COM 321 Remote Working Expectations Memo Now that the c

COM 321 Remote Working Expectations Memo
Now that the company has begun to offer more remote working
opportunities, we thought it might be
helpful to provide some high-level guidance on working
remotely.
1. Be a Chatterbox: Talk with your coworkers frequently to
keep everyone in the loop.
2. Flip on Your Webcam: Studies have shown that turning on
your webcam and seeing your
coworkers’ smiling faces can help build and strengthen the
working community. While this isn’t
required, it is helpful!
3. Jump Up, Jump Up, and Get Down!: Take a lesson from
recording artist House of Pain and jump
around! Getting up and moving throughout the day, as well as
taking timely breaks, can help
increase productivity.
4. Be Mindful of Time Zones: Not everyone is located in the
same time zone, so a 2 p.m. meeting
for you may be a 7 p.m. meeting for someone else. Make sure to
be considerate of your in-
house and remote teammates when scheduling meetings.
Thanks, team!

-Christine
Laura Alonso
The medication objectives for AJ. G’s will be; Getting rid of the
discomfort, making sure lesions are properly healing, avoiding
returning condition, ensuring risks are avoided, and
recommending J.G.'s medications.
Acid inhibitors will be the first line of treatment. Acid
inhibitors reduce the amount of gastric acid that enters the
gastrointestinal tract. Acid inhibitors improve symptoms and
alleviate ulcer problems as a result. To help with proper
diagnosis, drugs that lower gastric acid operates with proton
pump inhibitors(PPIs). Acid release is inhibited by PPIs, which
improve recovery. Gastric acid is lowered when the acid-
secreting portion of the cell is blocked. Rabeprazole,
omeprazole, as well as pantoprazole are acid inhibitors (Al -
Gabri et at.,2022). Acid inhibitors reduce stomach acid
production. J. G’s agony will be relieved once the
gastrointestinal acid is controlled.
Patient learning is the process of modifying a patient's
condition by changing their perspectives, views, and
capabilities to ensure better their well-being. In therapeutic
communication, the caregiver discusses the patient's
involvement in their rehabilitation with them. The initial step in
educating patients would be to go over the medications with a
particular patient as per the recommended medication. The
doctor should inform the patient why these medicines were
recommended and how they should be used. The physician
should then ask patients to read over the medication
before taking it, and examining the directions guarantees that
now the individual receives the proper doses (Chieng & Pan,
2022). Furthermore, teaching would emphasize the significance
of taking medicines as prescribed. It is necessary to emphasize

ethical oral consumption.
Acidity inhibitors could induce diarrhea. PPIs increase the risk
of fractures, mainly in the forearm, thigh, and back.
Antibiotics are the next pharmacological treatment option for
such patients. If ulcer-causing microorganisms are found in the
gastrointestinal tract, antibiotics can effectively kill them. The
drugs might also aid in treating J. G’s stomach ailment, which
he developed earlier. Amoxil, tinidazole, and Flagyl are all
antibiotics that can help with the problem and alleviate
symptoms. Antibiotics would be administered based mainly on
locality and antibiotic sensitivity. A person, for instance, had
tried Zantac for approximately two weeks without success,
indicating that they must be intolerant towards the medicine
(Chamniansawat et al., 2021). Antibiotics and some other drugs
will also be administered as a response. In addition to bismuth
subsalicylate, antibiotics are given.
A patient's initial dietary advice will limit caffeine if this makes
the symptoms worse. Considering J.C usually takes
approximately to 5 coffees each day, all decaffeinated or
regular coffee should be eliminated. Caffeine must be omitted
because it will likely upset the person's gut. Furthermore, the
patient should refrain from eating late into the evening and
sleeping half an hour later. Acid accumulation inside the
abdomen is aided by dining later than bedtime, almost after
that. Another suggestion for such a person is to give up
smoking. Cigarettes inhibit tissue repair and raise the chances
of relapse. In addition, a patient must prevent or lower overall
anxiety levels. Stress reduction promotes well-being and aids
throughout the healing of ulcers in therapy. Finally, J.G can
stay away from hot meals. Spiced meals provide nourishment
that induces acidity in the belly. Instead, the person can begin
eating a nutritious, balanced meal as soon as possible.
References
Al-Gabri, N., Elnagar, G. M., Saghir, S. A., El-Shaibany, A.,
Alnomasy, S. F., Althafar, Z. M., ... & Yosri, M. (2022).

