Now that the VP of HR has been briefed on the results of your focus group, she has asked you to work with Leroy to prepare a change management plan that could be used at Red Carpet. Leroy thinks it is important to use a set of steps from an established change model to guide the change process. He has recommended the OD Action Research Model, Appreciative Inquiry, and Kotter’s 8 Step Model as potential alternatives. But, the VP of HR wants to know all of the details, so Leroy has decided to partner with you to give a presentation to the VP of HR and make decision-making a collaborative effort. She is also concerned about the potential resistance to change at Red Carpet, so Leroy thinks it’s important to cover this in the presentation as well. Review the Red Carpet scenario for this course and prepare a 4 slide PowerPoint presentation that describes your change management recommendations, including the following: In your opinion, which one of the following change models will be best for Red Carpet’s change process: the OD Action Research Model, Appreciative Inquiry, or Kotter’s Eight Step Model? What are the set of steps of the model you chose? What are the pros and cons of the model you chose? Considering the organizational culture of Red Carpet, how will the organization use communication to overcome resistance to change?
Write an argumentative essay regarding whether or not the US government should further restrict gun ownership through tougher screening procedures and or licensing requirements.
Post 1: Use Valerie case study. Post an explanation of why our society has marginalized those with varying abilities historically. Then, explain the role of social workers in supporting clients with varying abilities (not limited to physical and mental) while recognizing and honoring those clients’ other identity characteristics. Use specific examples from the case study in your explanation. Post 2: Use Parker case study (THE VIDEO). Post an analysis of the implications of the social construction of disability. Describe how disability can be defined as a social construct. Explain how that relates to the perception of disability. Be specific and draw on examples from the Parker case to illustrate your thoughts. Also, describe the intersection of Stephanie’s mental illness with other characteristics of her identity. Explain how those intersections could serve to further marginalize Stephanie’s place and experiences in society. Finally, explain how such marginalization impacts her ability to make choices, use self-determination, and be an active agent with equitable status in her interactions with other professionals.
Analyze the possible conditions from your colleague’s differential diagnoses. of the provided soap note Determine which of the conditions you would reject and why. Identify the most likely condition, and justify your reasoning. Patient Information: S.R., 20-year old, male, African American S: CC: “headaches” HPI: 20-year-old AA male experiencing intermittent headaches for the “few months.” Headaches diffuse all over the head, with greatest intensity and pressure above eyes, and through nose, cheekbones, and jaw. Headaches are exacerbated when S.R. notices he has been grinding his teeth or tensing jaw. Pain is relieved somewhat with OTC Ibuprofen. Pain severity is reported as 7/10, after Ibuprofen 4/10. Current medications: OTC Ibuprofen 400mg PRN, taken over approximately the past 4 weeks. No other medications. Allergies: NKA PMHx: Immunizations current, last flu shot in December 2018. No history of surgeries or hospitalizations. The patient states that he “never gets sick”. SR appears to be in good health, well-groomed, and well-nourished. Soc Hx: SR attends local university and lives on campus. Works part-time in the university coffee shop. Parents live three-hours away with SR’s younger brother and sister. Denies drug use and smoking. Admits to occasional social drinking with friends. SR spends long hours reading, using the computer, and studying for his classes. Fam Hx: SR is single. Mother has a history of HTN. Father has a history of Hyperlipidemia. Both parents are overweight. SR has a 14-year-old brother and 17-year-old sister, both in good health. Maternal grandmother still living, history of DM2 and HTN. No other living grandparents. ROS: General: No fever, headaches, or weight loss. Headaches for the past 3 months. HEENT: Eyes: SR wears glasses and contacts. No vision changes or blurriness. Ears, nose, and throat: No hearing loss, sneezing, congestion, or sore throat. Skin: No rashes or lesions. Cardiovascular: No chest pain or discomfort. No palpitations or edema. Respiratory: No SOB or cough. GI: No nausea, vomiting, or appetite changes. No weight loss or abdominal pain. GU: No changes in urination frequency. No pain or discomfort. Neurological: Headaches for approximately 3 months. No dizziness, syncope, or tingling or