Scenario
Hilary Jones is a 72-year-old obese white female admitted three days ago with a chief complaint of hip pain after falling at home. An open reduction and internal fixation (ORIF) of the right hip was performed to repair a fracture on admission. Mrs. Jones developed a pulmonary embolism (PE) on post-op day 2.
PMHx: HTN, DM, GERD, and anemia
PSH: Cholecystectomy
Current Medications: Metoprolol, Glucophage, Prevacid, and Dilaudid
PRN Allergies: NKDA
72, Caucasian, Female, Obese
I forgot to mention, her husband keeps getting in the way, and she is constantly on the call light. When I assessed her: she is alert and oriented x3 in no apparent distress. Vitals are stable: T 99, P 80, R 20, BP 150/90, and Oxygen on at 4 L via NC. Heparin is infusing at 8 mL/hr. Foley is patent and draining clear yellow urine. C/O pain at 4 AM, rated pain a 10 on a scale of 0-10, medicated X 1 with Dilaudid. She can receive 2mg IVP Q6 PRN. Mrs. Jones keeps complaining of pain. The monitor showed normal sinus rhythm, abdomen soft, non-tender with BS present in all quads. Her abductor pillow has been in place throughout the night.
Clinical Application Questions
After reading the scenario, answer the following questions in a Microsoft Word document. Refer to the learning material presented in this module for guidance.
After actively listening to the night shift nurse’s report, what important data was omitted from the night shift nurse? What other information should have been provided by the night nurse to give quality and safe client care?
What was inappropriate about the night RN’s report?
What can you do to change behaviors like this in your nursing unit? How could factors such as effective listening, assertiveness, and teamwork play a role in changing behaviors of unit staff?
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Title: Improving Communication and Quality of Care in Nursing: A Case Study Analysis
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Assessment 2: Identifying and Critically Reflecting on Established Research Assessment 2: Search Strategy and Appraisal of Evidence Critical Appraisal of Three Articles on the Effectiveness of Cognitive Behavioral Therapy for Depression Introduction Cognitive Behavioral Therapy (CBT) has been widely recognized as an effective treatment for depression. However, there are still debates about the effectiveness of C Appraisal of Occupational Therapy Interventions for Mothers with Depression: A Systematic Review Critical Appraisal of Research Articles: A Comprehensive Analysis Using APA-7 Format and CINHAL Database
Assessment aim, purpose and SILOs
The aim of Assessment 2 is to provide you with an opportunity to systematically and comprehensively identify, select and critically reflect on established research. The purpose of assessment 2 is to:
• Enhance your database search strategy skills to identify the current evidence available to address a specific research question; • Develop your knowledge on how to select the “best” evidence that most closely answers a specific research question; • Progress your skills in selecting the most appropriate critiquing tool and appraising the quality and research evidence of identified research.
Assessment 2 aligns to Subject Intended Learning Outcomes (SILOs):
• Critically analyse and evaluate research independently
• Critically reflect on established research and formulate clinical research questions
Assessment 4 Word count Value Due Date* Individual written assignment ~2000 words (excluding tables, reference list and appendices) General Instructions
Overview of the main tasks
This assignment is to be completed and submitted individually in 2000 words (± 10% leeway), using the template included below. There are some tasks that will require coordinating with your group members. In teams of 3 people, you will select one research question from the ones identified in assessment 1. Each team member will systematically search one relevant database. Following the database search, as a team, you will identify the current best evidence available to address your specific research question. The “best” evidence will be a collation of your teams search results and it will represent the highest level or best quality research papers that most closely answers your question (i.e. no more than 8-10 papers). Your final selection of evidence can be three studies (i.e. one per group member) with different design (e.g. 2 systematic reviews and 1 RCT; 3 qualitative papers with different philosophical approaches i.e. phenomenology, ethnography, PAR, etc).
You will then select one paper, summarize it, and appraise its quality using the most appropriate appraisal tool for the study design of the paper (e.g. PEDro scale for Randomized Controlled Studies, McMaster Appraisal tool for qualitative research, NIH / NHLBI toolkit for quantitative research, CASP tool suite, etc).
What is included in the word count?