Preliminary Study of Gastroprotective Effect of Aloe perryi and
Date Palm Extracts on Pyloric Ligation-Induced Gastric Ulcer
in Experimental Rats. BioMed Research International, 2022.
Chieng, J. Y., & Pan, Y. (2022). The Role of Probiotics,
Prebiotics and Synbiotics in Adult Gastrointestinal
Health. Gastroenterology & Hepatology Letters, 3(2).
Chamniansawat, S., Kampuang, N., Suksridechacin, N., &
Thongon, N. (2021). Ultrastructural intestinal mucosa change
after prolonged inhibition of gastric acid secretion by
omeprazole in male rats. Anatomical Science
International, 96(1), 142-156.
Joscelyne Lastra
Week 10: Peptic Ulcer Disease Case Study
Make a list of specific treatment objectives for J.G.
The patient's goal in peptic ulcer disease treatment is to
alleviate symptoms, heal lesions, prevent recurrences, and avoid
complications.
What kind of medication would you recommend for J.G.? Please
explain your reasoning.
Because this treatment is for patients who cannot take
amoxicillin due to a penicillin allergy, it is known as quadruple

therapy. Penicillin and amoxicillin are antibiotics that are very
similar. Patient J.G. is allergic to penicillin, according to the
information provided. Furthermore, if the first treatment fails,
doctors will prescribe quadruple therapy. Because the patient
has had intermittent mid-epigastric pain for two months and has
been taking over-the-counter antacids and histamine receptor
antagonists for two weeks without relief, he requires a second
round of treatment and may be given antibiotics other than
those prescribed the first time (Kuna et al., 2019).
Discuss patient education that is specific to the prescribed
therapy.
Standard Triple Therapy -when the preponderance of
clarithromycin-insusceptible H. pylori strains exceeds 16% to
21%, this plan is not recommended. Metronidazole 500 mg
twice daily replaces Amoxicillin with in an alternative triple
drug plan (Sverdén et al., 2019). Additionally, adding probiotics
to triple therapy, particularly Lactobacillus and Saccharomyces
boulardii, has demonstrated to enhance reduce treatment side
effects and eradication rates, particularly diarrhea.
List one or two side effects from the chosen agent that would
cause you to change your treatment.
Standard Sequential Therapy and Triple Therapy can lead to
nausea and other side effects like a changed sense of taste, a
darkened tongue and darkened stools, among other
things (Sverdén et al., 2019). Because of these side effects, your
doctor may decide to prescribe another medication.
What would be your second-line therapy option?
Concomitant Therapy or Non-bismuth-based Quadruple
Therapy Levofloxacin-Based Triple Therapy, and Bismuth-
Based Quadruple Therapy are the second-line treatments. Based
on the patient's medical history, the Bismuth-Based Quadruple
Therapy is the best option (Kuna et al., 2019).

What changes in J.G.'s lifestyle would you suggest?
• Giving up cigarette smoking and other tobacco products.
• Consuming a well-balanced diet that includes plenty of fruits,
vegetables, and whole grains.
• Limiting the amount of alcohol and caffeine consumed.
References
Kuna, L., Jakab, J., Smolic, R., Raguz-Lucic, N., Vcev, A., &
Smolic, M. (2019). Peptic ulcer disease: a brief review of
conventional therapy and herbal treatment options. Journal of
clinical medicine, 8(2), 179.https://www.mdpi.com/2077-
0383/8/2/179/pdf
Sverdén, E., Agréus, L., Dunn, J. M., & Lagergren, J. (2019).
Peptic ulcer disease. Bmj, 367.
Luanda Gan Bedoya
The first goal for treatment for J.G. is to relieve the
symptoms of peptic ulcer disease like midepigastric pain. The
next treatment goal is to heal the infection in the patient’s
stomach that can cause lesions. Other goals include preventing
the reoccurrence of the disease and associated compl ications
(Altwejry et al., 2020). The goals would help J.G. to save
money he would use to buy over-the-counter medications. One
drug I would recommend to the patient is oral route omeprazole.
Omeprazole is classified under proton pump inhibitors, which
work by decreasing the amount of acid produced in the stomach
while promoting the healing of the stomach (Sun et al., 2020).
Additionally, omeprazole significantly improves sleep, unlike

