Conclusion on How to Make a Cover Page

Writing a proper essay cover page is an essential aspect of academic writing that reflects your attention to detail and adherence to scholarly standards. Whether you’re working within APA, MLA, or Chicago style guidelines, understanding and applying the specific requirements of each ensures your work is presented professionally.

Remember, the cover page is your essay’s first impression, setting the tone for what follows. By mastering this skill, you not only comply with academic norms but also enhance the credibility and visual appeal of your work.

What is a cover page for an essay?

A cover page for an essay, also known as a title page, is the first page of your academic paper that provides key information about your work. It typically includes the essay title, your name, course details, instructor’s name, and submission date. It serves as a formal introduction to your essay and follows specific formatting guidelines based on the required citation style.

How to write a cover page for an essay

To write a cover page for an essay:

  • Center your essay title about 1/3 down the page
  • Include your full name below the title
  • Add your course name, instructor’s name, and date
  • Use the required font and spacing (usually double-spaced)
  • Include any additional information required by your institution or citation style

How to make a title page for an essay

To make a title page for an essay:

  • Open a new document in your word processor
  • Set the margins (usually 1 inch all around)
  • Choose the appropriate font (often Times New Roman, 12pt)
  • Center your text
  • Add the required information (title, name, course, etc.)
  • Include page number if required
  • Ensure proper spacing between elements

How to write a running head

To write a running head (used in APA format):

  • Create a shortened version of your title (50 characters or less, including spaces)
  • Use all capital letters
  • Place it at the top left of every page
  • On the title page, precede it with “Running head:” (only on the first page)
  • Include the page number on the right side of the header

What is a title page for an essay?

A title page for an essay is the same as a cover page. It’s the first page of your essay that provides essential information about your paper, including the title, author name, course details, and date. It follows specific formatting guidelines based on the required citation style (APA, MLA, Chicago, etc.).

What goes on a cover page for an essay?

A cover page for an essay typically includes:

  • Essay title
  • Your full name
  • Course name and number
  • Instructor’s name
  • Submission date
  • Institution name (if required)
  • Running head (for APA format)
  • Page number

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The introduction is one of the most important parts of an essay, article, or res ...

The introduction is one of the most important parts of an essay, article, or research paper. It comes at the beginning and provides readers with their first impression of the writing. An effective introduction should grab the reader’s attention, provide background information about the topic, present the scope and organization of the writing, and establish the purpose or thesis statement.

This guide discloses trade secrets for crafting standout introductory paragraphs. Let’s start unlocking top grades and greater readership response through strategic openings!

What is an Introduction?

An introduction serves as your reader’s first impression of your essay or research paper. These critical opening paragraphs set the tone and entice others to keep reading. An introduction contextualizes the topic, states a position via a thesis statement, and ensures audiences have sufficient background knowledge before hitting the heavy facts.

Strong introductions establish a paper’s organization, significance, and author’s approach in prepping readers for smooth comprehension from start to finish!

Elements of an Effective Introduction

While top-scoring introductions do not need to be long or elaborate, several key ingredients enable them to shine:

How to Write a Hook

Engaging first sentences called “hooks” grab your audience’s attention immediately. Hooks might pose an intriguing question, share a motivational quote, drop a shocking statistic, or detail a compelling patient story that spotlights issues addressed later. There are creative tactics to hook readers fast for maximum willingness to continue!

How to Add Background Information

Provide a brief yet targeted background to orient readers on contexts without assuming prior subject familiarity. Define key terms, set the time/place the essay focuses on, and clarify related issues currently surrounding your specific discussion topic area. It’s wise not to launch straight into heavy-hitter details but instead pave the required knowledge foundations.

How to Write a Thesis Statement

A paper’s thesis statement concisely conveys the author’s central point or position on the topic. Think of it as your opportunity to announce exactly what claim the forthcoming evidence supports! Thesis statements shine brightly by stating an essay’s objective and foreshadowing major points covered later.

Theses guide readers without fully revealing intricacies just yet. More specifics come through emerging body paragraph topic sentences that systematically back the core thesis statement.

How to Write an Introduction Paragraph in 6 Steps

Even celebrated authors can find crafting killer opening lines challenging. Here are some steps for writing a good introductory paragraph:

Pick the Tone of Your Paper

The tone and formality of your introduction should match the overall style of your research paper or essay. Consider who your target audience is and what writing style would appeal to them. For example, a reflective paper may take an informal and conversational tone, while a research paper should use formal, academic language.

Write a Thesis Statement

The thesis statement is the most important part of your introduction. In one or two sentences, state your central argument or the purpose of your paper. Get right to the point—there’s no need for a vague or flowery thesis statement. Use clear, direct language to indicate what claim your evidence supports.

Give Background Information 

After the thesis statement, provide a brief background context so readers understand why you are focusing on this topic and its significance to nursing practice. Define key terms that may be unfamiliar. Provide relevant details on the scope of the issue in nursing currently. Supply readers with the background required to comprehend discussed concepts without assuming too much prior knowledge.

Write the Hook

Every great paper starts with an equally great hook that draws readers in. Use rhetorical questions, shocking statistics, emotional patient stories, or inspiring quotes to grab attention upfront. Align hooks conceptually with thesis statement angles. Strive for intriguing specificity over vague grandiosity when structuring opening hook lines.

Write a Draft 

With the structure in mind, draft your full introduction without fixating on perfection just yet. Allow ideas to spill out raw initially before revising. If you get stuck on phrasing a section, skip ahead to finish an initial draft you can refine later. Creating introductions is an iterative process, so respect it’s evolving, non-linear creative arc.

Revise 

After completing your paper, scrutinize whether introductions accurately foreshadow content or require adjusting. Revise hook relevance, background details volume, and thesis statements clarity based on the actual direction of full paper arguments that unfolded. This allows introductions to hold the right balance of revealed and concealed specifics best priming readers’ comprehension.

Examples of Good Introductory Paragraphs

Still unsure what distinguishes A+ caliber paper openings? Peek at these expertly crafted samples showcasing various hook tactics and impactful elements covered:

Example 1: Hook Using a Question

“What good is swigging cough syrup if fundamental well-being aspects like wholesome nutrition, restorative sleep, and balanced stress levels remain unaddressed?” This introductory question from a nursing management essay on holistic care models subtly criticizes medicine’s limitations in fully promoting well-being absent wider lifestyle considerations. It lays the foundations for arguing integrative care’s comprehensive advantages later.

Example 2: Hook Using a Quote

“A nurse’s smile is the best way to gain your patient’s confidence.” This sentiment expressed by acclaimed nursing leader Mable Mixner saw the truth when…(anecdote elaborating) The quote grabs through a respected figure’s wisdom before transitioning into a real scenario demonstrating related challenges nurses aim to overcome.

