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Introduction:

This is your chance to get ideas and suggestions from your peers. Remember, the draft that you post for the peer review must be complete and as polished as possible, so make sure you do one round of editing before posting.

Expectation:

Conduct two peer reviews using language from the "Peer Review Sample" document and entering your feedback in the "Instructions Peer Review Form" and returning the "Instructions Peer Review Form" to your peer.

Parameters: 

1) Use the "Instructions Peer Review Form" below to provide feedback. 

2) Use the "Peer Review Sample" below to guide how you provide feedback.

Grading: 

Worth 20 points. 

  • 10 points for each peer review

You will receive deductions for the following: 

Not using complete sentences, -1 for each infraction 

Not answering each question on the form, -2 for each missing response

Not using the guided language from the "Peer Review Sample," in each response, -1 for each infraction 

Using only one sentence responses for each question, -2 for each one sentence response

Due: Sunday of Week 4 by 11:59pm CST as a "reply" to your peer's post.

HOW TO ADMINISTER A METRED DOSE INHALER

What is a metered dose inhaler?

It is a small devfice which is very portable in nature and is handheled , it is used used for respiratory diseases wherein it is filled with medication and inhaled by the pateint at vthe prescribed amount. The MDi is most commonly used by pateints with respiratory diseases such as Asthma, Chronic Obstruictive Diseases such as Bronhchritis. The divice delivers a precribed amount of medication directly into the mouth of the uer andf then it is distributed to the lungs. The user places his or her mouth aroubnd the mothpices which is connected to a cannister whichb is a pressurized container where the medication is stored. The Acnister delivers the medication i9n thee form of puffs when thye user applies pressure underneath . the puffs when inhled goes into the lus and help diate them to enable better breathing

Fig 1: picture of an MDI

PARTS OF A METERED DOSE INHALER

The metered dose inhaler has different components

· Dispnser or inhaler

· The medication carnister or storage device

·

· The spacer

· Mouth piece

· The holder

·

PREPARING THE MDI

Using the MDI is not complicated but there are some necessary steps that must be taken or things to be done before using or administering medication using this device and they include

· Gather all the equipment’s needed

· Check to make sure the prescription is correct

· Identify the patient using to identifiers such as name and date of birth

· Check for n ay allergies

· Introduce yourself to the patient

· The first thing to do is performing hand hygiene

· Inform the patient on medication uses and side effects

· Take patients consent before administering medication

· Ask patient to cough or clear throat of any mucus or foreign objects

· Ask patient to seat up preferably in a 90 degree or 45 degrees angle to enable chest expansion

· Dispense appropriate amount of medication as ordered

FIG 3 USING THE MDI

https://my.clevelandclinic.org/-/scassets/7dec49fea8e64cb2ae750b48266ca714.ashx

1) Remove the cap of the inhaler

2) Shake the inhaler to mix the medication properly

3) Use techniques as shown or as directed by the provider

4) Open mouth and make a firm seal around the mouth piece

5) Using the spacer, place the MDI into the space

6) Open mouth and make a firm seal around mouth piece

7) Make sure the mouth piece is approximately 1.5 to 2 inches away from the mouth

8) To perform a good treatment, you must use a closed lip technique where in mouth is closed and lips make a tight seal

9) Make sure head is tilted backwards

10) Perform a breath out

11) Apply pressure and as you do you take deep slow breaths and repeat this for about 5 seconds

12) Make sure to hold breath for at least 10 seconds to enable medication absorption

CARING FOR THE MDI

It is very important to keep the MDI clean to prevent the spread of bacteria which could be potentially fatal to the patient if inhaled

1) Remove mouthpiece from canister

2) Put in a clean bowl containing Luke warm water (the mouth piece and cap only)

3) Spread on a clean cloth or paper towel

4) Allow to air dry

5) After drying assemble arts back into place and store in storage container

it is very important to always shake the inhaler before using and always remember that you do not store MDI near a hot surface or sunlight, keep in cool temperatures.

