Summarize the current legislation at the state and federal level that aresses breast cancer prevention and the shortcomings of each.

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Summarize the health problem, new findings on breast cancer prevention, and the consequences of not addressing this problem.

Briefly discuss the social, political, and economic implications of breast cancer prevention.

Summarize the current legislation at the state and federal level that addresses breast cancer prevention and the shortcomings of each.

Make 3-4 recommendations on what should be done in response to the issues identified

Describe your interpretation of what integrative medicine means and why you are interested in attending SCU.

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Describe your interpretation of what integrative medicine means and why you are interested in attending SCU. The SCU physician assistant program.

If you left the plates about 8 or more hours in the incubator, what would it do to the zone sizes and results? 

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Lab Assignment #3 

Kirby-Bauer  Antimicrobic Sensitivity Testing

Background Information – (Please open and use the LAB NOTES for Kirby-Bauer Sensitivity Test from the weekly notes), also refer the appropriate chapter in the book.

The Kirby-Bauer Test is routinely used in clinical labs to test the efficacy of various antibiotics against microbes.   In this procedure, using a sterile swab, a large size agar plate is inoculated with a predetermined known culture.   The agar is called Mueller-Hinton Agar, and it is specifically used for this kind of testing.  Small paper discs impregnated with an antibiotic are then placed around the plate and the plate is incubated overnight.   There may be up to 12 different discs, each is abbreviated with the name and dosage of an antibiotic. The next day one will see a blanket of bacteria over the plate and possibly clear circles around some or many of the discs where the bacteria has been inhibited by the given antibiotic.  These circles are referred to as a “Zone of Inhibition”.

Each of the zones are measured in millimeters and recorded.   Then one must look up each antibiotic alphabetically on the Sensitivity charts (3 pages) within the chapter and compare the measured result to the reference numbers to determine which column (Resistant, Intermediate or Sensitive) that each particular antibiotic falls under.   You will see that every antibiotic has different reference zone size numbers so that’s why you need to do them individually.   When you are done you can easily compare the efficacy of the different antibiotics to see which are the most or least effective.   Doctors will routinely order this kind of test for their patients, especially if there is a recurring infection and if they need to switch antibiotics for other reasons.

Please pay attention to “the factors which affect zone size” in the Notes because it is very important that the inoculations are done properly for this procedure.

 

Questions:

 

  • Here are some hypothetical results for the following antibiotics. Use the charts in the book to determine the zone ratings (Resistant, Intermediate, Sensitive) for the following disc measurements first for Staphlococci and second for

 

Antibioitic Measured Zone Size Rating- Staph/  Enterobac
Am- 10 14mm  
CF-30 24mm  
E-15 18mm  
Va-30 23mm  
S-10 17mm  
P-10 13mm  
G-10 11mm  
B-10 0 mm  

 

2)  If you have a plate with no zones what does that tell you about the importance of this organism?  Consider your response from both the patient and an epidemiological perspective.  Have you heard of such a thing?   Yes…..so give an example.

3)  If you left the plates about 8 or more hours in the incubator, what would it do to the zone sizes and results?

4)  What zone effects would you get by putting too heavy or light amount of bacterial inoculum on the plates?

5)  Why is this method universally used for epidemiological studies across the country?

6)  Your patient has a bad infection but is allergic to Penicillin so therefore the doctor would categorically reject which other antibiotics for the patient?  Why?

Below is an actual Mueller-Hinton Agar plate already incubated so you can see the growth and the zones of inhibition.  For simplicity the discs are actually alphabetized not abbreviated.

These are the Kirby Bauer results for Escherichia coli isolated from a urine culture.

  1. Novobiocin
  2. Amikacin
  3. Chlorophenicol
  4. Vancomycin
  5. Ciprofloxacin
  6. Cephalothin

Using the sensitivity charts in the chapter, please determine whether this member of the Enterobacteriacae is Susceptible, Intermediate, or Resistant to the previous drugs??

Describe your thoughts on the role health care professionals should play in resolving the ethical issue.

