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Change Management Plan
Instructions
FINAL PROJECT (PART 2): Change Management Plan (presentation) Based on your last paper, create a change-management plan. Put yourself in the position of a CONSULTANT making recommendations to the CEO of the organization. Present your recommendations in a PowerPoint presentation of 10-15 slides. State how the organization can be better prepared to meet the needs and challenges of the future. Defend your argument. Your presentation should include the following (at a minimum): 1) an evaluation of the current situation (current culture) 2) an analysis of how the culture should change in order to better address the needs of the future (be specific!) 3) recommendations for change, with specific strategies that need to be adopted by the leadership, including how to communicate the changes and how to respond to resistance to change (Keep your recommendations to two or three, otherwise it becomes overwhelming) 4) justification and support for the recommended changes, based on both your own observations and the literature (at least three sources) This assignment counts for 20% of your course grade
Start Date
Apr 10, 2017 7:00 AM

Week 2: Respiratory Clinical Case

Patient Setting:

65 year old Caucasian female that was discharged from the hospital 10 weeks ago after a motor vehicle accident presents to the clinic today. States she is having severe wheezing, shortness of breath and coughing at least once daily. She can barely get her words out without taking breaks to catch her breath and states she has taken albuterol once today.

HPI

Frequent asthma attacks for the past 2 months (more than 4 times per week average), serious MVA 10 weeks ago; post traumatic seizure 2 weeks after the accident; anticonvulsant phenytoin started – no seizure activity since initiation of therapy.

PMH

History of periodic asthma attacks since early 20s; mild congestive heart failure diagnosed 3 years ago; placed on sodium restrictive diet and hydrochlorothiazide; last year placed on enalapril due to worsening CHF; symptoms well controlled the last year.

Past Surgical History

None

Family/Social History

Family: Father died age 59 of kidney failure secondary to HTN; Mother died age 62 of CHF

Social: Nonsmoker; no alcohol intake; caffeine use: 4 cups of coffee and 4 diet colas per day.

Medication History

Theophylline SR Capsules 300 mg PO BID

Albuterol inhaler, PRN

Phenytoin SR capsules 300 mg PO QHS

HTCZ 50 mg PO BID

Enalapril 5 mg PO BID

Allergies

NKDA

ROS

Positive for shortness of breath, coughing, wheezing and exercise intolerance. Denies headache, swelling in the extremities and seizures.

Physical exam

BP 171/94, HR 122, RR 31, T 96.7 F, Wt 145, Ht 5’ 3”

VS after Albuterol breathing treatment – BP 134/79, HR 80, RR 18

Gen: Pale, well developed female appearing anxious. HEENT: PERRLA, oral cavity without lesions, TM without signs of inflammation, no nystagmus noted. Cardio: Regular rate and rhythm normal S1 and S2. Chest: Bilateral expiratory wheezes. Abd: soft, non-tender, non-distended no masses. GU: Unremarkable. Rectal: Guaiac negative. EXT: +1 ankle edema, on right, no bruising, normal pulses. NEURO: A&O X3, cranial nerves intact.

Laboratory and Diagnostic Testing

Na – 134

K – 4.9

Cl – 100

BUN – 21

Cr – 1.2

Glu – 110

ALT – 24

AST – 27

Total Chol – 190

CBC – WNL

Theophylline – 6.2

Phenytoin – 17

Chest Xray – Blunting of the right and left costophrenic angles

Peak Flow – 75/min; after albuterol – 102/min

FEV1 – 1.8 L; FVC 3.0 L, FEV1/FVC 60%

Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

Visit the South University Online Library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, and Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

Please use the following template and APA formating.

**Please delete this statement and anything in italics prior to submission to shorten the length of your paper.

Patient Initials ______

Subjective Data: (Information the patient tells you regarding themselves: Biased Information):

Chief Compliant: (In patient’s exact words)

History of Present Illness: (Analysis of current problems in chronologic order using symptom analysis [onset, location, frequency, quality, quantity, aggravating/alleviating factors, associated symptoms and treatments tried]).

PMH/Medical/Surgical History: (Includes medications and why taking, allergies, other major medical problems, immunizations, injuries, hospitalizations, surgeries, psychiatric history, obstetric and history sexual history).

Significant Family History: (Includes family members and specific inheritable diseases).

Social History: (Includes home living situation, marital history, cultural background, health habits, lifestyle/recreation, religious practices, educational background, occupational history, financial security and family history of violence).

Review of Symptoms: (Review each body system – This section you should place POSITIVE for… information in the beginning then state Denies…). – General:; Integumentary:; Head:; Eyes: ; ENT:; Cardiovascular:; Respiratory: ; Gastrointestinal:; Genitourinary:; Musculoskeletal:; Neurological:; Endocrine:; Hematologic:; Psychologic: .

Objective Data:

Vital Signs: BP – ; P ; R ; T ; Wt. ; Ht. ; BMI .

