Case Scenario: An 84-?year-old?-female who has a history of diverticular disease presents to the clinic with left lower quadrant (LLQ) pain of the abdomen that?is accompanied?by with constipation, nausea, vomiting and a?low-grade?fever (100.20?F) for 1 day. On physical exam the patient appears unwell. She has signs of dehydration (pale mucosa, poor skin turgor with mild hypotension [90/60 mm Hg] and tachycardia [101 bpm]). The remainder of her exam is normal except for her abdomen where the NP notes a distended, round contour. Bowel sounds a faint and very hypoactive. She is tender to light palpation of the LLQ but without rebound tenderness. There is hyper-resonance of her abdomen to percussion.?? The following diagnostics reveal:?? Stool for occult blood is positive. Flat plate abdominal x-ray demonstrates a bowel-gas pattern consistent with an ileus.? Abdominal CT scan with contrast shows no evidence of a mass or abscess. Small bowel in distended.? Based on the clinical presentation, physical exam and diagnostic findings, the patient is diagnosed with acute diverticulitis and she is admitted to the hospital. She is prescribed intravenous antibiotics and fluids (IVF). Her symptoms improved and she could tolerate a regular diet before she was discharged to home. Discussion Questions: Compare and contrast the pathophysiology between diverticular disease (diverticulosis) and diverticulitis. Identify the clinical findings from the case that supports a diagnosis of acute diverticulitis. ? List 3 risk factors for acute diverticulitis. Discuss why antibiotics and IV fluids are indicated in this case.

Write a 2-3 page memo that makes a "pitch" to a change champion who can endorse and actively support a change effort you have recommended.IntroductionTo be an effective leader and change agent, you need to understand and apply principles related to the politics of change. For this assessment, you will construct a stakeholder map related to a needed change in your workplace or an organization you are familiar with and write a memorandum to make a "pitch" to a change champion who can endorse the change effort and actively support it. The focus here is on how to change versus what to change.PreparationUse the Capella University Library to find one resource on the politics of organizational change.ScenarioAfter joining the change task force at your organization, you were asked to write an internal report recommending a potential change within the organization. Your report was distributed in several different circles within the organization, and people there were energized by your ideas. They want to make your recommended changes, and your supervisor's boss has taken a personal interest in seeing that your ideas get implemented. To help make it happen, he has asked that you write him a memo that explains how your recommended changes will impact other roles within the organization and how to manage potential points of resistance to change.Your RoleImagine that you work in any organization you choose in any position you like. For the sake of simplicity, you may choose to imagine your present position at a company where you already work. You may use the same organization you chose for Assessment 2. Whatever your other responsibilities, you are now also tasked with providing change leadership within the organization.RequirementsIn a memo to a senior manager who can serve as a change champion for your selected organization, include the following: Identify the change and why it is needed for the selected organization. You may use the same change you focused on in Assessment 2, or you may choose a different change. Develop a stakeholder map, including those directly or indirectly affected by the change. Explain each stakeholder's position on the change. Be sure to include what they can gain or what they can lose. Articulate recommendations for structural or cultural changes as part of the change plan. Assess alternative approaches to managing resistances. Consider how to deal with toxic players. Your memo should be written coherently to support a central idea, with correct grammar, usage, and mechanics as expected of a business professional.Deliverable FormatWhen your supervisor's boss requested this memo, he asked that it be easy for upper management to absorb when he presents it to them in some upcoming meetings. Keep it to 2–3 pages. He has also asked that you include one strong academic reference to give your recommendations research-based context and support, but keep it to just one, as there is no time for reading a lot of references in these meetings. Since your memo will be shared with upper management and other internal stakeholders, you want this document to be well organized and readable. Include your stakeholder map at the end of the memo. References: Support your recommendations with one resource from the Capella University Library. You must use proper APA style to list your reference. Length: 2–3 pages, in addition to the stakeholder map and reference list. Written communication: Demonstrate graduate-level writing skills through accurate communication of thoughts that convey the overall goals of the memo and do not detract from the message. Formatting: Use a professional memo format. Font and font size: Times New Roman, 12 point. EvaluationBy successfully completing this assessment, you will demonstrate your proficiency in the following course competencies through corresponding scoring guide criteria: Competency 1: Assess the complex and dynamic nature of organizational change. Identify the change and why it is needed for the selected organization. Competency 2: Analyze ways in which leaders and managers can effectively initiate, shape, and support organizational change. Develop a stakeholder map, including those directly or indirectly affected by the change. Assess alternative approaches to managing resistances. Competency 3: Analyze the processes of change in people, groups, and organizations. Explain each stakeholder's position on the change. Articulate recommendations for structural or cultural changes as part of the change plan. Competency 5: Communicate effectively in a professional manner. Communicate in a manner that is scholarly, professional, and consistent with expectations for business professionals. Criteria Non-performance Basic Proficient Distinguished Identify the change and why it is needed for the selected organization. Does not identify the change and why it is needed for the selected organization. Identifies the change but not why it is needed for the selected organization. Identifies the change and why it is needed for the selected organization. Describes the change and why it is needed, using details about the selected organization. Develop a stakeholder map, including those directly or indirectly affected by the change. Does not describe a stakeholder map, including those directly or indirectly affected by the change. Describes but does not develop a stakeholder map, including those directly or indirectly affected by the change. Develops a stakeholder map, including those directly or indirectly affected by the change. Develops a stakeholder map, including those directly or indirectly affected by the change, and articulates the key stakeholders in the organization. Explain each stakeholder's position on the change. Does not identify each stakeholder's position on the change. Identifies but does not explain each stakeholder's position on the change. Explains each stakeholder's position on the change. Analyzes each stakeholder's position on the change, using real-world examples from literature or the organization. Articulate recommendations for structural or cultural changes as part of the change plan. Does not identify recommendations for structural or cultural changes as part of the change plan. Identifies but does not articulate recommendations for structural or cultural changes as part of the change plan. Articulates recommendations for structural or cultural changes as part of the change plan. Articulates recommendations for structural or cultural changes as part of the change plan and summarizes key recommendations. Assess alternative approaches to managing resistances. Does not identify alternative approaches to managing resistances. Identifies but does not assess alternative approaches to managing resistances. Assesses alternative approaches to managing resistances. Analyzes alternative approaches to managing resistances, using supporting literature. Communicate in a manner that is scholarly, professional, and consistent with expectations for business professionals. Does not communicate in a manner that is professional and consistent with expectations for members of the business professions. Communicates in a manner that is usually professional and consistent with expectations for members of the business professions but may include some distracting errors in grammar, usage, or mechanics. Communicates in a manner that is professional and consistent with expectations for members of the business professions. Communicates without error in a manner that is professional and consistent with expectations for members of the business professions.