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Need urgent and Critical Writing Literature

Need urgent and Critical Writing Literature

Need urgent and Critical Writing Literature

Do the primary sources for this from Chapter 4, of Thinking through the past, John Hollitz (documents 2-12) then support Gary B. Nashâ’s argument concerning The Unknown American Revolution Your response to this sentence, stated in a complete sentence, will be your thesis statement. 5. Since the second part of your Critical Writing Assignment involves a thesis statement, you must back up your interpretation with specific evidence. USE THREE PRIMARY SOURCES. Analyze the sources you have chosen and explain why they either support Nash’s conclusions and/or why they do not. Refer to sources by name and author. Do not forget proper documentation—example, (Document 3, page 70). Include quotes and an analysis of that quote to provide sufficient evidence for your argument. 6. Paraphrase the document materials you are discussing. If you decide to quote from the document, do so sparingly. Be sure to cite your page number and use quotation marks. No long quotes. I am interested in what you have to say, not others.

Government/What Horse?

Government/What Horse?

What Horse?

Read Case Study 6.1. Answer Questions 1, 2, and 3 at the end of Case Study 6.1.

Each question should be answered in an essay format of approximately 300 words. Ensure your paper answers the questions and uses concepts studied in the module and from the reading. Support your answers with personal experiences, current events, and references to the reading.

Use the library to locate four to six scholarly sources to support your analysis.

Please make sure that his work is original, turnit in will be use please be on time and follow the instructions. APA standards only.

CASE 6.1

WILD HORSES

If all you’ve ever done is gather up horses, and all you have had to think about is only

what you’ve been told to do, well, that’s a pretty simple decision-making process.

Some people resist having to think more.

Ron Hall, National Wild Horse

and Burro Program

Background

Wild horses have long been a symbol of the independence of the American West, but today, the health of their population depends heavily on government management. At their peak, in the mid-1800s, an estimated two million wild horses roamed America’s rangeland. Populations decreased as development reduced habitat for wild horses and native grazers such as bison, and as horses and burros were rounded up to make

room for livestock and farming operations. By the early 1900s, most wild horses had disappeared from the Great Plains and those that remained were found primarily in the remote mountains, deserts, and badlands of the West. By 1971, only about 9500 wild horses were thought to live on public rangelands. Public concerns about abuse and wild horse population declines swelled in the 1950s and 1960s. Subsequently, Congress enacted the Wild Free-Roaming Horses and Burros Act of 1971 to protect wild horses and burros from abuse and death and to manage them to achieve and maintain

a thriving natural ecological balance on the public lands. The 1971 act declared these wild animals to be “living symbols of the historic and pioneer spirit of the West; that they contribute to the diversity of life forms within the Nation and enrich the lives of the American people; and that these horses and burros are fast disappearing from the American scene.” Since the passage of the act, wild horse and burro populations have

increased, but the way they are managed on public lands has been controversial and wild

horse advocates continue to voice concerns about horses being slaughtered. The 1971 act authorized and directed the Secretary of the Interior, on public lands managed by the Bureau of Land Management (BLM), and the Secretary of Agriculture, on public lands

managed by the Forest Service, “to protect and manage wild free-roaming horses and burros as components of public lands.” The act also directed the secretaries to manage them “to achieve and maintain a thriving natural ecological balance on the public lands.” In fiscal year 2007, the program was funded at $36.4 million. Forty-four BLM field units manage approximately 33,100 wild horses and burros on 199 herd management areas (HMA) covering over 34 million acres in ten western states—Arizona, California, Colorado, Idaho, Montana, New Mexico, Nevada, Oregon, Utah, and Wyoming.