Example 3: Introduction With Topic Sentences

This theory introduction distinctly previews an upcoming content structure based on key influences covered in greater detail within paragraph topics later: “Nursing practice fundamentals traces back core foundations to several pivotal contributors. Florence Nightingale pioneered emphasizing sanitation and environment on outcomes while Jean Watson reformed perceptions of human caring factors. Meaningful nursing relationships also stem back to seminal researcher Hildegard Peplau’s interventions bridging communication gaps.”

Example 4: Thesis Statement With Specific Details

“Standard hospital visiting hour policies prohibiting children under 12 adversely impact patient recovery and satisfaction according to recent immersive research on family-centered care effects.” This thesis packs a punch by specifying exactly what position the evidence supports.

Example 5: Thesis Statement With a Clear Argument

“Nursing staffing retention initiatives prioritizing eight key contributors hold the greatest efficacy for creating optimally supportive workplaces revealed through 5,200 surveyed healthcare professionals across 14 states.” Talk about clearly mapping out an essay roadmap from the get-go!

Introduction for a Research Paper Example

“How many healthcare breakthroughs never transpired simply because nurses lacked conducive environments to incubate their insights? Accidents advancing treatment protocols, medication administration refinements preventing errors, and patient-centered care customizations improving experiences all require nurturing conditions allowing nurses to thoroughly unleash their potential.

My 12-month University of North Carolina mixed-methods study spanning 1,154 multi-unit nurses examines specific workplace culture components with the greatest correlations to elevated nursing research participation. Early findings revealed striking patterns surrounding eight key environmental factors strongly predictive of advanced inquiry activity embracing problem-focused curiosity.”

This introduction instantly engages by spotlighting an intriguing open question readers likely share. It establishes the study’s purpose of investigating influences on nursing research engagement amid the underwhelming status quo.

Both quantitative and qualitative evidence obtained gets cited from a respectable university, setting foundations for projected reliability. The final sentence intrigues through early findings while staying vague to engage the reader!

Writing Perfect Essay Introductions: FAQs

How do you write a good introduction?

Good introductions grab attention with hooks, supply needed background, present a clear thesis statement foreshadowing arguments ahead plus helpfully frame paper significance, scope, and organization early so readers comprehend flows.

What is an introduction example?

One introduction example could be opening an essay discussing nursing labor unionization by referencing an alarming industry burnout statistic, acknowledging care quality challenges arising from short-staffing issues, stating a thesis arguing collective bargaining’s cost/benefit case merits, and previewing main points on financial and cultural impacts.

What are the 4 steps of an introduction?

The four essential steps comprising stellar introductions are:

  1. Opening with a hook grasping interest
  2. Providing necessary topic background
  3. Introducing a central thesis statement
  4. Structuring an overview forecasting content flow

What are the 3 sentences for your introduction?

While introductions shouldn’t be confined by length requirements, the magic 3 core sentences tend to include:

  1. The hook gripping readers’ attention
  2. The background giving required context
  3. The thesis presenting your central claim or analysis aims

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HQ003 Interdisciplinary Collaboration in NursingHQ003 Interdisciplinary Collabor ...

HQ003 Interdisciplinary Collaboration in Nursing

HQ003 Interdisciplinary Collaboration in Nursing

Written Response Submission Form

Your NameFirst and last

Your E-Mail Address: Your email here

Instructions

In each of the four Written Response items, you will encounter a situation involving interdisciplinary collaboration. Write your responses where it reads “Enter your response here.” Write as much as needed to satisfy the requirements indicated. Each item contains the rubric that will be used to evaluate your responses.

Item 1

ORDER NOW FOR ORIGINAL, ORDER THROUGH BOUTESSAY

For this Written Response item, consider the following scenario:

At Meridien Medical Center, hospital policy is to document the “reason” for not administering a medication that is ordered but not administered. The documented reason of “patient refusal” for venous thromboembolism (VTE) prophylaxis has been high across hospital units.

In order to improve patient outcomes, the Quality and Patient Safety Committee decided to explore why so many patients refuse VTE prophylaxis. Their inquiry revealed that less experienced nurses were not very comfortable teaching patients about the risks of VTE and pulmonary embolism if they declined the shot.

Respond to the following prompt:

  • Using an interdisciplinary approach, how would you plan to address the less-experienced nurses’ lack of comfort in teaching patients?

Your Response

Enter your response here.

 0

Not Present

1

Needs Improvement

2

Meets Expectations

Module 1: Interdisciplinary Collaboration in NursingUsing an interdisciplinary approach, how would you plan to address the less-experienced nurses’ lack of comfort in teaching patients?

LO1.1: Apply an interdisciplinary approach to address quality and safety problems in healthcare

An interdisciplinary approach for addressing the less-experienced nurses’ lack of comfort in teaching patients is missing.The response applies an inappropriate or vague interdisciplinary approach to addressing the less-experienced nurses’ lack of comfort in teaching patients.The response recommends an appropriate and clear interdisciplinary approach for addressing the less-experienced nurses’ lack of comfort in teaching patients.

Item 2

For this Written Response item, consider the following scenario:

Current practice for interdisciplinary rounds on the post-surgery cardiac unit of Meridien Medical Center is to include the surgeon, attending physician, medical student, and nurse. These team members work well together to assess cases and coordinate care. But you know that the unit has had some adverse drug events lately, particularly in the older patient population.

Respond to the following prompts:

  • What additional roles/team members would you advocate adding, and how would you get buy-in from existing team members?

Your Response

Enter your response here.

Rubric

 0

Not Present

1

Needs Improvement

2

Meets Expectations

Module 1: Interdisciplinary Collaboration in NursingWhat additional roles/team members would you advocate adding, and how would you get buy-in from existing team members?

LO1.2: Recommend effective interdisciplinary team compositions for quality and safety

A recommendation for additional roles/team members and for achieving buy-in is missing.The response provides an inappropriate or vague recommendation for adding roles/team members and for achieving buy-in.The response provides an appropriate and clear recommendation for adding roles/team members and for achieving buy-in.

Item 3

For this Written Response item, consider the following scenario:

A new social work graduate, Monica, just started on your unit at Meridien Medical Center, 14 South. She is young and energetic, and everyone seems to like her. The other day during interdisciplinary rounds she was on her phone repeatedly. At first you gave her the benefit of the doubt . . . maybe she was responding to patient messages.

But when the attending physician asked Monica a direct question about a patient, she looked up from her phone, mumbled an excuse, and asked the doctor to repeat his question. The physician has voiced his frustrations, citing unprofessionalism and inattentiveness as concerns. Fran, also a member of the team, is an older nurse who has had a productive career at the hospital.

When talking about Monica, Fran has lately been seen rolling her eyes and making sarcastic comments about “Gen Z.” You want to help both Monica and Fran be effective team members. What do you do before the problem involving Monica, Fran, and the physician gets out of hand?