other inhibitors that only heal the stomach. A specific patient
education that J.G. would receive based on the prescribed drug
is on the need to adhere to the prescribed dosage even if the
symptoms improve quickly. Such education would be important
since the drug may give quick relief to the patient before the
full elimination of the disease. Therefore, failing to finish the
dose can promote the disease’s reoccurrence. One of the adverse
reactions of omeprazole that would prompt a change in the
therapy is continuing sores in the mouth and sore throat (Sun et
al., 2020). Sores in the mouth and throat caused by the drug
may affect the patient’s feeding patterns, which could result in
weight loss and fatigue. An alternative for the patient would be
histamine (H-2) blockers like famotidine, which would be
delivered orally. Famotidine works by decreasing the amount of
acid produced by the stomach (Nguyen et al., 2022). I have
chosen the drug since the patient is currently using Zantac 75,
which has been ineffective. Some of the lifestyle changes I
would recommend to J.G. include avoiding tobacco and
increasing water intake. Furthermore, J.G. would need to eat
easy-to-digest food regularly and avoid eating late at night as he
currently does. Finally, I would advise the patient to be active
for more time before he sleeps after eating and not go to bed
after dinner as soon as he currently does.
References
Altwejry, A. S., Alsaiari, O. A., Saleem, E. R., Alshanbri, N.
K., Alzahrani, A. A., Alamri, S. M., Al-Din Mahfouz, A. S.,
Alghamdi, T. A., Asiri, F. M., & Alzahrani, A. A. (2020). An
overview on peptic ulcer disease, diagnosis and management
approach. Pharmacophpore, 2020(2).
https://pharmacophorejournal.com/article/an-overview-on-
peptic-ulcer-disease-diagnosis-and-management-approach
Nguyen, K., Dersnah, G. D., & Ahlawat, R. (2022). Famotidine.
StartPearls.
Sun, K., Ma, S., Hui, Y. Y., Wang, B., Yang, B., Zhu, L. P.,
Wang, S. Y., Li, S., Zhao, W., Jiang, K., Zhao, J. W., Wang, B.

M., Chen, X., Zhang, G. L., Zhou, Z. H., Liu, Y. D., Ye, Q.,
Deng, Q. J., Liu, G. F., … Zhang, R. X. (2020). Efficacy of
proton pump inhibitor on nighttime reflux symptoms and
associated sleep disturbances in patients with gastroesophageal
reflux disease: A real-world study in northern China.
https://www.researchsquare.com/article/rs-33808/latest.pdf
Gioconda A. Orellana
Gastroesophageal Disease and Peptic Ulcer Diseases
Question 1
Relief of pain and other symptoms, infection treatment and
eradication, avoidance of acid production and complications,
ulcer healing with mucosal support of stomach walls, and
disease relapse prevention are all targets goals.
Questions 2
Proton pump inhibitors (PPI) (omeprazole 20mg, oral, BID 30
days) and antibiotics (azithromycin or clarithromycin 500 mg,
oral, BID x 30 days) would be prescribed. If PPIs and
antibiotics fail to control the symptoms, adjuvant therapy with
antacids, sucralfate, and colloidal bismuth may be used. PPIs
are the most effective first-line agents to treat the PUD support
by EBP and RTCs (Hu et al., 2017).
Question 3
Patient education includes detailed information about the
disease, its prognosis, prevention, and complications. Likewise,
the patient should be educated on medication dosage and
schedules, the importance of taking medications as prescribed,
the instructions to demonstrate full compliance and adherence,
the importance of lifestyle changes, and drug-drug interactions.
Question 4
PPIs are generally safe and well-tolerated. However, headache,
diarrhea, and nausea are common adverse effects (Hu et al.,
2017). Azithromycin or clarithromycin also cause the same side