The word count includes all text that is written by you and all in-text citations. Any in-text citations (and the associated reference list) need to be completed in APA-7 style (click on this link to access how to use APA-7 style). The word count excludes all text that is part of the template, the reference list (of cited sources), and words added to tables 1–3. About marking
You will be marked against an assessment rubric (see Assessment 3 folder in the LMS), which clearly outlines how you will be assessed for each section of the template. You should scrutinise the assessment rubric before commencing the task. Please refer to the table below for a summary of all marked items pertaining to this assessment: Task item Points allocated
(50 points total;
~2000 total words)
1. Explaining/justifying your search strategy 6 points (~250 words)
2. Presenting your search findings 8 points (~250 words)
3. Categorising the levels of evidence found 5 points (~100 words)
4. Justifying selection of the ‘best’ evidence 5 points (~150 words)
5. Providing a summary of your article of choice 8 points (~300-350 words)
6. Summary of your article appraisal (presented in the same order as the appraisal tool you used) 15 points (~700-900 words)
7. Overall presentation of your work 3 points
Before submitting
• Delete/remove all instructions and prompts from this template (leave just the title page and main headers). • Please make sure that your work is presented in Calibri or Times New Roman, black 12-point font. Use 1.5 (or double) line spacing.
• All outputs (except for your appendices and appraised article) should be created using this template.
• When you are ready to submit your work, make sure to submit it in THREE PARTS: 1. Part 1: your main assessment (required)
2. Part 2: article appraised (in pdf format)
3. Part 3: appendices (i.e. search results and completed appraisal tool)
[Beginning of Assessment 2 Template]
Please use this template to complete your assessment. Note that all items in light blue colour are prompts to help you provide the information you need in each specific section.
1. Explaining your search strategy (~250 words; 6 points)
Searchable question
State your searchable question established in assessment 1.
Data bases searched Brainstorm all the databases you know (also use the La Trobe library list of databases). Identify databases that are likely to help you locate evidence. Provide a database name and rationale for selecting your specific database. Also provide a rationale for any limits imposed in the database search.
Search Terms
Present a list of the synonyms, spelling variants and search terms for each concept as a table. Ensure you identify both keyword terms and index terms (see the La Trobe Library Guides for guidance on how to complete a search in different databases). Explain how you included index terms and keywords/synonyms in your search. Explain if and how you used Booleans, wildcards, and truncations. Use ONE of the following formats as applicable to your research question:
• the PICOR Grid (also known as PICO Grid), the PIER or SPIDER Grid, or a Concept Grid (see the La Trobe Guideline to Search Grids for examples and below template).
Depending on the research question to be answered (e.g. quantitative, qualitative, both) you will be using a PICOR/PICO, PIER, or SPIDER grid. Some columns may not always be required, depending on your question.
EITHER Table 1. PICOR / PICO Grid
Population Intervention or Exposure Comparison
Outcome Research Design
[add extra lines as required]
OR Table 1. SPIDER Grid
Sample Phenomenon of interest Design Evaluation Research Design
[add extra lines as required]
OR Table 1. Concept Grid
Concept 1 Concept 1 Concept 1 Concept 1 Concept 1
[add extra lines as required]
2. Presenting your search findings (~250 words; 8 points)
In this section you need to report the number of articles retrieved from each of the databases searched. Identify the duplicates. Identify the number of articles that are directly relevant to the question by creating inclusion and exclusion criteria. Inclusion & Exclusion Criteria: Identify inclusion / exclusion criteria for selection of relevant studies. Present these as a table. Table 2. Inclusion / Exclusion Criteria [Original Search Question]
Inclusion Criteria
Exclusion Criteria
[add extra lines as required]
It is useful at this point to categorise articles as; a) irrelevant, b) useful background material for other assessments, or c) directly relevant to the question and to be appraised using a critiquing tool. Provide a summary statement as follows: We identified a total of [number] articles from [name your database], [number] articles from [name your database], and [number] articles from [name your database]. After removing the duplicates, [total number] articles were identified. From these, [number] articles were directly relevant to our research question; and [number] articles were irrelevant. There were also [number] articles that were used as background and support material (please refer to table 3).
