Amy, a 3 year old girl is brought to your office by her mother because she has a fever and complains that her ear hurts. She has no significant medical history. The child is not pleased to be in the provider’s office and has been crying. Her mother explains that she developed a “cold” about 3 days ago with sniffles. As she cries she continues to cough and has yellowish nasal discharge. 

Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Original Work, No Plagiarism, Cite and Reference

Kara is a pre-doctoral student who works for a very demanding principal investigator (PI) in psychology. Dr. Srichaphan considers himself her mentor even though he seems to offer no constructive guidance.

She considers herself an expert problem solver. The trouble is, she can’t figure out how to solve her problems with her mentor. Not only is he exacting and demanding, but he also is exploitative and intolerant—finding fault with her for not being able to keep up with the rigors of academic and clinical studies even though he’s the one who’s overloading her with too much work.

The last straw is an invitation to be a “guest lecturer” in a section of her mentor’s undergraduate cognitive processes class. She can’t very well say no. It would only make her look inept. Still, it couldn’t come at a worse time. The research study that Kara is primary coordinator of has just been halted—it turns out one of the protocols needs many changes, and some of the changes will have to go through the IRB again. They are complex and require careful thought. All the protocol forms will need to be filled out again, the consent forms revised, and the study procedures redone. These changes will have to be made quickly since the study cannot resume until the IRB approves of the new modifications. 

Meanwhile, the undergraduate section of the class Kara’s been given to lead is so large that it’s fast becoming like a full teaching load. The course is not going well because the syllabus that her mentor developed was not well thought out, and many students are coming to Kara’s office to complain. One of the complaints is that there is a cheating ring among some of the students. When she tells her mentor, Dr. Srichaphan blames it on her teaching. She is so taken aback that all she can do is splutter that it’s not her fault—the cheating ring extends to other study sections as well and may even have begun there. Ignoring her protests, he informs her that she needs to provide assistance at a clinical rotation site.

Kara can’t believe her ears. She feels like she will crack under the strain if one more thing is added to her load of duties. Just the thought of arguing with her mentor makes her queasy, but she does her best to remind him that she has her own coursework as a doctoral student and has two term papers due in the next three weeks. She begs him to assign someone else to the clinical rotation. He frowns. “It’s gotten to the point where you cannot handle your research and teaching responsibilities, evidently,” he goads her.  Kara, who prides herself on her “can do” style, finds she simply cannot do all that is required of her. She’s on the verge of retching from nerves. Her mentor is not impressed. He shakes his head and tells her that science is not for the faint of heart.

Questions

1. What’s the worst thing that could happen if she does nothing?

2. What’s the worst that could happen if she seeks a new approach to getting through this?

3. How might Kara ask for help? From whom? With what likely result?

4. What types of expectations should have been discussed among Kara, the mentor, the program director, and/or the graduate school to avoid these types of problems?

5. Can you offer an example of stressful or disastrous situation based on your own learning experiences? How did you deal with it, and what lessons did you learn?

This forum requires the viewing of two videos: the first is an excerpt from Dr. Kilbourne’s talk “Slim Hopes” and the second is a TED Talk by Ashley Graham. 

Dr. Jean Kilbourne is a renowned speaker who has made a career of presenting on her critical analyses of the effects of advertising on the American culture (ChallengingMedia, 2006). The video is of a brief excerpt (5:10) of Kilbourne’s talk “Slim Hopes,”Links to an external site. where she aims to persuade her audience that our culture’s current obsession with weight stems in part from the powerful influence advertising has on our culture. In fact, she argues that “there is no aspect more pervasive or more persuasive than advertising.” Also, while not required, you may want to view other videos by KilbourneLinks to an external site. which discuss the media’s influence on our culture’s attitudes regarding alcohol, tobacco, and sexuality.

The second video “Plus Size? More Like My Size”Links to an external site. is from a TED Talk by Ashley Graham, a model who is a major voice in the body acceptance movement (TEDx Talks, 2015).

Also, study the chapter on persuasive presentations in our textbook. In light of the videos, the text, and your own experiences, respond to the questions below:

• How do the speakers effectively address the appeals of ethos, logos, and pathos? 
• How do the images and data serve to persuade? 
• With regard to kairos and context, how may modern viewers respond to Kilbourne’s message differently than those who viewed these messages when they were first created (Kilbourne’s videos were made nearly 20 years ago)? 
• How does seeing Ashley Graham, a modern voice, support the work Kilbourne has been doing? 
• Finally, what is your personal reaction? Do you relate? Do you find the messages persuasive? Does the context or age of Kilbourne’s videos affect your receptiveness of her message?

Be sure to respond to your peers as well. As a reminder, connect to a scholarly source beyond the videos from Kilbourne and Graham.

References

ChallengingMedia. (2006). Slim hopes: Advertising & the obsession with thinness. https://www.youtube.com/watch?v=C7143sc_HbU

TEDx Talks. (2015). Plus size? More like my size. https://www.youtube.com/watch?v=xAgawjzimjc

Sometimes when we are in school learning advanced concepts, things can seem a bit abstract until we are able to see or experience concrete examples.  The link below is a short talk by Ricardo Fernandez, a Spaniard, who leads a team of up to 30 people from several different countries, and the communication challenges associated with this international remote working team.  He is not an expert, nor an academic, but he has the kind of practical experience that is useful for a discussion…and for your potential similar encounters.

Ricardo Fernandez on remote international teams (13:14)

After reviewing the video consider the following:

• Evaluate the video for the communication skills needed for success in managing a global environment.
• Evaluate video for the relationship-building skills needed for success in managing a remote team.
• Analyze how cultural diversity and specifically inclusion impact effective management communication. In the context of managing different cultures, ages, and genders what modes of communication seem most effective in managing people?  Provide examples; for instance, would texting the terms of a new contract be the best way to communicate with a 60-year-old Japanese customer?

Create a 2-3 minute video explaining your analysis of the video covering the points above and post a written summary of your analysis as well in the discussion. The written summary must be supported with in-text citations and a reference list.

You can use one of the helpful links below to capture your video; consider including other visuals such as slides, diagrams, etc. this does not have to be just you talking.