...Table of Contents 1. Introduction Page 3 2. Change Drivers Page 3 3. Images of Change Page 4 4. Strategic Change Initiative Page 5 5. Strategy and Culture Page 6 6. Getting the Heads Together Page 7 7. Resistance Page 9 8. Back to Work Page 10 9. Getting the Buy In Page 11 10. Resistance – Part 2 Page 13 11. Rolling It Out and Gaining Momentum Page 14 12. Evaluation Page 16 13. What I Took From This Page 17 Appendix A – Old Org Chart Appendix B – Change Memo Appendix C – Promotional Announcement Appendix D – New Org Chart Introduction Brookdale Senior Living (BKD) has been in operations since 1978 and is the largest senior living provider in the nation. (Assisted Living) Operating 565 senior living facilities and employing over 53,600 associates, BKD has positioned itself to grow and to become one of the sought after places to work in the nation. In addition to the facilities, BKD has 3 corporate offices; Nashville, Milwaukee, and Chicago with Milwaukee being the largest of the three. The offices are designated as the support center (Milwaukee), the corporate office (Nashville) and Chicago is just a satellite office that houses the Co-President and other executives. Of all the departments in the company, the IT department is the largest of the corporate departments and is housed in the Milwaukee office, the support center. There are currently over 120 associates in the...
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...Diagnosing the Change Six-box organizational model: The six-box model is a framework developed by the American analyst Marvin Weisbord to assess the functioning of organizations. It is a generic framework and is intended for use across a wide variety of organizations. It is based mainly on the techniques and assumptions of the field of organizational development. The six-box model is comprised of the following components: 1. Purposes: What 'businesses' are we in? 2. Structure: How do we divide up the work? 3. Relationships: How do we manage conflict (coordinate) among people? With our technologies? 4. Rewards: Is there an incentive for doing all that needs doing? 5. Leadership: Is someone keeping the boxes in balance? 6. Helpful mechanisms: Have we adequate coordinating technologies? This model is useful to maintain awareness of all areas for consideration even though one variable may be identified as the main area for attention. I chose this model because I believe that both organizations used these components while trying to implement technical changes within their organizations. Both JetBlue and WestJet knew that the airline business was very competitive and in order to stay relevant, and better serve their customer base, they would need to upgrade the current reservation system they used. Due to JetBlue and WestJet’s growth, it was hard for the outdated system to perform. Sabre Holdings is one of the most widely used airline IT providers...
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...Symptoms and Diagnosing of Autism Spectrum Disorder Stephanie R. South University of Cincinnati Abstract This paper explores the symptoms and how to accurately diagnosis of Autism Spectrum Disorder. Autism is classified as a psychological condition that starts in adolescence. Psychology classes, specifically an introductory course, briefly cover this condition and its diagnosis. This paper will provide a great knowledge and understanding of diagnosing Autism. There are many symptoms and signs exhibited in children diagnosed with Autism. There is no clear answer for why or how this disorder occurs, making it hard to properly diagnose those afflicted. It is extremely important for the child’s caregiver to be proactive and seek out medical expertise at the onset of behavioral issues in their child. Diagnosing the child at a younger age can ensure proper treatment and interventions for him/her. I have chosen to write my paper on the symptoms and diagnosing of Autism. This disorder is mysterious, but also fascinating. Being a mother, I worry all the time about new and strange afflictions that are attacking our children. To be proactive in our children’s lives, we must be knowledgeable and observant for the early warning signs or symptoms. Throughout the research process of preparing my paper, I have gained a greater comprehension of this disorder and the first indicators that has prepared me to act promptly for the sake of my children. In the last decade, Autism has gained...