Respond to the following prompts:

  • Recommend and justify a strategy for addressing the central conflict or issue in the scenario through interdisciplinary collaboration best practices.
  • Explain what diversity (e.g., different generation cohorts, levels of experience, specialties, backgrounds, races, and/or genders) brings to the team and how you would leverage that in the scenario.

Interdisciplinary Collaboration

INTRODUCTION

Healthcare organizations accredited by the Joint Commission are required to conduct a root cause analysis (RCA) in response to any sentinel event, such as the one described in the scenario attached below. Once the cause is identified and a plan of action established, it is useful to conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail. As a member of the healthcare team in the hospital described in this scenario, you have been selected as a member of the team investigating the incident.

SCENARIO

It is 3:30 p.m. on a Thursday and Mr. B, a 67-year-old patient, arrives at the six-room emergency department (ED) of a sixty-bed rural hospital. He has been brought to the hospital by his son and neighbor. At this time, Mr. B is moaning and complaining of severe pain to his (L) leg and hip area. He states he lost his balance and fell after tripping over his dog.

Mr. B was admitted to the triage room where his vital signs were B/P 120/80, HR-88 (regular), T-98.6, and R-32, and his weight was recorded at 175 pounds. Mr. B. states that he has no known allergies and no previous falls. He states, “My hip area and leg hurt really bad. I have never had anything like this before.” Patient rates pain at 10 out of 10 on the numerical verbal pain scale. He appears to be in moderate distress. His (L) leg appears shortened with swelling (edema in the calf), ecchymosis, and limited range of motion (ROM).

Mr. B’s leg is stabilized and then is further evaluated and discharged from triage to the emergency department (ED) patient room. He is admitted by Nurse J. Nurse J finds that Mr. B has a history of impaired glucose tolerance and prostate cancer. At Mr. B’s last visit with his primary care physician, laboratory data revealed elevated cholesterol and lipids. Mr. B’s current medications are atorvastatin and oxycodone for chronic back pain. After Mr. B’s assessment is completed, Nurse J informs Dr. T, the ED physician, of admission findings, and Dr. T proceeds to examine Mr. B.

Staffing on this day consists of two nurses (one RN and one LPN), one secretary, and one emergency department physician. Respiratory therapy is in-house and available as needed. At the time of Mr. B’s arrival, the ED staff is caring for two other patients. One patient is a 43-year-old female complaining of a throbbing headache. The patient rates current pain at 4 out of 10 on numerical verbal pain scale. The patient states that she has a history of migraines. She received treatment, remains stable, and discharge is pending. The second patient is an eight-year-old boy being evaluated for possible appendicitis. Laboratory results are pending for this patient. Both of these patients were examined, evaluated, and cared for by Dr. T and are awaiting further treatment or orders.

After evaluation of Mr. B, Dr. T writes the order for Nurse J to administer diazepam 5 mg IVP to Mr. B. The medication diazepam is administered IVP at 4:05 p.m. After five minutes, the diazepam appears to have had no effect on Mr. B, and Dr. T instructs Nurse J to administer hydromorphone 2 mg IVP. The medication hydromorphone is administered IVP at 4:15 p.m. 

After five minutes, Dr. T is still not satisfied with the level of sedation Mr. B has achieved and instructs Nurse J to administer another 2 mg of hydromorphone IVP and an additional 5 mg of diazepam IVP. The physician’s goal is for the patient to achieve skeletal muscle relaxation from the diazepam, which will aid in the manual manipulation, relocation, and alignment of Mr. B’s hip. The hydromorphone IVP was administered to achieve pain control and sedation. After reviewing the patient’s medical history, Dr. T notes that the patient’s weight and current regular use of oxycodone appear to be making it more difficult to sedate Mr. B.

Finally, at 4:25 p.m., the patient appears to be sedated, and the successful reduction of his (L) hip takes place. The patient appears to have tolerated the procedure and remains sedated. He is not currently on any supplemental oxygen. The procedure concludes at 4:30 p.m.,and Mr. B is resting without indications of discomfort and distress. At this time, the ED receives an emergency dispatch call alerting the emergency department that the emergency rescue unit paramedics are enroute with a 75-year-old patient in acute respiratory distress. 

Nurse J places Mr. B on an automatic blood pressure machine programmed to monitor his B/P every five minutes and a pulse oximeter. At this time, Nurse J leaves Mr. B’s room. The nurse allows Mr. B’s son to sit with him as he is being monitored via the blood pressure monitor. At 4:35 p.m., Mr. B’s B/P is 110/62 and his O2 saturation is 92%. He remains without supplemental oxygen and his ECG and respirations are not monitored.

Nurse J and the LPN on duty have received the emergency transport patient. They are also in the process of discharging the other two patients. Meanwhile, the ED lobby has become congested with new incoming patients. At this time, Mr. B’s O2 saturation alarm is heard and shows low O2 saturation (currently showing a saturation of 85%). The LPN enters Mr. B’s room briefly, resets the alarm, and repeats the B/P reading.

Nurse J is now fully engaged with the emergency care of the respiratory distress patient, which includes assessments, evaluation, and the ordering of respiratory treatments, CXR, labs, etc.

At 4:43 p.m., Mr. B’s son comes out of the room and informs the nurse that the monitor is alarming. When Nurse J enters the room, the blood pressure machine shows Mr. B’s B/P reading is 58/30 and the O2 saturation is 79%. The patient is not breathing and no palpable pulse can be detected.

A STAT CODE is called and the son is escorted to the waiting room. The code team arrives and begins resuscitative efforts. When connected to the cardiac monitor, Mr. B is found to be in ventricular fibrillation. CPR begins immediately by the RN, and Mr. B is intubated. He is defibrillated and reversal agents, IV fluids, and vasopressors are administered. After 30 minutes of interventions, the ECG returns to a normal sinus rhythm with a pulse and a B/P of 110/70. The patient is not breathing on his own and is fully dependent on the ventilator. The patient’s pupils are fixed and dilated. He has no spontaneous movements and does not respond to noxious stimuli. Air transport is called, and upon the family’s wishes, the patient is transferred to a tertiary facility for advanced care.

Seven days later, the receiving hospital informed the rural hospital that EEG’s had determined brain death in Mr. B. The family had requested life-support be removed, and Mr. B subsequently died.

Additional information: The hospital where Mr. B. was originally seen and treated had a moderate sedation/analgesia (conscious sedation) policy that requires that the patient remains on continuous B/P, ECG, and pulse oximeter throughout the procedure and until the patient meets specific discharge criteria (i.e., fully awake, VSS, no N/V, and able to void). All practitioners who perform moderate sedation must first successfully complete the hospital’s moderate sedation training module. 

The training module includes drug selection as well as acceptable dose ranges. Additional (backup) staff was available on the day of the incident. Nurse J had completed the moderate sedation module. Nurse J had current ACLS certification and was an experienced critical care nurse. Nurse J’s prior annual clinical evaluations by the manager demonstrated that the nurse was meeting requirements. Nurse J did not have a history of negligent patient care. Sufficient equipment was available and in working order in the ED on this day.