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Find a scholarly, peer-reviewed article no more than four years old that discusses an ethical health promotion-related issue.
• Use the WCU library databases to search for appropriate articles.
In your paper:
1. Briefly summarize the presented issue.
2. Describe your thoughts on the role health care professionals should play in resolving the ethical issue.
3. Provide specific theories and refer to specific ethical codes to support your position.
Your paper should be 2–3 pages long. Use APA to cite and reference the article and any other optional sources you use. Adhere to APA formatting throughout your paper.

What does “shibboleth” mean and where did the term come from? Comment on the biblical origins of the term, including the narrative context and then discuss how it used by English speakers today.

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Assignment Instructions

What does “shibboleth” mean and where did the term come from? Comment on the biblical origins of the term, including the narrative context and then discuss how it used by English speakers today using the following opinion pieces:

Safire, William. “Shattering Shibboleths.” New York Times, October 12, 1998. (This is an essay on the impeachment of President Clinton.)

O’Toole, Finian. “The Good Friday Agreement is so much more than a ‘Shibboleth.’” The Guardian, April 10, 2018. (This is an essay disputing the remarks of a British politician concerning the agreement that brought an end to armed conflict in Northern Ireland.)

Briefly discuss stakeholders that would support and oppose this policy and their rational (belief/value)?

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Health Care System Review (YOU WILL BE RANDOMLY ASSIGNED A TOPIC) Objectives: the student will: Content/Information (15% of course assignment- see rubric below) 1. Provide a brief summary of your assigned health care policy (insurance) in the US:  Medicare  Medicaid (Kansas specific- KanCare)  CHIP (Kansas specific- KanCare)  Private Insurance i. PPO/Preferred Provider or Fee for Service ii. HMO/Managed Care,  High-deductible health plan (HDHP)/Health Savings Accounts/HSA  Veteran’s Insurance- TRICARE program 2.

Describe 2-4 Key characteristics of the uninsured in the US and how your policy may impact the uninsured. Format/Layout  APA format; Title page – no abstract required; 6-8 pages (not including title or reference page) Criteria to include in summary of the policy:

Brief description of the policy – i.e. issue summary and background (5 pts)  Who is covered in this policy (1 pts)

Who (organization?/individual?/employer?) pays for the services provided (2 pts)  Briefly state a few limitations and strengths of the policy (2 pts)

Briefly discuss stakeholders that would support and oppose this policy and their rational (belief/value)? (2 pts)

Provide a web reference (other than provided by the instructor) that you would recommend to other APNs (note APNs include APRNs and Advance Practice nurses with graduate degrees other than in a clinical specialty area-MSN ED/ADM.) or your patients to learn more about this policy (1 pt.)

How this insurance policy made an impact on increasing or decreasing the number of uninsured in the US? Make a brief statement on the characteristics of the Uninsured ( 1 pts)

Make a brief statement on how this insurance policy is linked or related to the Affordable Care Act (just one or two points.)
Discussion of each topic area and fellow student papers (up to 3 points can be deducted with limited or no discussion)
Grading Rubric*
Exceptional achievement. (100-95)
Distinguished achievement. (95-90)
Superior achievement. (89-80)
Average achievement. Poor (79-70)
Below average achievement to failing (69-0)
Content/Information
Went above and beyond the assignment. Clearly met the objectives; exceptional information/scholarly sources beyond recommended provided. Provided rational/objective information related to the question scholarly source(s) provided. The provided information is necessary and sufficient to discuss the question(s)
Went above and beyond the assignment. Clearly met the objectives; sought out information/scholarly sources beyond recommended. Provided rational/objective information related to the question-scholarly source(s) provided. The provided information is necessary and sufficient to discuss the question(s)
Met the objectives. Went beyond the required work to achieve the objectives of the assignment. The statement was objective and for the most part addresses the question. Basic reference(s) given. The provided information is, for the most part, necessary and sufficient to discuss the question(s)
Minimally met the objectives of the assignment, basic statement made.
Little to none of the objectives were met. The essay is not objective and addresses poorly the issues referred in the proposed topic. The provided information is not necessary or not sufficient to discuss these issues.
Brief description of the policy – i.e. a summary of what it is- summary of services provided (5 pts)
5 4.75 4.25 3.75 3.25
Who is covered in this policy (1 pts) 1 0.95 0.85 0.75 0.65 Who pays for the services provided (2 pts) 2 1.9 1.7 1.5 1.3 State one limitation and one strength of the policy (2 pts) 2 1.9 1.7 1.5 1.3 State one stakeholder that would support and one that would be against this policy and their rational (belief/value)? (2 pts) 2 1.9 1.7 1.5 1.3 Provide a web reference (other than provided by the instructor) that you would recommend to other APRNs or your patients to learn more about this policy (1 pt.) 1 0.95 0.85 0.75 0.65 Describe 2-4 Key characteristics of the uninsured in the US and how your policy may impact the uninsured.(1 pts) 1 0.95 0.85 0.75 0.65 Affordable Care Act connection 1 pt. 1 0.95 0.85 0.75 0.65