3. Categorising the levels of evidence (~100 words; 5 points)
Create a ‘short list’ of papers (no more than 15) and briefly explain why you selected these as relevant to your question in no more than 100 words. Categorise the relevant identified articles according to study design and present them as a table (for example, see Table 3 below). This table should include all the studies/articles that are relevant to answering your research question. It should not include articles that only provided you with relevant background reading on the topic (keep a list of these article elsewhere for your assessment 3).
Table 3. Relevant references identified
Research Methodology Design of Articles Retrieved
Number
Located# First author & year of publication of each article Source
(the database or hand search)
Table adapted from www.otcats.com: #Number located refers to number of articles relating to that methodology
To assist you to categorise the quantitative research designs, use the GRADE Handbook, see chapters 9 for glossary of terms and concepts (GRADE, 2013) – Week 2 Reading list on LMS ERA Reading list. For research questions that are best answered by qualitative methodologies, construct your table so that the relevant identified studies are organised according to the specific qualitative research methodology. The following resources will help you identify the methodologies (i.e. philosophical approaches) within qualitative studies 2007 McMaster qualitative critical review guidelines; Liamputtong (2013), from page 65; and Hoffman et al (2017), from page 229 available via the Week 2 and 3 on LMS ERA Reading list.
Search histories from your databases must be included in your assignment as an appendix. These can be a screenshot of the final search results (preferred), or a copy of the search that were saved and emailed to yourself at the end of each search (less preferred). 4. Justifying selection of the best evidence (~150 words; 5 points)
Combine the “best” evidence from the result of your team members searches in the list above. Provide a detailed rationale for selecting the three ‘best’ articles. Indicate the articles that will be reviewed by you and your team members. The papers identified as the ‘best’ evidence and selected for critical appraisal were: … 1.
2.
3.
(Provide full references for each paper)
Provide a detailed rationale for selecting the critical appraisal tool to appraise your individual study.
5. Summary of article (~ 350 words max; 8 points) ind
[insert full reference to paper here]
Aim/Objective of the Study:
Methods:
Study Design: (eg, systematic review, cohort, randomised controlled trial, qualitative study with grounded theory).
Setting: (Location such as hospital or community; rural or metropolitan, country)
Participants: (diagnosis, eligibility criteria, how recruited, type of sample eg purposive, random; key demographics such as mean age, gender, duration of illness/disease)
Intervention or Issue Investigated (provide details of intervention or explain the issue; who provided treatment, when and where, how many hours of treatment provided)
Outcome Measures/Qualitative methods (Primary outcomes only [secondary if appropriate]. When were outcomes measured, if relevant Give details of each measure, maximum score for each measure and range, administered by whom, where. If qualitative, state the methods used, how was data collected by whom, what was the form of the data e.g. interview recordings)
Main Findings: (N enrolled, N included, N available for follow-up if relevant; provide table of mean scores/ mean differences/ treatment effect, 95% confidence intervals and p-values etc where provided – if you need to calculate these data yourself put calculations here and add interpretation later, under ‘critical appraisal’. For qualitative studies major themes that emerged, model developed or increased understanding of an issue).
Original Authors’ Conclusions/Interpretation (paraphrase as required)
6. Critical appraisal (~900 words max; 15 points)
Internal Validity/Trustworthiness (please mention the appraisal tool used in your first statement. Follow headings used in critical appraisal checklist to provide your account on internal and external validity e.g. was the question clear and pertinent, was sampling done adequately, was there selection bias, blinding, were groups in an RCT comparable at baseline on key demographic variables; number of dropouts if relevant. Comment on any missing information in original paper. For qualitative papers please report the trustworthiness/rigour of the paper appraised using the same structure of the appraisal tool you selected)
Interpretation of Findings (Favourable or unfavourable, specific outcomes of interest, size of treatment effect, statistical and clinical significance; minimal clinically important difference – some of which you may have calculated yourself. For qualitative study, rigorous descriiption of data collection and analysis, triangulation, respondent validation, findings explicit, adequately discussed and in relation to current body of knowledge)
Summary/Conclusion including generalisability/transferability to other Populations: (provide your conclusions about the quality of the article here and its applicability to your specific case scenario/stream)
Referencing
References should be presented according to American Psychological Association’s (2020), Referencing style (7th edition). We strongly recommend that you use a reference manager such as Endnote or Zotero (see next page for details). Appendices
Please submit all appendices as a separate file on LMS (one file only containing your search results and completed appraisal tool with your notes on it)
Using a reference manager (e.g. Endnote, Zotero) to store your search results
We highly recommend using a reference manager. This is NOT a requirement of this assessment. You are recommended to upload the results from your searches into an EndNote or Zotero reference library. This will greatly facilitate keeping track of and retrieving previously located articles when you need them.
