Considering the types of group development models we learned about in class, which one best represents your class project group? Explain the details of this model and explain why you think it matches the way your class groups developed. Finally, briefly explain which type of social dependencewe discussed in class is most likely to have impacted the way your class project group conformed and interacted with each other and why.
Read the hypothetical below. What are John’s potential claims if he is terminated this week?
John is a 54-year-old man with diabetes. He has worked for Telco for 20 years. Lately, he has difficulty concentrating and makes numerous mistakes. He has missed several days of work due to his diabetes. Supervisor Mark wants to fire John this week.
a) Set forth the federal statute and/or theories of law that are applicable.
b) Identify the legal issue(s) that exist and claims that may be brought based on the facts of the case.
c) Apply the facts of the case to the elements of the law/theories of law.
d) Provide an action item agenda of specific objectives you would recommend implementing in order to prevent future exposure to liability. Be specific (e.g., if training is a recommendation, describe the type of training in detail).
Imagine that you are the DashMart Site Manager for the site whose data you just analyzed. Your overall site INF was 7.41% for last week, and our current target for this metric is 1.8%. Your manager asks you to put together a project plan to tackle this metric and bring it to goal over the next 4 weeks.
Being a person trained in recognizing and categorizing safety hazards in a workplace (in addition to being able to make recommendations to minimize those hazards), you have been invited into a local business establishment (by the owner) who is looking for some guidance in setting up a Health and Safety Program.
The business is a gas station with an attached restaurant and convenience store. The owners are a middle-aged couple who bought the business about three years ago. There has been no money invested in the business for about the last ten years.
Some General Comments:
Regarding the gas bar, the only recent injury occurred just before the current owners bought the business; an employee slipped on ice and fell (resulting in one week on Workers Compensation). The workers have reflective vests to wear (to increase their visibility to traffic) and have been told to wear protective footwear, but neither regularly happens.
Regarding the restaurant, there are minor injuries on a monthly basis (minor cuts and burns in the kitchen). Nobody needs any time off, but staff are complaining about the age of tools, fixtures (e.g., lighting, and ventilation), noisy mixers that seem to vibrate more than they should, and the emergency fire equipment that nobody seems to know how to use (or if it works at all!!). Also, although they have been told that they should keep the floors and counters in the cooking area clean (for hygiene and safety reasons), clean-up activities usually don’t happen until the end of the day when the restaurant closes.
Regarding the convenience store portion of the business, injuries are minimal and rare (except for the occasional sore back resulting from moving stock from the storeroom to the shelves), but staff complain about the lonely night shifts. In addition, there was a robbery about two years ago which staff still talk about. Staff have complained about how easy it would be to rob the store, but they also complain that nobody seems to care what they think.
Overall, there are rarely injuries, despite complaints about the general condition (cramped, blocked hallways, worn flooring, and dark) of the loading docks where staff unload trucks with stock for the restaurant. But after the restaurant had to be evacuated last week because of intense fumes (a staff member mixed two different cleaning compounds together to clean the bathroom floors), the owner decided that something needed to be done. They have no formal safety training and they don’t know their own business’ equipment well enough to do the training themselves, so they called you for some recommendations.
Your Assignment:
Use the material discussed in this course to explicitly describe (with respect to each area of the business): i) how to identify the hazards, ii) how to categorize the hazards (should applicable categories exist), iii) recommendations how to deal with the hazards (e.g., eliminate, minimize, or control).
You are hired as an HR Manager in a small organization that is working on environmental restoration, you have 25 employees residing in 6 different countries and you are operating virtually. As the company is growing you are required to explain an organizational structure, determine the following:
Applicable VLO’s for This Week’s Case Study •Apply the concepts of human resource management and organizational behaviour to establish and maintain effective working relationships. This Week’s Detailed Case Study Information Successful business maintains effective working relationships. Usually the human resource department sets policies to ensure the establishment and maintenance of effective relationships . Now comes the time to apply the concepts of human resource management and organizational behaviour to establish and maintain effective working relationships. You are running the monthly employee meeting at your bank branch. During the meeting you notice that a lot of employees are dissatisfied, and frustrated. When you ask them what causes this frustration, some of them cite compensation. Therefore, you decide to carry out an anonymous survey to analyze the situation. You carried out the survey and identified the issue; most of the employees are compensated through commissions, which varies greatly among different bank employees. Employees who sell mutual funds get much higher commission, than employees who sell GICs. In addition, employees who offer wealth management services get much higher commission when compared to all other employees. The key issue here, that all these employees work the same number of hours and have similar professional work experience. You took into consideration your observations and decided to establish effective working relationships among the employees. In addition, you would like to make sure that these effective working relationships are maintained in the future. In order to achieve these objectives, you will go through the following: What is the “Social Exchange” according to organizational behavior? What choices do employees have when they perceive inequity? Identify and explain at least two choices. State and explain the process for establishing pay rates, which are deemed equitable. Explain how you will apply these theories to the current situation, and how you will establish and maintain effective working relationships. Evaluation: Correct explanation of the “Social Exchange” ? Correct identification and explanation of at least two choices that employees have when they perceive inequity ? Stating and explaining the process for establishing pay rates, which are deemed equitable ? Correct application of the above-mentioned theories to establish and maintain effective working relationships ? Note: assume any missing information. Clearly state your assumptions in your submissions.
