Compare Dell’s supply chain and logistics innovations

Compare Dell’s supply chain and logistics innovations

Compare Dell’s supply chain and logistics innovations

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Instructions

Supply Chain and Logistics Management

Watch the following video (just over 11 minutes) by clicking on the link below:

MacNeil/Lehrer Productions (Producer). (1999). Your computer, your way: Dell and the direct sales model [Video file]. Retrieved from https://libraryresources.columbiasouthern.edu/login?auth=CAS&url=http://fod.infobase.com/PortalPlaylists.aspx?wID=273866&xtid=10070

Click here to view a transcript of the video.

After viewing the video, answer questions 1 and 2, and select one question from questions 3 and 4 to answer.

1. Compare Dell’s supply chain and logistics innovations with the competitive responses from competitors such as the Apple Store and others.
2. Discuss the emerging supply chain and logistics management factors shown in the video that were already negatively affecting large computer chain stores.
Answer question 3 or 4 below:

3. Explain how these technology-driven factors were not enough to enable some businesses to survive the online competitive entrance into the market.
4. In what ways may market research have helped prevent these large technology businesses from failing?
Each of your three responses should be at least one page in length; therefore, with an introduction and conclusion included, your essay should be at least four pages in length. In addition to the video, your essay must reference at least one article of your choice from a business-related or news website; therefore, your essay should reference at least two sources. Your essay must be in APA format. All paraphrased and quoted material must have accompanying in-text citations and references. Title and reference pages do not count toward the minimum length requirement.

Compare Dell's supply chain and logistics innovations

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. 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.

 

 

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Discuss the emerging supply chain and logistics management factors shown in the video that were already negatively affecting large computer chain stores.

Discuss the emerging supply chain and logistics management factors shown in the video that were already negatively affecting large computer chain stores.

Discuss the emerging supply chain and logistics management factors shown in the video that were already negatively affecting large computer chain stores.

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

Supply Chain and Logistics Management

Watch the following video (just over 11 minutes) by clicking on the link below:

MacNeil/Lehrer Productions (Producer). (1999). Your computer, your way: Dell and the direct sales model [Video file]. Retrieved from https://libraryresources.columbiasouthern.edu/login?auth=CAS&url=http://fod.infobase.com/PortalPlaylists.aspx?wID=273866&xtid=10070Click here to view a transcript of the video.

After viewing the video, answer questions 1 and 2, and select one question from questions 3 and 4 to answer.

1. Compare Dell\’s supply chain and logistics innovations with the competitive responses from competitors such as the Apple Store and others.

2. Discuss the emerging supply chain and logistics management factors shown in the video that were already negatively affecting large computer chain stores.

Answer question 3 or 4 below:

3. Explain how these technology-driven factors were not enough to enable some businesses to survive the online competitive entrance into the market.4. In what ways may market research have helped prevent these large technology businesses from failing?

Each of your three responses should be at least one page in length; therefore, with an introduction and conclusion included, your essay should be at least four pages in length. In addition to the video, your essay must reference at least one article of your choice from a business-related or news website; therefore, your essay should reference at least two sources.

Your essay must be in APA format. All paraphrased and quoted material must have accompanying in-text citations and references. Title and reference pages do not count toward the minimum length requirement.

Answer preview to discuss the emerging supply chain and logistics management factors shown in the video that were already negatively affecting large computer chain stores.

Discuss the emerging supply chain and logistics management factors shown in the video that were already negatively affecting large computer chain stores.

 

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. 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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Compare Dell’s supply chain and logistics innovations with the competitive responses from competitors such as the Apple Store and others.

Compare Dell’s supply chain and logistics innovations with the competitive responses from competitors such as the Apple Store and others.

Compare Dell’s supply chain and logistics innovations with the competitive responses from competitors such as the Apple Store and others.

ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 

Supply Chain and Logistics Management
Watch the following video (just over 11 minutes) by clicking on the link below:
MacNeil/Lehrer Productions (Producer). (1999). Your computer, your way: Dell and the direct sales model [Video file]. Retrieved from https://libraryresources.columbiasouthern.edu/login?auth=CAS&url=http://fod.infobase.com/PortalPlaylists.aspx?wID=273866&xtid=10070
Click here to view a transcript of the video.
After viewing the video, answer questions 1 and 2, and select one question from questions 3 and 4 to answer.
1. Compare Dell’s supply chain and logistics innovations with the competitive responses from competitors such as the Apple Store and others.
2. Discuss the emerging supply chain and logistics management factors shown in the video that were already negatively affecting large computer chain stores.
Answer question 3 or 4 below:
3. Explain how these technology-driven factors were not enough to enable some businesses to survive the online competitive entrance into the market.
4. In what ways may market research have helped prevent these large technology businesses from failing?
Each of your three responses should be at least one page in length; therefore, with an introduction and conclusion included, your essay should be at least four pages in length. In addition to the video, your essay must reference at least one article of your choice from a business-related or news website; therefore, your essay should reference at least two sources. Your essay must be in APA format. All paraphrased and quoted material must have accompanying in-text citations and references. Title and reference pages do not count toward the minimum length requirement.

UnitVII_DellVideoTranscript

Compare Dell's supply chain and logistics innovations with the competitive responses from competitors such as the Apple Store and others

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. 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.

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Explain key life events that have influenced Sara’s relationships.

Explain key life events that have influenced Sara’s relationships.

Explain key life events that have influenced Sara’s relationships.

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Discussion: Psychological Aspects of Aging
Theories of successful aging explain factors that support individuals as they grow old, contributing to their ability to function. Increasing your understanding of factors that support successful aging improves your ability to address the needs of elderly clients and their families.

To prepare for this Discussion, review this week’s media. In addition, select a theory of successful aging to apply to Sara’s case.

By Day 3
Post a Discussion in which you:

Explain key life events that have influenced Sara’s relationships. Be sure to substantiate what makes them key in your perspective.
Explain how you, as Sara’s social worker, might apply a theory of successful aging to her case. Be sure to provide support for your strategy.

Required Readings
Plummer, S.-B., Makris, S., Brocksen S. (Eds.). (2014). Sessions: Case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

“The Parker Family” (pp. 6-8)
Zastrow, C. H., & Kirst-Ashman, K. K. (2019). Understanding human behavior and the social environment (11th ed.). Boston, MA: Cengage Learning.