In what ways do you see technology playing a part in how managed care is achieving the Triple Aim (reducing costs; improving quality; and expanding access)?

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Discuss and answer the following questions in your essay.
1) In what ways do you see technology playing a part in how managed care is achieving the Triple Aim (reducing costs; improving quality; and expanding access)?

2) How do you see social media playing a role in engaging consumers/covered lives in the management of their healthcare?

Demonstrate understanding of the progression of a disease from the initial injury to the defect in the tissue, organ and system functioning.

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This assignment is a culmination of the assignments created in Weeks 2 and 5. Students are expected to incorporate the faculty feedback received on the Week 2 and Week 5 assignments to create the final presentation. The Week 7 presentation is an audio/video recording that is developed using Kaltura. The final presentation will include the student’s voice (audio) along with face clearly visible (video). Students have the opportunity to demonstrate professional presentation/communication and deep knowledge regarding pathophysiology, diagnosis and treatment about a selected disease process.

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

  1. Demonstrate professional presentation/communication skills.
  2. Demonstrate understanding of the risk factors for disease development. (CO 3)
  3. Demonstrate understanding of the progression of a disease from the initial injury to the defect in the tissue, organ and system functioning. (CO 1, 2)
  4. Link development of presenting signs and symptoms of disease to changes to tissue, organ and system functioning. (CO 3)
  5. Describe how the disease is diagnosed (CO 1, 2)
  6. Describe pharmacological and non-pharmacological interventions for disease management (CO 4)
  7. Describe the role of the health care provider in the prevention of the disease (CO 4)

Requirements:

Content Criteria: 

  1. Introduce the disease with a brief definition and description.
  2. Discuss the Risk Factors and the connection to the Etiology of the initial injury to the cell/tissue/organ.
  3. Discuss health care provider implications for prevention of the disease.
  4. Show the progression from the initial injury to the defect in the tissue, organ and system functioning.
  5. Link changes in the tissue, organ, and system functioning to the initial presenting signs and symptoms seen in primary care of the disease.
  6. Provide a brief description of how the disease is diagnosed.
  7. Provide a brief description of the pharmacological and non-pharmacological interventions used to treat and manage the disease.
  8. Summarizes the disease on final slide with concluding remarks; includes implication for nurse practitioner practice.
  9. Utilizes at least two current (within 5 years), peer-reviewed scholarly sources to support presentation content.
  10. Reference slide and in-text citations depict references correctly cited according to APA.

Format Criteria: 

  1. The presentation should include an audio/video PowerPoint presentation created using Kaltura. The student’s voice must be clearly heard (audio) and the student’s face clearly seen on the video.
  2. There is no slide length requirements. However, the presentation should be no more than 15-20 minutes in recorded length.
  3. The presentation should contain appropriate evidence to support the information presented in APA format.
  4. The presentation slides should be used as cues to topics and key concepts without lengthy sentences and paragraphs- reading information from slides is not professional and therefore not acceptable.
  5. Students should demonstrate understanding and mastery of content via discussion style presentation.

Technology Requirements

The instructions for using Kaltura are located under Resources.