effects. Additionally, PPI, along with antibiotics treatment, is
linked to a higher risk of osteoporotic fractures (Hu et al.,
2017). Patients on long-term PPI therapy have a considerably
higher risk of community-acquired and hospital-acquired
pneumonia and a moderately increased risk of Clostridium
difficile infection.
Questions 5
The patient’s response to the initial therapeutic decision
influences the choice of second-line therapy. Lansoprazole and
esomeprazole are more likely to produce headaches than other
PPIs if the patient’s adverse reaction include headache. In this
scenario, the doctor can substitute another PPI, such as
rabeprazole (AcipHex) 20 mg, oral, BID for 30 days (Hu et al.,
2017). If the reaction is more severe, the doctor may
recommend using a combination of treatments. Famotidine
(Pepcid Complete) 20 mg twice a day or cimetidine (Tagamet
HB) 200 mg once or twice a day 30 minutes before meals,
bismuth subsalicylate 300 mg QID, and metronidazole 500 mg
QID.
Question 6
Lifestyle changes concerning GERD and PUD include stopping
smoking and drinking coffee since both increase acid production
and damage the stomach mucosa. Moreover, it is recommended
to exercise regularly, eat healthy and less spicy foods, avoid
late-night eating and eat your last meal 3 hours before bedtime,
and drink green tea or other herbal tea to aid digestion (Kim et
al., 2017; Kulshreshtha et al., 2017).
References
Hu, Z. H., Shi, A. M., Hu, D. M., &, Bao, J. J. (2017). Efficacy
of proton pump inhibitors for patients with duodenal ulcers: A
pairwise and network meta-analysis of randomized controlled
trials. Saudi Journal of Gastroenterology, 23(1), 11-19.
https://doi.org/10.4103/1319-3767.199117
Kim, J., Kim, K., & Lee, B. (2017). Association of peptic ul cer

disease with obesity, nutritional components, and blood
parameters in the Korean population. PLOS ONE, 12(8),
e0183777. https://doi.org/10.1371/journal.pone.0183777
Kulshreshtha, M., Srivastava, G., & Singh, M. (2017).
Pathophysiological status and nutritional therapy of peptic
ulcer: An update. Environmental Disease, 2(3), 76-86.
https://doi.org/10.4103/ed.ed_11_17
Seth Lesperance Dupont Paurice.
Peptic Ulcer Disease- Case Study
This discussion is focused on J.G, a 42-year-old white man with
a history of intermittent mid-epigastric pain suffering for a
period of two months. J.G who has been diagnosed with peptic
ulcer disease encountered an infection in his abdomen before
six months. The severity of pain in J.G is so troublesome that it
has even disrupted his normal sleep patterns. Peptic ulcer
disease is generally described as a condition of painful sore or
ulcer development on the lining of the oesophagus, abdomen, or
on the small intestine. One in every ten individuals are known
to be affected by peptic ulcers. The pathogenic organism that is
responsible for the cause of this condition is Helicobacter
pylori. These organisms affect the mucus wall that lines and
protects the abdomen from gastric tissues with the development
of inflammation (Kim, 2016). When the mucous layer protecting
the stomach lining is affected, it results in the formation of
open sores. Apart from this pathogenic organism, peptic ulcers
are also caused due to the intake of pain relievers such as non-
steroidal anti-inflammatory drugs, and certain medications such
as aspirin, steroids, and anticoagulating agents. The common

risk factors of this ulcer development are excessive intake of
alcohol, smoking habits, family history, chronic disease
conditions of liver, lungs, and kidney, untreated stress and
anxiety associated conditions, excessive intake of spicy foods,
and many more (Kuna et al., 2019).
The common symptoms that are associated with peptic ulcers
include the development of a sense of burning pain on the
stomach either before meals or during sleep, bloating,
heartburn, nausea, intolerance to fatty acids, appetite changes,
weight loss, dark stools, and vomiting. Peptic ulcers are
diagnosed by using endoscopy, H.pylori laboratory tests, upper
gastrointestinal series, and imaging tests. When peptic ulcers
are not treated properly, it paves way for several complications
such as internal bleeding, perforation, gastric cancer, and
gastric outlet obstruction. Hence, proper treatment approaches
are required to manage the development of these painful sores
or ulcers. the pharmacological approaches that can be employed
for treating peptic ulcers include proton pump inhibitors,
histamine receptor blockers, antibiotics, and certain liquid
bandages such as carafate. With the right treatment and
management approaches, the condition can be treated within a
few days to several weeks based on the intensity and severity of
the symptoms. Peptic ulcers are prevented by avoiding the
infections that are caused due to the causative agent and using
the pain relievers with proper caution (Kavitt et al., 2019).
The specific goals for treatment for J.G are to reduce the
intensity and severity of the pain exerted on the patient due to
the symptoms of peptic ulcers. Another major goal is to
administer the patient with the appropriate medications and
lifestyle changes in order to prevent the condition from
worsening and to inhibit the recurrence of ulcers (Yegen, 2018).
As J.G is allergic to penicillin, the drug therapy that I would
prescribe is the use of proton pump inhibitors and antibiotics
such as clarithromycin and amoxicillin. A proton pump inhibitor
is a common medication that inhibits the production of stomach
acid and aids in healing of the inflammation. A combination of