Before use , it is important to check the mouth piece to make sure there is not the presence of any foreign material that can cause illness

Refrences

     (http://www.lung.org/lung-health-and-diseases/lung-disease-lookup/asthma/living-with-asthma/managing-asthma/understand-your-medication.html)

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Instructions Peer Review

Date

Assessment Completed by

Your first name Your last name

Peer Review of

Peer's first name Peer's last name

Instructions: Open the instructions assignment to be familiar with the assignment and criteria while responding to these questions. On another tab, have the "peer review sample.docx" (available via Unit 1 Peer Review and Final Draft Submission Folder) document open to help guide your responses. Your narrative responses must be in complete sentences and must use language found in "peer review sample.docx"

The instructions include all of the sections required.

The introduction identifies the document’s audience in terms of its knowledge and need for the instructions. It tells what the instructions will allow readers to do and provides an overview of the steps. It gives the audience a sense of how long the task will take, where it should be performed, and provides cautions or warnings when need.

The instructions have 10 or more steps. The steps use imperative mood. Each step is a specific action.

The document has a clear hierarchy of headings. The steps are numbered throughout. There is an appropriate amount of white space. It makes effective use of the four basic design principles (contrast, alignment, proximity, repetition). Design features, such as fonts, font sizes, and forms of emphasis are applied consistently. The overall design is clear and consistent.

There are at least two illustrations. The illustrations are effective, each serving a functional purpose (meaning, it helps the reader better comprehend the task at hand). It is not merely used for decorative purpose. The illustrations are appropriately documented, displayed, and labeled.

The instructions are written as active voice commands. Headings and numbered/bulleted items are in parallel form. The second person (you) is used.

Spelling, grammar, and punctuation are correct. If there are errors, point those out to your peer.

Rate how well the paper aligns with the assignment guidelines (minimal = does not meet assignment guidelines; medium = meets about 75% of the assignment guidelines; very high = meets 95% or above of the assignment guidelines)

Minimal

Low

Medium

High

Very high

Suggestions for meeting the assignment guidelines

Write a final comment to your peer about two of the overall strengths and one overall weakness of the of first draft

  1. fc-int01-generateAppearances:
  2. Write a final comment to your _c0mYmW31klBahJlNu8exRg:
  3. Suggestions for meeting the as_CzuQJ4sl0oFVVOQtHwVxww:
  4. Rate how well the paper aligns_xGj*Mf662S59NmjLXN4IeA: Off
  5. Spelling, grammar, and punctua_776dwFqkA00GvUjKTQJxvg:
  6. The instructions are written a_K*AQ-TYQYYGtXWgLYATMTg:
  7. There are at least two illustr_Vf84mcS3vxopLbkXV*n7*A:
  8. The document has a clear hiera_tE-ORJeN8AL4CYeBxEk4UA:
  9. The instructions have 10 or mo_jQzSZgiUC5cElnioiRfduw:
  10. The introduction identifies th_z1h65HRzM*1p0hpK4EQvjQ:
  11. The instructions include all o_mL5zKeLhToYv7B93hwQUTg:
  12. Peer_s last name_14n5Ecj*63uqqOIXGHIkhw:
  13. Peer_s first name_4a42Ecc0NIAxFyoNcHWRLA:
  14. Your last name_CR9akaoOzcQ3q91lcsi1SQ:
  15. Your first name_NKiFwmRvWpF46JsGCPlr1w:
  16. Date_5uWcLPyi8rH2ylZPPrUkgA:

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Feedback developed by Estee Beck, PhD General strategies for peer response attribution to an unknown author

The Good, the Bad, and the Ugly of Peer Feedback

Research in writing studies show evidence that undergraduate student writers are not familiar with providing adequate peer feedback, and instead rely upon mildly pleasant comments as a way to not offend a fellow student. At the same time, getting feedback is a crucial step in writing. Feedback provides insight from a detached reader, who may provide overall direction for the works-in-progress. Learning how to give feedback requires practice, patience, good reading skills, and sensitivity toward relations. But, students need training with how to give good peer feedback.

