SlideShare a Scribd company logo
#4: Creating the Affirmative Case
1. Proposition:
The California State Board of Education must uphold mask
mandates to prevent
the spread of Covid-19 among staff and students at California
K-12 public
schools.
2. Context:
After a long debate between health officials, the board of
education, and parents,
California has decided to lift its mask mandates in public
schools.
3. Harms:
a) Unvaccinated exposure- Unvaccinated staff or students could
expose
themselves or others to Covid
b) Unprotected immunocompromised- Immunocompromised
staff and
students would not be protected against others who may carry
the virus,
resulting in more extreme symptoms.
4. Inherency:
a) School Shutdowns- Covid will spread rapidly among staff
and students
causing future shutdowns at schools
b) Risk of Hospitalization and Death- Immunocompromised
staff and
students could be at greater risk of hospitalization or death.
5. Plan: See proposition
6. Solvency:
a) Reduced Transmission Rates- Vaccinated and unvaccinated
will continue
wearing masks, reducing transmission rates of covid
b) Protection from masks- Immunocompromised staff and
students will be
protected by others wearing masks.
7. Advantages:
a) Other illnesses spread slowed- cases of other illnesses
commonly spread
in school, like the flu, can be prevented
b) Teaches good practice- Students can learn how to protect
themselves
from getting sick in the future by knowing how to social
distance, wear a
mask, wash hands, etc.
#5: Creating the Negative Response:
1. Opposition to affirmative plan: The California State Board of
Education must
uphold mask mandates only for unvaccinated and/or immune-
compromised
persons in schools.
2. Context: Although mask mandates are starting to be lifted
and the threat of
COVID is still present, it is important to make an effort to
return K-12 education
back to an optimal learning environment without masks.
3. Harms:
a) The continued spread of covid-19- if masks were completely
taken out of
schools, covid would continue spreading, including both the
unvaccinated/immunocompromised and break through cases of
the
vaccinated
b) Lack of Social Skills- masks get in the way of kids
socializing and
recognising cues from others.
4. Inherency:
a) If no plans happen- School shutdowns and risk of
hospitalization/death,
especially for those that are unvaccinated and/or
immunocompromised
b) If the affirmative plan happens- the learning environment
will remain less
than optimal due to the barriers the masks pose to
communication and
social cues.
5. Counterplan: see opposition to affirmative plan
6. Solvency:
a) Unvaccinated/Immunocompromised wear masks-Those who
are
unvaccinated will still have to wear a mask in order to prevent
the spread
of COVID to those with an increased chance of hospitalization
and death.
b) Better Socialization for kids- Unlike masking everyone in
schools, most
kids will be able to go about their school day as normal, and be
able to
interact fully with others without masks in the way
7. Advantages:
a) Unvaccinated/immunocompromised protected- the
unvaccinated and the
immunocompromised will still have protection against COVID
through the
use of wearing a mask.
b) Socialization- normal interaction will be prioritized in K-12
education with
the counter plan
1
Week 3-Prescribing for Children and Adolescents
Holly Bowling
Walden University
NRNP 6665: PMHNP Care Across the Lifespan I
Dr. Pamela Mokoko
March 21, 2021
This study source was downloaded by 100000822789681 from
CourseHero.com on 03-15-2022 04:38:52 GMT -05:00
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
2
Week 3-Prescribing for Children and Adolescents
There are many different treatment options for those suffering
from ADHD including
medication management, counseling, and behavioral treatment,
with sometimes a combination of
all three being necessitated for many clients. However, the
overall goal of any treatment for
someone with ADHD is to help increase their attention span,
slow their activity level, and
decrease their impulsiveness to help them perform better in
school, and build better relationships
with their family and peers (Krull, 2019). Because not all drugs
for ADHD are approved by the
FDA for adolescents, some practitioners may choose to avoid
using such medications in their
treatment regimens for children, as there is typically not as
much research done, however, that
does not necessarily mean the drug is not safe. It is up to the
advanced practitioner to know what
drugs FDA and non-FDA are approved, as well as understanding
the potential risk and benefits
of both. With that being said, the following paper will discuss
FDA and non-FDA-approved
medications for the use of ADHD, with risks and benefits, as
well as nonpharmacological
treatment options that may prove to be beneficial.
FDA-Approved Drug/Risk and Benefits
One FDA-approved medication I would suggest would be that of
Methylphenidate
(MPH), with the trade name of Ritalin or Concerta. MPH is a
stimulant and is considered a first-
line pharmacological agent in the treatment of ADHD in
children and adolescents (Inglis et al.,
2016). MPH is one of the most commonly used stimulants for
the treatment of ADHD and has
been shown to have positive effects on the core symptoms of
ADHD, such as an increase in
concentration, attention, and focus (Inglis et al., 2016). MPH
and other stimulants have also been
shown to help reduce the risk of subsequent cigarette smoking
and alcohol and substance use
disorders, as well as be positively associated with improved
academic achievement in elementary
This study source was downloaded by 100000822789681 from
CourseHero.com on 03-15-2022 04:38:52 GMT -05:00
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
3
school children, improved health-related quality of life in
children and adolescents, and
improved brain dysfunction (Shier, Reichenbacher, Ghuman, &
Ghuman, 2012). Some common
adverse effects that can be seen with stimulants include appetite
suppression, stomachache,
insomnia, and headache, however, these are generally tolerable
enough to continue taking the
medication (Shier et al., 2012). There has however been some
investigation into the effect
stimulants have on the growth of a child, as well as the
potential for sudden death even though
the risk is below that of the general population (Inglis et al.,
2016). As a stimulant, there is a high
risk for abuse, especially in those who already have an
addiction problem. Therefore, it is
important to monitor the risk for abuse before starting and
during treatment (Stahl, 2014).
Keeping the risk and benefits in mind is important to assess
growth parameters with children and
adolescents before any stimulant treatment with periodic
monitoring through repeated
measurements of weight and height and their changes over time,
as well as pretreatment
checking and monitoring of pulse and blood pressure with
frequent monitoring (Inglis et al.,
2016). It is also important to obtain a carefully targeted cardiac
history including history of
cardiac problems and family history of sudden death in children
or young adults. And for any
child or adolescent with known serious structural cardiac
abnormalities, cardiomyopathy, serious
heart rhythm abnormalities, or other serious cardiac problems,
stimulant treatment should be
contraindicated (Shier et al., 2012).
Off-Label Drug/Risk and Benefits
Bupropion is a dopamine and norepinephrine reuptake inhibitor
(NDRI), and an off-label
drug commonly indicated for depression and smoking cessation
but has also shown to be a
promising non-stimulant alternative with several reports of
positive outcomes for treatment of
ADHD in adolescents (Ng, 2017). One systematic review
reported that bupropion had efficacy
This study source was downloaded by 100000822789681 from
CourseHero.com on 03-15-2022 04:38:52 GMT -05:00
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
4
comparable to stimulants and that bupropion was equally
efficacious to methylphenidate. It also
showed that bupropion was better tolerated than
methylphenidate; in a head-to-head trial,
headaches were observed more frequently in the
methylphenidate-treated group, whereas the
frequency of other side effects, for example, decreased appetite
did not differ significantly
between the bupropion-treated and the methylphenidate-treated
groups (Ng, 2017). Other studies
have also found bupropion beneficial in children and
adolescents with comorbid ADHD and
conduct, substance use, and depressive disorders, further
supporting bupropion in the
management of ADHD, as there is an incidence of high
comorbidity (Ng, 2017). Some common
adverse effects noted with Buproprion include dizziness,
constipation, nausea, weight loss,
anorexia, headache, myalgia, anxiety, sweating, tinnitus, and
hypertension, however, most of
them spontaneously resolve (Kweon & Kim, 2019). Due to no
efficacy and safety being
established, as with any antidepressant, it is important to
monitor for suicidal ideation, and
inform the parents of the risk so they can observe them as well,
as suicide is a big risk factor for
adolescents taking antidepressants (Kweon & Kim, 2019).
Nonpharmacological Intervention
Many types of non-pharmacological interventions may be
utilized in the treatment of
ADHD in children and adolescents. However, there are
suggested uses of treatment depending
on the age group specified. The American Academy of
Pediatrics (AAP) guidelines suggest that
first-line treatment for children 4-5 years old include evidence-
based parent training in behavior
management (PTBM) and/or behavioral classroom interventions,
and that methylphenidate may
be considered if there is no improvement (Shrestha,
Lautenschleger, & Soares, 2020). Children
6–11 years should receive medications approved by the FDA
along with PTBM and/or
behavioral classroom interventions. And adolescents 12–18
years should receive FDA-approved
This study source was downloaded by 100000822789681 from
CourseHero.com on 03-15-2022 04:38:52 GMT -05:00
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
5
medications as first-line treatment, along with the
encouragement of Evidence-based training