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HRER in the Age of Artificial Intelligence Essay 16HRER in the Age of Artificial ...

HRER in the Age of Artificial Intelligence Essay 16

HRER in the Age of Artificial Intelligence Essay 16

Textbook: Competing in the Age of Al 2020; Author: Iansiti, Marco / Lakhani, Karim R.

Publisher: Harvard Business School Press

Essay Assignment – Post your response to the discussion prompt below:

1. What are the implications of the New Meta on human capital management and the HRER profession?
2. What actions are organizations taking to adapt to the new meta?
3. Provide an example from an organization you have worked for or have researched more about it in relation to this lesson.
(Kindly use Google)
3. What questions surfaced for you after completing Lesson 9?

Please use “Google” as an organization I have researched more about in relation to this lesson assignment.
Please use APA Style for references.
Please include page nos. from the text for all references.

ORDER THROUGH BOUTESSAY

HRER in the Age of Artificial Intelligence Essay 16 Instructions

Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

  • Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
  • Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
  • One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
  • I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

  • Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
  • In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
  • Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
  • Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

  • Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the
  • Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
  • Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  • I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

  • I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
  • As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
  • It is best to paraphrase content and cite your source.

LopesWrite Policy

  • For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
  • Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
  • Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
  • Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

  • The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
  • Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
  • If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
  • I do not accept assignments that are two or more weeks late unless we have worked out an extension.
  • As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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HSCI 309 Global Health Issues ReflectionHSCI 309 Global Health Issues Reflection ...

HSCI 309 Global Health Issues Reflection

HSCI 309 Global Health Issues Reflection

HSCI 309 Global Health Issues

Reaction and reflection #1 questions

Students will be required to demonstrate evidence of critical analysis as evidenced by the ability to relate their reactions to the assigned readings to Western ethnocentrism and exceptionalism.

Students need to respond with a 2-3 paragraph (total between reaction and reflection) answer to each of the questions. Ideas taken from the readings need to be cited using APA format.

  • Martin notes that “Learning, rather than being an exchange, becomes an act of consumption… the problem lies in the assumption that marginalized people are always at the ready to enlighten the privileged.” (1.5 pts)
ReactionQ. What is your immediate reaction to this statement?A.ReflectionQ. What do you think she means by this statement?  Why might this perspective feel upsetting to me? Do you think that it is the job of marginalized persons to enlighten relatively wealthy, privileged Westerners?  Are there other ways for relatively wealthy Westerners to learn about the social, cultural, economic, political, and historical context of other countries? Where do my beliefs and understandings regarding this issue come from?A.

 

  • Physicist Robert A. Millikan notes that “Fullness of knowledge always and necessarily means some understanding of the depths of our ignorance, and that is always conducive to both humility and reverence.” Humility, according to Martin, is our capacity to know that there is much we don’t know, and act accordingly. (1.5 pts)
ReactionQ. Do you think that Westerners, in general, have trouble with intellectual and/or cultural humility?

 

Intellectual humility means being honest about not knowing everything about everything and being open to the idea that each person we meet knows something that we do not know, including people who do not look like we do, or come from countries that are impoverished through the continual, deliberate denial of resources.

 

Cultural humility is the opposite of cultural “competence”. It is the understanding that our understanding of other cultures is extremely limited (particularly when we can’t speak the language of that culture) and being open to learning from others about their culture, embracing the differences as neither “good” or “bad”-just different, and continuous self-reflection on how our own culture affects our understanding of the world.

 

A.ReflectionQ. What are some aspects of the Western educational system that may foster a lack of intellectual and cultural humility?A.

 

  • Martin notes that “often…the best thing you can do as a privileged outsider is step back, shut up, even leave.” (1.5 pts)
ReactionQ. What is your reaction to this statement?A.ReflectionQ. What do you think that Martin means by this statement? How is this related to the concept of ethnocentrism? Why might this perspective feel upsetting to me? Where do my beliefs and understandings regarding this issue come from?A.

 

  • In the article, “The White Savior Industrial Complex in Global Health”, Agarwal, Crawford, Nguyen, and Walker (all resident physicians in the US involved in the HEAL global health program through the UCSF Medical School) write about the death of an Ugandan baby. The authors attribute this death to their engagement as physicians in white saviorism (1.5 pts)
ReactionQ. What is your immediate reaction to this clinical situation?A.ReflectionQ. How is ethnocentrism working in this situation to create a bad clinical outcome? How is Teju Cole’s “White Savior Industrial Complex” operating in this situation that led to a baby’s death?A.

 

 

  • Teju Cole notes that “The American’s good heart does not always allow him to think constellationally. He does not connect the dots or see the patterns of power behind the isolated “disasters.” All he sees are hungry mouths, and he… is putting food in those mouths as fast as he can. All he sees is need, and he sees no need to reason out the need for the need.” (2 pts)
ReactionQ. What is your reaction to this statement?A.ReflectionQ. What do you think he means by this?

 

Dr. Cole is a Nigerian American born in the US but raised in Nigeria. He returned to the US to attend college and is now a professor of creative writing at Harvard.

 

Why might his perspective on global health feel upsetting to me?

 

What does it mean to think “constellationally”? (hint: think of constellations like the Big Dipper).

What do you think it means to “reason out the need for the need”? What might be some reasons that Americans might not see the need to “reason out the need for the need”?

A.

 

  1. Courtney Martin discusses the “reductive seduction” of other people’s problems. (2 pts)
ReactionQ. What is your reaction to this idea?A.ReflectionQ. What does it mean to be “reductively seduced” by the problems of people on the other side of the world? Why do you think that well-intentioned young Americans often engage in the reductive seduction of other people’s problems? What might be the unintended consequences of engaging in that reductive seduction?A.

 

Grading rubric

ElementPointsStudent answers each reaction portion of the question6Reflection answers show evidence of critical analysis as evidenced by:

 

Ability to relate issues discussed by the article authors to the effects of Western ethnocentrism and exceptionalism

4

 

Self-Assessment Journal Rubric – NURS 464 Leadership II

Combined Student/Non-Practicing RN or Practicing RN

CriterionPoints Assessments Results of the assessments are fully discussed and interpreted.  Patterns and inconsistencies in the findings between tools are denoted.  A strength is described in terms of application and benefit to practice. /5Reflection and growth Student/Non-Practicing RN: Two assessment topics are considered in terms of reflective journals from previous courses and two areas of growth since the starting the nursing program are described.

 

OR

 

Practicing RN: Two assessment topics are applied to a current RN job description and discussed in terms of how the topics are reflected in the job description.

 

 /5Leadership goal Student/Non-Practicing RN: A leadership goal from the Leadership I course is discussed in terms for progress towards that goal.

 

OR

 

Practicing RN: One of the four assessment topics is described in terms of application to a current RN performance appraisal. (Describe the structure/tool, not your personal evaluation).