How to give not-so-great feedback:

Here’s a sample paragraph from a friend who has asked for some feedback on the scope of the paragraph. He’s concerned that the summary paragraph does not provide enough detail to conclude a section of the paper.

for working within electronic computer Although computers & writing and digital rhetoric employ different methodologies

benefits apply to classroom based writing practices along with research and scholarship, the ultimate quest provides insight into a knowledge and information exchange economy through and with digital technologies. As people make

-mediated spaces, both fields form around a sense of searching for how people and machines interact with each other. While the

advancements with digital technologies, especially with movement in the multi- million dollar Internet of Things industry, the relationship of not just human-to- machine interaction, but also machine-to-machine interaction will become important for rhetoricians to address. Again, understanding the function of rhetoric in algorithmic processes is just one step in support of positioning a rhetorical code studies as central to rhetorical scholarship.

Comment [BE1]: I have no idea what this means!

Comment [BE2]: Long

Comment [BE3]: Who cares?

Comment [BE4]: This is a horrible paragraph.

The comments in the margins show a few traits: An uncaring critique, ignorance, inadequate explanation, and a final comment that’s not too pleasant to read. What’s missing from the four comments?

Here’s the same paragraph, with some alterations:

Although computers & writing and digital rhetoric employ diferent methodologies Comment [BE6]: Punctuation Comment [BE5]: Spelling error

for working with electronic computer mediated spaces both fields form a sense of searching for people and machines interact with each other. While the benefits apply to classroom based writing practices along with research and scholarship, the ultimate quest provides insight into a knowledge and information exchange economy through and with digital technologies. As people mke advancements with Comment [BE7]: Spelling error digital technologies, especially with movement in the multi-million dollar Internet of Things industry, the relationship of not just human-to-mahine interaction, but also Comment [BE8]: Spelling error machine-to-machine interaction will become important for rhetoricians to address.

Feedback developed by Estee Beck, PhD General strategies for peer response attribution to an unknown author

Again, understanding the function of rhetoric in algorithmic processes is just one step in support of positioning a rhetorical code studies as central to rhetorical scholarship.

Now, this isn’t necessarily “bad” feedback. Instead, it’s a type of feedback called ‘local’ issues (or the details like grammar, punctuation, usage, and mechanics) or editing the paper. The focus is on the small items, but not the overall larger concerns the writer wanted the reader to address.

Commenting and correct grammar, punctuation, usage, and mechanics is not good peer review feedback.

How to give good feedback:

Although computers & writing and digital rhetoric employ different methodologies for working within electronic computer-mediated spaces, both fields form around a sense of searching for how people and machines interact with each other. While the benefits apply to classroom based writing practices along with research and scholarship, the ultimate quest provides insight into a knowledge and information exchange economy through and with digital technologies. As people make advancements with digital technologies, especially with movement in the multi- million dollar Internet of Things industry, the relationship of not just human machine interaction, but also machine-to-machine interaction will become

-to-

important for rhetoricians to address. Again, understanding the function of rhetoric in algorithmic processes is just one step in support of positioning a rhetorical code studies as central to rhetorical scholarship.

Notice three things about the comments in the margin: 1) There are only two comments that address larger issues of the paragraph that the writer needs to focus on in revision; 2) There’s positive language at the start of the first comment showing an interest in maintaining the relationship with the author, but also telling the author he did something well in his writing; and, 3) They are longer comments that ask questions and use “hedge” language like ‘might’ and ‘consider’ to provide the author with the opportunity to consider the feedback without a directive of what to do.

Comment [BE9]: This is a great transitional sentence from the previous paragraph. And, as a curious reader, how do people and machines interact with each other? Would another sentence or two help readers with that answer?

Comment [BE10]: This seems to be the key point in this paragraph. Why do rhetoricians need to address this topic? Might you consider adding a sentence why directly afterward so readers have a rationale? I see this is explained later in the paper, but maybe a hint of the position will help give readers a sign about what is to come.