Chapter 15, “Psychological Aspects of Later Adulthood” (pp. 672-702)
Newell, J. M., & MacNeil, G. A. (2010). Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue: A review of theoretical terms, risk factors, and preventive methods for clinicians and researchers. Best Practice in Mental Health, 6(2), 57–68.

Shier, M. L., & Graham, J. R. (2011). Mindfulness, subjective well-being, and social work: Insight into their Interconnection from social work practitioners. Social Work Education, 30(1), 29–44.

Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23(3), 197–224.

Zisook, S., & Shear, M. K. (2013). Bereavement, depression, and the DSM-5. Psychiatric Annals, 43(6), 252–254. doi:10.3928/00485713-20130605-03

Explain key life events that have influenced Sara's relationships.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. 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.

 

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The death of a loved one is a significant event that everyone experiences.

The death of a loved one is a significant event that everyone experiences.

The death of a loved one is a significant event that everyone experiences.

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Assignment: Models of Grieving
The death of a loved one is a significant event that everyone experiences. An individual’s social environment, including societal and familial cultural factors, may influence how an individual approaches death or grieves the loss of someone else who dies. You can anticipate addressing grief in your social work practice and, therefore, should develop an understanding of the grieving process.

Models of grieving may identify stages through which an individual progresses in response to the death of a loved one; however, these stages do not necessarily occur in lockstep order. People who experience these stages may do so in different order or revisit stages in a circular fashion. Understanding the various ways individuals cope with grief helps you to anticipate their responses and to assist them in managing their grief. Select one model of grieving to address in this assignment.

Addressing the needs of grieving family members can diminish your personal emotional, mental, and physical resources. In addition to developing strategies to assist grieving individuals in crisis, you must develop strategies that support self-care.

In this Assignment, you apply a grieving model to work with families in a hospice environment and suggest strategies for self-care.

By Day 7
Submit a 2- to 4-page paper in which you:

Explain how you, as a social worker, might apply the grieving model you selected to your work with families in a hospice environment.
Explain why you selected to use the grieving model you selected versus other models of grief.
Identify components of the grieving model that you think might be difficult to apply to your social work practice. Explain why you anticipate these challenges.
Identify strategies you might use for your own self care as a social worker dealing with grief counseling. Explain why these strategies might be effective.
Support your Assignment with specific references to the resources. Be sure to provide full APA citations for your references.

Required Readings
Plummer, S.-B., Makris, S., Brocksen S. (Eds.). (2014). Sessions: Case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

“The Parker Family” (pp. 6-8)
Zastrow, C. H., & Kirst-Ashman, K. K. (2019). Understanding human behavior and the social environment (11th ed.). Boston, MA: Cengage Learning.

Chapter 15, “Psychological Aspects of Later Adulthood” (pp. 672-702)
Newell, J. M., & MacNeil, G. A. (2010). Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue: A review of theoretical terms, risk factors, and preventive methods for clinicians and researchers. Best Practice in Mental Health, 6(2), 57–68.

Shier, M. L., & Graham, J. R. (2011). Mindfulness, subjective well-being, and social work: Insight into their Interconnection from social work practitioners. Social Work Education, 30(1), 29–44.

Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23(3), 197–224.

Zisook, S., & Shear, M. K. (2013). Bereavement, depression, and the DSM-5. Psychiatric Annals, 43(6), 252–254. doi:10.3928/00485713-20130605-03

Answer preview to the death of a loved one is a significant event that everyone experiences

The death of a loved one is a significant event that everyone experiences

 

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stem cell research – nursing homework essays

stem cell research

stem cell research

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A controversial issue, closely related to cloning, that has caused a lot of debate is the use of embryonic stem cells. One possible application of these cells is that they may be able to supply replacement tissues to treat diseases such as Parkinson’s disease, diabetes, paralysis due to spinal cord injuries, and other degenerative diseases. The word “embryonic”, has caused fierce opposition to this type of research because embryos are destroyed when the stem cells are removed. Questions that have surfaced in this debate include: When a cell nucleus is transferred to another cell, have we created life? Does a stem cell have the same status as a human? What should be done with the embryos that are left over at in vitro fertilization (IVF), clinics? Advocates argue that the medical benefits of stem cell research would be enormous. Opponents argue that life begins at conception and thus this type of research is abortion.

Based on what you have read, explain why you are for  stem cell research. How would you explain your position to someone who disagrees with you?

1 paragraph

 

 

 

……………..Answer Preview………….

I support that stem cell research have so much benefits than what the opponents see.  We need to understand that embryos cannot at any time be considered as humans because they do not have psychological as physical properties of human beings have. This is due to the fact that these cells have not been implanted in the uterus. In cases where they have….

 

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. 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.

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Use the following coupon code :
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RHETORICAL ANALYSIS PAPER – nursing homework essays

RHETORICAL ANALYSIS PAPER

RHETORICAL ANALYSIS PAPER

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RHETORICAL ANALYSIS

From Believing Is Seeing: Biology as Ideology

i need in this Article to do Rhetorical Analysis

 

From Believing Is Seeing: Biology as Ideology RHETORICAL ANALYSIS PAPER

Judith Lorber is an internationally renowned scholar and one of the most

widely read gender theorists writing today. She is a professor emerita

of sociology and women’s studies at Brooklyn College and the Graduate

School, City University of New York. Her acclaimed book Gender Inequality:

Feminist Theories and Politics is currently in its fourth edition (2009).

This essay is reprinted from a 1992 lecture, and in it she explains an idea

central to her research: that the behaviors we think of as “natural” to men

and women, and that often make men and women seem like opposites to

each other, are actually cultural inventions. Lorber, along with other sociologists

of gender, argues that most of the ideas we hold about men’s and

women’s “oppositional” attributes are not traceable to biological differences

but are the result of a social need to justify divisions of labor and

activity. Further, she notes that this division of assumptions about men

and women most often favors traits perceived to be masculine over those

perceived to be feminine. In this essay, she uses examples from sports and

technology and what she calls the “bathroom problem” (think about where

the lines are longest!) to help us reconsider our assumptions about gender.