BLM’s Nevada State Office manages about half of the land and animals in the Wild Horse and Burro Program. In the mid- to late 1970s, population counts indicated that there was a large increase in wild horses and burros and that they were contributing

to overgrazing of the rangeland. Congress amended the 1971 act in 1978 to protect the

range from wild horse overpopulation. The Public Rangelands Improvement Act of 1978 directed the secretaries of the Interior and Agriculture to determine appropriate management levels (AMLs), maintain a current inventory of wild horses and burros, and determine whether and where overpopulation exists. AML has been defined as the “optimum number of wild horses which results in a natural ecological balance

and avoids deterioration of the range.” The aggregate AML for all herd management areas is approximately 27,200. Because wild horse populations can double every four years and few natural predators remain, managing wild horse and burro populations at AML has become a primary objective of the program. To reach and maintain

AML, BLM primarily conducts “gathers” to remove excess animals from the range. In 2001, BLM began implementing its most recent management strategy, to reach AML by increasing removals. Since then, about 10,600 animals have been removed, on average, per year. Maintaining current and accurate inventories of wild horses and burros is a key component of on-the-range management. If the census numbers are inaccurate, particularly if they underestimate the actual population, BLM runs the risk that adequate

forage or water may not be available for the wild horses and burros or for livestock and

wildlife in the area.

1. On-the-Range Management On-the-range management of wild horses and burros

includes management activities such as range condition monitoring, population counts, and rangeland improvements. As of February 2008, the estimated-on the- range population was 33,105. Animals are periodically removed from herd management areas to reach a level that is sustainable with other uses of the range. BLM typically uses

helicopters to herd animals into temporary corrals. In 2007, BLM removed 7,728 animals from the range.

2. Short-term Holding Once animals are removed from the range, they enter

short-term holding facilities where they receive veterinary care prior to being adopted, sold, or sent to long-term holding facilities. As of June 2008, the number of animals

in short-term holding was 7987.

3. Adoption and Sales

BLM offers animals removed from the range for adoption to private citizens. In 2007, 4772 wild horses and burros were adopted.

Wild horses can be sold if they are offered unsuccessfully for adoption at least three times or are more than 10 years of age. Wild horses and burros that are adopted or sold are used by some as companions and by others as working animals.

4. Long-term Holding

Animals that are removed from the range and cannot be adopted or sold are placed in long-term holding facilities to live out the rest of their lives. Most of the facilities are

located on Midwest grasslands in Kansas and Oklahoma. As of June 2008, the number of horses in long-term holding was 22,101.

Chapter 6 DECISION MAKING

After being removed from the range, excess animals are managed in short-term holding facilities, where they are either prepared for adoption or sale, or in long-term holding facilities, where they will live out the remainder of their lives. (See Figure on previous page.) The preferred outcome for healthy animals removed from the range is that they be adopted through BLM’s Wild Horse and Burro Program. On average, about 6300 wild horses and burros have been adopted annually since 2001. Under the act, as amended,

BLM is required to ensure that adopters can provide humane treatment and care. When adoption demand is not sufficient to absorb all the animals removed, the act directs BLM to either destroy the remaining healthy animals in the most humane and cost-efficient manner possible or, under certain circumstances, sell them “without limitation.” BLM has not destroyed any animals since January 1982. To manage for the growing number of unadoptable animals, BLM began opening long-term holding facilities. Unlike the

rangelands of the West where the animals normally live, the long-term holding facilities use Midwest grasslands that generally provide the animals with abundant forage and decreased stress. This allows most of the animals to live far longer than they would in the wild. BLM pays the private contractors that operate the long-term holding facilities a fee per horse per day. The sales directive, which was enacted on December 8, 2004, directs BLM to sell excess wild horses and burros without limitation if the animal is more

than 10 years of age or has been offered unsuccessfully for adoption at least three times.

Toward Long-Term Sustainability The number of wild horses and burros removed

from the range is far greater than the number adopted or sold, which has resulted in a

significant increase in the number of animals in short- and long-term holding and commensurate increases in spending for their care. Since 2001, over 74,000 animals have

been removed from the range, while only about 46,400 have been adopted or sold.

Thirty-six percent fewer wild horses and burros were adopted in 2007 compared with

average adoption rates in the1990s. BLM officials attribute the steady adoption decline

in recent years to the decreasing demand for horses in general and increasing hay and fuel

costs associated with their care. As of June 2008, BLM was holding 30,088 animals

in short- and long-term holding facilities, far more than in 2001 when it held 9807. From

2001 through June 2008, the average cost per animal increased from $3.00 per day to

$5.08 per day. Spending on long-term holding has increased from about $668,000 in

2000 to more than $9.1 million in 2007. In addition, with the long-term holding facilities at full capacity more wild horses are spending a longer time in the more expensive short-term holding facilities. The long-term sustainabillty of BLM’s Wild Horse and Burro Program depends on the resolution of two significant challenges:

• If not controlled, off-the-range holding costs will continue to overwhelm the program. In 2008, BLM anticipates that holding costs will account for about 74 percent of the program’s direct costs. As holding costs continue to increase, less funding is available for on the- range management, which could result in sharp increases in the animal population in the wild. To deal with its long-term holding problem, BLM has primarily sought increased funding to open additional holding facilities. However, funding is not likely to increase in the future, and limited funding is forcing BLM to make the difficult choice among managing the animals on the range to prevent overpopulation, destroying excess unadoptable animals, or selling them without limitation.