 

 /5Assessment Topic One assessment topic is described in terms of how it supports a chosen Baccalaureate Essential. /4Final semester goal A topic to work on in final semester is identified and discussed in terms of importance to the student and their professional practice. /5Writing clarity Writing Mechanics (grammar, punctuation, spelling, clarity and organization). /3APA formatting /3Total Possible points / 30

 


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HSMF 687-D01 Women in Counseling Shopping AddictionsDescription of Shopping Addi ...

HSMF 687-D01 Women in Counseling Shopping Addictions

Description of Shopping Addictions

Shopping is thought of as a necessary part of modern life and it presents itself as a leisure activity that many may consider to be harmless (Gallagher, Watt, Weaver & Murphy, 2016, p.37). Expressions such as “shopaholic”, “retail therapy” and the notion of “shop til you drop”, have quickly become commonplace in today’s popular culture (Darrat, Darrat, & Amyx, 2016, 103.) Research suggests that consumers will often resort to compulsive buying out of their personal need for affection and a sense of belongingness (Darrat, Darrat, & Amyx, 2016, p. 103).  Gallagher et al. (2016) compulsive buying involves some preoccupations with buying or urges to buy, in which the experiences are intrinsic and uncontrollable (p. 37).

Compulsive buying (CB) which has been reported throughout the world is described as a pattern of chronic, excessive, and repetitive purchasing behavior that has become extremely difficult to shot in response to negative events, or feelings of uncontrolled urges (Zhang, Brook, Leukefeld, De La Rosa & Brook, 2017, p. 208). According to Benson and Eisenach (2013) compulsive buying has three cardinal features” irresistible impulses to shop, the loss of control over shopping behavior, and the persistence of such behavior in the face of adverse personal, social, and financial consequences (p. 5).

Hague, Hall, and Kellett (2016) believes that compulsive buying disorder is distinguished by a motivation to feel better, rather than it being a factor that is derived from excessive spending and materialism alone, repeatedly creating serious associated impacts on one’s lives, such as high debt, relationship problems, elevated risk of criminal behaviors, and suicide attempts (p.379).

Compulsive consumption is defined as “a response to an unsubstance or any type of activity that can lead individuals to repetitively allow themselves to engage in certain types of behaviors that will ultimately cause harm to the individual and or/to other”(Darrat, Darrat, & Amyx, 2016, p. 103). Darrat, Darrat, and Amyx (2016) asserts that for those that engage in compulsive behaviors, they commonly do so in order to cope with stresses of life, to escape the demands and pressures against them, or to overcome the unpleasantry of their emotions or situations (p. 103).  In addition to being used as a way to coped with the stresses of life, negative emotions and everyday pressures, compulsive buying is often associated with a less than desirable self-worth (Lee, Park, & Lee, 2016, p.1904).

The Illinois Institute for Addiction Recovery (An Affiliate of UnityPoint Health) there are various social and cultural factors that can increase the addictive potential of shopping and spending. The easy availability of applying for credit and the material focus of society in general, tends to encourage people to accumulate possessions now and have to worry about their financial responsibility later. The abilities to purchase has been made much easier with the easy accessibility of on-line shopping and television stations; which devote time to buy twenty-four hours a day. Compulsive buying is defined as an impulse control disorder and has features similar to other addictive disorders without involving the rise of an intoxicating drug (www.addictionrecov.org).   Sohn and Choi (2013) compulsive buying can be categorized and as “impulse control” disorder not otherwise specified in the Diagnostic and Statistical Manual of Mental Health Disorders IV (DSM-IV-TR) (p. 244). Impulse buying can occur when a consumer experiences a spontaneous and unplanned urge to purchase something and then will act on their impulse quickly, with little to no thought of their purchase or the following consequences (Lucas & Koff, 2016, p. 330).

Current Statistics of Shopping Addictions

Lee, Park, and Lee (2016) the U.S. Census Bureau estimated that the retail e-commerce saline in the United States for the last quarter of 2013 reached over 69 billion dollars in the United States. This totaled about 6 percent of all retail sales in that period (p. 1901). Benson and Eisenach (2013) despite the variations in percentages and sample populations, such studies have unveiled compulsive buying as a serious specter hanging over millions of Americans. Bowen and Eisenach (2013) an all-time high of nearly six billion credit offers went out to America’s three hundred million people–more than twenty offers per year to every man, woman, and child (p. 6). This resulted in easy credit, and that ubiquitous equation of “more equals better”, has led to plummeted savings and a skyrocketing number of bankruptcies (Benson and Eisenach, 2013, p. 6). Yet the accurate conception of the “typical” compulsive buyer remains elusive (p. 5). Research shows that the popular stereotype; pinpoints a 30 something female who has been buying compulsively (Benson & Eisenach, 2013, p. 5) sine her late teens or twenties. Compulsive buying disorder (CBD) is a global disorder, with a lifetime prevalence of 5.8 percent in the general population of the United States (Sohn & Choi, 2013, p. 244). These results were based on results from a random telephone survey of 2,513 adults.  Rose and Dhandaydham (2014) currently  estimates that 60 percent of the United Kingdom adult population has begun to take part in online shopping activity and in 2012 saw a year-on-year growth of about 16 percent in online sales against an overall increase in retail growth of 4 percent (p.84).  However, research showed that 92 percent of the respondents that were compulsive shoppers were women (Black, 2007, p. 14).  Black (2007) community based and clinical surveys suggests that approximately 80 percent to 95 percent of those with compulsive buying disorder are women. Benson and Eisemach (2013) conducted research study with a much narrower focus; they assessed the prevalence of compulsive buying using three sample groups (university staff, undergraduate students, and customers of an online women’s clothing retailer) (p.4). They identified that about 8.9 percent of personnel staff, 15.5 percent of the undergraduate students and about 16 percent of the online customers were compulsive buyers (p.5). This study showed that the prevalence of compulsive buying among the men was 5.5 percent, and among the women it was 6 percent (Benson & Eismach, 2013, p. 6).  Benson and Eisenach (2013) sates that “as troublesome as it may be, the likelihood that women are more likely to be overrepresented in the studies that are conducted because the culture attaches far less stigma to women who shop compared to men (p.5).

Research into shopping has proved that although shopping is an important need today, it can also be a leisure activity and a form of entertainment that has its rewards and values for some people (Maraz, Griffiths, & Demetrovics, 2016, p.5).  Compulsive buying behavior goes unnoticed and often results in negative consequences; 5.8 percent of large debt os accumulated, 41.7 percent of people cannot make payments towards the debt, 8.3 percent face legal and financial consequences, 8.3 percent will have criminal legal problems and 45.8 percent will experience some sort of guilt (Maraz, Griffiths, & Demetrovics, 2016, p. 5).  The consumer style is prevalent in many cultures throughout the world; and in the United States, 75 percent of the respondents to a survey reported having made an impulse purchase (Lucas & Koff, 2016, p. 330). Women particularly have allocated a significant amount of economic resources, spending $750 billion annually on clothing alone (Lucas & Koff, 2016, p. 330).