interventions and/or behavioral interventions (Shrestha et al.,
2020). One of the most common
behavioral interventions is parent training in behavior
management (PTBM), which encourages
parent-child therapy, and helps parents to enhance their
parenting techniques and foster a better
relationship with their children. Parents are taught to recognize
problematic behaviors in their
children and discourage unwanted behaviors through
nonphysical means like timeouts and
reward positive behaviors through positive attention and praise
(Shrestha et al., 2020). The
examination of fifty-five studies involving PTBM showed an
overall strength of evidence that
was high for improved child behavior in children and
adolescents with ADHD (Shrestha et al.,
2020)
Clinical Practice Guidelines
There are several key components to the clinical practice
guidelines for the diagnosis,
evaluation, and treatment of ADHD, which also help in
justifying such treatment options
suggested. Initiation of evaluation for ADHD should begin
between the ages of 4-18, with
treatment recommendations varying depending on the child’s
age, and if medication is
prescribed, it should be titrated to ensure the child receives the
maximum benefit with the least
degree of adverse effects (Wolraich et al., 2019). A diagnosis of
ADHD should follow established
guidelines in the DSM-V, with the evaluation including
assessment of other conditions which
commonly co-occur with ADHD, such as emotional and
behavioral conditions, and should be
treated as a chronic condition with the use of chronic care
(Wolraich et al., 2019).
Conclusion
In conclusion, many different treatment options can be utilized
for the management of
ADHD. However, the advanced practitioner needs to understand
the risk and benefits of the
This study source was downloaded by 100000822789681 from
CourseHero.com on 03-15-2022 04:38:52 GMT -05:00
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
6
different medication options, as well as best practice guidelines
when administering certain
medications to different age groups, as not all medications are
appropriate for everyone. It is also
important to remember as well that medication management may
not be the first option or the
best option depending on age and symptoms, and that with the
younger preschool children, non-
pharmacological treatments might be a better option, and for
other children, a combination of
medication management and behavioral therapy might be the
best fit. Regardless of the treatment
option, a risk assessment should be a priority before starting
any medication, as well as
explaining any potential adverse effects to the client and family.
This study source was downloaded by 100000822789681 from
CourseHero.com on 03-15-2022 04:38:52 GMT -05:00
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
7
References
Inglis, S. K., Carucci, S., Garas, P., Haege, A., Banaschewski,
T., Buitelaar, J. K., Dittmann, R.
W., Falissard, B., Hollis, C., Kovshoff, H., Liddle, E.,
McCarthy, S., Nagy, P., Neubert,
A., Rosenthal, E., Sonuga-Barke, E., Wong, I., Zuddas, A.,
Coghill, D. C., & ADDUCE
Consortium. (2016). Prospective observational study protocol to
investigate long-term
adverse effects of methylphenidate in children and adolescents
with ADHD: the Attention
Deficit Hyperactivity Disorder Drugs Use Chronic Effects
(ADDUCE) study. BMJ
OPEN, 6(4). https://doi-
org.ezp.waldenulibrary.org/10.1136/bmjopen-2015-010433
Krull, K. (2019). Attention deficit hyperactivity disorder in
children and adolescents:
Clinical features and diagnosis. Retrieved
from https://www.uptodate.com/contents/attention-deficit-
hyperactivity-disorder-in-
children-and-adolescents-clinical-features-and-diagnosis
Kweon, K., & Kim, H.-W. (2019). Effectiveness and safety of
bupropion in children and
adolescents with depressive disorders: A retrospective chart
review. Clinical
Psychopharmacology and Neuroscience, 17(4), 537–541.
https://doi-
org.ezp.waldenulibrary.org/10.9758/cpn.2019.17.4.537
Ng, Q. X. (2017). A Systematic Review of the Use of Bupropion
for Attention-
Deficit/Hyperactivity Disorder in Children and Adolescents.
Journal of Child and
This study source was downloaded by 100000822789681 from
CourseHero.com on 03-15-2022 04:38:52 GMT -05:00
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
8
Adolescent Psychopharmacology, 27(2), 112–116. https://doi-
org.ezp.waldenulibrary.org/10.1089/cap.2016.0124
Shier, A. C., Reichenbacher, T., Ghuman, H. S., & Ghuman, J.
K. (2012). Pharmacological
treatment of attention deficit hyperactivity disorder in children
and adolescents: clinical
strategies. Journal of Central Nervous System Disease, 5, 1–17.
https://doi-
org.ezp.waldenulibrary.org/10.4137/JCNSD.S6691
Shrestha, M., Lautenschleger, J., & Soares, N. (2020). Non-
pharmacologic management of
attention-deficit/hyperactivity disorder in children and
adolescents: a
review. Translational Pediatrics, 9(Suppl 1), S114–S124.
https://doi.org/10.21037/tp.2019.10.01
Stahl, S. M. (2014). The prescriber’s guide (5th ed.). New York,
NY: Cambridge University Press.
Wolraich, M. L., Hagan, J. F., Jr, Allan, C., Chan, E., Davison,
D., Earls, M., Evans, S. W., Flinn,
S. K., Froehlich, T., Frost, J., Holbrook, J. R., Lehmann, C. U.,
Lessin, H. R.,
Okechukwu, K., Pierce, K. L., Winner, J. D., Zurhellen, W., &
SUBCOMMITTEE ON
CHILDREN AND ADOLESCENTS WITH ATTENTION-
DEFICIT/HYPERACTIVE
DISORDER (2019). Clinical Practice Guideline for the
Diagnosis, Evaluation, and
Treatment of Attention-Deficit/Hyperactivity Disorder in
Children and
Adolescents. Pediatrics, 144(4), e20192528.
https://doi.org/10.1542/peds.2019-2528
This study source was downloaded by 100000822789681 from
CourseHero.com on 03-15-2022 04:38:52 GMT -05:00
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
Powered by TCPDF (www.tcpdf.org)
https://www.coursehero.com/file/94344824/WK3Assgn1bowling
hNRNP6665docx/
http://www.tcpdf.org
NRNP 6665
WK3 PRESCRIBING MEDICATIONS
Learning Resources
Required Readings (click to expand/reduce)
Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for
child and adolescent mental health. American Psychiatric
Association Publishing.
· Chapter 14, “Psychosocial Interventions”
· Chapter 15, “Psychotherapeutic Interventions”
· Chapter 16, “Psychopharmacological Interventions”
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M.
J., & Taylor, E. A. (2015). Rutter’s child and adolescent
psychiatry (6th ed.). Wiley Blackwell.
· Chapter 43, “Pharmacological, Medically-Led and Related
Treatments”
Walden University. (n.d.). Developing SMART goals.
https://academicguides.waldenu.edu/ld.php?content_id=5190149
2
Zakhari, R. (2020). The psychiatric-mental health nurse
practitioner certification review manual. Springer.
· Chapter 5, “Psychopharmacology”
Required Media (click to expand/reduce)
CriticalThinkRx. (2019, June 9). Module 5:Specific drug
classes: Focus on adverse effects [Video]. YouTube.
https://youtu.be/Gbq6RnOsGKQ
CriticalThinkRx. (2019, June 9). Module 2: Use of
psychotropics with youth_prevalence and concerns [Video].
YouTube. https://youtu.be/NRef-g4Ding
Assignment 1: Prescribing for Children and Adolescents
Off-label prescribing is when a physician gives you a drug that
the U.S. Food and Drug Administration (FDA) has approved to
treat a condition different than your condition. This practice is
legal and common. In fact, one in five prescriptions written
today are for off-label use.
—Agency for Healthcare Research and Quality
Photo Credit: Getty Images/Ingram Publishing
Psychotropic drugs are commonly used for children and
adolescents to treat mental health disorders, yet many of these
drugs are not FDA approved for use in these populations. Thus,
their use is considered “off-label,” and it is often up to the best
judgment of the prescribing clinician. As a PMHNP, you will
need to apply the best available information and research on
pharmacological treatments for children in order to safely and
effectively treat child and adolescent patients. Sometimes this
will come in the form of formal studies and approvals for drugs
in children. Other times you may need to extrapolate from
research or treatment guidelines on drugs in adults. Each
individual patient case will need to be considered independently
and each treatment considered from a risk assessment
standpoint. What psychotherapeutic approach might be
indicated as an initial treatment? What are the potential side
effects of a particular drug?
For this Assignment, you consider these questions and others as
you explore FDA-approved (“on label”) pharmacological
treatments, non-FDA-approved (“off-label”) pharmacological
treatments, and nonpharmacological treatments for disorders in
children and adolescents.
Reference:
Agency for Healthcare Research and Quality. (2015). Off-label
drugs: What you need to know.https://www.ahrq.gov/patients-
consumers/patient-involvement/off-label-drug-usage.html
To Prepare
· Your Instructor will assign a specific disorder for you to
research for this Assignment.
· Use the Walden library to research evidence-based treatments
for your assigned disorder in children and adolescents. You will
need to recommend one FDA-approved drug, one off-label drug,
and one nonpharmacological intervention for treating this
disorder in children and adolescents.
The Assignment (1–2 pages)
· Recommend one FDA-approved drug, one off-label drug, and
one nonpharmacological intervention for treating your assigned
disorder in children and adolescents.
· Explain the risk assessment you would use to inform your
treatment decision making. What are the risks and benefits of
the FDA-approved medicine? What are the risks and benefits of
the off-label drug?
· Explain whether clinical practice guidelines exist for this
disorder and, if so, use them to justify your recommendations. If
not, explain what information you would need to take into
consideration.
· Support your reasoning with at least three scholarly resources,
one each on the FDA-approved drug, the off-label, and a non-
medication intervention for the disorder. Attach the PDFs of
your sources.
In 1–2 pages, address the following:
• Recommend one FDA-approved drug, one off-label drug, and
one nonpharmacological intervention for treating your assigned