In all her writing, Lorber is interested in helping her readers see with

fresh eyes the many small cultural activities we engage in every day that

reproduce these oppositional gender categories so that they come to seem

natural. She argues, “It is the taken-for-grantedness of such everyday

gendered behavior that gives credence to the belief that the widespread

differences in what women and men do must come from biology” (para.

9). Here, she opens with some historical background on changing understandings

of biological differences between male and female humans, noting

that as those understandings changed, we can see culture stepping in

torejustify gender differences, even if they do not make sense biologically.

So, for example, Lorber asks us to rethink our assumptions about who

should compete against whom in athletic competitions. (For some sports,

weight class may be a better categorization method than sex parts, for

example.) She also helps us revisit any assumptions we might have about

who might be “naturally” better at technology, offering historical examples

that reveal why certain gender myths are launched at particular moments

in history, to open or close doors of opportunity to particular groups.

As you read, pay attention to places where Lorber anticipates skeptical

readers, as in paragraph 12, where she clarifies: “I am not saying that physical

differences between male and female bodies don’t exist, but that these

differences are socially meaningless until social practices transform them

Judith Lorber RHETORICAL ANALYSIS PAPER

Lorber    From Believing Is See ing 727

into social facts.” Lorber’s point is that gender assumptions are so central

to our understanding of what is “normal” that it can be confusing — even

downright frightening — to reimagine the world without these limiting stereotypes

in our heads. In particular, if the male body is still the universal RHETORICAL ANALYSIS PAPER

standard, as she argues (para. 14), what might the world look like if we free

ourselves from the assumption that masculine standards are best? A world

of possibility might open up for both men and women to imagine ourselves

as humans, instead of lumping ourselves into limiting categories of “men”

and “women.” Lorber’s examples offer ways to think about what such a

future could look like for all of us. RHETORICAL ANALYSIS PAPER

Until the eighteenth century, Western philosophers and scientists

thought that there was one sex and that women’s internal genitalia

were the inverse of men’s external genitalia: the womb and vagina were

the penis and scrotum turned inside out (Laqueur 1990). Current Western

thinking sees women and men as so different physically as to sometimes

seem two species. The bodies, which have been mapped inside and out for

hundreds of years, have not changed. What has changed are the justifications

for gender inequality. When the social position of all human beings

was believed to be set by natural law or was considered God-given, biology

was irrelevant; women and men of different classes all had their assigned

places. When scientists began to question the divine basis of social order

and replaced faith with empirical knowledge, what they saw was that

women were very different from men in that they had wombs and menstruated.

Such anatomical differences destined them for an entirely different

social life from men.

In actuality, the basic bodily material is the same for females and

males, and except for procreative hormones and organs, female and male

human beings have similar bodies (Naftolin and Butz 1981). Furthermore,

as has been known since the middle of the nineteenth century, male and

female genitalia develop from the same fetal tissue, and so infants can be

born with ambiguous genitalia (Money and Ehrhardt 1972). When they

are, biology is used quite arbitrarily in sex assignment. Suzanne Kessler

(1990) interviewed six medical specialists in pediatric intersexuality

and found that whether an infant with XY chromosomes and anomalous

genitalia was categorized as a boy or a girl depended on the size of the

penis — if a penis was very small, the child was categorized as a girl, and

sex-change surgery was used to make an artificial vagina. In the late nineteenth

century, the presence or absence of ovaries was the determining

criterion of gender assignment for hermaphrodites because a woman who

could not procreate was not a complete woman (Kessler 1990, 20).

Yet in Western societies, we see two discrete sexes and two distinguishable

genders because our society is built on two classes or people,

“women” and “men.” Once the gender category is given, the attributes of

1

2

3

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728 CHAPTER 16 Biology RHETORICAL ANALYSIS PAPER

the person are also gendered: Whatever a “woman” is has to be “female”;

whatever a “man” is has to be “male.” Analyzing the social processes that

construct the categories we call “female and male,” “woman and men,” and

“homosexual and heterosexual” uncovers the ideology and power differentials

congealed in these categories (Foucault 1978). This article will . . . RHETORICAL ANALYSIS PAPER

show how myriad physiological differences are transformed into similarappearing,

gendered social bodies. My perspective goes beyond accepted RHETORICAL ANALYSIS PAPER

feminist views that gender is a cultural overlay that modifies physiological

sex differences. That perspective assumes either that there are two fairly

similar sexes distorted by social practices into two genders with purposefully

different characteristics or that there are two sexes whose essential

differences are rendered unequal by social practices. I am arguing that

bodies differ in many ways physiologically, but they are completely transformed

by social practices to fit into the salient categories of a society, the

most pervasive of which are “female” and “male” and “women” and “men.”

Neither sex nor gender [is a] pure Uncategorized. Combinations of incongruous

genes, genitalia, and hormonal input are ignored in sex categorization,

just as combinations of incongruous physiology, identity, sexuality,

appearance, and behavior are ignored in the social construction of gender

statuses. Menstruation, lactation, and gestation do not demarcate

women from men. Only some women are pregnant and then only some

of the time; some women do not have a uterus or ovaries. Some women

have stopped menstruating temporarily, others have reached menopause,

and some have had hysterectomies. Some women breastfeed some of the

time, but some men lactate (Jaggar 1983, 165fn). Menstruation, lactation,

and gestation are individual experiences of womanhood (Levesque-

Lopman 1988), but not determinants of the social category “woman,” or

even “female.” Similarly, “men are not always sperm-producers, and in

fact, not all sperm-producers are men. A male-to-female transsexual, prior

to surgery, can be socially a woman, though still potentially (or actually)

capable of spermatogenesis” (Kessler and McKenna [1978] 1985, 2).

When gender assignment is contested in sports, where the categories

of competitors are rigidly divided into women and men, chromosomes are

now used to determine in which category the athlete is to compete. However,

an anomaly common enough to be found in several women at every

major international sports competition are XY chromosomes that have

not produced male anatomy or physiology because of a genetic defect.

Because these women are women in every way significant for sports competition,

the prestigious International Amateur Athletic Federation has

urged that sex be determined by simple genital inspection (Kolata 1992).