Symptoms and Causes of Shopping Addictions

The development of a shopping addiction is thought to be influenced by a combination of several different factors. The most common risk factors for shopping addiction are gender and age, with young women hang the highest risk. Research and evidence suggests that compulsive shopping runs in families where there are extremely high levels of mental health and substance abuse addiction issues. Depression and general anxiety disorder are the most common comorbidities of person suffering from compulsive buying disorder (Project Know, 2018).

Despite multiple studies highlighting the severity of the negative consequences that compulsive buying leads to, the latest edition of the DSM-5 does not show compulsive buying disorder due to the limited research in the field. Those individuals that have to deal with the condition are placed within the residual category of “Unspecified disruptive, impulse-control and conduct disorders” (Maraz, Griffiths, & Demetrovics, 2016, p. 4). According to Zhang et al. (2017) early midlife (mid- forties) is the unique developmental period when the consequences of many mental health problems, including compulsive buying manifest itself (p. 208). However, to the extent that a person’s compulsive buying influences ones overall quality of life is uncertain, especially in the United States; where compulsive buying has been viewed as a behavioral condition (Zhang et al., 2017, p. 208).

Compulsive buying is associated with mounting tension, general distresses, and lower quality of a person’s psychological well-being (Muller et al., 2014, p. 103). Muller et al., (2014) those that have compulsive buying tends to suffer from the comorbid psychiatric disorders such as anxiety, depression, binge eating disorder, substance abuse use disorder, obsessive-compulsive disorder and compulsive hoarding (p. 103). Compulsive buying disorder was included in the earliest attempts at classifications of mental disorders as “impulsive insanity” but has since largely ignored until the last few decades (Hague, Hall, & Kellett, 2016, p. 379).  Hague, Hall, and Kellett (2016) states that “compulsive buying disorder is has also been conceptualized to be a form of obsessive compulsive disorder” (p. 379).

Weinstein, Mezig, Mizrachi, and Lejoyeux (2014) depression continues to display high frequency among compulsive buyers (p.46). A study that was conducted showed that when depressed, participants were only happy and felt better when they were shopping. A high prevalence of 31.9 percent of depressives has been diagnosed as compulsive buyers (Weinstein, Mezig, Mizrachi, & Lejoyeux, 2014, p. 47). Compulsive buying is also high among persons who are depressed and have been diagnosed with impulse disorders (intermittent explosive disorder, kleptomania, pyromania, pathological gambling, trichotillomania, and non-specified impulse control disorder) (Weinstein, Mezig, Mizrachi, & Lejoyeux, 2014, p. 47). Bani-Rshaid and Alghraibeh  (2017) believes that “Compulsive buying also appears to be a little more common in depressed individuals and people who have a tendency to falsely believe in the benefits of buying (p.47).  According to Ozer and Gultekin (2015) as stated “affect, mood, emotions, and feelings are effective at all levels of the process of consumer decision making”, but mood is said to be a “taken as feeling state” (p. 71).  Mood is not intense and continuous; however, it might also be regarded as a more general feeling state. It is claimed that when a person has as more positive mood; they spend more (Ozer & Gultekin, p. 72). When an individual is having a positive mood, they avoid factors that threaten their mood, so as they maintain their present mood; they are experiencing “mood maintenance”. When an individual has negative mood, they tend to participate in activities that make them feel better; they are experiencing “mood management” (Ozer & Gultekin, 2015, p. 72).

Granero et al. (2016) finds the study of clinical profiles and various risks factors for compulsive buying disorder to show that some gender-dependent differences do exist, on the send that risk, prevalence, and rates of initiation and frequency of misuses are higher for women (p. 2). The primary basis for placing Obsessive-compulsive disorder (OCD) as an anxiety disorder is the central role anxiety plays in OCD. Obsessiveness that leads to a sense of mounting anxiety and engaging in compulsive behavior or mental acts can reduce anxiety (Bartz & Hollander, 2006, p. 338).  As theory and research progresses, Obsessive compulsive (OC) spectrum disorders are placed into three clusters. The second cluster is characterized by impulsivity; with respect to behavior that can lead to negative consequences (p. 340). Those that suffer with obsessive compulsive disorder have impulse control and will experience increased arousal and tension in relation to their impulsive behaviors, but aside from those with OCD, engaging in the impulsive behavior that is typically associated with pleasure, albeit short lived (Bartz & Hollander, 2006, p. 340).

In contrast, the behavior theory explains that compulsive buying disorder is an acquired behavior that results from associations between a conditioned and a natural stimulus when the individual make a purchase he or she begins to experience the joy, and thus buying becomes an “enhanced stimulus” that is again repeated to gain joy (Bani-Rshaid & Alghraibeh, 2017, p. 47).  The cultural theory describes compulsive buying as an existing cultural phenomenon that constructs buying—more specifically, the compulsion to satisfy a wide variety of needs which in turns compels individuals to make unnecessary purchases. The social learning theory describes compulsive buying a learned behavior that occurs through social interaction with other compulsive buyers. This in turn states that those that suffer from compulsive buying behaviors have learned through observing others and being heavily influenced by them (Bani-Rshaid & Alghraibeh, 2017, p. 48).

Treatments for Shopping Addictions

            At present, there are no proven standard pharmacological treatments for compulsive buying disorder (Sohn & Choi, 2014, p. 244). For those individuals that are dealing with a shopping addiction, some may have a co-curring psychiatric disorder, so some parts of their treatment are treating those other disorder; which may have residual effects of reducing compulsive shopping behaviors. Research shows that the best way to treat shopping addictions is with cognitive behavioral therapy (CBT). CBT is a form of talk therapy–primarily done in a group setting.  According to Kopala and Keitel (2017) cognitive behavioral therapy in the form of exposure and response prevention (ERP) has been established as a highly effective treatment for obsessive compulsive disorder (OCD) (p. 457). Black (2007) when individuals choose to participate in psychotherapy it helps then to discover and tell their stories as a means of understanding and to ultimately gain control of heir symptoms. Individual psychotherapy may be the choice for the very high functioning individual who does not present other major addictive issues but are those who are very much in the minority.