disorder in children and adolescents.--
Excellent 23 (23%) - 25 (25%)
Good 20 (20%) - 22 (22%)
Fair 18 (18%) - 19 (19%)
Poor 0 (0%) - 17 (17%)• Explain the risk assessment you would
use to inform your treatment decision making. What are the
risks and benefits of the FDA-approved medicine? What are the
risks and benefits of the off-label drug?--
Excellent 23 (23%) - 25 (25%)
Good 20 (20%) - 22 (22%)
Fair 18 (18%) - 19 (19%)
Poor 0 (0%) - 17 (17%)• Explain whether clinical practice
guidelines exist for this disorder and, if so, use them to justify
your recommendations. If not, explain what information you
would need to take into consideration.--
Excellent 23 (23%) - 25 (25%)
Good 20 (20%) - 22 (22%)
Fair 18 (18%) - 19 (19%)
Poor 0 (0%) - 17 (17%)• Support your reasoning with at least
three scholarly resources, one each on the FDA-approved drug,
the off-label, and a non-medication intervention for the
disorder. Be sure they are current (no more than 5 years old).
Attach the PDFs of your sources.--
Excellent 9 (9%) - 10 (10%)
Good 8 (8%) - 8 (8%)
Fair 7 (7%) - 7 (7%)
Poor 0 (0%) - 6 (6%)Written Expression and Formatting -
Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas,
flow logically, and demonstrate continuity of ideas. Sentences
are carefully focused—neither long and rambling nor short and
lacking substance. A clear and comprehensive purpose
statement and introduction are provided that delineate all
required criteria.--
Excellent 5 (5%) - 5 (5%)
Good 4 (4%) - 4 (4%)
Fair 3.5 (3.5%) - 3.5 (3.5%)
Poor 0 (0%) - 3 (3%)Written Expression and Formatting -
English Writing Standards:
Correct grammar, mechanics, and proper punctuation--
Excellent 5 (5%) - 5 (5%)
Good 4 (4%) - 4 (4%)
Fair 3.5 (3.5%) - 3.5 (3.5%)
Poor 0 (0%) - 3 (3%)Written Expression and Formatting - The
paper follows correct APA format for title page, headings, font,
spacing, margins, indentations, page numbers,
parenthetical/narrative in-text citations, and reference list.--
Excellent 5 (5%) - 5 (5%)
Good 4 (4%) - 4 (4%)
Fair 3.5 (3.5%) - 3.5 (3.5%)
Poor 0 (0%) - 3 (3%)
USE 5 REFERENCES FOR THIS ASSIGN
TOPIC - ADHD
STUDENT LEARNING
OUTCOMES
● Students will demonstrate their knowledge of parliamentary
debate
skills as they apply these skills during an in class debate.
● Students will demonstrate the ability to create logical,
persuasive
arguments based on credible evidence.
● Students will present arguments effectively, defend their
position, and
refute opposing arguments constructively.
● Students will demonstrate effective adjudication skills as they
judge
their classmates debates.
DEBATE TOPICS
1. Russian Aggression in Ukraine
2. Confirmation of Judge Ketanji Brown-Jackson to SCOTUS
3. Masks in Schools
4. The Censoring of Information in the Classroom
ASSIGNMENT REQUIREMENTS
WRITTEN PORTION:
PLEASE NOTE: The Debate Brief Draft Outline should be
uploaded to the
Parliamentary Debate Assignment Part 1 of 3: Draft Outline of
Debate Brief
● Students will submit their Final Debate Brief to this
assignment page.
Students will select one of the above topics to use as they
complete the written portion
of the assignment. Following these requirements:
1. The topics will be decided upon by the instructor and will be
of a current
social issue taken from the headlines of major newspapers from
the previous
week. Students will use these topics as the controversy to
identify the central
issue of their debate brief.
https://sjsu.instructure.com/courses/1472060/assignments/61442
42
2. Students will create the proposition from one of the given
topics. The
proposition must follow the steps outlined during lecture:
(Students
should follow the Actor, Action, Issue structure taught during
lecture).
1. Controversy: this will be one of the above topics.
2. Central Issue Identified: the student will select of the centr al
issues related to the controversy.
3. Wording must be affirmative and free of emotional or loaded
language.
4. A clear statement of the affirmative’s plan.
3. Students will write a debate brief that could potentially be
used as the
opening speech of their debate. The debate brief should include
all of the
stock issues used to analyze the proposition (provide 2
examples for each
stock issue):
1. Harms
2. Inherency
3. Solvency
4. Advantages
4. Students should use this standard speech outline in the
construction of their
first speech.
1. Introduction
1. Hook
2. Thesis (proposition)
3. Preview of main points (roadmap your debate;
Discuss plan, and two advantages).
2. Main Point 1:
1. Contextualize the topic
2. Harms
1. Harm 1
2. Harm 2
3. Inherency
1. Inherency 1
2. Inherency 2
4. Plan/Proposition
1. Solvency
1. Solvency 1
2. Solvency 2
3. Main Point 2: 1st Advantage
1. 1st Advantage
2. Link to 1st Harm
3. Link to 1st Inherency
4. Link to 1st Solvency
4. Main Point 3: 2nd Advantage
1. 2nd Advantage
2. Link to 2nd Harm
3. Link to2nd Inherency
4. Link to 2nd Solvency
5. Conclusion
1. Review of speech (give us your voters or reasons you
won the debate)
2. Restate the thesis (proposition/plan)
3. Return to hook used to start speech.
5. Written work should follow APA formatting and style
specifically the following:
Running Header on each page; Header on the first page (instead
of including
a cover page); Double spaced; 12 pt. font; and a "References"
page included
at the end of paper, Students do not need to include an abstract
page or
cover page.
6. Each student must use at least four sources in support of their
ideas and
conclusions. All four must represent a diverse viewpoint and be
properly cited
using APA formatting and style. All sources must include 1) an
APA intext
citation; 2) a signal phrase in the written speech, and 3)
included an entry in
the APA formatted reference page. Strict adherence to APA
formatting is
required. Please refer to the Purdue Owl Online Writing Lab
APA Style for
specifications.
7. Written work must be free from spelling errors and follow the
accepted rules
of grammar & good writing.
8. The Draft Outline of the Parliamentary Debate Brief should
be uploaded to
the Parliamentary Debate Assignment Part 1 of 3 by 11.59 pm,
March 16,
2022.
9. Students will upload their Final Draft Parliamentary Debate
Brief to this
Canvas page prior to class on the first day of debates, April 5,
2022.
DEBATE PORTION:
1. Working in pairs, students will debate another team (pair of
students)
during class and this will be decided by random selection.
(Hint:
Students who are absent will be selected to debate and therefore
miss their
chance to complete the assignment unless prior written approval
is obtained
from the instructor).
https://sjsu.instructure.com/courses/1472060/assignments/61442
42
2. For the actual debate, the instructor will provide the debate
proposition to be
debated. The Affirmative side will create the plan from the
proposition they
have been given.
3. Teams must demonstrate the principles of parliamentary
debate; teamwork,
listening and responding to outside arguments and advancing
your position
effectively.
1. Flowsheets should be used to ensure coverage of all required
stock issues of policy debate.
2. Speeches that are significantly under the allotted time will
negatively impact the grade of the speaker (times for each
speech
are at the end of this page).
3. Affirmative teams should provide the proposition plan;
harms;
inherency; solvency; and advantages.
First Affirmative speaker (Prime Minister) will present the
Affirmative's case.
Second Affirmative speaker (Member of Government)
will refute the Negative's case and support the
Affirmative's case.
Affirmative's Closing (Prime Minister) will present the
reasons their case won the debate (these reasons are
called, voters).
4. Negative teams should accept the affirmative’s plan with
rebuttal or
present their counterplan.
■ Teams arguing for the negative must respond
to the affirmative’s plan (harms/inherenc y, and
solvency) in order to receive a passing grade
for the assignment.
■ Students may demonstrate superior work by
providing a counter plan with harms and
solvency related to the counter plan.
■ Negative teams can also demonstrate mastery
by turning the affirmative team’s argument.
First Negative speaker (Leader of Opposition) will
present the Negative's case and begin refuting the
Affirmative's case.
Second Negative speaker (Member of Opposition) will
refute the Affirmative's case and support the Negative's
case.
Negative's Closing (Leader of Opposition) will present
the reasons their case won the debate.
5. Both teams should flow the entire debate: Continue and
sustain
their arguments and rebut the oppositions arguments throughout
the debate. Not flowing the debate will result in dropped
arguments and speaking under time.
6. Students’ presentation skills should draw upon
extemporaneous
speaking skills, informative speaking techniques, and effective
verbal and non-verbal communication skills. Style is important
but
the focus should be on concise logical arguments.
ADJUDICATION PORTION:
1. Students will be required to judge 3 debates of their
classmates during class.
2. Students must flow the entirety of each debate including the
following:
1. Names of the Affirmative Team
2. Names of the Negative Team
3. Include the Proposition given by the instructor
4. Flow the debate as presented by the teams.
5. Using the flow, decide upon a winner for the debate and
provide a
Reason for Decision (why you chose who won).
6. And the students name.
The points for this portion of the assignment (these will be
moved to the rubric shortly).
Total Points for the Assignment will be weighted as follows:
1. Written Portion
1. Sources cited correctly
10 Pts.
2. Sound logic used to construct speech
10 Pts.
3. Quality of writing (rules of writing and grammar are
followed) 10
Pts.
2. Performance
1. Delivery (non-verbal & verbal aspects)
10 pts.
2. Sound logic
10 Pts.
3. Effective use of Parliamentary Debate techniques
20 Pts.
Total 70 Points
1. Prime Minister’s Speech 3 min
2. Leader of the Opposition’s Speech 3 min
3. Member of Government’s Speech 3 min
4. Member of Opposition’s Speech 3 min
5. Leader of the Opposition’s Closing 1 min
6. Prime Minister’s Closing 1 min
Total time 14 minutes