Transsexuals would pass this test, but it took a lawsuit for Renée Richards,

a male-to-female transsexual, to be able to play tournament tennis as a

woman, despite his male sex choromosomes (Richards 1983). Oddly, neither

basis for gender categorization — chromosomes nor genitalia — has

anything to do with sports prowess (Birrell and Cole 1990).

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In the Olympics, in cases of chromosomal ambiguity, women must

undergo “a battery of gynecological and physical exams to see if she is

‘female enough’ to compete. Men are not tested” (Carlson 1991, 26). The

purpose is not to categorize women and men accurately, but to make sure

men don’t enter women’s competitions, where, it is felt, they will have the

advantage of size and strength. This practice sounds fair only because it is

assumed that all men are similar in size and strength and different from all

women. Yet in Olympics boxing and wrestling matches, men are matched

within weight classes. Some women might similarly successfully compete

with some men in many sports. Women did not run in marathons until

about twenty years ago. In twenty years of marathon competition, women

have reduced their finish times by more than one-and-one half hours; they

are expected to run as fast as men in that race by 1998 and might catch up

with men’s running times in races of other lengths within the next 50 years

because they are increasing their fastest speeds more rapidly than are men

(Fausto-Sterling 1985, 213–18). RHETORICAL ANALYSIS PAPER

The reliance on only two sex and gender categories in the biological

and social sciences is as epistemologically spurious as the reliance on

chromosomal or genital test to group athletes. Most research designs do

not investigate whether physical skills or physical abilities are really more

or less common in women and men (Epstein 1988). They start out with

two social categories (“women,” “men”), assume they are biologically different

(“female,” “male”), look for similarities among them and differences

between them, and attribute what they have found for the social categories

to sex differences (Gelman, Collman, and Maccoby 1986). These designs

rarely question the categorization of their subjects into two and only two

groups, even though they often find more significant within-group differences

than between-group differences (Hyde 1990). The social construction

perspective on sex and gender suggests that instead of starting with

the two presumed dichotomies in each category — female, male; woman,

man — it might be more useful in gender studies to group patterns of

behavior and only then look for identifying markers of the people likely to

enact such behaviors. . . .

Dirty Little Secrets

. . . Technology constructs gendered skills. Meta-analysis of studies of gender

differences in spatial and mathematical ability have found that men

have a large advantage in ability to mentally rotate an image, a moderate

advantage in a visual perception of horizontality and vertically and in mathematical

performance, and a small advantage in ability to pick a figure out

of a field (Hyde 1990). It could be argued that these advantages explain why,

within the short space of time that computers have become ubiquitous

in offices, schools, and homes, work on them and with them has become

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gendered: Men create, program, and market computers, make war and

produce science and art with them; women microwire them in computer

factories and enter data in computerized offices; boys play games, socialize,

and commit crimes with computers; girls are rarely seen in computer

clubs, camps, and classrooms. But women were hired as computer programmers

in the 1940s because

the work seemed to resemble simple clerical tasks. In fact, however, programming

demanded complex skills in abstract logic, mathermatics, electrical circuitry,

and machinery, all of which . . . women used to perform in their work.

Once programming was recognized as “intellectually demanding,” it became

attractive to men. (Donato 1990, 170) RHETORICAL ANALYSIS PAPER

A woman mathematician and pioneer in data processing, Grace M. Hopper,

was famous for her work on programming language (Perry and Greber

1990, 86). By the 1960s, programming was split into more and less

skilled specialties, and the entry of women into the computer field in the

1970s and 1980s was confined to the lower-paid specialties. At each stage,

employers invoked women’s and men’s purportedly natural capabilities for

the jobs for which they were hired (Cockburn 1983, 1985; Donato 1990;

Hartmann 1987; Hartmann, Kraut, and Tilly 1986; Kramer and Lehman

1990; Wright et al. 1987; Zimmerman 1983).

It is the taken-for-grantedness of such everyday gendered behavior

that gives credence to the belief that the widespread differences in what

women and men do must come from biology. To take one ordinarily unremarked

scenario: In modern societies, if a man and woman who are a

couple are in a car together, he is much more likely to take the wheel than she

is, even if she is the more competent driver. Molly Haskell calls this takenfor-

granted phenomenon “the dirty little secret of marriage: the husbandlousy-

driver syndrome” (1989, 26). Men drive cars whether they are good

drivers or not because men and machines are a “natural” combination

(Scharff 1991). But the ability to drive gives one mobility; it is form of

social power. RHETORICAL ANALYSIS PAPER

In the early days of the automobile, feminist co-opted the symbolism

of mobility as emancipation: “Donning goggles and dusters, wielding tire

irons and tool kits, taking the wheel, they announced their intention to

move beyond the bounds of women’s place” (Scharff 1991, 68). Driving

enabled them to campaign for women’s suffrage in parts of the United

States not served by public transportation, and they effectively used

motorcades and speaking from cars as campaign tactics (Scharff 1991,

67–88). Sandra Gilbert also notes that during World War I, women’s ability

to drive was physically, mentally, and even sensually liberating:

For nurses and ambulance drivers, women doctors and women messengers,

the phenomenon of modern battle was very different from that experienced by

entrenched combatants. Finally given a change to take the wheel, these post-

Victorian girls raced motorcars along foreign rods like adventurers exploring

new lands, while their brothers dug deeper into the mud of France. . . .

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Retrieving the wounded and the dead from deadly positions, these oncedecorous

daughters had at last been allowed to prove their valor, and they

swooped over the wastelands of the war with the energetic love of Wagnerian

Valkyries, their mobility alone transporting countless immobilized heroes to

safe havens. (1983, 438–39)

Not incidentally, women in the United States and England got the vote for

their war efforts in World War I.

Social Bodies and the Bathroom Problem

People of the same racial ethnic group and social class are roughly the

same size and shape — but there are many varieties of bodies. People have

different genitalia, different secondary sex characteristics, different contributions

to procreation, different orgasmic experiences, different patterns

of illness and aging. Each of us experiences our bodies differently, and

these experiences change as we grow, age, sicken, and die. The bodies of

pregnant and nonpregnant women, short and tall people, those with intact

and functioning limbs and those whose bodies are physically challenged

are all different. But the salient categories of a society group these attributes

in ways that ride roughshod over individual experiences and more

meaningful clusters of people.