Feedback developed by Estee Beck, PhD General strategies for peer response attribution to an unknown author

General Strategies for Peer Response

When providing feedback to peers, use of the below template responses and fill in the blank with your comment. You will find after a few times giving this kind of feedback you will become stronger with giving good feedback.

Types of responses writers want to hear:

Summarizing/Saying Back: Here is what I see this saying . . .

Glossing: Here is a word or phrase that condenses this paragraph or section as I understand it . .

Responding: As I read this paragraph, I . . .

Pointing: What seems most important here is . . . What seems to be missing here is . . .

Extending: You could also apply this to . . . What would happen if you . . .

Encouraging: This works well for me because . . .

Suggesting: If I were you, I might add . . . You could move that paragraph . . .

Soliciting: Could you say more about this . . . ?

Connecting: In my experience, this . . . That’s like what x says . . . I saw some research on this . .

Evaluating: This opening is focused and well-developed . . .

Counterarguing: Another way to look at this is . . .

Questioning: Why do you say . . .

Responses writers don’t want to hear:

“I like it.” (nice but useless)

“I hate it.” (insulting and useless)

“It’s ok.” (boring and useless)

“I wouldn’t change a thing.” (boring and useless)

“How could you actually believe this crap?” (insulting, boring, and useless)

“This has nothing to do with your project, but this reminds me of when I . . .” (insulting, boring,

useless, and annoying)

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How to install a mailbox post

These instructions will help you learn how to install a mailbox post. This instruction manual will be detailed enough that anyone will be able to have a newly installed mailbox post in their front

yard after they have thoroughly read and followed these steps below. Make sure you have a shovel to help dig the hole and place the post in concrete to stabilize the post on the curb.

Depending on your skill level this can take 2 to 4 hours to complete. Make sure you are on a safe location on the side of your curb, not to close to the road. And in compliance with federal guidelines.

Materials:

o Mailbox post o Shovel o Tape measure

o Post hole digger o Ready mix concrete

o Support beams o Level o Screwdriver

o Tape

Figure 1. https://www.usps.com/manage/mailboxes.ht m

Step 1:

Tape an X on the ground that is 6” to 8” back from the curb. This is where the post will be placed.

Step 2:

Measure the mailbox post to obtain the depth needed for the hole. See figure 1. The post cannot be buried no deeper than 24”

underground. Make sure the mailbox is positioned 41” to 45” above ground.

(Organization) Step 3:

Use the shovel to start digging the hole. Once you have gotten about 6” deep, switch

to the post hole digger, to better remove the dirt. Keep digging until you have got the desired depth.

Step 4:

Place the mailbox post into the hole.

Step 5:

Use support beams to maintain a steady position of the mailbox post around the

outside of the hole.

Step 6:

Measure the mailbox post with the measuring tape to verify it is positioned 41”

to 45” above ground. Use the level to ensure the mailbox post is straight.

Step 7: Mix a bag of concrete per the

manufacturer’s instructions. Pour the mixed concrete in the hole around the post. Do not

fill the hole completely. See figure 2.

Figure 2.

Installing and anchoring a mailbox post

Step 8:

Use the level to ensure the mailbox post did

not shift. If it did adjust the post, so it is in a straight position.

Step 9:

Let the concrete dry, this is based on the

type of concrete used. Check the label on the concrete for this time length.

Step 10:

Once you have ensured the concrete is completely dry, remove the support beams

from the mailbox post.

Step 11:

Mount the mailbox to the post. Follow

instructions provided with mailbox to install onto the post properly based on the type of

mailbox purchased. Step 12:

Use the level to ensure the mailbox is still leveled.

Step 13:

Finally, place the street address numbers on

the mailbox. If desired completely fill the hole up with soil, covering the concrete.

References

“Installing and Anchoring a Mailbox Post.” Build a Mailbox RSS,

Installing and anchoring a mailbox post

Organization, et al. “Mailbox Installation.” USPS, www.usps.com/manage/mailboxes.htm