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...clinically significant and associated with intensive distress, impairment, social dysfunction or increased personal or public risk, however it must be unrelated to grief caused by recent personal loss, (4th ed., text rev.; DSM–IV–TR; American Psychiatric Association, 2000; Holt et al, 2012). The distinct criteria and descriptive information in the DSM-IV, enables clinicians to make quick diagnoses based on an individual’s symptoms. It can also be used in legal proceedings, to determine the mental state of individuals and ensure they receive appropriate sentencing in psychiatric care rather than prison. It is versatile and the only manual that strictly focuses on mental health which is why it is referred to as the Gold Standard of clinical diagnosis. The DSM-IV has also played a vital role in the development of research and treatments for mental health, which has improved many patients’ quality of life. Keenan et al. (2007) examined the reliability of the DSM-IV oppositional defiant and conduct disorder symptoms, in 3-5 year old children. The mothers were interviewed about their children’s current symptoms and results showed that the reliability of symptoms, measured by interrater and test-retest reliability, was moderate to high. However, the DSM-IV-TR (2000) 4th ed., text rev. emphasises that the diagnostic criteria are only guidelines and reliability is therefore determined primarily by the clinician’s interpretation of the information provided. In the...
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...Suggest 2 improvements that could be made to the Griffiths study and outline any implications these changes may have. (8) One change would be to replicate the study in different countries. Pseudo patients could see if they would be diagnosed as having schizophrenia by doctors in England, France and Canada. The pseudo patients would provide the same symptoms as in the original study (thud, hollow and empty). This would allow the researcher to investigate any cross cultural differences in diagnosis and the treatment of patents (if admitted to a hospital). An implication of this may be that doctors in the other countries may make the same mistakes with diagnosis thus showing practitioners to be bias cross cultural. This would give further support for the need of the DSM to be updates and would mean that the results form Rosenhan's study could be generalised to other countries. In addition to this it would provide insight into treatments used in the different countries, they may find that the type of care/ standard of care differ from country to country (possibly worse in counties with lower economy) Another improvement could be to set up CCTV cameras into the hospitals to record the behaviours of the staff towards the patients. This would be overt at first as the staff would be aware the cameras are being brought in, however they would soon forget they are there. This would allow Rosenhan to have a record of staff patient interaction and the treatment of the pseudo patients...
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...Deed Goes Unpunished”. Notice that this case was written by another professor and me as a learning opportunity for our students. Yes, this really did happen in a major metropolitan area in the U.S. [ASSUMPTIONS] 1. Your team has been hired by the Arts Festival to help them, because Mark and the drug store are suing the Festival. 2. You were hired, because the Festival’s leadership cannot do this for themselves. What that means for you is that they do not need generic answers. They need specifics. For example, do not explain what “readiness to change” means. Instead, assess readiness to change and give your client your results. If they are not ready to change, where do they need to change? Specificity is your friend. 3. This is not a creative writing exercise even though you are working with creative people. This is a technical report that needs to be straightforward and concise. Develop the case for change by fully completing the following tasks and by supporting your answers with outside sources. (Minimum 5 outside resources.) Be sure to cite your sources in the text and to include a list of references in APA format. Do NOT write this as a set of responses to each task. I have never seen a professional document that simply answered a list of questions. Instead, write your response as a report to a client and let your report demonstrate your professional proficiency in the resolution of complex problems through excellent communication. Your plan for the Festival...
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...Clinical Assessment Psychology 270 May 20, 2012 Mr. and Mrs. Lawson brought their 4-year-old adopted daughter, Clara, to see Dr. Mason, a psychiatrist. Clara was polite in greeting Dr. Mason, but did not smile and kept her gaze down as she took a seat. Mr. and Mrs. Lawson sat next to Clara and began explaining their concerns. They described Clara as a quiet child who has recently begun throwing temper tantrums, during which she is inconsolable. Her sleep and eating patterns have changed, and she no longer wants to go to preschool. 1. What other information would you like to learn during the interview with the family? What questions would you ask? Have there been any changes in Clara’s home life that might have triggered the tantrums’? Do you know about her birth family? Do you know if any kind of mental disabilities such as bi-polar or schizophrenia? How does Clara throw the tantrum? Is it that she is just acting out or is something really wrong? This is important to know because a parent can tell if a child is just trying to get attention. How long now has Clara been attending this preschool? Did the parents do research on the school’s employees or did they just pick the first preschool they found? Have there been any new staff members to start working at the preschool since Clara has been throwing these tantrums? Have there been any deaths in the family human or animal? 2. In addition to the clinical interview, what other clinical assessment tools...