I am not saying that physical differences between male and female

bodies don’t exist, but that these differences are socially meaningless until

social practices transform them into social facts. West Point Military Academy’s

curriculum is designed to produce leaders, and physical competence

is used as a significant measure of leadership ability (Yoder 1989). When

women were accepted as West Point cadets, it became clear that the tests

of physical competence, such as rapidly scaling an eight-foot wall, had

been constructed for male physiques — pulling oneself up and over using

upper-body strength. Rather than devise tests of physical competence

for women, West Point provided boosters that mostly women used — but

that lost them test points — in the case of the wall, a platform. Finally, the

women themselves figured out how to use their bodies successfully. Janice

Yoder describes this situation:

I was observing this obstacle one day, when a woman approached the wall in

the old prescribed way, got her fingertips grip, and did an unusual thing: she

walked her dangling legs up the wall until she was in a position where both

her hands and feet were atop the wall. She then simply pulled up her sagging

bottom and went over. She solved the problem by capitalizing on one of women’s

physical assets: lower-body strength. (1989, 530)

In short, if West Point is going to measure leadership capability by physical

strength, women’s pelvises will do just as well as men’s shoulders.

The social transformation of female and male physiology into a condition

of inequality is well illustrated by the bathroom problem. Most

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732 CHAPTER 16 Biology

buildings that have gender-segregated bathrooms have an equal number

for women and for men. Where there are crowds, there are always long

lines in front of women’s bathrooms but rarely in front of men’s bathrooms.

The cultural, physiological, and demographic combinations of

clothing, frequency of urination, menstruation, and child care add up to

generally greater bathroom use by women than men. Thus, although an

equal number of bathrooms seems fair, equity would mean more women’s

bathrooms or allowing women to use men’s bathrooms for a certain

amount of time (Molotch 1988).

The bathroom problem is the outcome of the way gendered bodies are

differentially evaluated in Western cultures: Men’s social bodies are the

measure of what is “human.” Gray’s Anatomy, in use for 100 years, well

into the twentieth century, presented the human body as male. The female

body was shown only where it differed from the male (Laqueur 1990, 166–

67). Denise Riley says that if we envisage women’s bodies, men’s bodies,

and human bodies “as a triangle of identifications, then it is rarely an equilateral

triangle in which both sexes are pitched at matching distances from

the apex of the human” (1988, 197). Catharine MacKinnon also contends

that in Western society, universal “humanness” is male because

virtually every quality that distinguishes men from women is already affirmatively

compensated in this society. Men’s physiology defines most sports, their

needs define auto and health insurance coverage, their socially defined biographies

define workplace expectations and successful career patterns, their

perspectives and concerns define quality in scholarship, their experiences and

obsessions define merit, their objectification of life defines art, their military

service defines citizenship, their presence defines family, their inability to get

along with each other — their wars and rulerships — define history, their image

defines god, and their genitals define sex. For each of their differences from

women, what amounts to an affirmative action plan is in effect, otherwise

known as the structure and values of American society. (1987, 36)

The Paradox of Human Nature

Gendered people do not emerge from physiology or hormones but from

the exigencies of the social order, mostly, from the need for a reliable division

of the work of food production and the social (not physical) reproduction

of new members. The moral imperatives of religion and cultural

representations reinforce the boundary lines among genders and ensure

that what is demanded, what is permitted, and what is tabooed for the

people in each gender is well-known and followed by most. Political

power, control of scarce resources, and, if necessary, violence uphold the

gendered social order in the face of resistance and rebellion. Most people,

however, voluntarily go along with their society’s prescriptions for those of

their gender status because the norms and expectations get built into their

14 RHETORICAL ANALYSIS PAPER

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sense of worth and identity as a certain kind of human being and because

they believe their society’s way is the natural way. These beliefs emerge

from the imagery that pervades the way we think, the way we see and hear

and speak, the way we fantasize, and the way we feel. There is no core

or bedrock human nature below these endlessly looping processes of the

social production of sex and gender, self and other, identity and psyche,

each of which is a “complex cultural construction” (Butler 1990, 36). The

paradox of “human nature” is that it is always a manifestation of cultural

meanings, social relationships, and power politics — “not biology, but culture,

becomes destiny” (Butler 1990, 8).

Feminist inquiry has long questioned the conventional categories of

social science, but much of the current work in feminist sociology has not

gone beyond adding the universal category “women” to the universal category

“men.” Our current debates over the global assumptions of only two

categories and the insistence that they must be nuanced to include race

and class are steps in the direction I would like to see feminist research go,

but race and class are also global categories (Collins 1990; Spelman 1988).

Deconstructing sex, sexuality, and gender reveals many possible categories

embedded in the social experiences and social practices of what Dorothy

Smith calls the “everyday/everynight world” (1990, 31–57). These emergent

categories group some people together for comparison with other

people without prior assumptions about who is like whom. Categories

can be broken up and people regrouped differently into new categories for

comparison. This process of discovering categories from similarities and

differences in people’s behavior or responses can be more meaningful for

feminist research than discovering similarities and differences between

“females” and “males” or “women” and “men” because the social construction

of the conventional sex and gender categories already assumes differences

between them and similarities among them. When we rely only

on the conventional categories of sex and gender, we end up finding what

we looked for — we see what we believe, whether it is that “females” and

“males” are essentially different or that “women” and “men” are essentially

the same.

references

Birrell, Susan J., and Sheryl L. Cole. 1990. Double fault: Renée Richards and the construction

and naturalization of difference. Sociology of Sport Journal 7:1–21.

Butler, Judith. 1990. Gender trouble: Feminism and the subversion of identity. New York

and London: Routledge&Kegan Paul.

Carlson, Alison. 1991. When is a woman not a woman? Women’s Sport and Fitness

March:24–29.

Cockburn, Cynthia. 1983. Brothers: Male dominance and technological change. London:

Pluto.

———. 1985. Machinery of dominance: Women, men, and technical know-how. London:

Pluto.

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Collins, Patricia Hill. 1990. Black feminist thought: Knowledge, consciousness, and the

politics of empowerment. Boston: Unwin Hyman.