PowerPoint Tips to ensure a professional and organized presentation: 

  1. All font types, size, and color should be the same throughout the presentation
  2. The Title slide should contain: student name, course, professor and title of the presentation
  3. Avoid putting too much information in the slides. Use bullets to highlight main points and then use speaker notes to provide more specifics related to the slide content
  4. The use of pictures and figures are encouraged, however, avoid overcrowding the slides with pictures and figures
  5. Follow the rubric requirements in chronological order to ensure an organized flow of content
  6. Use proper background color so there is good contrast between font color and background.
ASSIGNMENT CONTENT
Category Points % Description
Application of Course Knowledge 70 70% 1.      Introduces the disease with brief definition and description.

2.      Links risk factors to disease etiology.

3.      Shows progression from the initial injury to the defect in the tissue, organ, and system functioning.

4.      Links changes in the tissue, organ, and system functioning to the initial presenting signs and symptoms seen in primary care of the disease.

5.      Provides a brief description of how the disease is diagnosed

6.      Provides a brief description of the pharmacological and non-pharmacological interventions used to treat and manage the disease.

7.      Discusses role of nurse practitioners in disease prevention, diagnosis and management.  
Support from Evidence-Based Practice 60 60% 1.      Assignment content is supported with appropriate, scholarly sources; AND

2.      Sources are published within the last 5 years (unless it is the most current clinical practice guideline (CPG); AND

3.      Reference list is provided on reference slide(s) at the end of the presentation match; AND

4.      In-text citations are included on slides where appropriate
Summary of Main Points Highlighted in the Presentation 50 50% 1.      Provides a summary slide at the end of the presentation

2.      States the name of the assigned disease

3.      Main points are highlighted that clearly reflects coverage of all assignment criteria related to the assigned disease

4.      Highlights the role of the nurse practitioner in prevention, diagnosis and management of the assigned disease
Professionalism/ Organization 10 10% 1.      Presentation format flows in a logical, smooth manner

2.      Voice is clearly audible

3.      Face is clearly seen on the video

4.      Slides are developed using main headings that reflect the assignment topics

5.      Slides contain clear bullet points

6.      Slides are used as cues to topics and key concepts without lengthy sentences and paragraphs

7.      Presentation adheres to 15-20 minute time limit
190 95% Total CONTENT Points= 190 pts
ASSIGNMENT FORMAT
Category Points % Description
Grammar, Syntax, APA 10 5% APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors.
200 100% Total FORMAT Points= 10 pts
ASSIGNMENT TOTAL=200 points

 

 

 

Criteria Ratings Pts
This criterion is linked to a Learning Outcome Application of Course Knowledge

1. Introduces the disease with brief definition and description.
2. Links risk factors to disease etiology.
3. Shows progression from the initial injury to the defect in the tissue, organ, and system functioning.
4. Links changes in the tissue, organ, and system functioning to the initial presenting signs and symptoms seen in primary care of the disease.
5. Provides a brief description of how the disease is diagnosed
6. Provides a brief description of the pharmacological and non-pharmacological interventions used to treat and manage the disease.
7. Discusses role of nurse practitioners in disease prevention, diagnosis and management.
70.0 pts

Excellent

The presentation includes all required elements

 64.0 pts

V. Good

1 required element is missing

 58.0 pts

Satisfactory

2-3 required elements are missing

 35.0 pts

Needs Improvement

4-6 required elements are missing

 0.0 pts

Unsatisfactory

All 7 required elements are missing
70.0 pts
This criterion is linked to a Learning Outcome Support from Evidence-Based Practice

1. Assignment content is supported with appropriate, scholarly sources; AND
2. Sources are published within the last 5 years (unless it is the most current clinical practice guideline (CPG); AND
3. Reference list is provided on reference slide(s) at the end of the presentation match; AND
4. In-text citations are included on slides where appropriate
60.0 pts

Excellent

The presentation includes all required elements

 55.0 pts

V. Good

1 required element is missing

 50.0 pts

Satisfactory

2 required elements are missing

 30.0 pts

Needs Improvement

3 required elements are missing

 0.0 pts

Unsatisfactory

All 4 required elements are missing
60.0 pts
This criterion is linked to a Learning Outcome Summary of Main Points Highlighted in the Presentation

1. Provides a summary slide at the end of the presentation
2. States the name of the assigned disease
3. Main points are highlighted that clearly reflects coverage of all assignment criteria related to the assigned disease
4. Highlights the role of the nurse practitioner in prevention, diagnosis and management of the assigned disease
50.0 pts