• BLM’s options are limited for dealing with unadoptable animals. The Wild Free-Roaming Horses and Burros Act, as amended, requires that excess animals, for which the adoption demand is not sufficient to absorb all the animals removed from the range, be destroyed in the most humane and cost-efficient manner possible or, under certain circumstances, be sold without limitation. Never less, BLM has still chosen not to destroy or sell excess animals without limitation because of concerns about public and congressional reaction to the large scale slaughter of thousands of healthy horses.

PROGRAM MANAGEMENT

However, by not destroying or selling them without limitation, BLM is not in compliance with the requirements of the act.

The Horse Lobby View

Defenders of wild mustangs have long portrayed them as the victims of ranchers, who prefer cattle on the range, and middlemen, who want to

make profit by selling them for horsemeat. Many of these defenders claim that horses have a right to be there. The more extreme groups say, “Let nature take its course. Just leave the horses alone and let them populate naturally.” For groups formed to protect the horses, the specter of euthanasia as a solution remains anathema. “It’s not acceptable to the American public,” said Virginia Parant, a lawyer who is the director of the American Wild Horse Preservation Campaign. “The mustang,” she says, “is part of the American myth. People want to know that they can come to the American West and know

that they can see herds of wild horses running. It’s part of the imagery.” She laughs at the idea of attributing range destruction to horses when cattle greatly outnumber them. Further, Jay F. Kirkpatrick, a scientist who is the director of the Science and Conservation Center in Billings, Montana, contends that BLM has not given sufficient weight to birth control options which could make “serious inroads” on the horse populations.

The Ecological View

Increasingly, environmentalists and scientists have come to see mustangs not as victims but as thousand-pound aliens because they are not native to the region like bison but rather descendents of horses brought to North America by the Spanish. Over time, stray domestic horses belonging to settlers and Native Americans bred with the Spanish mustangs. With hooves and teeth evolved for a different kind of environment, wild

horses are especially destructive to the habitats of endangered desert turtles and desert birds in the south and big horn sheep in the north. They damage the waterholes. They damage the grasses, the shrubs, and the bushes, causing negative consequences for all the other plants and animals that live there. The attitudes of environmentalists toward the

horses have changed so much that some are willing to say what was heresy a few years ago:that euthanasia is acceptable if the alternatives are boarding the mustangs for life at taxpayers’expense or leaving them to overpopulate, damage the range and die of hunger or thirst. As one wild horse specialist tells Paula Morin: If the wild horse groups can’t or won’t take them, then I think the proper answer is to implement the law. Personally, I think sale authority would be a good alternative to humane destruction because it would allow us to sell the horses as a last resort. Yes, it would allow those people who buy them

to do whatever they want with them, but at least something purposeful happens with

the animal. I don’t think anybody enjoys the thought of wild horses being euthanized,

but it’s a fact of life. Hundreds of thousands of domestic horses are put down

every year for one reason or another, and so are dogs and cats. Yes, people love

horses, and wild horses are special. But they are an animal that must be managed,

and if we don’t manage them they have problems. Another sensitive issue besides euthanasia concerns selling wild horses for meat, despite the fact that about 90,000 domestic horses are sold for meat each year. “It is difficult to understand,”Ted Williams writes in Audubon Magazine, why Americans believe that starvation is lomore humane than culling. In Australia, where there are thought to be as many as 265,000 feral horses and 5 million feral burros, the government shoots them. There, shooting is considered more humane than capture and removal because the animals are not subject to the

stresses of the round up, yarding, and long-distance transportation. Moreover,

most other nations don’t share our taboo against eating horsemeat. It’s considered

a delicacy in Europe, and in Australia the commercial slaughter of feral horses, burros,

and other livestock is a $100 million a year industry.