Donato, Katharine M. 1990. Programming for change? The growing demand for women

systems analysts. In Job queues, gender queues: Explaining women’s inroads into

male occupations, written and edited by Barbara F. Reskin and Patricia A. Roos.

Philadelphia: Temple University Press.

Epstein, Cynthia Fuchs. 1988. Deceptive distinctions: Sex, gender, and the social order.

New Haven, CT: Yale University Press. RHETORICAL ANALYSIS PAPER

Fausto-Sterling, Anne. 1985. Myths of gender: Biological theories about women and men.

New York: Basic Books.

Foucault, Michel. 1978. The history of sexuality: An introduction. Translated by Robert

Hurley. New York: Pantheon.

Gelman, Susan A., Pamela Collman, and Eleanor E. Maccoby, 1986. Inferring properties

from categories versus inferring categories from properties: The case of gender.

Child Development 57:396–404.

Gilbert, Sandra M. 1983. Soldier’s heart: Literary men, literary women, and the Great

War. Signs: Journal of Women in Culture and Society 8:422–50.

Hartmann, Heidi I., ed. 1987. Computer chips and paper clips: Technology and women’s

employment. Vol. 2. Washington, DC: National Academy Press.

Hartmann, Heidi I., Robert E. Kraut, and Louise A. Tilly, eds. 1986. Computer chips and

paper clips: Technology and women’s employment. Vol. 1. Washington, DC: National

Academy Press.

Haskell, Molly. 1989. Hers: He drives me crazy. New York Times Magazine, 24 September,

6, 28.

Hyde, Janet Shibley. 1990. Meta-analysis and the psychology of gender differences.

Signs: Journal of Women in Culture and Society 16:55–73.

Jaggar, Alison M. 1983. Feminist politics and human nature. Totowa, NJ: Rowman&

Allanheld.

Kessler, Suzanne J. 1990. The medical construction of gender: Case management of

intersexed infants. Signs: Journal of Women in Culture and Society 16:3–26.

Kessler, Suzanne J., and Wendy McKenna.[1978] 1985. Gender: An ethnomethodological

approach. Chicago: University of Chicago Press.

Kolata, Gina. 1992. Track federation urges end to gene test for femaleness. New York

Times, 12 February.

Kramer, Pamela E., and Sheila Lehman. 1990. Mismeasuring women: A critique of

research on computer ability and avoidance. Signs: Journal of Women in Culture

and Society 16:158–72.

Laqueur, Thomas. 1990. Making sex: Body and gender from the Greeks to Freud. Cambridge,

MA: Harvard University Press.

Levesque-Lopman, Louise. 1988. Claiming reality: Phenomenology and women’s experience.

Totowa, NJ: Rowman& Littlefield.

MacKinnon, Catharine. 1987. Feminism unmodified. Cambridge, MA: Harvard University

Press.

Molotch, Harvey. 1988. The restroom and equal opportunity. Sociological Forum 3:128–

32.

Money, John, and Anke A. Ehrhardt. 1972. Man & woman, boy & girl. Baltimore, MD:

Johns Hopkins University Press.

Naftolin, F., and E. Butz, eds. 1981.Sexual dimorphism. Science 211:1263–1324.

Perry, Ruth, and Lisa Greber. 1990. Women and computers: An introduction. Signs: Journal

of Women in Culture and Society 16:74–101.

Richards, Renée, with Jack Ames. 1983. Second serve. New York: Stein and Day.

735

Riley, Denise. 1988. Am I that name? Feminism and the category of women in history.

Minneapolis: University of Minnesota Press.

Scharff, Virginia. 1991. Taking the wheel: Women and the coming of the motor age. New

York: Free Press.

Smith, Dorothy E. 1990. The conceptual practices of power: A feminist sociology of knowledge.

Toronto: University of Toronto Press.

Spelman, Elizabeth. 1988. Inessential woman: Problems of exclusion in feminist thought.

Boston: Beacon Press.

Wright, Barbara Drygulski, et al., eds. 1987. Women, work, and technology: Transformations.

Ann Arbor: University of Michigan Press.

Yoder, Janice D. 1989. Women at West Point: Lessons for token women in maledominated

occupations. In Women: A feminist perspective, edited by Jo Freeman.

4th ed. Palo Alto, CA: Mayfield.

Zimmerman, Jan, ed. 1983. The technological woman: Interfacing with tomorrow. New

York: Praeger.

 

 

 

 

………………….Answer Preview………………………

Judith Lorber is an internationally acclaimed professor of sociology and women studies at the Brooklyn College, the graduate school and the City University of New York (Collins, 1990).  Her book Feminist Theories and Politics tries to explain that the behaviors that come natural to both men and women and often make them two genders different are actually cultural inventions. This essay is derived from her 1992 lecture which tries to shed some light on the above subject (Donato, 1990).

 

 Alongside other sociologists, she claims that the opposite……………………..

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Health Care ethics – nursing homework essays

Health Care ethics

Health Care ethics

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Description

I have an article that need to be respond with one paragraph , 150 – 250 words 

 

its not a summary but a reflection/response

please read the article and write the respond for me.

MLA FORMAT

Use of contraceptive is one of the fundamental pillars of global health care goals of maintaining sustainable families and population. One of the common contraceptive methods used by women to plan their families is the use of intrauterine devices. Over the past one year, the intrauterine devices known as the Essure has been associated with severe and chronic abdominal pains, heavy menses, and autoimmune disorders. More than 10000 women have petitioned the Food and Drug Administration (FDA) with evidence demonstrating that the use of the device has caused them significant damage which includes immense suffering due to chronic pain and hysterectomy. Even though the Bayer Company blames the adverse effects to health professional incompetence, the continued sale of the products raises a few ethical issues.  For instance, who among the FDA, Bayer Company, and the physicians should be held responsible for the adverse effects caused by the device?

 

The article states that FDA has refused to pull the product from the market and instead recommended the use of a checklist before implanting the device to determine the vulnerable population. Besides, the FDA has recommended that the package of the device should be labeled with warning signs illustrating that the device has the potential of causing chronic pain secondary to the punctured fallopian tube and traverse the uterus and the abdominal cavity thus necessitating the need for surgical removal and hysterectomy. The use of a checklist is not mandatory, and some Doctors argue that it address the anecdotes and fails to address scientific data. Others have claimed that the checklist is very long thus the probability of dissuading the Physicians from recommending the device. It has also emerged that the device approval process was fast tracked based on the fact that it was the first method of sterilization that does not require an incision.  The failure of the FDA to champion for mandatory use of the checklist and more clinical trial begs the question “could the FDA be covering their incompetence in conducting thorough research before approving Essure?”