these antibiotics along with a proton pump inhibitor for almost
a period of two weeks is found to be as an effective drug
therapy for reducing the mid-epigastric pain that are caused due
to peptic ulcers. This drug therapy also helps in inhibiting the
growth of the pathogenic organism responsible for the
development of ulcers in the stomach. Apart from these
antibiotics, metronidazole, tinidazole, and tetracycline can also
be administered for managing the symptoms caused due to
peptic ulcers (Kuna et al., 2019).
Based on the prescribed therapy the patient education offered to
J.G is primarily about the administration of proton pump
inhibitors. Proton pump inhibitors are generally regarded as safe
and effective for treating peptic ulcers. These inhibitors in
certain cases lead to the development of after-effects such as
headache, diarrhoea, nausea, and so on. In some cases,
osteoporotic fractures may also develop when the therapy is not
administered at the right dosage and intervals. Upon frequent
exposure of the patient to the therapy with proton pump
inhibitors, it is observed that the patient may be infected with
various community acquired and nosocomial pneumonia like
infections. Hence, care should be taken while administering
proton pump inhibitors for managing peptic ulcers. Apart from
this, J.G should also be educated on the need to cease from
smoking habits in order to reduce the symptoms and recurrence
of ulcers on the intestinal and abdominal linings (Xie et al.,
2022).
The adverse reactions that would cause me to change the
therapy for J.G includes the development of two important
symptoms namely nausea, vomiting and diarrhoea which most
frequently are associated with the intake of antibiotics. The
choice for second-line therapy in this case is Pepto-Bismol.
This drug that is rich in bismuth subsalicylate is primarily
employed for nausea, gastric disturbances, acid reflux, and heart
burn. It acts as an acid neutralizer and a soothing agent for the
abdomen by protecting the lining of the stomach from being
corroded with the formation of gastric juices (Abumunaser,

2021). The lifestyle changes recommended for J.G is the
cessation from smoking habits. Smoking worsens the symptoms
of ulcer formation and leads to several consequences. Hence,
J.G should be advised to stop smoking. Based on the details
provided, it is obser4ved that J.G drinks five cups of coffee
each day. Drinking coffee triggers more production of stomach
acids which in turn causes more inflammation, irritation and
damage to the stomach linings and its adhering tissues. Hence,
it is essential to advise J.G to reduce the intake of coffee every
day. J.G should also be made to change the practice of having
dinner at late nights in order to have a proper digestion and to
get a good sleep. He should also be advised to refrain from
foods that trigger acid reflux and should also be encouraged to
adopt a healthy lifestyle with proper balanced diet and regular
exercises (Kavitt et al., 2019).
References
Abumunaser, A. (2021). Peptic ulcer disease. Cases on Medical
Nutrition Therapy for Gastrointestinal Disorders, 46–67.
https://doi.org/10.4018/978-1-7998-3802-9.ch003
Kavitt, R. T., Lipowska, A. M., Anyane-Yeboa, A., & Gralnek,
I. M. (2019). Diagnosis and treatment of peptic ulcer disease.
The American Journal of Medicine, 132(4), 447–456.
https://doi.org/10.1016/j.amjmed.2018.12.009
Kim, J. (2016). Peptic ulcer disease. Helicobacter Pylori, 509–
513. https://doi.org/10.1007/978-981-287-706-2_51
Kuna, L., Jakab, J., Smolic, R., Raguz-Lucic, N., Vcev, A., &
Smolic, M. (2019). Peptic ulcer disease: A brief review of
conventional therapy and herbal treatment options. Journal of
Clinical Medicine, 8(2), 179.
https://doi.org/10.3390/jcm8020179
Xie, X., Ren, K., Zhou, Z., Dang, C., & Zhang, H. (2022). The
global, regional and national burden of peptic ulcer disease
from 1990 to 2019: A population-based study. BMC
Gastroenterology, 22(1). https://doi.org/10.1186/s12876-022-
02130-2