A library allows you to retain a record of all articles retrieved (after removing duplicates) and to organise them into “custom groups” as follows:
• Irrelevant titles retrieved;
• Background reading on population (diagnosis, disorder or circumstance applicable to your question);
• Background reading on intervention / exposure of interest; outcome of interest; or experience and views of interest (as applicable to your question);
• Directly relevant titles to answer the clinical question.
Links to full text of relevant articles and key background readings can also be retained in your EndNote library, using the URL field, or a PDF of the article. You are expected to take a scholarly approach, and your analysis and reasoning should be informed by relevant literature. You are expected to read and use information from a minimum of 10 relevant academic literature. – Find between 8 – 12 research papers that answer my new question: “What is the most effective occupational therapy intervention to support mothers with depression?” – Appraise the research paper, which must match and tick everything; it must be strong evidence to answer my research question using CINAHL.
– Follow the template instructions and the examples, but don’t copy the example exactly; use it as an example only. – Try to link it to Occupational therapy practice. – Use the PICO table or SPIDER table according to the assessment flow. – 2000 words for the assessment and a separate document for the appendix. – When you appraise the research paper, ensure it’s strong evidence. – Try not to use researchers related to a specific culture. – USE cognitive behaviour therapy (CBT) as an intervention. – Follow the example of the template and modify the work accordingly. – Directly relevant titles to answer the clinical question.
– Use the appraisal tool in the template to follow appropriately. Search history demonstrates a comprehensive and clear search plan: each concept searched separately, both thesaurus index terms and key word searches conducted for each concept. Sound application of Boolean operators and truncations.
Appropriate length and detail. Succinctly summarises the combined search results with team members results. Inclusion and exclusion criteria, relevant references identified, and a summary of selection of relevant evidence.
All papers categorised correctly in terms of study design and the best papers retrieved are clearly justified.
Appropriate length and detail. Articles presented in APA-7 format. Succinctly and effectively justifies the best evidence. Highly relevant selection and justification of articles. Chosen critical appraisal tool highly relevant and justified for individual article.
Succinct yet comprehensive summary of critiqued paper. Demonstrates a comprehensive understanding of the key elements of a research article: aim, methods, findings, and interpretation of findings. Appropriate length and detail. Appraisal is clearly presented and provide an in-depth comprehensive critique of the research article under review according to the selected critical appraisal tool selected.
Excellent structure. Appropriate layout. Referencing correct. Language is professional. Don’t copy the example, change the paper it says CINHAL RESEARCH, the rest are examples and add appendix using offical website -
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Title: Analyzing and Evaluating “Don’t Let Stereotypes Warp Your Judgment” by Heilbroner
SWO Paper
Minimum Word Count: 750 words
reading and writing
You have been given an article to analyze and evaluate. As you read “Don’t Let Stereotypes Warp Your Judgment” by Heilbroner, think about the author’s argument, main points, support, and evidence. As a writer, you need to analyze and evaluate the article related to its strengths, weaknesses, and missed opportunities:
§ Strengths: What does the author do to make you trust his points and evidence? How does he effectively appeal to his readers? Where does the author use strong reasoning and evidence to support his points and argument? Be sure to explain why these are strengths.
§ Weaknesses: Where in the article are there points or evidence that could be argued against? Where are there gaps in his logic or reasoning? Where could he provide more support for his argument? Be sure to explain why these are weaknesses.
§ Opportunities: Based on your own experiences and the experiences of others, where does the author miss opportunities to strengthen his argument? What is missing? What could he have discussed, or what could he have discussed even further? Be sure to explain why these are missed opportunities.
Depending on your evaluation of the article, keep in mind that multiple paragraphs could cover strengths, weaknesses, and opportunities. Do not fall into the formulaic, mental trap of creating just one paragraph each for strengths, weaknesses, and opportunities. For example, if you think the article has a number of weaknesses, you might spend three paragraphs of your paper on weaknesses.