Could birth control provide an alternative?

Herd sizes double every four years, and the BLM is working with a contraceptive that is largely effective for two years in mares. Alan Shepard, who helps run the contraceptive program, says that it showed promise but had limitations. “The ultimate thing is you can’t catch them all.” Australia also is working on chemical contraception, but an effective agent, practical for field application, may be decades away. How about the horse lobby’s charge that cows do more damage than wild horses? Environmentalists concede that cows do more damage because there are lots more of them, but cattle provide food and livelihoods. When it comes to habitat destruction, what horses lack in numbers they make up for in efficiency. When the grass between the shrubs is gone, a cow is out of luck,

but a horse or burro will stomp the plant to death to get that one last blade underneath it. When cows run out of forage, cowboys move them or take them home, but horses and burros are out there all year. Unfenced, they can go anywhere. This means that if horses are left unchecked, they would be the last to survive in the ecosystem, simply because they’re more efficient about how much they can eat. But if you let these herds populate

“naturally,” eventually they would overstock the range and denude it completely —that means it would never grow back. In the final analysis, a growing number of environmentalists think the horse lobby does not appreciate the importance of maintaining the whole ecology and does the horses a disservice when it sets them apart.

Case Questions

1. Which decision-making techniques and concepts described in this chapter are most appropriate to the BLM’s situation? Show how you would apply them.

2. What suggestions would you make to help the Bureau improve its handling of the wild horse problem?

3. How would you model this problem?

Case References

U.S. Government Accountability Office, Bureau of Land Management: Effective Long-Term Options Needed to Manage Unadoptable Wild Horses,

GAO-09-77 (October 2008), 1–10; Deanne

Stillman, Mustang: The Saga of the Wild Horse

in the American West (Boston: Mariner Books,

2009); Jim Robbins, “As Wild Horses Multiply,

a Voice for Contraception,” The New York Times

(April 21, 2005/2009); Felicity Barringer, “Mustangs

Stir a Debate on Thinning the Herd,” The

New York Times (July 20, 2008); Paula Morin,

Honest Horses: Wild Horses in the Great Basin

Information Security Planning

Information Security Planning

Information Security Planning

Identify, define, and describe the three or four most important elements of an Information Security Plan. Be sure to identify and support why your selected elements are the most important. 

please explain in detail about all the four elements of an information security plan choose. please make sure to o with a good content.

The paper must following the formatting guidelines in The Publication Manual of the American Psychological Association (2010), (6th ed., 7th printing), and contain a title page, five scholarly references, three to five pages of content, and a reference page. In addition, the paper will be submitted through the SafeAssign originality-checking tool.  More APA assistance can be found at the Purdue University Online Writing Lab.

 

 

Business Regulations / Business Finance – Operations Management

Business Regulations / Business Finance – Operations Management

 

Business Regulations / Business Finance – Operations Management

Identify one agency, bureau or department within the federal government responsible for upholding regulations that impact business operations. A few examples are the Environmental Protection Agency (EPA), Internal Revenue Service (IRS), Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) or Department of Commerce. Research and explain the purpose of the agency, bureau and how it directly impacts business.

 

The requirements below must be met for your paper to be accepted and graded:

· Write between 750 – 1,250 words (approximately 3 – 5 pages) using Microsoft Word in APA style, see example below.

 

· Use font size 12 and 1” margins.

· Include cover page and reference page.

· At least 80% of your paper must be original content/writing.

· No more than 20% of your content/information may come from references.

· Use at least three references from outside the course material, one reference must be from EBSCOhost. Text book, lectures, and other materials in the course may be used, but are not counted toward the three reference requirement.

· Cite all reference material (data, dates, graphs, quotes, paraphrased words, values, etc.) in the paper and list on a reference page in APA style.

References must come from sources such as, scholarly journals found in EBSCOhost, CNN, online newspapers such as, The Wall Street Journal, government websites, etc. Sources such as, Wikis, Yahoo Answers, eHow, blogs, etc. are not acceptable for academic writing.

computer science

computer science

 

A security policy is developed by senior management to assign certain responsibilities and mandate certain requirements, which are usually aligned with the agency’s mission.
A new policy was just created to prohibit peer-to-peer software downloads, as they are illegal and may bring malicious content to the workplace. You, the security officer, noticed that employees resisted the policy and chose to continue downloading peer-to-peer software. In an initial post, explain how you would handle this situation. What would you do to enforce the policy?
When responding to your classmates, discuss what might occur if senior management did not have a security policy or procedures in place. Use specific examples to support your thinking.