Physical Assessment Findings: (Includes full head to toe review)

HEENT:

Lymph Nodes:

Carotids:

Lungs:

Heart:

Abdomen:

Genital/Pelvic:

Rectum:

Extremities/Pulses:

Neurologic:

Laboratory and Diagnostic Test Results: (Include result and interpretation.)

Assessment: (Include at least 3 priority diagnosis with ICD-10 codes. Please place in order of priority.)

Plan of Care: (Addressing each dx with diagnostic and therapeutic management as well as education and counseling provided).

References

1. Report on Simulation:

The assessment strategy supports the emphasis on experiential and enquiry-based learning in progressively supporting the effective integration of theory and practice to facilitate your transition into the professional work environment. You will participate in a competitive business game designed to simulate a realistic management situation. You will engage in the simulation as part of a group and as team of ‘Directors’, over successive periods you will monitor the performance of your own business and the competition, adjusting your strategic and tactical decisions accordingly.

The performance of your team and the final outcome will depend on how effectively you apply theory in practice to support critical analysis and evaluation in context. Your aim is to enact informed problem solving and identify opportunities as a result of your clear decision making. You will need to draw extensively on theories and techniques from your MBA toolkit through taught units, including specific questions regarding your vision, mission, objectives, strategic planning, decision making and key take-always, such as ;

• Strategic Management
• Marketing
• Human Resource Management
• Performance management
• Operations Management and Finance

will need to be addressed as a minimum and you will also have the opportunity to highlight other areas of your own choice. You will be assessed on an individual report. This demands in-depth critical analysis and evaluation of theory in practice leading to clear conclusions and feasible recommendations. Your individual report should be 3,000 (+/- 10%) words and cover:

1.On the effectiveness of your individual performance in making team decisions

2.Consider, how theory which you have learnt on the course was demonstrated both in your decisions and how as a team your final recommendations emerged.

Your report must be fully supported by directly relevant quality academic sources in demonstrating the integration between the theoretical academic frameworks and your strategy, planning, decision making and overall performance of your organisation during the simulation. A key aspect of the assignment is that you evidence a clear link between the strategy you adopt during the simulation and the various academic frameworks you have been studying throughout your MBA units to this point in time.

For this assignment think about a specific decision that was made by your supervisor in the organization you currently work for or have worked for in the past. Review the background materials carefully on the Vroom-Yetton model and think about how this model applies to this decision that you experienced. Then write a 2-page paper applying the Vroom-Yetton model to this decision:

1. Describe the decision that management had to make, and also whether their decision-making style was autocratic, consultative, or group-based. Explain your reasoning.
2. Go through Vroom-Yetton’s seven questions and apply these questions to their diagram to see what decision-making style their model suggests. Briefly explain the reasoning behind your answers to the seven questions.
3. Conclude your paper with a discussion of whether or not you would recommend this model to your supervisor and whether or not you were surprised by the recommendation given by this model regarding decision-making style.

Must be 250 words in length it don’t matter how many pages

1) Eukaryotic cells contain many organelles, while prokaryotic cells contain significantly
fewer. Eukaryotic cells are generally accepted to be the more complex form.In
this discussion, define the term “organelle” and then explain why you think
having more organelles is a sign of greater complexity. Please give examples
from both eukaryotic
and prokaryotic cells to support your statements. Your textbook, the Excelsior
College Library and Mastering Biology may be used as reference resources.

2) Cells are the fundamental units of all living things and cells
may be eukaryotes
or prokaryotes. Each of these types has different structures and components,
but they are all alive.We
are made up of cells and we are surrounded by living organisms composed of
cells. Some are only one cell. In this discussion, provide an example of a prokaryotic organism that you come into
contact with somewhere in your life. How does its structure allow it to
function in its role? Once you have addressed the prokaryote, provide an example of a eukaryotic organism that you
come into contact with somewhere in your life. How does its structure allow it
to function in its role?

3) This is an exciting time to study biology.
There are now molecular tools that allow us to sequence whole genomes of
individuals, which is helping us compare how the environment interacts with
genomes, design patient-specific medicines, and also allow us to sequence
microbes that we can’t grow in the lab. Every day, there are hundreds of
exciting research articles that are published. In this weekly discussion, you
have the opportunity to find a science-in-the-news study that you want to share
with the class.

Instructions
to Learners

I am very excited to see what biological
research interests you. Pick a topic that has made the headlines in the last 30
days. This is a biology class, so the research you discuss needs to be about
something that is alive.

In your discussion please include the
following information:

·Report the source of the information, both the news source and
original publication of research, in APA format.

oIf so,
please include both the newspaper article and the research paper citations.

oFor example,
did you read a summary of the research article in a newspaper?

·Describe the research that is being reported and summarize the
article

·Who funded this research?

·How does this research affect you?

If you are not sure where to find science
articles, here a few places you might find helpful:

·http://www.sciencemag.org/news/latest-news (Links to an external site.)Links to an external site.

·https://www.sciencedaily.com/ (Links to an external
site.)Links to an external site.

·https://www.sciencenews.org/ (Links to an external
site.)Links to an external site.