More Related Content

Similar to #4 Creating the Affirmative Case1. PropositionThe Cali

Running head PICOT STATEMENT 1PICOT STATEMENT 5.docx
Running head PICOT STATEMENT 1PICOT STATEMENT 5.docxRunning head PICOT STATEMENT 1PICOT STATEMENT 5.docx
Running head PICOT STATEMENT 1PICOT STATEMENT 5.docx
toltonkendal
 
Health supervision
Health supervisionHealth supervision
Health supervision
GurpreetKaur948459
 
Against Fast Food Ads
Against Fast Food AdsAgainst Fast Food Ads
Against Fast Food Ads
Amira Galal
 
Parents meet with School Board re: COVID-19
Parents meet with School Board re: COVID-19 Parents meet with School Board re: COVID-19
Parents meet with School Board re: COVID-19
PLZ Company Inc.
 
Submission Ide e223bfb4-049f-4c26-ba24-2ede2b73157041 SI.docx
Submission Ide e223bfb4-049f-4c26-ba24-2ede2b73157041 SI.docxSubmission Ide e223bfb4-049f-4c26-ba24-2ede2b73157041 SI.docx
Submission Ide e223bfb4-049f-4c26-ba24-2ede2b73157041 SI.docx
deanmtaylor1545
 
Pre-Data conferencecallmmarshall201777
Pre-Data conferencecallmmarshall201777Pre-Data conferencecallmmarshall201777
Pre-Data conferencecallmmarshall201777
Melinda Marshall, DrPH, RRT-NPS-TESOL
 
GMHAT : Training in Medical Education
GMHAT : Training in Medical EducationGMHAT : Training in Medical Education
GMHAT : Training in Medical Education
SMS MEDICAL COLLEGE
 
Can you please go over the power point you’ve provided & make sure
Can you please go over the power point you’ve provided & make sureCan you please go over the power point you’ve provided & make sure
Can you please go over the power point you’ve provided & make sure
TawnaDelatorrejs
 
Migraine in adults and children
Migraine in adults and childrenMigraine in adults and children
Migraine in adults and children
kishki45
 
13 Assessing Current Approaches to Childhood Immunizatio
13 Assessing Current Approaches to Childhood Immunizatio13 Assessing Current Approaches to Childhood Immunizatio
13 Assessing Current Approaches to Childhood Immunizatio
ChantellPantoja184
 
13 Assessing Current Approaches to Childhood Immunizatio
13 Assessing Current Approaches to Childhood Immunizatio13 Assessing Current Approaches to Childhood Immunizatio
13 Assessing Current Approaches to Childhood Immunizatio
CicelyBourqueju
 
CON 321 Health Related Research.docx
CON 321 Health Related Research.docxCON 321 Health Related Research.docx
CON 321 Health Related Research.docx
write31
 
Eficacia manejo de tratamiento responsabilidad uso medicamentos - CICATSALUD
Eficacia manejo de tratamiento   responsabilidad uso medicamentos - CICATSALUDEficacia manejo de tratamiento   responsabilidad uso medicamentos - CICATSALUD
Eficacia manejo de tratamiento responsabilidad uso medicamentos - CICATSALUD
CICAT SALUD
 
Current trends in pediatrics.pptx
Current trends in pediatrics.pptxCurrent trends in pediatrics.pptx
Current trends in pediatrics.pptx
Jyotsana Gurung
 
Name_- Bokkisham durgadevi Gm20-116.pptx
Name_- Bokkisham durgadevi Gm20-116.pptxName_- Bokkisham durgadevi Gm20-116.pptx
Name_- Bokkisham durgadevi Gm20-116.pptx
ssuser3d2170
 
Iacapap workshop on PRESCRIBING FOR CHILDREN AND ADOLESCENTS: PERSPECTIVE FR...
Iacapap  workshop on PRESCRIBING FOR CHILDREN AND ADOLESCENTS: PERSPECTIVE FR...Iacapap  workshop on PRESCRIBING FOR CHILDREN AND ADOLESCENTS: PERSPECTIVE FR...
Iacapap workshop on PRESCRIBING FOR CHILDREN AND ADOLESCENTS: PERSPECTIVE FR...
Devashish Konar
 
EVALUATION OF VACCINE ADHERENCE AND ROLE OF A CLINICAL PHARMACIST IN PAEDIAT...
 EVALUATION OF VACCINE ADHERENCE AND ROLE OF A CLINICAL PHARMACIST IN PAEDIAT... EVALUATION OF VACCINE ADHERENCE AND ROLE OF A CLINICAL PHARMACIST IN PAEDIAT...
EVALUATION OF VACCINE ADHERENCE AND ROLE OF A CLINICAL PHARMACIST IN PAEDIAT...
PARUL UNIVERSITY
 
Providing Care for Drug Exposed Newborns: Time for The Next Step
Providing Care for Drug Exposed Newborns: Time for The Next StepProviding Care for Drug Exposed Newborns: Time for The Next Step
Providing Care for Drug Exposed Newborns: Time for The Next Step
Dr. Allen Cherer
 
(Grade – 15, please take into consideration my comme.docx
(Grade – 15, please take into consideration my comme.docx(Grade – 15, please take into consideration my comme.docx
(Grade – 15, please take into consideration my comme.docx
gertrudebellgrove
 
Otite Media Aguda - Diagnóstico e Tratamento
Otite Media Aguda - Diagnóstico e TratamentoOtite Media Aguda - Diagnóstico e Tratamento
Otite Media Aguda - Diagnóstico e Tratamento
blogped1
 

Similar to #4 Creating the Affirmative Case1. PropositionThe Cali (20)

Running head PICOT STATEMENT 1PICOT STATEMENT 5.docx
Running head PICOT STATEMENT 1PICOT STATEMENT 5.docxRunning head PICOT STATEMENT 1PICOT STATEMENT 5.docx
Running head PICOT STATEMENT 1PICOT STATEMENT 5.docx
 
Health supervision
Health supervisionHealth supervision
Health supervision
 
Against Fast Food Ads
Against Fast Food AdsAgainst Fast Food Ads
Against Fast Food Ads
 
Parents meet with School Board re: COVID-19
Parents meet with School Board re: COVID-19 Parents meet with School Board re: COVID-19
Parents meet with School Board re: COVID-19
 
Submission Ide e223bfb4-049f-4c26-ba24-2ede2b73157041 SI.docx
Submission Ide e223bfb4-049f-4c26-ba24-2ede2b73157041 SI.docxSubmission Ide e223bfb4-049f-4c26-ba24-2ede2b73157041 SI.docx
Submission Ide e223bfb4-049f-4c26-ba24-2ede2b73157041 SI.docx
 
Pre-Data conferencecallmmarshall201777
Pre-Data conferencecallmmarshall201777Pre-Data conferencecallmmarshall201777
Pre-Data conferencecallmmarshall201777
 
GMHAT : Training in Medical Education
GMHAT : Training in Medical EducationGMHAT : Training in Medical Education
GMHAT : Training in Medical Education
 
Can you please go over the power point you’ve provided & make sure
Can you please go over the power point you’ve provided & make sureCan you please go over the power point you’ve provided & make sure
Can you please go over the power point you’ve provided & make sure
 
Migraine in adults and children
Migraine in adults and childrenMigraine in adults and children
Migraine in adults and children
 
13 Assessing Current Approaches to Childhood Immunizatio
13 Assessing Current Approaches to Childhood Immunizatio13 Assessing Current Approaches to Childhood Immunizatio
13 Assessing Current Approaches to Childhood Immunizatio
 
13 Assessing Current Approaches to Childhood Immunizatio
13 Assessing Current Approaches to Childhood Immunizatio13 Assessing Current Approaches to Childhood Immunizatio
13 Assessing Current Approaches to Childhood Immunizatio
 
CON 321 Health Related Research.docx
CON 321 Health Related Research.docxCON 321 Health Related Research.docx
CON 321 Health Related Research.docx
 
Eficacia manejo de tratamiento responsabilidad uso medicamentos - CICATSALUD
Eficacia manejo de tratamiento   responsabilidad uso medicamentos - CICATSALUDEficacia manejo de tratamiento   responsabilidad uso medicamentos - CICATSALUD
Eficacia manejo de tratamiento responsabilidad uso medicamentos - CICATSALUD
 
Current trends in pediatrics.pptx
Current trends in pediatrics.pptxCurrent trends in pediatrics.pptx
Current trends in pediatrics.pptx
 
Name_- Bokkisham durgadevi Gm20-116.pptx
Name_- Bokkisham durgadevi Gm20-116.pptxName_- Bokkisham durgadevi Gm20-116.pptx
Name_- Bokkisham durgadevi Gm20-116.pptx
 
Iacapap workshop on PRESCRIBING FOR CHILDREN AND ADOLESCENTS: PERSPECTIVE FR...
Iacapap  workshop on PRESCRIBING FOR CHILDREN AND ADOLESCENTS: PERSPECTIVE FR...Iacapap  workshop on PRESCRIBING FOR CHILDREN AND ADOLESCENTS: PERSPECTIVE FR...
Iacapap workshop on PRESCRIBING FOR CHILDREN AND ADOLESCENTS: PERSPECTIVE FR...
 
EVALUATION OF VACCINE ADHERENCE AND ROLE OF A CLINICAL PHARMACIST IN PAEDIAT...
 EVALUATION OF VACCINE ADHERENCE AND ROLE OF A CLINICAL PHARMACIST IN PAEDIAT... EVALUATION OF VACCINE ADHERENCE AND ROLE OF A CLINICAL PHARMACIST IN PAEDIAT...
EVALUATION OF VACCINE ADHERENCE AND ROLE OF A CLINICAL PHARMACIST IN PAEDIAT...
 