Need a 3 page proposal Social Science – Sociology

Need a 3 page proposal Social Science – Sociology

Need a 3 page proposal Social Science – Sociology

Need a 3 page proposal Social Science – Sociology

3 paged proposal with attachment follow instructions and you may use the link for samples: https://www.sheffield.ac.uk/socstudies/prospt/ppr/phdproposal

THE SOC 2600 RESEARCH PROPOSAL -3PAGES

The goal of a research proposal is to present and justify a research idea you have and to present the practical ways in which you think this research should be conducted. The forms and procedures for such research are defined by the field of study, so guidelines for research proposals are generally more exacting and less formal than a project proposal.

Research proposals contain extensive literature reviews and must provide persuasive evidence that there is a need for the research study being proposed. In addition to providing rationale for the proposed research, a proposal describes detailed methodology for conducting the research consistent with requirements of the professional or academic field and a statement on anticipated outcomes and/or benefits derived from the study.

A proposal should contain all the key elements involved in designing a complete research study, with sufficient information that allows readers to assess the validity and usefulness of your proposed study. The only elements missing from a research proposal are the results of the study and your analysis of those results.

Finally, an effective proposal is judged on the quality of your writing. It is, therefore, important that your writing is coherent, clear, and compelling.

Regardless of the research problem you are investigating and the methodology you choose, all research proposals must address the following questions:

•

What do you plan to accomplish? Be clear and succinct in defining the research problem and what it is you are proposing to research.

•

Why do you want to do it? In addition to detailing your research design, you also must conduct a thorough review of the literature and provide convincing evidence that it is a topic worthy of study.

•

How are you going to do it? Be sure that what you propose is doable.

In general your proposal should include the following sections:

I. Introduction Think about your introduction as a narrative written in one to three paragraphs that succinctly answers the following four questions:

•

What is the central research problem?

•

What is the topic of study related to that problem?

•

Why is this important research, and why should someone reading the proposal care about the outcomes from the study?

II. Background and Significance

This section can be melded into your introduction or you can create a separate section to help with the organization and flow of your proposal. This is where you explain the context of your project and outline why it’s important.

Approach writing this section with the thought that you can’t assume your readers will know as much about the research problem as you do. Note that this section is not an essay going over everything you have learned about the research problem; instead, you must choose what is relevant to help explain your goals for the study. To that end, while there are no hard and fast rules, you should attempt to deal with some or all of the following:

•

State the research problem and give a more detailed explanation about the purpose of the study than what you stated in the introduction.

Present the rationale of your proposed study and clearly indicate why it is worth doing.

•

Explain how you plan to go about conducting your research. Clearly identify the key sources you intend to use and explain how they will contribute to the analysis of your topic.

III. Literature Review

Connected to the background and significance of your study is a more deliberate review and synthesis of prior studies related to the research problem under investigation. The purpose here is to place your project within the larger whole of what is currently being explored, while demonstrating to your readers that your work is original and innovative.

Think about what questions other researchers have asked, what methods they’ve used, and what is your understanding of their findings. Assess what you believe is still missing, and state how previous research has failed to examine the issue that your study addresses. Since a literature review is information dense, it is crucial that this section is intelligently structured to enable a reader to grasp the key arguments underpinning your study in relation to that of other researchers. A good strategy is to break the literature into “conceptual categories” [th

emes] rather than systematically describing materials one at a time.

VII. Citations

As with any scholarly research paper, you must cite the sources you used in composing your proposal. In a standard research proposal, this section can take two forms, so speak with your professor about which one is preferred.

•

References

— lists only the literature that you actually used or cited in your proposal.

•

Bibliography

— lists everything you used or cited in your proposal with additional citations of any key sources relevant to understanding the research problem.

In either case, this section should testify to the fact that you did enough preparatory work to make sure the project will complement and not duplicate the efforts of other researchers. Start a new page and use the heading

“References” or “Bibliography” at the top of the page. Cited works should always use a standard format that follows the writing style advised by the discipline of your course. This section normally does not count towards the total length of your proposal.