Yegen, B. C. (2018). Lifestyle and peptic ulcer disease. Current
Pharmaceutical Design, 24(18), 2034–2040.
https://doi.org/10.2174/1381612824666180510092303
Adelisa Bencomo
3/8/22, 11:36 PM
Top of Form
Peptic Ulcer Disease Case Study
Goals for Treatment
· Relieving the pain
· Healing lesions
· Prevention of recurrences
· Prevention of complications (Kuna etal., 2019)
Drug Therapy for J.G
The primary drug therapy would be acid blockers. According to
Kuna et al. (2019), acid blockers lower the quantity of stomach
acid released into the digestive system. As a result, acid
blockers encourage healing and relieve ulcer pain. Medications
that reduce acid production work together with proton pump
inhibitors to assist in full treatment. Proton pump inhibitors
block the production of acid and promote healing. Stomach acid

gets reduced by the blockage of the part of the cell that secretes
acid (Collins, 2017). Acid blockers include rabeprazole,
omeprazole, and pantoprazole. Acid blockers lower the content
of stomach acid. When the stomach acid gets reduced, the pain
that J.C feels will get lowered.
Patient Education
Patient education refers to the influencing of patient behavior
through altering their attitudes, beliefs, and skill for the
maintenance and improvement of overall health (Bastable,
2016). During patient education, the caregiver speaks to the
patient about their role in their recovery. Based on the
prescribed therapy, the first patient education would involve
reviewing the drugs with the patient. According to Collins
(2017), the practitioner must explain to the patient why the
specific drugs got prescribed and their uses. Next, the
practitioner must ask the patient to review the medicine before
taking them carefully. Reviewing the instructions ensures that
the patient takes the right dosage. Additionally, the patient
education would touch on the importance of timely intake of
medication. An insistence on the rightful oral intake must also
take place. Adverse Reactions
· Acid blockers can cause diarrhea
· Proton pump inhibitors increases therisk for wrist, hip, and
spine fracture (Kuna et al., 2019)
Second-line Therapy Choice
The second drug therapy for the patient would be the use of
antibiotics. Antibiotics help kill the bacteria that cause ulcers if
they are in the digestive system (Kuna et al., 2019). Since J.G
had an infection in his stomach six months ago, the antibiotics
would also help deal with the problem. Amoxicillin, tinidazole,
and Flagyl would assist in dealing with the issue and relieve the
pain (Collins, 2017). The use of the antibiotics will get
determined by the patient’s location and current resistance to
antibiotics. For example, the patient had taken over-the-counter
Zantac for two weeks without any relief, meaning that they are
resistant to that drug. As a result, antibiotics other medicines

will get prescribed. Antibiotics get administered alongside
bismuth subsalicylate.
Lifestyle Change Recommendations
The first lifestyle recommendation for the patient would be
avoiding coffee if it causes the pain to increase. Both
decaffeinated and caffeinated coffee must get avoided since J.C
currently consumes up to 5 cups a day. Since the coffee
probably causes discomfort to the patient’s stomach, it should
get avoided (Collins, 2017). Additionally, it would be
recommended that the patient avoids eating late at night and
going to sleep 30 minutes later. Eating late and going to sleep
almost immediately enables acid concentration in the stomach.
The other recommendation for the patient would be to avoid
smoking. Kuna et al. (2019) argue that tobacco slows down
ulcer healing and increases the likelihood of the recurrence of
the ulcer. The patient should also avoid and reduce their stress
levels. Better management of stress improves overall health,
which assists in the recovery process during ulcer
rehabilitation. Lastly, J.C should avoid spicy foods. Spicy food
provides nutrients that cause acid to build in the stomach.
Instead, the patient should eat a healthy and balanced diet early.
References
Bastable. (2016). Essentials of patient education. Jones &
Bartlett Publishers.
Collins, H. (2017). Stomach ulcer - treatment, home remedies,
recipes. CreateSpace Independent Publishing Platform.
Kuna, L., Jakab, J., Smolic, R., et al. (2019). Peptic ulcer
disease: a brief review of conventional therapy and herbal
treatment 0ptions. Journal of clinical medicine, 8(2), 179.
Bottom of Form