Citing Sources
You need to use introductory phrases/signal phrases when paraphrasing and quoting sources (use present tense), and you also need to provide in-text citations when paraphrasing and quoting materials (page numbers in parentheses) in MLA Style.
A Successful SWO Paper
§ Interests the reader with a strong introduction that connects to “Don’t Let Stereotypes Warp Your Judgment” while briefly (one or two sentences) summarizing the article
§ Presents a clear and assertive thesis that articulates your evaluation of the article either at the end of the first paragraph or as the second paragraph of the paper
§ Supports its thesis statement through details, examples, reasoning, and explanation
§ Offers a conclusion that provides closure for the paper in an interesting manner rather than
just simply repeating the thesis and the paper’s main points
§ Paraphrases and integrates quotations effectively, smoothly, and ethically through appropriate
introductory phrases and in-text citations in MLA Style
§ Has focused and unified paragraphs
§ Refrains from using the formulaic and boring five-paragraph essay structure
§ Exhibits strong concision, cohesion, transitions, and sentence variety in length and type
§ Does not have editing errors that distract the reader or disrupt the meaning of sentences
§ Is relatively free of mechanical and proofreading errors
and lastly i would appreciate the work back in a pdf file from word document. -
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Title: “The Silent Killer: The Detrimental Effects of Chronic Stress on Physical Health”
Topic: The impact of chronic stress on physical health
Focal Points:
•cardiovascular health risks
•immune system deficiency
•gastrointestinal health
Reference: 10 minimum: at 3 different databases
Please adhere to rubric attached for guidance.
I also attached a findings page that I started to get a feel of where I was going to go with the paper. -
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Title: Microbes and Disease: Understanding the Impact and Prevention of Pathogens on Human Health
Directions for the students: There are 4 essay questions. Please be sure to complete all of them with thorough substantive responses. Citations are required for all responses. There is no time limit.
Summarize one example illustrating how microbes benefit human health. Can the removal of microbes actually lead to disease development?
Trace the path taken by pathogens from various portals of entry, through the establishment of disease, and ending with their exit from various portals in the host.
Conduct additional research and answer the following: Discuss what policies are in place at local, state, and federal government levels to prohibit the spread of disease in the case of a pandemic.
There are some who believe that HIV does not cause AIDS. Have all of Koch’s postulates been met for HIV as the causative agent that leads to the development of AIDS? Cite evidence to explain your answer. -
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“Exploring the Role of Working Memory in Decision-Making: A Reflection on a Cognitive Neuroscience Research Article” Summary: The research article titled “The Influence of Working Memory on Decision-Making: A Neuroimaging Study” by Smith et al
Research Reflection Guidelines
For this assignment, you will find a research article related to cognitive neuroscience that you find interesting. Again, try to find an article that aligns with course concepts, but this is not necessary.
In the reflection, please provide 1) a summary of the research article and 2) what you found interesting (why this article?), does it relate to course content? (If so, how?), what did you like/dislike, your opinion on the content? what would you do differently, how you would improve the methods/findings/future directions, etc.
(Keep in mind, for 2, these are just suggestions, you do not have to answer each of these).
The reflections are two pages, APA 7th format (include a title page and reference – title and references do not count as part of the two pages), typed, and double-spaced. Reflections must be turned in by the due date. No late reflections will be accepted. -
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“An Analysis of Depressants, Stimulants, and Hallucinogens: Composition, Effects, and Medical Uses”
Drug Analysis
In this assignment, you will assess depressants, stimulants, and hallucinogens and their effects on the human body.
Identify one drug from each category (see examples below). In a 3- to 5-page paper, assess the differences between the drugs, including composition, manufacture/cultivation, and ways used. You will then provide an in-depth analysis of each drug’s physical and psychological effects. The assessment should include, at a minimum, drug ingestion, tolerance, withdrawal symptoms and effects, and any medical uses for each drug.
A sample of drugs is listed below in the three categories, but you may also choose a drug not on the list. Although this paper is on a topic of your choice, if you identify and select a narcotic not on the list below, you should have it approved by the instructor before beginning the assignment to ensure the chosen drug is specified correctly in its category.