Nursing / medical science

Nursing / medical science

HEDIS is a tool to use by a lot of people to measure performance quality of care and services. HEDIS made it possible to compare performance and they become accredited by to ensure quality patient care. Most insurance payors require this accreditation (National Committee of Quality Assurance, 2015). My PICOT question is: Methicillin Resistant Staphylococcus Aureus. HEDIS helps with the strategies importance to find what policy implications of implementing the measure to have hang hygiene to reduce the amount of infections. Another important one would be the cost effectiveness, the policy implications of implementing the measure for cost to better health for the patients.

References:

National Committee on Quality Assurance. 2015. Quality Measurement Products. Retrieved from http://www.ncqa.org/HEDISQualityMeasurement/QualityMeasurementProducts.aspx

Needs it Original – American History Art

Needs it Original – American History Art

Needs it Original – American History Art

how art reflects the society in which it was made that responds to the following:

  • What image of America was communicated by the innovations and  buildings presented at the 1883 Chicago’s World Fair? How was this image  communicated?
  • How and why was the art produced by the Ashcan School different from  that of the Gilded Age? To what changes in social history were artists  reacting?
  • How is art a reflection of society? Explain with at least two  examples to illustrate the relationship between art and society. These  two examples may be from the text or of your own selection. Discuss the  subject or theme of your selected works

Need a Research paper /Psychology

Need a Research paper /Psychology

 

 

Need a Research paper  /Psychology

research and citing appropriately. Submit your paper to the M4 Assignment 2 Dropbox. Turnitin is integrated into the Dropbox. When you submit your paper, it will be run through the TurnItIn software, and you will be able to review your Originality Report soon after submission. If your TurnItIn score is not in the green range, be sure to make the appropriate changes as noted on the TurnItIn report.

For guidance on organizing your paper, refer back to the outline you created in Module 3 as well as any feedback you received on your outline.

You will want to review your work by using the checklist provided below:

You have a single point that is conveyed through your thesis statement.
Your paper makes a logical argument that can be supported with credible research.
Your paper is well organized and you know your audience.
You receive a TurnItIn report in the green range.
You are able to understand your opposition, and you respond well to the claims of your opposition.
You cite at least 6 reliable sources (8 in the Module 5 submission).
You use correct in-text citations.
Your references page is correctly formatted.
You show a strong command of vocabulary, grammar, and punctuation.Argosy University

Introduction

For clinicians, the hardest challenge is perhaps knowing the right way to handle patients who require pain medication, yet they have a history of addiction to drugs. When speaking about pain medication, opioids are among the first class of drugs to come to mind. There is also a clash that exists between prescribing opioid medication to patients with a history of heroin abuse. Most doctors, fearing the legal ramifications of their actions, often shy away from overprescribing pain medication to patients with a history of drug abuse. There are numerous misconceptions surrounding this topic, such as patients with chronic pain symptoms encountering physicians who do not have enough experience to handle their unique needs. Important to note is that, the main issue of concern is knowing the right way to treat a patient with a history of drug abuse without causing abstinent patients to relapse, or to administer low dosages of pain medication which may lead to the patients being discharged before the right time for their therapy has elapsed, or even designing the proper care interventions that will ensure patients do not relapse.

Topic Sentences for the Supporting Points

There exists no perfect formula for calculating the right amount of opioid doses to administer for pain medication therapies. There are no studies that deeply delve into the issue of how patients with a history of substance abuse should be handled when it comes to administering pain medication to them. For the patients already using opioids illegally, there is a serious challenge during pain management should a time come when they require such interventions (Michna, 2004). With the current legal system, physicians may face legal ramifications for an overdosage of pain medication, meaning they are almost always afraid to make prescriptions.

In the medical world also, there exists a complicated relationship between pain management and patients with addiction problems. Physicians may discharge patients early from pain management programs, meaning the patients encounter problems both in regard to pain and also in regard to their drug abuse problem (Martell, 2007). More so, improper communication has made physicians shy away from taking on patients with drug abuse problems, especially since opioids are the basic components required for pain management, and administering such medication exposes the patients to a high risk of a relapse during or after the pain management therapy.