Providing Care for Drug Exposed Newborns: Time for The Next Step
Providing Care for Drug Exposed Newborns: Time for The Next StepProviding Care for Drug Exposed Newborns: Time for The Next Step
Providing Care for Drug Exposed Newborns: Time for The Next Step
 
(Grade – 15, please take into consideration my comme.docx
(Grade – 15, please take into consideration my comme.docx(Grade – 15, please take into consideration my comme.docx
(Grade – 15, please take into consideration my comme.docx
 
Otite Media Aguda - Diagnóstico e Tratamento
Otite Media Aguda - Diagnóstico e TratamentoOtite Media Aguda - Diagnóstico e Tratamento
Otite Media Aguda - Diagnóstico e Tratamento
 

More from SilvaGraf83

1 Evidence-Based Practices to Guide Clinica
1  Evidence-Based Practices to Guide Clinica1  Evidence-Based Practices to Guide Clinica
1 Evidence-Based Practices to Guide Clinica
SilvaGraf83
 
1 Green Book Film Analysis Sugiarto Mulj
1  Green Book Film Analysis  Sugiarto Mulj1  Green Book Film Analysis  Sugiarto Mulj
1 Green Book Film Analysis Sugiarto Mulj
SilvaGraf83
 
1 Film Essay 1 Film from 1940-1970
1  Film Essay 1 Film from 1940-1970 1  Film Essay 1 Film from 1940-1970
1 Film Essay 1 Film from 1940-1970
SilvaGraf83
 
1 Department of Health and Human Performance, College of Ch
1  Department of Health and Human Performance, College of Ch1  Department of Health and Human Performance, College of Ch
1 Department of Health and Human Performance, College of Ch
SilvaGraf83
 
1 FIN 2063 INSURANCE FINANCIAL PLANNING Case As
1  FIN 2063 INSURANCE FINANCIAL PLANNING Case As1  FIN 2063 INSURANCE FINANCIAL PLANNING Case As
1 FIN 2063 INSURANCE FINANCIAL PLANNING Case As
SilvaGraf83
 
1 Faculty of Science, Engineering and Computi
1  Faculty of Science, Engineering and Computi1  Faculty of Science, Engineering and Computi
1 Faculty of Science, Engineering and Computi
SilvaGraf83
 
1 EARLY C
1  EARLY C1  EARLY C
1 EARLY C
SilvaGraf83
 
1 Case Grading Procedure Your grade from each case
1  Case Grading Procedure Your grade from each case 1  Case Grading Procedure Your grade from each case
1 Case Grading Procedure Your grade from each case
SilvaGraf83
 
1 Kilimanjaro is a snow-covered mountain 19,710 feet hi
1  Kilimanjaro is a snow-covered mountain 19,710 feet hi1  Kilimanjaro is a snow-covered mountain 19,710 feet hi
1 Kilimanjaro is a snow-covered mountain 19,710 feet hi
SilvaGraf83
 
1 Assignment 2 Winter 2022Problem 1 Assume yo
1  Assignment 2 Winter 2022Problem 1 Assume yo1  Assignment 2 Winter 2022Problem 1 Assume yo
1 Assignment 2 Winter 2022Problem 1 Assume yo
SilvaGraf83
 
1 COU 680 Adult Psychosocial Assessment Sabrina Da
1  COU 680 Adult Psychosocial Assessment Sabrina  Da1  COU 680 Adult Psychosocial Assessment Sabrina  Da
1 COU 680 Adult Psychosocial Assessment Sabrina Da
SilvaGraf83
 
1 Literature Review on How Biofilm Affect the
1  Literature Review on How Biofilm Affect the1  Literature Review on How Biofilm Affect the
1 Literature Review on How Biofilm Affect the
SilvaGraf83
 
1 Canterbury Tales (c. 12th century)
1  Canterbury Tales        (c. 12th century)  1  Canterbury Tales        (c. 12th century)
1 Canterbury Tales (c. 12th century)
SilvaGraf83
 
1 Math 140 Exam 2 COC Spring 2022 150 Points
1  Math 140 Exam 2 COC Spring 2022 150 Points  1  Math 140 Exam 2 COC Spring 2022 150 Points
1 Math 140 Exam 2 COC Spring 2022 150 Points
SilvaGraf83
 
1 Lessons from the past How the deadly second wave
1  Lessons from the past How the deadly second wave1  Lessons from the past How the deadly second wave
1 Lessons from the past How the deadly second wave
SilvaGraf83
 
1 Lockheed Martin Corporation Abdussamet Akca
1  Lockheed Martin Corporation Abdussamet Akca  1  Lockheed Martin Corporation Abdussamet Akca
1 Lockheed Martin Corporation Abdussamet Akca
SilvaGraf83
 
1 Lab 9 Comparison of Two Field Methods in a Scien
1  Lab 9 Comparison of Two Field Methods in a Scien1  Lab 9 Comparison of Two Field Methods in a Scien
1 Lab 9 Comparison of Two Field Methods in a Scien
SilvaGraf83
 
1 LAB MODULE 5 GLOBAL TEMPERATURE PATTERNS Note P
1  LAB MODULE 5 GLOBAL TEMPERATURE PATTERNS Note P1  LAB MODULE 5 GLOBAL TEMPERATURE PATTERNS Note P
1 LAB MODULE 5 GLOBAL TEMPERATURE PATTERNS Note P
SilvaGraf83
 
1 Instructions for Coming of Age in Mississippi
1  Instructions for Coming of  Age in Mississippi 1  Instructions for Coming of  Age in Mississippi
1 Instructions for Coming of Age in Mississippi
SilvaGraf83
 
1 Institutional Assessment Report 2012-13
1  Institutional Assessment Report 2012-13  1  Institutional Assessment Report 2012-13
1 Institutional Assessment Report 2012-13
SilvaGraf83
 

More from SilvaGraf83 (20)

1 Evidence-Based Practices to Guide Clinica
1  Evidence-Based Practices to Guide Clinica1  Evidence-Based Practices to Guide Clinica
1 Evidence-Based Practices to Guide Clinica
 
1 Green Book Film Analysis Sugiarto Mulj
1  Green Book Film Analysis  Sugiarto Mulj1  Green Book Film Analysis  Sugiarto Mulj
1 Green Book Film Analysis Sugiarto Mulj
 
1 Film Essay 1 Film from 1940-1970
1  Film Essay 1 Film from 1940-1970 1  Film Essay 1 Film from 1940-1970
1 Film Essay 1 Film from 1940-1970
 
1 Department of Health and Human Performance, College of Ch
1  Department of Health and Human Performance, College of Ch1  Department of Health and Human Performance, College of Ch
1 Department of Health and Human Performance, College of Ch
 
1 FIN 2063 INSURANCE FINANCIAL PLANNING Case As
1  FIN 2063 INSURANCE FINANCIAL PLANNING Case As1  FIN 2063 INSURANCE FINANCIAL PLANNING Case As
1 FIN 2063 INSURANCE FINANCIAL PLANNING Case As
 
1 Faculty of Science, Engineering and Computi
1  Faculty of Science, Engineering and Computi1  Faculty of Science, Engineering and Computi
1 Faculty of Science, Engineering and Computi
 
1 EARLY C
1  EARLY C1  EARLY C
1 EARLY C
 
1 Case Grading Procedure Your grade from each case
1  Case Grading Procedure Your grade from each case 1  Case Grading Procedure Your grade from each case
1 Case Grading Procedure Your grade from each case
 
1 Kilimanjaro is a snow-covered mountain 19,710 feet hi
1  Kilimanjaro is a snow-covered mountain 19,710 feet hi1  Kilimanjaro is a snow-covered mountain 19,710 feet hi
1 Kilimanjaro is a snow-covered mountain 19,710 feet hi
 
1 Assignment 2 Winter 2022Problem 1 Assume yo
1  Assignment 2 Winter 2022Problem 1 Assume yo1  Assignment 2 Winter 2022Problem 1 Assume yo
1 Assignment 2 Winter 2022Problem 1 Assume yo
 
1 COU 680 Adult Psychosocial Assessment Sabrina Da
1  COU 680 Adult Psychosocial Assessment Sabrina  Da1  COU 680 Adult Psychosocial Assessment Sabrina  Da
1 COU 680 Adult Psychosocial Assessment Sabrina Da
 
1 Literature Review on How Biofilm Affect the
1  Literature Review on How Biofilm Affect the1  Literature Review on How Biofilm Affect the
1 Literature Review on How Biofilm Affect the
 
1 Canterbury Tales (c. 12th century)
1  Canterbury Tales        (c. 12th century)  1  Canterbury Tales        (c. 12th century)
1 Canterbury Tales (c. 12th century)
 
1 Math 140 Exam 2 COC Spring 2022 150 Points
1  Math 140 Exam 2 COC Spring 2022 150 Points  1  Math 140 Exam 2 COC Spring 2022 150 Points
1 Math 140 Exam 2 COC Spring 2022 150 Points
 
1 Lessons from the past How the deadly second wave
1  Lessons from the past How the deadly second wave1  Lessons from the past How the deadly second wave
1 Lessons from the past How the deadly second wave
 
1 Lockheed Martin Corporation Abdussamet Akca
1  Lockheed Martin Corporation Abdussamet Akca  1  Lockheed Martin Corporation Abdussamet Akca
1 Lockheed Martin Corporation Abdussamet Akca
 
1 Lab 9 Comparison of Two Field Methods in a Scien
1  Lab 9 Comparison of Two Field Methods in a Scien1  Lab 9 Comparison of Two Field Methods in a Scien
1 Lab 9 Comparison of Two Field Methods in a Scien
 
1 LAB MODULE 5 GLOBAL TEMPERATURE PATTERNS Note P
1  LAB MODULE 5 GLOBAL TEMPERATURE PATTERNS Note P1  LAB MODULE 5 GLOBAL TEMPERATURE PATTERNS Note P
1 LAB MODULE 5 GLOBAL TEMPERATURE PATTERNS Note P
 