Excellent

The presentation includes all required elements

 46.0 pts

V. Good

1 required element is missing

 42.0 pts

Satisfactory

2 required elements are missing

 25.0 pts

Needs Improvement

3 required elements are missing

 0.0 pts

Unsatisfactory

All 4 required elements are missing
50.0 pts
This criterion is linked to a Learning Outcome Professionalism/ Organization

1. Presentation format flows in a logical, smooth manner, adhering to the 15-20 minute time limit
2. Slides are developed using main headings that reflect the assignment topics
3. Slides contain clear bullet points
4. Slides are used as cues to topics and key concepts without lengthy sentences and paragraphs
10.0 pts

Excellent

The presentation includes all required elements

 9.0 pts

V. Good

1 required element is missing

 8.0 pts

Satisfactory

2 required elements are missing

 5.0 pts

Needs Improvement

3 required elements are missing

 0.0 pts

Unsatisfactory

All 4 required elements are missing
10.0 pts
This criterion is linked to a Learning Outcome Grammar, Spelling, Syntax, APA
10.0 pts

Excellent

Grammar, syntax, spelling, and punctuation are accurate, or with zero to one error.

 9.0 pts

V. Good

2-4 errors in grammar, syntax, spelling and punctuation noted

 8.0 pts

Satisfactory

5-7 errors in grammar, syntax, spelling and punctuation noted

 5.0 pts

Needs Improvement

8-9 errors in grammar, syntax, spelling and punctuation noted

 0.0 pts

Unsatisfactory

Presentation contains 10 or greater errors in grammar, syntax, spelling and punctuation noted or repeatedly makes the same errors after faculty feedback
10.0 pts
This criterion is linked to a Learning Outcome Late penalty deductions

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.
0.0 pts

Manual Deductions

 0.0 pts

Manual Deductions
0.0 pts
Total Points: 200.0

What screening and/or diagnostic tests will you perform/order to ascertain the correct diagnosis and what current screenings will you recommend in adherence to evidencebased guidelines?

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Choose cases below for your report and include the following:  A thorough understanding of the topic  A critical assessment of all questions  At least two differential diagnoses, if applicable  At least two pharmacologic treatment modalities, if applicable  A well-developed treatment plan  A thorough patient education plan

Your paper must be 5–6 pages in length not including the title and reference pages. You must reference a minimum of two scholarly sources in your paper.
Use current APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas.

Case Study Option #2: STI Maria is a 46-year-old Hispanic female who comes to your clinic complaining of a lesion in her vaginal area that she recently noticed while bathing. Maria came to the U.S. from Mexico over 10 years ago but her husband was not able to join her until just two months ago. Maria reports she abstained from sexual activity during the years she was separated from her husband and is not aware of any sexual activity on the part of her husband. Maria and her husband have been sexually active since his arrival in the U.S. two months ago. Maria reports she has not been to a health care provider while in the United States because she has no insurance coverage. She has no medical records and has not had any screenings or well-woman exam visits for over a decade. Maria has three healthy, grown children all delivered vaginally without pregnancy or delivery complications. Her mother is 62, lives in Mexico, and suffers from diabetes and hypertension. Her father died from colon cancer at age 55. Maria’s LMP was one week ago and all of her VS are WNL. Upon PE, you note a lesion on the left labia minora that has the appearance of a chancre and you note that it is not painful to Maria when touched.
1. What are your presumptive and differential diagnoses?
2. What screening and/or diagnostic tests will you perform/order to ascertain the correct diagnosis and what current screenings will you recommend in adherence to evidencebased guidelines?
3. What is the pathophysiology? Describe all stages, modes of transmission, any incubation periods.
4. What are the evidence-based treatment guidelines for this diagnosis? 5. How will you explain this diagnosis and plan of care to Maria?

Explain any relevant historical background that the reader might need to understand the issue.