Even though data for group therapy is still being collected, group therapy is believed to provide the most positive consistent evidence of successful treatment. According to Benson and Eisenach (2013) there are several reasons why a homogeneous group can effectively help those recover from compulsive buying. Group settings will help, an individual diminish the feelings of loneliness and helps them to increase feelings of being intuitively understood. Group therapy helps individuals to release overwhelming feelings of failure, guilt, shame, humiliation that triggers CBB (p. 8). The groups participants are able to provide feedback from each other; which helps them to correct the distorted self-concepts, to reframe from dysfunctional thoughts (Benson & Eisenach, 2016, p.9). Counseling is also good for compulsive buyers because if helps individuals to focus on the specific problem and helps them to create an action plan to stop the behaviors. The primary goal of counseling is to stop the compulsive buying cycle and to produce a stable financial situation that will enhance, rather than tarnish, and individuals quality of life (Benson & Eisenach, 2013, p. 6). The prevalence and impacts of addictive disorders are well searched and provides a context for the rationale for the creation of an addiction counseling specialty. On the lower end of the spectrum, one in four Americans struggle with some kind of addiction disorder; this number fails to account for those affected vicariously ((Hagerden, Culbreth & Cashwell, 2013, p. 124).

Granero et al. (2017) indicates there are no specific medications that are approved for the treatment of compulsive buying behaviors (p58) and no studies have shown any medications to be effective (Lejoyeux & Weinstein, 200, p. 52).  Psychopharmacologic treatment studies have yielded some varied results. In earlier studies, it has been suggested that antidepressants could curb cognitive behavioral disorder and an early open-label trial using fluvoxamine, showed benefit (Black, 2007, p. 17). Kopala and Keitel (2017) research has found that clomipramine (a non-selective serotonin reuptake inhibitor) of any SSRI (e.g. fluoxetine, fluvoxamine, and sertraline), can effectively treat obsessive compulsive disorder. In general, a combination of pharmacotherapy and psychotherapy is recommended in cases where obsessive compulsive disorder or when individuals fail to respond to psychotherapy alone (Kopala & Keitel, 2017, p. 458).

Jack and Ronan (2008) bibliotherapy is of recent origin. However, the idea of reading as a means to produce change in the human behavior was recognized in the human behavior in the early days (p. 162). The prescribed use of books to help heal the human condition appears to have began in institutional, medical, and correctional facilities in the early days to help people cope with mental and physical conditions (Jack and Ronan, 2008, p. 164). Today, the use of bibliotherapy has sense moved outside of hospitals and into therapeutic, educational and community settings. It is currently positioned as a sensitive, non-intrusive method of helping to guide individuals towards helping them to problem solve and cope in their personal lives, a technique that is used to stimulate discussion about problems which otherwise, at least in some cases, might not be discussed out of fear, guilt, or shame (Jack & Ronan, 2008, p. 172).  Benson and Eisenach (2013) Debtors anonymous a twelve-step program is treatment that helps individuals get cured with solvency, which means that abstinence from any new purchases or debt is the equivalent of sobriety for an alcoholic. Simplicity Circles provides a place for individuals to gather with others to discuss their personal transformations and living in the satisfactions of a more simpler life. These simplicity circles introduce healthy ways to meet some of one’s principles needs that a compulsive buyer sees to fill through shopping, including belongs to a community of like-minded individuals (Benson & Eisenach, 2013, p. 8).

Biblical Perspective on Shopping Addictions

            God’s word teaches us, that controlling our circumstances will not change our hearts when it comes to spending or suffering from and addiction. A woman’s mind will go back and forth with spending; whether it is five dollars or one hundred dollars. Before one ever had a problem with where their money went, they already had a problem with where their “eyes” went. When an individual is constantly thinking about their next shopping trip or has their mind on their next small/big purchase, they have steered their minds and heart in the wrong direction; which has allowed them to become enslaved to their own skewed perspectives. There are millions of women who are addicted to what is known as “compulsive shopping”. Compared to other addictions, shopping is a seemingly respectable habit and often goes under the radar in most of their lives.

Matthew 5 (KJV) Now when Jesus saw the crowds, he went up on a mountainside and sat down, His disciples came to him, and he began to teach them. In Jesus ‘Introduction to the Sermon on the Mount’, Jesus warns his disciples not to “lay up for themselves treasures in heaven, where moth nor rust destroys and where thieves do not break in and steal”. For where your treasure is, there your heart will be also.  Matthew 5:3-12 (KJV) The Beautitudes: Jesus said the finely fortunate people are those who are rich in things that matter to God, not those who have money, power, popularity, or fame. The things that are important in God’s kingdom are often opposite of the worldly things we find so attractive. For the poor in spirit may lack money, fine clothes, luxury cars, or even the necessities of life, but they put their trust in God instead of worldly things.

Matthew 28:15-16 (KJV) So they took the money, and did as they were taught: and this saying commonly reported among the Jews until this day. Then the eleven disciples went away into Galilee, into a mountain where Jesus had appointed them. Like all addictions, they are so very hard to break from because they seem to have a life of their own. Jesus has all the authority in heaven and on earth.  Galatians 5:1 (KJV) “For freedom Christ freed us. Stand fast therefore and do not be entangled again with the yoke of bondage”. Jesus power can break those who are suffering and living in bondage; he can be called the “bondage breaker” He is the only one that can break a person and free them from the bondage of compulsive shopping. If a compulsive shopper does not deal with the root of their addictions, then they will simply replace the current one with another one. Freedom from addictions come to those who trust in Christ and allows him to bring deliverance from their addictions of compulsive shopping. Once a person understands the truth about their addiction, they will be able to stand on the line with the enemy and resist the temptation to give in. So, the next time a person finds themselves dealing with their addiction, they should stand fast on God’s word and battle with the truth. God comforts those that love and believe in him; and he “covers” those that are believers and stand firm on his word. Most importantly, when all else fails; ask “What Would Jesus Do?’.  Colossians 2:10 (KJV) Christ has provided all the fulfillment we could ever need.

Homework Assignments to help with Shopping Addictions

            According to Eng (2010) she suggests there are several different things that a person can do to avoid shopping binges. She suggests that paying for purchases by cash, check, or debit card. It is wise to make a shopping list and only making purchases that are on your list. It is suggested that one destroy all credit cards; only keeping one for emergency purposes. It is also suggested that one avoids discount warehouse. It is very important that if one, wants to go to a discount warehouse, to only allocate a certain amount of money. Also, to avoid binge shopping she thinks it is best to window shop, only after the business has closed, take a walk or exercise when the urge to shop comes up, avoid phoning in catalog orders and avoid shopping channels.

In conclusion, shopping addictions are prevalent among many Americans. It is very imperative that if one has any inclination that they are suffering from compulsive buying disorder, they need to recognize they have a problem, seek treatment, and continue to seek guidance.

References

Bani-Rshaid, A. M., & Alghraibeh, A. M. (2017). Relationship between compulsive and

depressive symptoms among males and females. Journal of Obsessive-Compulsive and

            Related Disorders, 14, 47-50. Doi: 10.1016/j.jocrd.2017.05.004

Bartz, J. A. & Hollander, E. (2006). Is obsessive-compulsive disorder an anxiety disorder?

Progress in Neuropsychopharmacology & Biological Psychiatry, 30 (3), 338-352.