1 Instructions for Coming of Age in Mississippi
1  Instructions for Coming of  Age in Mississippi 1  Instructions for Coming of  Age in Mississippi
1 Instructions for Coming of Age in Mississippi
 
1 Institutional Assessment Report 2012-13
1  Institutional Assessment Report 2012-13  1  Institutional Assessment Report 2012-13
1 Institutional Assessment Report 2012-13
 

Recently uploaded

Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
amberjdewit93
 
MARY JANE WILSON, A “BOA MÃE” .
MARY JANE WILSON, A “BOA MÃE”           .MARY JANE WILSON, A “BOA MÃE”           .
MARY JANE WILSON, A “BOA MÃE” .
Colégio Santa Teresinha
 
Life upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for studentLife upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for student
NgcHiNguyn25
 
Advanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docxAdvanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docx
adhitya5119
 
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdfWalmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
TechSoup
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
History of Stoke Newington
 
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
GeorgeMilliken2
 
Hindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdfHindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdf
Dr. Mulla Adam Ali
 
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
IreneSebastianRueco1
 
How to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 InventoryHow to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 Inventory
Celine George
 
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
RitikBhardwaj56
 
The Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collectionThe Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collection
Israel Genealogy Research Association
 
How to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP ModuleHow to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP Module
Celine George
 
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptxC1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
mulvey2
 
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdfANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
Priyankaranawat4
 
How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17
Celine George
 
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama UniversityNatural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Akanksha trivedi rama nursing college kanpur.
 
How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17
Celine George
 
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat  Leveraging AI for Diversity, Equity, and InclusionExecutive Directors Chat  Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
TechSoup
 
Azure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHatAzure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHat
Scholarhat
 

Recently uploaded (20)

Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
 
MARY JANE WILSON, A “BOA MÃE” .
MARY JANE WILSON, A “BOA MÃE”           .MARY JANE WILSON, A “BOA MÃE”           .
MARY JANE WILSON, A “BOA MÃE” .
 
Life upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for studentLife upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for student
 
Advanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docxAdvanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docx
 
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdfWalmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
 
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
What is Digital Literacy? A guest blog from Andy McLaughlin, University of Ab...
 
Hindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdfHindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdf
 
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
 
How to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 InventoryHow to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 Inventory
 
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
 
The Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collectionThe Diamonds of 2023-2024 in the IGRA collection
The Diamonds of 2023-2024 in the IGRA collection
 
How to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP ModuleHow to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP Module
 
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptxC1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
 
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdfANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
 
How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17How to Fix the Import Error in the Odoo 17
How to Fix the Import Error in the Odoo 17
 
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama UniversityNatural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
 
How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17
 
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat  Leveraging AI for Diversity, Equity, and InclusionExecutive Directors Chat  Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
 
Azure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHatAzure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHat
 