The paper should be 3 to 5 pages of written text. (The title page and reference page do not count in the page minimum.)
Depressants
Alcohol
Barbiturates
Benzodiazepines
Fentanyl
Heroin
Methaqualone
Morphine
Opium
Oxycodone
Stimulants
Amphetamines
Caffeine
Cocaine
Crack cocaine
Herbal stimulants
Methamphetamines
Nicotine
Hallucinogens
Dimethyltryptamine (DMT)
Ecstasy (MDMA)
Ketamine (Special K)
Lysergic acid diethylamide (LSD)
Mescaline
Phencyclidine (PCP)
Psilocybin & psilocyn
In addition to fulfilling the specifics of the assignment, a successful paper must also meet the following criteria:
Your submission should include a title page and reference page and be in 10- to 12-point font. (Arial, Courier, and Times New Roman are acceptable.)
Viewpoint and purpose should be clearly established and sustained.
Assignment should follow the conventions of Standard English (correct grammar, punctuation, etc.).
Writing should be well ordered, logical, and unified as well as original and insightful.
Your work should display superior content, organization, style, and mechanics.
Appropriate citation style should be followed.
You should also make sure to:
Include a title page with full name, class name, university name, instructor name, and date.
Include introductory and concluding paragraphs and demonstrate college-level communication through the composition of original materials in Standard English.
Use examples to support your discussion.
List all sources on a separate reference page at the end of your paper and cite them within the body of your paper using APA 7th edition format and citation style. For more information on APA 7th edition guidelines, visit Academic Tools.
No plagiarism or AI. -
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“Post-Assessment Analysis: Comparing Food Intake and Physical Activity Habits from Baseline to Post-Assessment”
In the post-assessment, after you review my notes on the food journal part 1, you will record your eating and physical activity habits for one more day. Then, you must complete 1 NEW ″food intake″ form and one NEW ″physical activity″ form. In other words, you will repeat what you did during the baseline assessment. If your health status hasn′t changed (e.g., you become pregnant or have a new health problem), you don′t need a new ″MyPlate Plan″ from the www.choosemyplage.gov website. Once you have recorded and analyzed your food intake and physical activity, you must write a post-assessment analysis comparing your baseline assessment results (1st journal) with the post-assessment (2nd journal). In addition, you will refer to your plan on the baseline assessment write-up from part 1 and see if you followed it. Finally, you update the professor on your progress, including your ″action plan″ from the food journal part 1 results. If you didn′t have an action plan at your baseline assessment in Part 1, write it now and include it with your post-assessment (part 2) in two separate documents. Once you have compared your food intake in Part 1 with your food intake in Part 2, you are ready to write the post-assessment write-up paper. It must include the following:
Discuss the difference between your baseline (part 1) and post-assessment (part 2) results. In other words, have you improved or regressed from your ″action plan″? How?
What changes did you make (or not) in your eating habits since you started recording what you eat? Be specific and explain.
Discuss your BMI and if there is any change. Do you want to change your current weight? Why?
Are you following your eating and exercise plan/goals? If not, what are the barriers that you are still facing? How can you try to overcome these barriers?
The post-assessment write-up section should be one page with an average margin and font of 12.
You need to submit all three documents to get full credit (33 points):
1. One new physical activity form (different from the 1st one)
2. One new food intake form. MAKE SURE THE FORM IS CORRECTLY ANALYSED AND COMPLETE. (DO NOT use the same one from the 1st part)
3. One full-page (regular margins/font 12) Post-assessment write-up -
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“The Art of Persuasion: Crafting a Strong Argument through Addressing Opposing Viewpoints”
This is a 7 page argumentative paper. It has to be written a certain way though. The introduction and conclusion are mostly normal. But the body has to be written beginning with an opposing point first then explain the opposing point then provide a concession and counter argument(make sure the counter-argument addresses the issue raised in the opposing point) then lastly add explanation and research to show support. If you run out of opposing points then you can just use supportive points in the last couple paragraphs. Please make a works cited page in the end but that doesn’t count for the 7 pages. The font is 12pt and Times New Roman double spaced. I provided screenshots of all the important instructions and information please read.