When choosing this article, I reflected on the ethical principle we discussed in class about beneficence and non-malfeasance.  On beneficence, the development of the Essure contraceptive device by Bayer Company, its first tracked-approval by the FDA, and the prescription and insertion of the device by the physicians seems to be done in the best interest of the patient to prevent unwanted pregnancies and family planning. However, the adverse effects culminating from the method contravene the bioethical principle of non-malfeasance which requires the services to minimize the threshold of harm to the slightest levels possible.  The article was very informative and shocking considering I know a few patients who are on Essure and have heard them complain about some issues raised. In my opinion, the FDA, the Bayer Company, and the health worker should stop the blame game and conduct clinical trials as soon as possible to eradicate this ethical dilemma. Do you support my opinion? How can such dilemmas be avoided in future?

 

 

 

……………………….Answer preview………………………………

Every few years, scientists come up with medical drugs and procedures that are of importance to human health. Before these new inventions are put to use, they undergo clinical trials. These trials are meant to observe specific effects of the inventions in the bodies of human bodies at cellular, organ, organelle and the whole body system levels………………………

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Discuss on how EBP can translate to older adult population (35–65-year old) in the primary care setting.

Discuss on how EBP can translate to older adult population (35–65-year old) in the primary care setting.

Discuss on how EBP can translate to older adult population (35–65-year old) in the primary care setting.

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Cervical cancer is the presence of abnormal cells in the narrowing between the vagina into the uterus and develops slowly over time. It is estimated that 12,000 women in the United States will be diagnosed with cervical cancer every year (Baker, Assessing the impact of new cervical cancer screening guidelines, 2013), which is why it is important for providers to understand the newly updated cervical cancer screening guidelines presented by the U.S. Preventive Services Task Force (USPSTF). The new guidelines recommend that women between the ages of 30 to 65 be screened for cervical cancer using cytology or co-testing every 3 to 5 years depending on the screening option (Agency for Healthcare Research and Quality, 2014). Due to the implementation of the new guidelines in 2012, research has show a decrease in the number of newly diagnosed cervical cancer cases among those receiving co-testing screenings between the ages of 30 to 65 and a decrease in overall medical costs.

Main Causative Factor of Cervical Cancer

Human papillomavirus (HPV), a sexually transmitted illness, has been linked to the majority of cases of cervical cancer (National Cerivcal Cancer Coalition, 2017). HPV genotype 16 and 18 are identified as the most severe forms of HPV, placing women diagnosed with these types of HPV at high-risk for developing cervical cancer (Baker, HPV and Pap: shifting roles in cervical cancer screening, 2013). Women born before 2006 are at increased risk for testing positive for HPV due to incomplete or no vaccinations (Gardasil) against HPV, early age of sexual intercourse, and multiple partners (National Cervical Cancer Coalition, 2017). Most women who have the low-risk forms of HPV do not end up developing cervical cancer, as the body tends to naturally resolve those abnormal cells within a 2-year timespan.

Cervical Screening Methods: Cytology and Co-Testing

For most of the 1900’s and early 2000’s, annual pap smear cytology testing has been the recommended course of preventive cancer screening. However, the USPSTF has published new guidelines for cervical cancer screening among women, regardless of sexual activity, between the ages of 30 to 65 to receive cytology testing every 3 years or co-testing every 5 years (U.S. Preventive Services Task Force, 2012). There is still some controversy as to which form of testing a provider should order or recommend to women in this age group. Research has found that co-testing, cytology and HPV testing, is more accurate at detecting all forms of cervical cancer and is therefore the best type of screening for this population group (Felix, 2016). Pap smear testing is where the provider inserts a speculum into the vagina and inserts a small brush-like probe into the cervical opening to obtain cells (National Cervical Cancer Coalition, 2017). HPV testing is performed the same way and many providers actually perform these test simultaneously. Baker (2013) explained that pap smear testing mainly picks up cells where squamous cell cancers typically originate, whereas HPV testing detects cells that cause adenocarcinomas that pap smears do not detect. If cytology and HPV testing are both negative, a woman can be fairly certain she will not develop cervical cancer within the 5 years between retesting. However, if the HPV is positive and the cytology is negative, it is recommended to have co-testing again within a year (Baker, Assessing the impact of new cervical cancer screening guidelines, 2013).

Strengths and Weakness of Recommended USPSTF Guidelines

While the USPSTF guidelines say a woman can opt to have just a cytology screening every 3 years, Teoh (2016) discusses how annual pap smears alone have an increased incidence of false-positives resulting in the need for diagnostic colposcopies. A colposcopy can cause undue stress, cervical scaring, alteration of the cervix, preterm labor, or miscarriage (Teoh, 2016). Felix (2016) conducted research to determine the cost-saving initiative of co-testing as the preferred form of cervical cancer screening among this age group. Co-testing can save “$39 per woman over the 40-year screening period (Felix, 2016, p. 3)”, whereas cytology or HPV testing separately, can cost over $4 million over the 40-year screening timeframe. Research by Felix (2016) also revealed that co-testing would produce fewer false-positives, fewer colposcopies, and continue to decrease the number of cervical cancer diagnoses every year.

Boone et al. (2016) conducted research in California that revealed decreased provider compliance with the new USPSTF guidelines. This resulted in reverting back to old practices or decreasing the recommended timeframe of screening. It was found that providers are non-compliant for many reasons: providers feel that the rapid push and complete change of guidelines was a ploy to save money nationally; providers have to take more time to explain to patients why guidelines have changed, therefore, delaying appointment times; patients perceive the new guidelines as a decrease in quality of care due to infrequent visits; and with woman not visiting providers for yearly GYN exams, they are financially suffering a lost revenue from those patients (Boone et al., 2016).