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...Discuss issues surrounding the classification and diagnosis of depression (24 marks) A key concern regarding the diagnosis of depression is the reliability of the diagnosis; reliability refers to the consistency of a test or results. In order to increase the reliability of this, the test-retest method can be used to assess consistency. Within this, a patient is tested for depression twice over a period of time in order to establish whether or not the scores on the classification measure stay consistent; this would show a high concordance rate between test results. A strength of using the test retest method is that, if results have a low concordance rate from the two tests, it signposts that the patient is either getting better or worse in terms of their depression as their results have changed. For example, if a patient’s depression score decreases over time, it could signal to the psychiatrist that the treatment is working, and vice versa, if scores increase it can indicate that treatment is not working or the patient’s depression is getting worse, which tells them that they may need to make changes to help the patient. However, the problem with this is that some assessments have been shown to not consistently have good test-retest ability; predominantly this is the DSM-IV. This statement has been supported by research. For instance, Keller et al (1995) assessed 524 people with depression from inpatient, outpatient and community settings at 5 different sites. Within the study...
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...AUTISM 1 What are the key trends or issues presented? Name at least 2 One of the key issues presented was that the BC Children’s Ministry made changes to the amount of money families would receive to assist them with their child’s autism therapy. Funding for an early intervention program was scrapped to provide more money to families. (The Canadian Press 2009). This represented a change from $20,000 a year to $22,000 a year for families with children with autism under the age of 6. (The Canadian Press 2009). The question arises, whether this is enough money for treatment? Another and important issue presented was the question of autism therapy. Is Lovaas the only therapy out there and does it work? The very fact that the government dropped intensive therapy and that the BC Supreme Court ruled in the governments’ favour puts a question mark on the outcomes of Lovaas Therapy. What legislation/litigation is being examined? The legislation being examined in both articles is whether the Province of BC discriminated against children with Autism by not providing them with a widely recognized treatment known as Lovaas Therapy. Specifically did the Province violate equality rights to medical treatment by refusing to fund autism therapy? Some important questions that arise from this debate are: 1. As citizens of BC do we not all have equal rights to medically necessary treatment? AUTISM 2 2. Who decided that Autism Therapy is not...
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...ask Mr. and Mrs. Lawson if they knew what kind of home life Clara had before she was adopted. I would ask them how old Clara was at the time of the adoption. I would want to know if they knew Clara’s biological family’s medical history. Was there any known of mental illness in the biological family? Did the Lawson’s know if Clara had been abused before she came to live with them? What was the environment in the Lawson home and Clara’s preschool like? Had Clara recently had an accident or been traumatized in any way that they were aware of? Had they heard of any incidents at Clara’s school that may have made her start misbehaving? Was there anything in specific they noticed that triggered Clara’s tantrums? When did the change occur in her eating and sleeping habits? Was Clara their only child? Did they have other biological or adopted children living at home. Was Clara of a different race than Mr. and Mrs. Lawson? Does Clara know that she adopted, and if she does have they just recently told her this? Has Clara mentioned being picked on, teased or bullied at school? Have they had a conference with her teacher to see how her behavior is at school? In addition to the clinical interview, what other clinical assessment tools should you consider? Why? I think first I would like to set up a time with Mr. and Mrs. Lawson and Clara’s school so that I could conduct a naturalistic clinical observation. I think that this observation may let me...
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...Rodney Fretwell Instructor Smith English Composition 1 September 4th 2013 A deeper look at the CDC article on ADHD The article written by the CDC on ADHD is very informative and eye opening. It forces parents to take a deeper look at the truths of this disorder. It shows the many different signs and symptoms that can better help to diagnose the disorder. It speaks to parents, guardians, and care givers on ways to treat and handle children with ADHD. The article shows how getting proper diagnosing is very important in helping children begin to overcome ADHD. The CDC article is informative on the best treatments and symptoms of ADHD. CDC (also known as the centers for disease control and prevention) saving lives protecting people is their motto. “They conduct critical science and protect people from health threats. They do studies not only in the US but abroad as well”. (CDC home page mission statement) There are many signs and symptoms we need to be aware of when dealing with ADHD. If a child day dreams a lot or has a bad memory, they could possibly have ADHD. Other signs to watch for are being squirmy, talking a lot and having trouble taking turns. Just because you see some of these signs, does not mean the child has ADHD. That is why having the child evaluated by a professional is so important. Children showing some of these signs will often have a tough time in school and at home. Staying focused is a difficult task for children with ADHD. They often have a tough time getting...