Doi: 10.1016/j.pnpbp.2005.11.003

Benson, A. L. & Eisenach, D. A. (2013). Stopping overshopping: An approach to the

treatment of compulsive-buying disorder. Journal of Groups in Addiction & Recovery,

            8, 3-24. Doi: 10.1080.1556035X.2013.727724

Black, D. W. (2007). A review of compulsive buying disorder. World Psychiatry,6,14-18.

Darrat, A., Darrat, M. A., & Amyx, D. (2016). How impulse buying influences compulsive

buying: The central role of consumer anxiety and escapism. Journal of Retailing

            and Consumer Services, 31, 103-108. Doi: 10.1016/j.jretcpnser.2016.03.009

Eng, R. (2010). How can I manage compulsive shopping and spending addiction: Shopoholism.

Indiana University’s Medlines. http://www.indiania.edu/~engs/hint/shops/html

Gallagher, C. E., Watt, M.C., Weaver, A. D., & Murphy, K. A. (2017). I fear, therefore, I

shop!” explaining anxiety sensitivity in relation to compulsive buying.  Personality and

            Individual Differences, 104, 37-42. Doi: 10.1016/j.paid.2016.07.023

Granero, R., Fernandez-Aranda, F., Bano, M., Steward, T., Mestre-Bach, G., del Pino-Gutierrez,

A., Jimenez-Murcia, S. (2016) Compulsive buying disorder clustering based on sex, age,

onset, and personality traits. Comprehensive Psychiatry, 68. 1-10

doi: 10.1016/j.comppsych.2016.03.003

Granero, R., Fernandez-Aranda, F., Mestre-Bach, G., Steward, T., Bano, M., Aguera, Z.,

Mallorqui-Bague, Aymami, N., Gomez-Pena, M., Sancho, M., Menchon, J.M., Martine-

Romera, V., & Jimenez-Murcia. (2017). Cognitive behavioral therapy for compulsive

buying behaviors: Predictors of treatment outcome. European Psychiatry, 39, 57-65.

Doi: 10.1016/i. eurpsy2016.06.004

Hagerden, W.B., Culbreth, J.R., & Cashwell, G.S. (2012). Addiction counseling accreditation:

CACREP’s role in solidifying the counseling profession. The Professional Counselor,

            2(2), 124-133.


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HW 7: Concepts of the nervous and endocrine systemsHW 7: Concepts of the nervous ...

HW 7: Concepts of the nervous and endocrine systems

HW 7: Concepts of the nervous and endocrine systems

These case studies are real-life scenarios that will help you explore the concepts of the nervous and endocrine systems, diagnostic tests, and treatments.

HW 7: Concepts of the nervous and endocrine systems Instructions:

Download MEA2203 Case Study Assignment Module 03. Click for more options and read each patient scenario. Then, answer the questions by using the lesson content from this module, your textbook, and perhaps additional research. Upload your completed document by following the instructions below.

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Clinical Notes

The patient is a nursing home resident with vesicular lesions in a linear pattern on his neck (pictured here). The lesions are on the left posterior channel and do not cross the midline.

He describes the area as itchy and painful. The itching started three days ago, and the blisters appeared two days ago. Since then, he has also developed a moderate headache and mild fever (100.1° F).

Herpes zoster is suspected. Acyclovir-Hydrocortisone is prescribed.

Question #1: Why might the physician ask Mr. Silva if he experienced chickenpox as a child? How would that relate to this scenario?

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Question #2: How is the varicella-zoster virus spread?

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Question #3: Should Mr. Silva be worried about transmitting shingles to other nursing home residents?

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Question #4: What will his recovery look like if Mr. Silva follows the prescribed treatment?

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Question #5: What preventative measures can be taken to prevent shingles?

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Patient Name: Mohammed Kumar

Date of Birth: 10/3/1966

Clinical Notes

Male patient presents with increasing weakness in his upper extremities. He first noticed the flaw when attempting to lift his grandchildren a few months ago. Since then, he reports that the fault has progressed, and he “feels clumsy” and trips multiple times a day. When he talks to his children on the phone, they ask if he is sick because his voice sounds different.

DDX: Multiple Sclerosis, Amyotrophic Sclerosis

Question #1: Are Mr. Kumar’s symptoms related to motor dysfunction or sensory dysfunction? Explain your answer.

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Question #2: The physician suspects Mr. Kumar’s symptoms are related to Multiple Sclerosis or Amyotrophic Lateral Sclerosis. Name three diagnostic tests that may help to determine the correct diagnosis and explain how each would assist with diagnosis.

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Question #3: What is his prognosis if Mr. Kumar is diagnosed with ALS? Provide statistics to support your answer.

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Question #4: If Mr. Kumar is diagnosed with MS, what additional symptoms might he experience in the future? List and describe at least three other symptoms.

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Question #5: Diagnostic tests determine that ALS is most likely. Explain the etiology to Mr. Kumar in terms that a typical patient would understand.

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Patient Name: Valentina Silva

Date of Birth: 6/6/1994

Clinical Notes

Female patient reports depression, low blood pressure, muscle weakness, unexplained weight loss, and cold sensitivity. She states that she can’t pinpoint when the symptoms started, but they have worsened over the last two months. She has also noticed abnormalities with her menstrual cycles but initially attributed that to her age and assumed she was approaching menopause.

Endocrine dysfunction is suspected, and several lab tests are ordered.

Question #1: If Ms. Silva’s lab tests showed decreased levels of cortisol and aldosterone and increased levels of ACTH (adrenocorticotropic hormone), which endocrine disorder is most likely?

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Question #2: Which of Ms. Silva’s symptoms are consistent with hypothyroidism?

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Question #3: It is determined that Ms. Silva has Addison’s disease. What is the cause of this disorder?

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Question #4: What complications will occur if Addison’s disease is not treated? List and describe at least three difficulties.

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Question #5: How is Addison’s disease typically treated?

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Identify your leadership effectiveness EssayIdentify your leadership effectivene ...

Identify your leadership effectiveness Essay

Identify your leadership effectiveness Essay

Complete the leadership self-assessment: https://www.mindtools.com/pages/article/newLDR_50.htm

This will identify your leadership effectiveness and explore where your skills need further development.

  • Utilize the results by reading the Score Interpretation
  • Write a 2-page summary using the APA style of writing to analyze your current leadership skills based on what you have learned in this course and via the survey.

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Identify your leadership effectiveness Essay Instructions

Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

  • Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
  • Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
  • One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
  • I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

  • Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
  • In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
  • Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
  • Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

  • Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the
  • Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
  • Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  • I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

  • I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
  • As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
  • It is best to paraphrase content and cite your source.

LopesWrite Policy

  • For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
  • Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
  • Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
  • Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

  • The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
  • Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
  • If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
  • I do not accept assignments that are two or more weeks late unless we have worked out an extension.
  • As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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iCARE Paper NR451 Assignment iCARE Paper NR451 AssignmentAssignmentPurposeThe p ...

iCARE Paper NR451 Assignment 

iCARE Paper NR451 Assignment