Conclusion

Cervical cancer is considered the most preventable type of cancer in women between the ages of 30 to 65, which is why routine screenings are important in accordance to the recommended guidelines by the USPSTF, of co-testing every 5 years. Co-testing provides for best detection of squamous cell cancers and adenocarcinomas. Co-testing is also cost effective over all if adhered to specific timeframes, for both the patient and medical community. Providers need to continually recommend yearly well-woman visits (minus pap/HPV testing) as a way of detecting any other female related issues and maintaining a healthy female lifestyle.

References

Agency for Healthcare Research and Quality. (2014, June). Guide to Clinical Preventive Services, 2014. (U.S. Department of Health & Human Services) Retrieved April 3, 2017, from https://www.ahrq.gov/professionals/clinicians-prov…

Baker, E. (2013, February). Assessing the impact of new cervical cancer screening guidelines. Medical Laboratory Observer, 28-29.

Baker, E. (2013, November). HPV and Pap: shifting roles in cervical cancer screening. Medical Laboratory Observer, 24-26.

Boone, E., Lewis, L., & Karp, M. (2016). Discontent and Confusion: Primary Care Providers’ Opinions and Understanding of Current Cervical Cancer Screening Recommendations. Journal of Women’s Health, 25(3), 255-262.

Felix, J. (2016, September). Primary HPV Testing vs. Co-testing for Cervical Cancer Screening. Contemporary OB/GYN, 1-5.

National Cerivcal Cancer Coalition. (2017). Cervical Cancer Overview. (American Sexual Health Association) Retrieved April 3, 2017, from National Cerivcal Cancer Coalition: http://www.nccc-online.org/hpvcervical-cancer/cerv…

https://www.verywellhealth.com/hpv-4158409

National Cerivcal Cancer Coalition. (2017). Cervical Cancer Screening: Pap and HPV Testing. (American Sexual Health Association) Retrieved April 3, 2017, from National Cervical Cancer Coalition: http://www.nccc-online.org/hpvcervical-cancer/cerv…

National Cervical Cancer Coalition. (2017). HPV Vaccine. (American Sexual Health Association) Retrieved April 3, 2017, from National Cervical Cancer Coalition: http://www.nccc-online.org/hpvcervical-cancer/cerv…

Teoh, D. (2016). A new Era in Cervical Cancer Screening: Balancing the Risks and Benefits of Screening. Journal of Women’s Health, 25(3), 207-208.

U.S. Preventive Services Task Force. (2012, June 19). Screening for cervical cancer: U.S. Preventive Services Task Force recommendation statement. (A. f. Quality, Producer, & U.S. Department of Health and Human Services) Retrieved April 3, 2017, from National Guideline Clearinghouse: https://www.guideline.gov/summaries/summary/36624

Please review 1 student paper by answering these questions:

How does this paper define evidence based practice?

In what ways does it apply to the primary care setting?

Discuss how EBP can translate to older adult population (35–65-year old) in the primary care setting.

APA style. Include at least 1 reference no older than 5 years. 100-150 words.

 

Discuss how EBP can translate to older adult population (35–65-year old) in the primary care setting.

 

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Assessment is defined as a collection of all data and information pertinent to the patient care, their needs and problems.

Assessment is defined as a collection of all data and information pertinent to the patient care, their needs and problems.

Assessment is defined as a collection of all data and information pertinent to the patient care, their needs and problems.

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Respond to Oliver post using 3 references.

Assessment is defined as a collection of all data and information pertinent to the patient care, their needs and problems. initial step of the assessment consists of obtaining a complete history follow by the physical examination established through inspection, palpation, percussion and auscultation (Nursing assessment, 2009).After reading and reviewing Jarvis Chapter 28 and Chapter 29, discuss the differences in completing assessments between adults, infants, young children, and adolescents.a) Discuss how the assessments vary in sequence, documentation, and critical thinking

 

According to Jarvis 2020, while examining an adult and adolescents, the assessment should initiate with the patient in an upright position and wearing regular clothes or gown. An infant\’s assessment is done with a patient in a supine position on an examination table and wearing only the diaper. The preschooler and young schoolchild can wear just the short and underpants since they are willing to undress. The assessments in adults and adolescents follow the same sequence. Unlikely in infants, the ears are the last to be checked. While checking vital signs, infants will be the only ones whose blood pressure is not assessed. When assessing adults for pain, the pain scale is generally used, and the patient is asked to rate the pain from 0 – 10. On the other hand, when assessing children, the nurse will benefit from the FACES scale by looking at the behavioral indicators of pain like grimacing or increase heart rate. For young children, the nurse should consider preparing for the examination, and strategies may be used to help during the assessment.

 

In every patient, the data collected should be recorded as soon as possible, and if an electronic medical record is used, it\’s essential to do not ignore the person ask complete physical and history on the computer. Using always precise and short phrases while documenting and, if necessary, draw a clear picture is recommended, according to Jarvis, 2020.

In the last two chapters of Jarvis\’s book are the pregnant women and functional assessment of the older adult. How will you summarize the difference between these two important assessments?

A) Summarize the difference according to the standards in the Jarvis book.

According to Jarvis 2020, the assessment of the pregnant women is more specific to promote and enhance that physical and emotional well-being of the pregnant women and her baby during her pregnancy. After collecting the medical history and determining the estimated delivery date it\’s important to start the physical examination with a general survey. In pregnant women it\’s very important to inspect the skin to note any pigmented changes.

Check the oral mucous membranes. Palpate the thyroid gland. Inspect the breast for any changes. Auscultate lungs and heart. Check lower extremities specially to note edema. While checking the abdomen measure the fundal height by performing the Leopold’s maneuvers. When doing the pelvic examination note the signs of pregnancy the size and position of the uterus and the condition of the service. Wait until the end to check the blood pressure to try to obtain an accurate reading after patient feel comfortable while being examine.

Unlike when assessing the functional assessment of the older adult it is important to know the consequences of genetic makeup, lifestyle and chronic disease, besides the normal changes for the age. A comprehensive geriatric assessment is multi-dimensional, it includes the physical examination an assessment of mental status, functional status, social and economic status, pain and examination of the physical environment for safety concerns (Jarvis, 2020)

Answer preview to assessment is defined as a collection of all data and information pertinent to the patient care, their needs and problems.

Assessment is defined as a collection of all data and information pertinent to the patient care their needs and problems.

 

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