Lastly, the bureaucracies associated with pain management for patients with drug abuse problems make it difficult for healthcare settings to properly do their work. Notably, physicians lack the proper support from their healthcare facilities to address pain management for patients who have a history of drug abuse (Gourlay, 2005). The lack of acute management teams in most facilities also means that for a healthcare facility to take on patients struggling with drug use, there needs to be written procedures and policies, which are mostly not properly adhered to.

Counter Arguments

One of the main problems encountered by physicians is the determination of the right amount of pain medication to prescribe to a patient struggling with drug use, or on who was a drug user in the past. A counter argument for this is the fact that, doctors can ascertain the amount of pain being experienced by the patient, and then tailoring their dosage prescriptions to much the level of pain. This is however difficult to do since it is not possible to accurately determine how much pain the patient is in.

The pain medication given to patients needs to be regulated. Access to more pain medication drugs may lead to a false sense of pain in the patients. Knowing the pain medication is at their disposal, patients may take medication for pain that is not serious enough to warrant medication (Thorn, 2017).

Finally, pain medication should be administered through a third party, and not directly to the patient. This may work to reduce the possibility of a relapse in the patients. Therefore, administration of pain medication, especially opioids, should be structured in such a way that patients have limited direct access to the medication (Chou, 2009). The medication is only availed to the patients at the prescribed times and for the prescribed amount of time.

Conclusion

It is very difficult to properly ascertain the amount of pain that a patient is going through. The limited nature of research into the correlation between pain therapy and patients with a history of drug use also makes it difficult to properly match the level of pain as described by the patient, with the right pain medication dosage. With the current legal system defining the conduct of healthcare practitioners, most physicians are afraid of the legal issues they may face when they are accused of prescribing more opioid pain medication that is supposed to be.

References

Chou, R., Fanciullo, G. J., Fine, P. G., Adler, J. A., Ballantyne, J. C., Davies, P., … & Gilson, A. M. (2009). Clinical guidelines for the use of chronic opioid therapy for chronic noncancer pain. The Journal of Pain, 10(2), 113-130.

Gourlay, D. L., Heit, H. A., & Almahrezi, A. (2005). Universal precautions in pain medicine: a rational approach to the treatment of chronic pain. Pain Medicine, 6(2), 107-112.

Martell, B. A., O’Connor, P. G., Kerns, R. D., Becker, W. C., Morales, K. H., Kosten, T. R., & Fiellin, D. A. (2007). Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction. Annals of internal medicine, 146(2), 116-127.

Michna, E., Ross, E. L., Hynes, W. L., Nedeljkovic, S. S., Soumekh, S., Janfaza, D., … & Jamison, R. N. (2004). Predicting aberrant drug behavior in patients treated for chronic pain: the importance of abuse history. Journal of pain and symptom management, 28(3), 250-258.

Thorn, B. E. (2017). Cognitive therapy for chronic pain: a step-by-step guide. Guilford Publications.

Need a Research /Psychology

research and citing appropriately. Submit your paper to the M4 Assignment 2 Dropbox. Turnitin is integrated into the Dropbox. When you submit your paper, it will be run through the TurnItIn software, and you will be able to review your Originality Report soon after submission. If your TurnItIn score is not in the green range, be sure to make the appropriate changes as noted on the TurnItIn report.

For guidance on organizing your paper, refer back to the outline you created in Module 3 as well as any feedback you received on your outline.

You will want to review your work by using the checklist provided below:

You have a single point that is conveyed through your thesis statement.
Your paper makes a logical argument that can be supported with credible research.
Your paper is well organized and you know your audience.
You receive a TurnItIn report in the green range.
You are able to understand your opposition, and you respond well to the claims of your opposition.
You cite at least 6 reliable sources (8 in the Module 5 submission).
You use correct in-text citations.
Your references page is correctly formatted.
You show a strong command of vocabulary, grammar, and punctuation.Argosy University

Introduction

For clinicians, the hardest challenge is perhaps knowing the right way to handle patients who require pain medication, yet they have a history of addiction to drugs. When speaking about pain medication, opioids are among the first class of drugs to come to mind. There is also a clash that exists between prescribing opioid medication to patients with a history of heroin abuse. Most doctors, fearing the legal ramifications of their actions, often shy away from overprescribing pain medication to patients with a history of drug abuse. There are numerous misconceptions surrounding this topic, such as patients with chronic pain symptoms encountering physicians who do not have enough experience to handle their unique needs. Important to note is that, the main issue of concern is knowing the right way to treat a patient with a history of drug abuse without causing abstinent patients to relapse, or to administer low dosages of pain medication which may lead to the patients being discharged before the right time for their therapy has elapsed, or even designing the proper care interventions that will ensure patients do not relapse.