#4 Creating the Affirmative Case1. PropositionThe Cali

  • 1. #4: Creating the Affirmative Case 1. Proposition: The California State Board of Education must uphold mask mandates to prevent the spread of Covid-19 among staff and students at California K-12 public schools. 2. Context: After a long debate between health officials, the board of education, and parents, California has decided to lift its mask mandates in public schools. 3. Harms: a) Unvaccinated exposure- Unvaccinated staff or students could expose themselves or others to Covid b) Unprotected immunocompromised- Immunocompromised staff and students would not be protected against others who may carry the virus, resulting in more extreme symptoms. 4. Inherency: a) School Shutdowns- Covid will spread rapidly among staff and students causing future shutdowns at schools
  • 2. b) Risk of Hospitalization and Death- Immunocompromised staff and students could be at greater risk of hospitalization or death. 5. Plan: See proposition 6. Solvency: a) Reduced Transmission Rates- Vaccinated and unvaccinated will continue wearing masks, reducing transmission rates of covid b) Protection from masks- Immunocompromised staff and students will be protected by others wearing masks. 7. Advantages: a) Other illnesses spread slowed- cases of other illnesses commonly spread in school, like the flu, can be prevented b) Teaches good practice- Students can learn how to protect themselves from getting sick in the future by knowing how to social distance, wear a mask, wash hands, etc. #5: Creating the Negative Response: 1. Opposition to affirmative plan: The California State Board of Education must uphold mask mandates only for unvaccinated and/or immune- compromised persons in schools.
  • 3. 2. Context: Although mask mandates are starting to be lifted and the threat of COVID is still present, it is important to make an effort to return K-12 education back to an optimal learning environment without masks. 3. Harms: a) The continued spread of covid-19- if masks were completely taken out of schools, covid would continue spreading, including both the unvaccinated/immunocompromised and break through cases of the vaccinated b) Lack of Social Skills- masks get in the way of kids socializing and recognising cues from others. 4. Inherency: a) If no plans happen- School shutdowns and risk of hospitalization/death, especially for those that are unvaccinated and/or immunocompromised b) If the affirmative plan happens- the learning environment will remain less than optimal due to the barriers the masks pose to communication and social cues. 5. Counterplan: see opposition to affirmative plan 6. Solvency:
  • 4. a) Unvaccinated/Immunocompromised wear masks-Those who are unvaccinated will still have to wear a mask in order to prevent the spread of COVID to those with an increased chance of hospitalization and death. b) Better Socialization for kids- Unlike masking everyone in schools, most kids will be able to go about their school day as normal, and be able to interact fully with others without masks in the way 7. Advantages: a) Unvaccinated/immunocompromised protected- the unvaccinated and the immunocompromised will still have protection against COVID through the use of wearing a mask. b) Socialization- normal interaction will be prioritized in K-12 education with the counter plan 1 Week 3-Prescribing for Children and Adolescents Holly Bowling Walden University
  • 5. NRNP 6665: PMHNP Care Across the Lifespan I Dr. Pamela Mokoko March 21, 2021 This study source was downloaded by 100000822789681 from CourseHero.com on 03-15-2022 04:38:52 GMT -05:00 https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ 2 Week 3-Prescribing for Children and Adolescents There are many different treatment options for those suffering from ADHD including medication management, counseling, and behavioral treatment, with sometimes a combination of all three being necessitated for many clients. However, the overall goal of any treatment for someone with ADHD is to help increase their attention span, slow their activity level, and decrease their impulsiveness to help them perform better in school, and build better relationships
  • 6. with their family and peers (Krull, 2019). Because not all drugs for ADHD are approved by the FDA for adolescents, some practitioners may choose to avoid using such medications in their treatment regimens for children, as there is typically not as much research done, however, that does not necessarily mean the drug is not safe. It is up to the advanced practitioner to know what drugs FDA and non-FDA are approved, as well as understanding the potential risk and benefits of both. With that being said, the following paper will discuss FDA and non-FDA-approved medications for the use of ADHD, with risks and benefits, as well as nonpharmacological treatment options that may prove to be beneficial. FDA-Approved Drug/Risk and Benefits One FDA-approved medication I would suggest would be that of Methylphenidate (MPH), with the trade name of Ritalin or Concerta. MPH is a stimulant and is considered a first- line pharmacological agent in the treatment of ADHD in children and adolescents (Inglis et al., 2016). MPH is one of the most commonly used stimulants for the treatment of ADHD and has
  • 7. been shown to have positive effects on the core symptoms of ADHD, such as an increase in concentration, attention, and focus (Inglis et al., 2016). MPH and other stimulants have also been shown to help reduce the risk of subsequent cigarette smoking and alcohol and substance use disorders, as well as be positively associated with improved academic achievement in elementary This study source was downloaded by 100000822789681 from CourseHero.com on 03-15-2022 04:38:52 GMT -05:00 https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ 3 school children, improved health-related quality of life in children and adolescents, and improved brain dysfunction (Shier, Reichenbacher, Ghuman, & Ghuman, 2012). Some common adverse effects that can be seen with stimulants include appetite suppression, stomachache, insomnia, and headache, however, these are generally tolerable enough to continue taking the
  • 8. medication (Shier et al., 2012). There has however been some investigation into the effect stimulants have on the growth of a child, as well as the potential for sudden death even though the risk is below that of the general population (Inglis et al., 2016). As a stimulant, there is a high risk for abuse, especially in those who already have an addiction problem. Therefore, it is important to monitor the risk for abuse before starting and during treatment (Stahl, 2014). Keeping the risk and benefits in mind is important to assess growth parameters with children and adolescents before any stimulant treatment with periodic monitoring through repeated measurements of weight and height and their changes over time, as well as pretreatment checking and monitoring of pulse and blood pressure with frequent monitoring (Inglis et al., 2016). It is also important to obtain a carefully targeted cardiac history including history of cardiac problems and family history of sudden death in children or young adults. And for any child or adolescent with known serious structural cardiac abnormalities, cardiomyopathy, serious
  • 9. heart rhythm abnormalities, or other serious cardiac problems, stimulant treatment should be contraindicated (Shier et al., 2012). Off-Label Drug/Risk and Benefits Bupropion is a dopamine and norepinephrine reuptake inhibitor (NDRI), and an off-label drug commonly indicated for depression and smoking cessation but has also shown to be a promising non-stimulant alternative with several reports of positive outcomes for treatment of ADHD in adolescents (Ng, 2017). One systematic review reported that bupropion had efficacy This study source was downloaded by 100000822789681 from CourseHero.com on 03-15-2022 04:38:52 GMT -05:00 https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ 4 comparable to stimulants and that bupropion was equally efficacious to methylphenidate. It also showed that bupropion was better tolerated than
  • 10. methylphenidate; in a head-to-head trial, headaches were observed more frequently in the methylphenidate-treated group, whereas the frequency of other side effects, for example, decreased appetite did not differ significantly between the bupropion-treated and the methylphenidate-treated groups (Ng, 2017). Other studies have also found bupropion beneficial in children and adolescents with comorbid ADHD and conduct, substance use, and depressive disorders, further supporting bupropion in the management of ADHD, as there is an incidence of high comorbidity (Ng, 2017). Some common adverse effects noted with Buproprion include dizziness, constipation, nausea, weight loss, anorexia, headache, myalgia, anxiety, sweating, tinnitus, and hypertension, however, most of them spontaneously resolve (Kweon & Kim, 2019). Due to no efficacy and safety being established, as with any antidepressant, it is important to monitor for suicidal ideation, and inform the parents of the risk so they can observe them as well, as suicide is a big risk factor for adolescents taking antidepressants (Kweon & Kim, 2019).
  • 11. Nonpharmacological Intervention Many types of non-pharmacological interventions may be utilized in the treatment of ADHD in children and adolescents. However, there are suggested uses of treatment depending on the age group specified. The American Academy of Pediatrics (AAP) guidelines suggest that first-line treatment for children 4-5 years old include evidence- based parent training in behavior management (PTBM) and/or behavioral classroom interventions, and that methylphenidate may be considered if there is no improvement (Shrestha, Lautenschleger, & Soares, 2020). Children 6–11 years should receive medications approved by the FDA along with PTBM and/or behavioral classroom interventions. And adolescents 12–18 years should receive FDA-approved This study source was downloaded by 100000822789681 from CourseHero.com on 03-15-2022 04:38:52 GMT -05:00 https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/
  • 12. 5 medications as first-line treatment, along with the encouragement of Evidence-based training interventions and/or behavioral interventions (Shrestha et al., 2020). One of the most common behavioral interventions is parent training in behavior management (PTBM), which encourages parent-child therapy, and helps parents to enhance their parenting techniques and foster a better relationship with their children. Parents are taught to recognize problematic behaviors in their children and discourage unwanted behaviors through nonphysical means like timeouts and reward positive behaviors through positive attention and praise (Shrestha et al., 2020). The examination of fifty-five studies involving PTBM showed an overall strength of evidence that was high for improved child behavior in children and adolescents with ADHD (Shrestha et al., 2020) Clinical Practice Guidelines There are several key components to the clinical practice guidelines for the diagnosis,
  • 13. evaluation, and treatment of ADHD, which also help in justifying such treatment options suggested. Initiation of evaluation for ADHD should begin between the ages of 4-18, with treatment recommendations varying depending on the child’s age, and if medication is prescribed, it should be titrated to ensure the child receives the maximum benefit with the least degree of adverse effects (Wolraich et al., 2019). A diagnosis of ADHD should follow established guidelines in the DSM-V, with the evaluation including assessment of other conditions which commonly co-occur with ADHD, such as emotional and behavioral conditions, and should be treated as a chronic condition with the use of chronic care (Wolraich et al., 2019). Conclusion In conclusion, many different treatment options can be utilized for the management of ADHD. However, the advanced practitioner needs to understand the risk and benefits of the This study source was downloaded by 100000822789681 from CourseHero.com on 03-15-2022 04:38:52 GMT -05:00
  • 14. https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ 6 different medication options, as well as best practice guidelines when administering certain medications to different age groups, as not all medications are appropriate for everyone. It is also important to remember as well that medication management may not be the first option or the best option depending on age and symptoms, and that with the younger preschool children, non- pharmacological treatments might be a better option, and for other children, a combination of medication management and behavioral therapy might be the best fit. Regardless of the treatment option, a risk assessment should be a priority before starting any medication, as well as explaining any potential adverse effects to the client and family. This study source was downloaded by 100000822789681 from CourseHero.com on 03-15-2022 04:38:52 GMT -05:00 https://www.coursehero.com/file/94344824/WK3Assgn1bowling
  • 15. hNRNP6665docx/ https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ 7 References Inglis, S. K., Carucci, S., Garas, P., Haege, A., Banaschewski, T., Buitelaar, J. K., Dittmann, R. W., Falissard, B., Hollis, C., Kovshoff, H., Liddle, E., McCarthy, S., Nagy, P., Neubert, A., Rosenthal, E., Sonuga-Barke, E., Wong, I., Zuddas, A., Coghill, D. C., & ADDUCE Consortium. (2016). Prospective observational study protocol to investigate long-term adverse effects of methylphenidate in children and adolescents with ADHD: the Attention Deficit Hyperactivity Disorder Drugs Use Chronic Effects (ADDUCE) study. BMJ OPEN, 6(4). https://doi- org.ezp.waldenulibrary.org/10.1136/bmjopen-2015-010433 Krull, K. (2019). Attention deficit hyperactivity disorder in children and adolescents: Clinical features and diagnosis. Retrieved
  • 16. from https://www.uptodate.com/contents/attention-deficit- hyperactivity-disorder-in- children-and-adolescents-clinical-features-and-diagnosis Kweon, K., & Kim, H.-W. (2019). Effectiveness and safety of bupropion in children and adolescents with depressive disorders: A retrospective chart review. Clinical Psychopharmacology and Neuroscience, 17(4), 537–541. https://doi- org.ezp.waldenulibrary.org/10.9758/cpn.2019.17.4.537 Ng, Q. X. (2017). A Systematic Review of the Use of Bupropion for Attention- Deficit/Hyperactivity Disorder in Children and Adolescents. Journal of Child and This study source was downloaded by 100000822789681 from CourseHero.com on 03-15-2022 04:38:52 GMT -05:00 https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ 8 Adolescent Psychopharmacology, 27(2), 112–116. https://doi-