Bobby Sherman, a 36-year-old male, cut his left thumb at work on a construction site 2 weeks ago. He did not get any treatment for the wound, which became infected. Today, Dr. Ravenell admitted Bobby to Westward Hospital and amputated the thumb. The procedure is made more complicated by the spread of the infection to the surrounding tissues, as Dr. Ravenell fights to save as much of the hand as possible.
The top executives for your organization have implemented a strategic initiative of increasing patient satisfaction. As a team leader you will need to implement objectives and goals for your team according to the strategic initiative of increasing patient satisfaction. In 1,000-1,250 words discuss the following:
Objectives and goals for your team.
How you will communicate your goals to your team. Explain how you will communicate how your team goals fit the bigger picture of the organizational goal.
How you know that your team is meeting these goals. Include how you will track your team’s goals.
How you will celebrate or redirect your team according to goals.
Use three to five scholarly resources to support your reasoning for setting and communicating goals and objectives.
Rubric
Description of objectives and goals for the team is clear, concise, and makes connections to current research.
Explanation of how goals will be communicated to team is clear, concise, and thoroughly explains how goals fit the bigger organizational goal.
Description of how to know when team is meeting goals is clear, concise, and thoroughly describes how goals for the team will be tracked.
How does bias, self-efficacy and self-control influence employee behavior?
If you are struggling with the format or remembering what to include, follow the Comprehensive Psychiatric Evaluation Template AND the Rubric as your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. Below highlights by category are taken directly from the grading rubric for the assignments. After reviewing full details of the rubric, you can use it as a guide.
In the Subjective section, provide:
· Chief complaint
· History of present illness (HPI)
· Past psychiatric history
· Medication trials and current medications
· Psychotherapy or previous psychiatric diagnosis
· Pertinent substance use, family psychiatric/substance use, social, and medical history
· Allergies
· ROS
· Read rating descriptions to see the grading standards!
In the Objective section, provide:
· Physical exam documentation of systems pertinent to the chief complaint, HPI, and history
· Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.
· Read rating descriptions to see the grading standards!
In the Assessment section, provide:
· Results of the mental status examination, presented in paragraph form.
· At least three differentials with supporting evidence. List them from top priority to least priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case .
· Read rating descriptions to see the grading standards!
Reflect on this case. Include what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations ( demonstrate critical thinking beyond confidentiality and consent for treatment !), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
(The comprehensive evaluation is typically the initial new patient evaluation. You will practice writing this type of note in this course. You will be ruling out other mental illnesses so often you will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for all illnesses which could be impacting your patient. For example, anxiety symptoms, depressive symptoms, bipolar symptoms, psychosis symptoms, substance use, etc.)
EXEMPLAR BEGINS HERE
CC (chief complaint): A brief statement identifying why the patient is here. This statement is verbatim of the patient’s own words about why they are presenting for assessment. For a patient with dementia or other cognitive deficits, this statement can be obtained from a family member.
HPI: Begin this section with patient’s initials, age, race, gender, purpose of evaluation, current medication, and referral reason. For example:
N.M. is a 34-year-old Asian male who presents for psychotherapeutic evaluation for anxiety. He is currently prescribed sertraline by (?) which he finds ineffective. His PCP referred him for evaluation and treatment.
Or
P.H. is a 16-year-old Hispanic female who presents for psychotherapeutic evaluation for concentration difficulty. She is not currently prescribed psychotropic medications. She is referred by her mental health provider for evaluation and treatment.
Then, this section continues with the symptom analysis for your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis.
Paint a picture of what is wrong with the patient. This section contains the symptoms that is bringing the patient into your office. The symptoms onset, the duration, the frequency, the severity, and the impact. Your description here will guide your differential diagnoses. You are seeking symptoms that may align with many DSM-5 diagnoses, narrowing to what aligns with diagnostic criteria for mental health and substance use disorders. You will complete a psychiatric ROS to rule out other psychiatric illnesses.
Past Psychiatric History: This section documents the patient’s past treatments. Use the mnemonic Go Cha MP.
General Statement: Typically, this is a statement of the patients first treatment experience. For example: The patient entered treatment at the age of 10 with counseling for depression during her parents’ divorce. OR The patient entered treatment for detox at age 26 after abusing alcohol since age 13.
Caregivers are listed if applicable.
Hospitalizations: How many hospitalizations? When and where was last hospitalization? How many detox? How many residential treatments? When and where was last detox/residential treatment? Any history of suicidal or homicidal behaviors? Any history of self-harm behaviors?
