stable angina

PJ is a sixty-seven-year-old man with a long history of stable angina. He is treated with nitroglycerin tablets as needed for chest pain. He has mild hypertension, which is well controlled by diet and an angiotensin-converting enzyme (ACE) inhibitor. PJ has noticed that his chest pain is occurring with increasing frequency and less activity is required to initiate the symptoms; however, the pain subsides quickly with rest and one or two nitroglycerin tablets.

PJ’s symptoms are consistent with what diagnosis? What education would you provide to PJ?

One morning, at about 4:00 a.m., PJ is awakened from sleep with chest pain and shortness of breath. The pain is much more severe than his usual anginal pain and radiates to the jaw and the left arm. He is diaphoretic and pale. His wife calls for emergency assistance, and PJ is transported to the local emergency department. Upon admission, the electrocardiogram (ECG) shows significant ST-segment elevation.

According to the ECG findings, what is the differential diagnosis? At the time of admission, a blood sample is taken to determine whether PJ has suffered an MI. Which laboratory findings would indicate MI? Describe the pathophysiological responses occurring in the body during an MI.

Assignment 2: Diagnosing Change

Synthesize the company “Google” readiness for change. Evaluate whether or not to implement your new program, policy, practice, or procedure. Submit a four to six (4-6) page paper.

Prepare and write a four to six (4-6) page paper in which you:

  1. Describe the company in terms of industry, size, number of employees, and history.
  2. Analyze in detail the current HR practice, policy, process, or procedure that you believe should be changed.
  3. Formulate three (3) valid reasons for the proposed change based on current change management theories.
  4. Appraise the diagnostic tools that you can use to determine an organization’s readiness for change. Propose two (2) diagnostic tools which you can utilize to determine if the organization is ready for change. Defend why you believe the diagnostic tools selected are the best choice for diagnosing change in the organization.
  5. Using one (1) of the diagnostic tools you selected, assess the organization’s readiness for change.
    1. Provide results of the diagnostic analysis
    2. Explain the results
  6. Interpret whether or not the organization is ready for change. Substantiate your conclusion by referencing current change management theories.

If you choose the written paper, your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Evaluate an organization’s readiness for change.
  • Analyze diagnostic models relevant to various aspects of the change management process.
  • Use technology and information resources to research issues in managing organizational change.
  • Write clearly and concisely about managing organizational change using proper writing mechanics.
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