numbness in extremities. Musculoskeletal: No back, joint, or muscle pain or stiffness. Hematologic: No bleeding or bruising. Lymphatic: No node swelling. Psychiatric: No history of anxiety or depression. O. Vital Signs: Temp: 98.4, orally. Resp: 18, regular. O2: 99% on RA. P: 80. BP: 128/70. HT: 72in. WT: 190lbs. Current pain level: 4/10. General: Pt appears calm, reporting “mild headache”. HEENT: Pt wearing glasses. PERRLA noted and EOMs intact. SR reports slight pain and pressure upon palpation of sinuses and jaw line. Cardiovascular: Good S1 and S2. No murmur or edema noted. Respiratory: Lungs clear to auscultation in all fields. Skin: Warm and dry. Neurologic: Pressure noted around eyes, sinuses, and jaw line. Tender to palpation. Diagnostics: CBC, CT, MRI A. Differential Diagnosis Headaches secondary to Temporomandibular Disorder, such as TMJ- characterized by pain in the temporomandibular joint and headaches (Abouelhuda et al., 2017). Possible diagnosis that would explain radiating facial pain as well as jaw pain. Tension headaches- recurrent with tightening or pressing pain, mild or moderate intensity, nausea and vomiting absent, and photophobia may be present (Chowdhury, 2012). Possible diagnosis related to long hours of studying and stress. Migraines- can be with or without aura. Headache is unilateral and throbbing, most often includes nausea, photophobia, and is exacerbated by physical activity (Dains, Baumann, & Scheibel, 2016). Possible diagnosis, but unlikely due to patient lacking classic migraine symptoms and jaw pain unexplained. Sinusitis- also associated with a sore throat, facial pain, and headaches over affected sinuses, fever, and malaise (Dains, Baumann, & Scheibel, 2016). Possible diagnosis, but unlikely since S.R. does not have sore throat or fever symptoms. Meningitis- characterized as photophobia, stiff neck, fever, chills, and headache (Dains, Baumann, & Scheibel, 2016). S.R. does not have symptoms of meningitis beyond the headache, unlikely diagnosis. However, he is at risk for meningitis as a college student. Adolescents and young adults are at an increased risk due to social mixing, crowded living conditions, smoking, and other behaviors (Breakwell et al., 2018). References Abouelhuda, A. M., Kim, H. S., Kim, S. Y., & Kim, Y. K. (2017). Association between headache and temporomandibular disorder. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 43(6), 363–367. doi:10.5125/jkaoms.2017.43.6.363 Breakwell, L., Whaley, M., Khan, U. I., Bandy, U., Alexander-Scott, N., Dupont, L., Vanner, C., How-Yi, C., Vuong, J., Martin, S., MacNeil, J., Wang, X., Meyer, S. A. (2018). Meningococcal carriage among a university student population – United States, 2015. Vaccine, 36(1), 29–35. doi:10.1016/j.vaccine.2017.11.040 Chowdhury D. (2012). Tension type headache. Annals of Indian Academy of Neurology, 15(Suppl 1), S83–S88. doi:10.4103/0972-2327.100023 Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
the Electronic Poetry Center site (epc.buffalo.edu) and read Lorine Neidecker’s “Selected Poems” and “School of Fish” and “Aurora” by Eileen Myles.
Discuss the impacts of Geneva Conventions Violations.
Evaluate different aspects of the broad external environment of the company and the strength of the competitive forces in its major businesses.
Assess how biological, psychological, and social factors related to the disorder impact the effectiveness of coping strategies.
Choose a theory that finds practical application in critical care/pediatric/psychiatric nursing and discuss the origins of the theory based on the following criteria: How did the happenings of the nursing profession impact the origin of this theory? What values, evidence, or existing knowledge did the theorist cite to support the theory? What was the theorist’s motivation behind writing the theory? Compare the nursing philosophy of Benner and Henderson on the basis of the following criteria. Main ideas of the theory Main concepts Relationships between concepts How different concepts affect each other
1. The federal sentencing guidelines state that the offender’s race, gender, age, education, mental and emotional conditions, history of alcohol or drug abuse, employment history, family ties and responsibilities, and community ties are ” not ordinary relevant” in determining the appropriate sentence. Do you agree or disagree with this policy ? why ? (page 87-125) 2. what are the two key determinates of sentences ? why do these two factors play such an important role in fashioning sentences ? (page 87-125) 3. Assume tha you are a criminal court judge who must determine the appropriate punishment for a first-time offender convicted of possession of cocaine. your choice is limited to one of the alternatives to incarceration and regular probation discussed in this chapter. which of these alternatives would be the most appropriate punishment for this offender ?