Topic Sentences for the Supporting Points

There exists no perfect formula for calculating the right amount of opioid doses to administer for pain medication therapies. There are no studies that deeply delve into the issue of how patients with a history of substance abuse should be handled when it comes to administering pain medication to them. For the patients already using opioids illegally, there is a serious challenge during pain management should a time come when they require such interventions (Michna, 2004). With the current legal system, physicians may face legal ramifications for an overdosage of pain medication, meaning they are almost always afraid to make prescriptions.

In the medical world also, there exists a complicated relationship between pain management and patients with addiction problems. Physicians may discharge patients early from pain management programs, meaning the patients encounter problems both in regard to pain and also in regard to their drug abuse problem (Martell, 2007). More so, improper communication has made physicians shy away from taking on patients with drug abuse problems, especially since opioids are the basic components required for pain management, and administering such medication exposes the patients to a high risk of a relapse during or after the pain management therapy.

Lastly, the bureaucracies associated with pain management for patients with drug abuse problems make it difficult for healthcare settings to properly do their work. Notably, physicians lack the proper support from their healthcare facilities to address pain management for patients who have a history of drug abuse (Gourlay, 2005). The lack of acute management teams in most facilities also means that for a healthcare facility to take on patients struggling with drug use, there needs to be written procedures and policies, which are mostly not properly adhered to.

Counter Arguments

One of the main problems encountered by physicians is the determination of the right amount of pain medication to prescribe to a patient struggling with drug use, or on who was a drug user in the past. A counter argument for this is the fact that, doctors can ascertain the amount of pain being experienced by the patient, and then tailoring their dosage prescriptions to much the level of pain. This is however difficult to do since it is not possible to accurately determine how much pain the patient is in.

The pain medication given to patients needs to be regulated. Access to more pain medication drugs may lead to a false sense of pain in the patients. Knowing the pain medication is at their disposal, patients may take medication for pain that is not serious enough to warrant medication (Thorn, 2017).

Finally, pain medication should be administered through a third party, and not directly to the patient. This may work to reduce the possibility of a relapse in the patients. Therefore, administration of pain medication, especially opioids, should be structured in such a way that patients have limited direct access to the medication (Chou, 2009). The medication is only availed to the patients at the prescribed times and for the prescribed amount of time.

Conclusion

It is very difficult to properly ascertain the amount of pain that a patient is going through. The limited nature of research into the correlation between pain therapy and patients with a history of drug use also makes it difficult to properly match the level of pain as described by the patient, with the right pain medication dosage. With the current legal system defining the conduct of healthcare practitioners, most physicians are afraid of the legal issues they may face when they are accused of prescribing more opioid pain medication that is supposed to be.

References

Chou, R., Fanciullo, G. J., Fine, P. G., Adler, J. A., Ballantyne, J. C., Davies, P., … & Gilson, A. M. (2009). Clinical guidelines for the use of chronic opioid therapy for chronic noncancer pain. The Journal of Pain, 10(2), 113-130.

Gourlay, D. L., Heit, H. A., & Almahrezi, A. (2005). Universal precautions in pain medicine: a rational approach to the treatment of chronic pain. Pain Medicine, 6(2), 107-112.

Martell, B. A., O’Connor, P. G., Kerns, R. D., Becker, W. C., Morales, K. H., Kosten, T. R., & Fiellin, D. A. (2007). Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction. Annals of internal medicine, 146(2), 116-127.

Michna, E., Ross, E. L., Hynes, W. L., Nedeljkovic, S. S., Soumekh, S., Janfaza, D., … & Jamison, R. N. (2004). Predicting aberrant drug behavior in patients treated for chronic pain: the importance of abuse history. Journal of pain and symptom management, 28(3), 250-258.

Thorn, B. E. (2017). Cognitive therapy for chronic pain: a step-by-step guide. Guilford Publications.