Medication trials: What are the previous psychotropic medications the patient has tried and what was their reaction? Effective, Not Effective, Adverse Reaction? Some examples: Haloperidol (dystonic reaction), risperidone (hyperprolactinemia), olanzapine (effective, insurance wouldn’t pay for it)
Psychotherapy or Previous Psychiatric Diagnosis: This section can be completed one of two ways depending on what you want to capture to support the evaluation. First, does the patient know what type? Did they find psychotherapy helpful or not? Why? Second, what are the previous diagnosis for the client noted from previous treatments and other providers. (Or, you could document both.)
Substance Use History: This section contains any history or current use of caffeine, nicotine, illicit substance (including marijuana), and alcohol. Include the daily amount of use and last known use. Include type of use such as inhales, snorts, IV, etc. Include any histories of withdrawal complications from tremors, Delirium Tremens, or seizures.
Family Psychiatric/Substance Use History: This section contains any family history of psychiatric illness, substance use illnesses, and family suicides. You may choose to use a genogram to depict this information (be sure to include a reader’s key to your genogram) or write up in narrative form.
Psychosocial History: This section may be lengthy if completing an evaluation for psychotherapy or shorter if completing an evaluation for psychopharmacology. However, at a minimum, please include:
· Where patient was born, who raised the patient
· Number of brothers/sisters (what order is the patient within siblings)
· Who the patient currently lives with in a home? Are they single, married, divorced, widowed? How many children?
· Educational Level
· Hobbies
· Work History: currently working/profession, disabled, unemployed, retired?
· Legal history: past hx, any current issues?
· Trauma history: Any childhood or adult history of trauma?
· Violence Hx: Concern or issues about safety (personal, home, community, sexual (current & historical)
Medical History: This section contains any illnesses, surgeries, include any hx of seizures, head injuries.
Current Medications: Include dosage, frequency, length of time used, and reason for use. Also include OTC or homeopathic products.
Allergies: Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction vs. intolerance.
Reproductive Hx: Menstrual history (date of LMP), Pregnant (yes or no), Nursing/lactating (yes or no), contraceptive use (method used), types of intercourse: oral, anal, vaginal, other, any sexual concerns
Diagnostic results: Include any labs, X-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines).
A ssessment
Mental Status Examination: For the purposes of your courses, this section must be presented in paragraph form and not use of a checklist! This section you will describe the patient’s appearance, attitude, behavior, mood and affect, speech, thought processes, thought content, perceptions (hallucinations, pseudo hallucinations, illusions, etc.), cognition, insight, judgment, and SI/HI. See an example below. You will modify to include the specifics for your patient on the above elements—DO NOT just copy the example. You may use a preceptor’s way of organizing the information if the MSE is in paragraph form.
He is an 8 yo African American male who looks his stated age. He is cooperative with examiner. He is neatly groomed and clean, dressed appropriately. There is no evidence of any abnormal motor activity. His speech is clear, coherent, normal in volume and tone. His thought process is goal directed and logical. There is no evidence of looseness of association or flight of ideas. His mood is euthymic, and his affect appropriate to his mood. He was smiling at times in an appropriate manner. He denies any auditory or visual hallucinations. There is no evidence of any delusional thinking. He denies any current suicidal or homicidal ideation. Cognitively, he is alert and oriented. His recent and remote memory is intact. His concentration is good. His insight is good.
Differential Diagnoses: You must have at least three differentials with supporting evidence. Explain what rules each differential in or out and justify your primary diagnosis selection. Include pertinent positives and pertinent negatives for the specific patient case.
Also included in this section is the reflection. Reflect on this case and discuss whether or not you agree with your preceptor’s assessment and diagnostic impression of the patient and why or why not. What did you learn from this case? What would you do differently?
Also include in your reflection a discussion related to legal/ethical considerations (demonstrating critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
Case Formulation and Treatment Plan.
Includes documentation of diagnostic studies that will be obtained, referrals to other health care providers, therapeutic interventions with psychotherapy, education, disposition of the patient, and any planned follow-up visits. Each diagnosis or condition documented in the assessment should be addressed in the plan. The details of the plan should follow an orderly manner. *see an example below—you will modify to your practice so there may be information excluded/included—what does your preceptor document?
Example:
Initiation of (what form/type) of individual, group, or family psychotherapy and frequency.
Documentation of any resources you provide for patient education or coping/relaxation skills, homework for next appointment.
Client has emergency numbers: Emergency Services 911, the Client’s Crisis Line 1-800-_______. Client instructed to go to nearest ER or call 911 if they become actively suicidal and/or homicidal. (only if you or preceptor provided them)
Reviewed hospital records/therapist records for collaborative information; Reviewed PCP report (only if actually available)
Time allowed for questions and answers provided. Provided supportive listening. Client appeared to understand discussion. Client is amenable with this plan and agrees to follow treatment regimen as discussed. (This relates to informed consent; you will need to assess their understanding and agreement.)
Follow up with PCP as needed and/or for:
Write out what psychotherapy testing or screening ordered/conducted, rationale for ordering
Any other community or provider referrals
Return to clinic:
Continued treatment is medically necessary to address chronic symptoms, improve functioning, and prevent the need for a higher level of care OR if one-time evaluation, say so and any other follow up plans.
References (move to begin on next page)
You are required to include at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines which relate to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.
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