  • 17. org.ezp.waldenulibrary.org/10.1089/cap.2016.0124 Shier, A. C., Reichenbacher, T., Ghuman, H. S., & Ghuman, J. K. (2012). Pharmacological treatment of attention deficit hyperactivity disorder in children and adolescents: clinical strategies. Journal of Central Nervous System Disease, 5, 1–17. https://doi- org.ezp.waldenulibrary.org/10.4137/JCNSD.S6691 Shrestha, M., Lautenschleger, J., & Soares, N. (2020). Non- pharmacologic management of attention-deficit/hyperactivity disorder in children and adolescents: a review. Translational Pediatrics, 9(Suppl 1), S114–S124. https://doi.org/10.21037/tp.2019.10.01 Stahl, S. M. (2014). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press. Wolraich, M. L., Hagan, J. F., Jr, Allan, C., Chan, E., Davison, D., Earls, M., Evans, S. W., Flinn, S. K., Froehlich, T., Frost, J., Holbrook, J. R., Lehmann, C. U., Lessin, H. R., Okechukwu, K., Pierce, K. L., Winner, J. D., Zurhellen, W., & SUBCOMMITTEE ON CHILDREN AND ADOLESCENTS WITH ATTENTION-
  • 18. DEFICIT/HYPERACTIVE DISORDER (2019). Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents. Pediatrics, 144(4), e20192528. https://doi.org/10.1542/peds.2019-2528 This study source was downloaded by 100000822789681 from CourseHero.com on 03-15-2022 04:38:52 GMT -05:00 https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ Powered by TCPDF (www.tcpdf.org) https://www.coursehero.com/file/94344824/WK3Assgn1bowling hNRNP6665docx/ http://www.tcpdf.org NRNP 6665 WK3 PRESCRIBING MEDICATIONS Learning Resources Required Readings (click to expand/reduce) Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental health. American Psychiatric Association Publishing. · Chapter 14, “Psychosocial Interventions” · Chapter 15, “Psychotherapeutic Interventions” · Chapter 16, “Psychopharmacological Interventions”
  • 19. Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell. · Chapter 43, “Pharmacological, Medically-Led and Related Treatments” Walden University. (n.d.). Developing SMART goals. https://academicguides.waldenu.edu/ld.php?content_id=5190149 2 Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer. · Chapter 5, “Psychopharmacology” Required Media (click to expand/reduce) CriticalThinkRx. (2019, June 9). Module 5:Specific drug classes: Focus on adverse effects [Video]. YouTube. https://youtu.be/Gbq6RnOsGKQ CriticalThinkRx. (2019, June 9). Module 2: Use of psychotropics with youth_prevalence and concerns [Video]. YouTube. https://youtu.be/NRef-g4Ding Assignment 1: Prescribing for Children and Adolescents Off-label prescribing is when a physician gives you a drug that the U.S. Food and Drug Administration (FDA) has approved to treat a condition different than your condition. This practice is legal and common. In fact, one in five prescriptions written today are for off-label use. —Agency for Healthcare Research and Quality Photo Credit: Getty Images/Ingram Publishing
  • 20. Psychotropic drugs are commonly used for children and adolescents to treat mental health disorders, yet many of these drugs are not FDA approved for use in these populations. Thus, their use is considered “off-label,” and it is often up to the best judgment of the prescribing clinician. As a PMHNP, you will need to apply the best available information and research on pharmacological treatments for children in order to safely and effectively treat child and adolescent patients. Sometimes this will come in the form of formal studies and approvals for drugs in children. Other times you may need to extrapolate from research or treatment guidelines on drugs in adults. Each individual patient case will need to be considered independently and each treatment considered from a risk assessment standpoint. What psychotherapeutic approach might be indicated as an initial treatment? What are the potential side effects of a particular drug? For this Assignment, you consider these questions and others as you explore FDA-approved (“on label”) pharmacological treatments, non-FDA-approved (“off-label”) pharmacological treatments, and nonpharmacological treatments for disorders in children and adolescents. Reference: Agency for Healthcare Research and Quality. (2015). Off-label drugs: What you need to know.https://www.ahrq.gov/patients- consumers/patient-involvement/off-label-drug-usage.html To Prepare · Your Instructor will assign a specific disorder for you to research for this Assignment. · Use the Walden library to research evidence-based treatments for your assigned disorder in children and adolescents. You will need to recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating this disorder in children and adolescents. The Assignment (1–2 pages) · Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned
  • 21. disorder in children and adolescents. · Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug? · Explain whether clinical practice guidelines exist for this disorder and, if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration. · Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non- medication intervention for the disorder. Attach the PDFs of your sources. In 1–2 pages, address the following: • Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents.-- Excellent 23 (23%) - 25 (25%) Good 20 (20%) - 22 (22%) Fair 18 (18%) - 19 (19%) Poor 0 (0%) - 17 (17%)• Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?-- Excellent 23 (23%) - 25 (25%) Good 20 (20%) - 22 (22%) Fair 18 (18%) - 19 (19%) Poor 0 (0%) - 17 (17%)• Explain whether clinical practice guidelines exist for this disorder and, if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.-- Excellent 23 (23%) - 25 (25%) Good 20 (20%) - 22 (22%) Fair 18 (18%) - 19 (19%)
  • 22. Poor 0 (0%) - 17 (17%)• Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder. Be sure they are current (no more than 5 years old). Attach the PDFs of your sources.-- Excellent 9 (9%) - 10 (10%) Good 8 (8%) - 8 (8%) Fair 7 (7%) - 7 (7%) Poor 0 (0%) - 6 (6%)Written Expression and Formatting - Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.-- Excellent 5 (5%) - 5 (5%) Good 4 (4%) - 4 (4%) Fair 3.5 (3.5%) - 3.5 (3.5%) Poor 0 (0%) - 3 (3%)Written Expression and Formatting - English Writing Standards: Correct grammar, mechanics, and proper punctuation-- Excellent 5 (5%) - 5 (5%) Good 4 (4%) - 4 (4%) Fair 3.5 (3.5%) - 3.5 (3.5%) Poor 0 (0%) - 3 (3%)Written Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/narrative in-text citations, and reference list.-- Excellent 5 (5%) - 5 (5%) Good 4 (4%) - 4 (4%) Fair 3.5 (3.5%) - 3.5 (3.5%) Poor 0 (0%) - 3 (3%)
  • 23. USE 5 REFERENCES FOR THIS ASSIGN TOPIC - ADHD STUDENT LEARNING OUTCOMES ● Students will demonstrate their knowledge of parliamentary debate skills as they apply these skills during an in class debate. ● Students will demonstrate the ability to create logical, persuasive arguments based on credible evidence. ● Students will present arguments effectively, defend their position, and refute opposing arguments constructively. ● Students will demonstrate effective adjudication skills as they judge their classmates debates. DEBATE TOPICS 1. Russian Aggression in Ukraine 2. Confirmation of Judge Ketanji Brown-Jackson to SCOTUS 3. Masks in Schools 4. The Censoring of Information in the Classroom ASSIGNMENT REQUIREMENTS WRITTEN PORTION:
  • 24. PLEASE NOTE: The Debate Brief Draft Outline should be uploaded to the Parliamentary Debate Assignment Part 1 of 3: Draft Outline of Debate Brief ● Students will submit their Final Debate Brief to this assignment page. Students will select one of the above topics to use as they complete the written portion of the assignment. Following these requirements: 1. The topics will be decided upon by the instructor and will be of a current social issue taken from the headlines of major newspapers from the previous week. Students will use these topics as the controversy to identify the central issue of their debate brief. https://sjsu.instructure.com/courses/1472060/assignments/61442 42 2. Students will create the proposition from one of the given topics. The proposition must follow the steps outlined during lecture: (Students should follow the Actor, Action, Issue structure taught during lecture). 1. Controversy: this will be one of the above topics. 2. Central Issue Identified: the student will select of the centr al issues related to the controversy. 3. Wording must be affirmative and free of emotional or loaded
  • 25. language. 4. A clear statement of the affirmative’s plan. 3. Students will write a debate brief that could potentially be used as the opening speech of their debate. The debate brief should include all of the stock issues used to analyze the proposition (provide 2 examples for each stock issue): 1. Harms 2. Inherency 3. Solvency 4. Advantages 4. Students should use this standard speech outline in the construction of their first speech. 1. Introduction 1. Hook 2. Thesis (proposition) 3. Preview of main points (roadmap your debate; Discuss plan, and two advantages). 2. Main Point 1: 1. Contextualize the topic 2. Harms 1. Harm 1 2. Harm 2 3. Inherency
  • 26. 1. Inherency 1 2. Inherency 2 4. Plan/Proposition 1. Solvency 1. Solvency 1 2. Solvency 2 3. Main Point 2: 1st Advantage 1. 1st Advantage 2. Link to 1st Harm 3. Link to 1st Inherency 4. Link to 1st Solvency 4. Main Point 3: 2nd Advantage 1. 2nd Advantage 2. Link to 2nd Harm 3. Link to2nd Inherency 4. Link to 2nd Solvency 5. Conclusion 1. Review of speech (give us your voters or reasons you won the debate) 2. Restate the thesis (proposition/plan) 3. Return to hook used to start speech. 5. Written work should follow APA formatting and style specifically the following: Running Header on each page; Header on the first page (instead of including
  • 27. a cover page); Double spaced; 12 pt. font; and a "References" page included at the end of paper, Students do not need to include an abstract page or cover page. 6. Each student must use at least four sources in support of their ideas and conclusions. All four must represent a diverse viewpoint and be properly cited using APA formatting and style. All sources must include 1) an APA intext citation; 2) a signal phrase in the written speech, and 3) included an entry in the APA formatted reference page. Strict adherence to APA formatting is required. Please refer to the Purdue Owl Online Writing Lab APA Style for specifications. 7. Written work must be free from spelling errors and follow the accepted rules of grammar & good writing. 8. The Draft Outline of the Parliamentary Debate Brief should be uploaded to the Parliamentary Debate Assignment Part 1 of 3 by 11.59 pm, March 16, 2022. 9. Students will upload their Final Draft Parliamentary Debate Brief to this Canvas page prior to class on the first day of debates, April 5, 2022. DEBATE PORTION:
  • 28. 1. Working in pairs, students will debate another team (pair of students) during class and this will be decided by random selection. (Hint: Students who are absent will be selected to debate and therefore miss their chance to complete the assignment unless prior written approval is obtained from the instructor). https://sjsu.instructure.com/courses/1472060/assignments/61442 42 2. For the actual debate, the instructor will provide the debate proposition to be debated. The Affirmative side will create the plan from the proposition they have been given. 3. Teams must demonstrate the principles of parliamentary debate; teamwork, listening and responding to outside arguments and advancing your position effectively. 1. Flowsheets should be used to ensure coverage of all required stock issues of policy debate. 2. Speeches that are significantly under the allotted time will negatively impact the grade of the speaker (times for each speech are at the end of this page). 3. Affirmative teams should provide the proposition plan;
  • 29. harms; inherency; solvency; and advantages. First Affirmative speaker (Prime Minister) will present the Affirmative's case. Second Affirmative speaker (Member of Government) will refute the Negative's case and support the Affirmative's case. Affirmative's Closing (Prime Minister) will present the reasons their case won the debate (these reasons are called, voters). 4. Negative teams should accept the affirmative’s plan with rebuttal or present their counterplan. ■ Teams arguing for the negative must respond to the affirmative’s plan (harms/inherenc y, and solvency) in order to receive a passing grade for the assignment. ■ Students may demonstrate superior work by providing a counter plan with harms and solvency related to the counter plan. ■ Negative teams can also demonstrate mastery by turning the affirmative team’s argument. First Negative speaker (Leader of Opposition) will present the Negative's case and begin refuting the Affirmative's case. Second Negative speaker (Member of Opposition) will refute the Affirmative's case and support the Negative's
  • 30. case. Negative's Closing (Leader of Opposition) will present the reasons their case won the debate. 5. Both teams should flow the entire debate: Continue and sustain their arguments and rebut the oppositions arguments throughout the debate. Not flowing the debate will result in dropped arguments and speaking under time. 6. Students’ presentation skills should draw upon extemporaneous speaking skills, informative speaking techniques, and effective verbal and non-verbal communication skills. Style is important but the focus should be on concise logical arguments. ADJUDICATION PORTION: 1. Students will be required to judge 3 debates of their classmates during class. 2. Students must flow the entirety of each debate including the following: 1. Names of the Affirmative Team 2. Names of the Negative Team 3. Include the Proposition given by the instructor 4. Flow the debate as presented by the teams. 5. Using the flow, decide upon a winner for the debate and provide a Reason for Decision (why you chose who won). 6. And the students name.
  • 31. The points for this portion of the assignment (these will be moved to the rubric shortly). Total Points for the Assignment will be weighted as follows: 1. Written Portion 1. Sources cited correctly 10 Pts. 2. Sound logic used to construct speech 10 Pts. 3. Quality of writing (rules of writing and grammar are followed) 10 Pts. 2. Performance 1. Delivery (non-verbal & verbal aspects) 10 pts. 2. Sound logic 10 Pts. 3. Effective use of Parliamentary Debate techniques 20 Pts. Total 70 Points 1. Prime Minister’s Speech 3 min 2. Leader of the Opposition’s Speech 3 min 3. Member of Government’s Speech 3 min 4. Member of Opposition’s Speech 3 min 5. Leader of the Opposition’s Closing 1 min
  • 32. 6. Prime Minister’s Closing 1 min Total time 14 minutes