Module Two Activity Guidelines and Rubric.html
Overview
Part of being an effective global communicator is being able to
evaluate existing messages to determine if they need to be
adapted for global audiences, and applying global
communication best practices to develop new messages. In this
activity, you will evaluate an existing message to determine its
suitability for a new target audience and create a message of
your own.
Prompt
Imagine that you are working in the communication department
of a small software company that has recently added a few
contractors to their development team. The contractors are
based out of Bengaluru, India. They are fully remote, and while
they speak English, it is not their first language. Your task is to
evaluate a drafted memo regarding remote work expectations to
determine if it needs to be revised for the new international
team members. You’ll then need to create a company-wide
email welcoming the contractors to the team.Specifi cally, you
must address the following rubric criteria:Message Evaluation:
Evaluate the provided Remote Working Expectations Memo
PDF to determine the clarity, effectiveness, and appropriateness
of the memo, then explain what is in alignment with global
communication best practices and suggest revisions to
strengthen the message for multinational audiences.Message
Creation: Create an email message for an internal audience
welcoming the new contractors to the team that uses best
practices for communicating with multinational audiences.
Format this message as you would an email (i.e., greeting,
message, closing, signature).Best Practices: Describe how your
suggested revisions to the memo and created email message
utilize best practices for communicating with multinational
audiences, using course and/or external resources to support

your response.
Guidelines for Submission
Submit this assignment as a Word document between 500 and
750 words in length. Use APA-style headings to separate the
sections of your response. Sources should be cited according to
APA style.
Module Two Activity RubricCriteriaExemplary
(100%)Proficient (85%)Needs Improvement (55%)Not Evident
(0%)ValueMessage EvaluationExceeds proficiency in an
exceptionally clear, insightful, sophisticated, or creative
mannerEvaluates the provided message to determine the clarity,
effectiveness, and appropriateness of the memo, then explains
what is in alignment with global communication best practices
and suggests revisions to strengthen the message for
multinational audiencesShows progress toward proficiency, but
with errors or omissions; areas for improvement may include
providing a more thorough evaluation of the memoDoes not
attempt criterion25Message CreationCreates an email message
for an internal audience welcoming the new contractors to the
team; formats this message as you would an email (i.e.,
greeting, message, closing, signature)Creates an email message
for an internal audience welcoming the new contractors to the
team that uses best practices for communicating with
multinational audiences, formatted as an email (i.e., greeting,
message, closing, signature)Shows progress toward proficiency,
but with errors or omissions; areas for improvement may
include using more appropriate communication strategies to
reach multinational audiencesDoes not attempt criterion30Best
PracticesExceeds proficiency in an exceptionally clear,
insightful, sophisticated, or creative mannerDescribes how
suggested revisions to the memo and created email message use
best practices for communicating with multinational audiences,
using course and/or external resources to support the
responseShows progress toward proficiency, but with errors or

omissions; areas for improvement may include elaborating on
how evaluation and message creation purposefully used best
practices for communicating with multinational audiences
and/or incorporating more appropriate supporting evidenceDoes
not attempt criterion25Articulation of ResponseExceeds
proficiency in an exceptionally clear, insightful, sophisticated,
or creative mannerClearly conveys meaning with correct
grammar, sentence structure, and spelling, demonstrating an
understanding of audience and purposeShows progress toward
proficiency, but with errors in grammar, sentence structure, and
spelling, negatively impacting readabilitySubmission has
critical errors in grammar, sentence structure, and spelling,
preventing understanding of ideas10Citations and
AttributionsUses citations for ideas requiring attribution, with
few or no minor errorsUses citations for ideas requiring
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course_documents/COM 321 Remote Working Expectations
Memo.pdf
Now that the company has begun to offer more remote working
opportunities, we thought it might be
helpful to provide some high-level guidance on working
remotely.
1. Be a Chatterbox: Talk with your coworkers frequently to
keep everyone in the loop.
2. Flip on Your Webcam: Studies have shown that turning on

your webcam and seeing your
coworkers’ smiling faces can help build and strengthen the
working community. While this isn’t
required, it is helpful!
3. Jump Up, Jump Up, and Get Down!: Take a lesson from
recording artist House of Pain and jump
around! Getting up and moving throughout the day, as well as
taking timely breaks, can help
increase productivity.
4. Be Mindful of Time Zones: Not everyone is located in the
same time zone, so a 2 p.m. meeting
for you may be a 7 p.m. meeting for someone else. Make sure to
be considerate of your in-
house and remote teammates when scheduling meetings.
Thanks, team!
-Christine

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