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English 102 Exploring a Controversy
ESSAY 2 –RESEARCH PAPER: PRESENTING BOTH SIDES (1,200-1,800 WORDS, THIRD PERSON)
For Essay 2 you will conduct research on the topic you wrote about for Essay 1 and then write a paper that reports on your findings. The purpose of the paper is to give an overview of the main arguments on both sides of the controversy. A reader should come away with an understanding of the issues and points of contention that are being debated by credible sources on this topic.
Developing Your Paper Present your findings in following format. Please note that this outline describes the four general sections of the paper. It is not a paragraph-by-paragraph outline. The essay should contain more than four paragraphs. It is up to you to decide how to organize the information logically within this general format.
Introduction: Introduce the topic by providing background information and context.

 Explain any relevant historical background that the reader might need to understand the issue.

 Establish the current exigency of the topic: Why is this issue important for the present time? What recent developments have put the issue in the spotlight? Word count target: 200-400 words.
The YES Side: Explain the “pro” side of the argument, the “yes” answer to your yes/no question. What is driving this side of the debate? In this section, be sure to present the best arguments for the yes side, and analyze those arguments using some criteria, framework, or classification system. For example, you might look at the moral and factual arguments separately; or, you might focus your analysis on the quality or character of the sources; or, you might demonstrate how each part of the argument boils down to some foundational principle. Write from an objective, third person perspective. Do not use first-person “I.” You are not making an argument. You are summarizing and categorizing the major arguments made by credible sources on this side of the issue. Word count target: 400-600 words.
The NO Side: Explain the “con” side of the argument, the “no” answer to your yes/no question. What is driving this side of the debate? In this section, be sure to present the best arguments for the no side, and analyze those arguments using some criteria, framework, or classification system. For example, you might look at the moral and factual arguments separately; or, you might focus your analysis on the quality or character of the sources; or you might demonstrate how each part of the argument boils down to some foundational principle. Write from an objective, third-person perspective. Do not use first-person “I.” You are not making an argument. You are
summarizing and categorizing the major arguments of credible sources on this side of the issue. Word count target: 400-600 words.
Conclusion: Briefly conclude the paper by summing up the most salient points on both sides. Word count target: 100-200 words.
Requirements
 Write in third person (“Advocates of the Common Core argue that . . . ” “Critics of the Common Core point out . . .“ ).  Be objective; do not take a side.  Format the paper in MLA style.  Use a minimum of 8 credible sources. Minimum means that if you use fewer than eight sources, your essay will not receive a passing grade.  At least 4 of the sources must be from the Delgado Library. Permalinks from Delgado Library databases should be included at the end of the works cited citations.  Provide a functional permalink to electronic sources. Permalinks should be included at the end of the citation in the works cited. I must be able to click the link and find the source in order to check it, so make sure the link works. If the link does not lead me to a source, it will not count toward your eight required sources.  If you use print sources such as books that are not available online, scan or take a photo of the title page and the pages you cited from and submit with the paper. I must be able to check all sources.  Incorporate information from your sources using summary, paraphrase, and quotations.  Use a variety of types of sources (journal articles, books, credible web sites, etc.).  Be careful not to rely too heavily on any one type of source, especially Pro/Con sources such as Opposing Viewpoints, reference web sites, or other tertiary sources. You can commit structural plagiarism by following the structure of an article, even if you put the information in your own words. Your purpose is to synthesize various sources not just report on one source.  Only use sources that are credible for an academic audience. Wikipedia is not a source.  Correctly cite all information from sources using in-text citations.  Provide appropriate in-text citations for all source material, whether quoted, paraphrased, or summarized, following MLA style.  Properly list all sources on your works cited page. The works cited page should appear as the last page of your paper, not a separate document.  The works cited page should be formatted following MLA style.  A full draft is required on the day it is due.  Carefully proofread before submitting your paper.
Grading Criteria Your essay will be evaluated based on the following criteria:
 Clear and focused thesis statement.  Thorough, fair, and accurate portrayal of both sides of the issue.  Depth and quality of research.  Quality of sources.  Paragraphs fully developed with detailed supporting evidence.  Effective essay organization.  Clear and full explanation of both sides of the issue.  Effective, accurate, and fair use of sources.  Proper use, citation, and documentation of source material following MLA format.  Clear and precise sentence-level rhetoric (grammar and style).
Consult the assignment rubric for more detailed criteria.