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...to be standardized across psychology; however, the DSM-IV is not as precise for diagnosing personality disorders as some psychologists would like. Give an example of each of the following problems identified in your readings and explain how these problems could negatively affect a diagnosis. 1. Some criteria used for reaching a diagnosis cannot be observed directly. The DSM-IV has been criticized for diagnosing patients with disorders because of their reliability. A patient is diagnosed by a clinician based on the patient telling them their symptoms, when it is possible that the patient is exaggerating and this can result in a patient being mis diagnosed because the clinician may not have paid close attention to body language and actions from the patient. 2. Personality disorders can be similar to each other. A person can be diagnosed with one or more personality disorders because symptoms are related to one another according to the DSM-IV. With the symptoms of personality disorders being similar in nature to one another it does make it hard to diagnose a person with a single personality disorder according to the DSM-IV. 3. People with different personalities can be given the same diagnosis. Each person is different so therefore one person’s symptoms may not be the same as another person. The DSM-IV does not account for a person’s individuality. An individual’s personality affects how they react to different situations in life, this can lead to a misdiagnosis by a clinician...
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...pre-adoption? When was she adopted? How did the process go? How specifically have her eating and sleeping patterns changed? What is she throwing tantrums over? Describe the tantrums and situations during and before they happen. 2. In addition to the clinical interview, what other clinical assessment tools should you consider? Why? Which ones would you not consider? Why? I’d start off with observation of the family in a natural environment concentrating on not only Clara but her parents as well. 3. If you were preparing to diagnose Clara, you would refer to the DSM-IV classification system to evaluate her condition on five separate axes. What type of information would go into each axis? Note: You are not asked to enter a diagnosis, only describe the kind of information that would be entered in each axis.) Clara is a child who is adopted. She’s having control and/or anger issues in the form of tantrums and her natural sleeping and eating patterns have been disturbed 4. Do you...
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...Awareness is important to me because even when a patient has the most common form of dysautonomia, postural orthostatic tachycardia syndrome (POTS), it takes an average of 4 years before the correct diagnosis is identified. Unfortunately, being diagnosed properly does not always mean a patient will get better. Due to a lack of awareness of how prevalent this condition is, very little research is funded by our government, so we still have no cure. Treatments currently available can give back some quality of life, but are not a cure and do not work for all patients. If a root cause can be identified, sometimes treating that helps resolve dysautonomia symptoms. I became ill in 2008 at the age of 18 and slowly became more and more sick. Due to the lack of awareness about dysautonomia, it took 4 years (and 20+ doctors) from first becoming ill before I was diagnosed with POTS. In the years after diagnosis I saw many doctors and even went to Mayo Clinic. Over 30 different treatments were tried, but my condition got worse and worse until I couldn't do basic things like grocery shop for myself....
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...This model consists of six different steps designed for guidance and transformation within nursing practice. It allows for integration of principles leading to quality health improvements and developing medical practices. The six steps focus on 1) assessing the need for change in practice, 2) locating the best evidence, 3) critically analyzing the evidence, 4) designing practice change, 5) implementing and evaluating change in practice, and 6) integrating and maintaining change in practice (Melnyk & Fineout-Overholt, 2011). The reviewed literature also utilized three different conceptual models and frameworks for identifying and describing the factors that influenced pediatric patients in developing laryngospasms after receiving an inhalational induction with Sevoflurane and nitrous oxide. These models consisted of the 1) objective movement scale, 2) demographic details table with age, weight, and gender and 3) the Dixon’s up-and-down sequential method. Each model focused on a variety of developing components of physical patient factors such as patient movement, coughing, or laryngospasm during the actual stimulation...
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