Psychological Approach on Black Swan Essays - Psychiatry

Psychological Approach on Black Swan October 19, 2017 For this paper we were asked to watch a movie and look at it from a psychological stand point. The movie Black Swan could be classified as a psychological thriller featuring a ballerina by the name of Nina Sayers. Nina works for a prestigious New York City ballet company, as one of their many young dancers who have the dream of becoming a prima donna. The ballet company decides to open the new season "Swan Lake" by Pyotr Ilyich Teahikovsky. Though Nina is very talented, she is also very reserved. This leaves the other's in the company to call her a "shy, frigid little girl." And when s he gets the leading roll it requires her to be both the black and white swan. While her reserved, child-like personality makes it very easy almost perfect for her to perform the side of the white swan. It also makes it very troubling for her to get into the character of the black swan. The black swan's character was seductive, and this made it very hard for Nina to get into character during this part. The film shows her slow fall into the pressures of the role and how they weigh her down. During the film you see Nina's madness progress. She ends up showing many differ symptoms of schizophrenia. This is a psychotic disorder where the individual suffering loses touch with reality and sometimes has trouble separating the two. The DSM and our books states the criteria for schizophrenia are: having at least two or more of the symptoms of the disorder, hallucinations and delusions, experiencing significant impairment in the ability to work or to perform everyday tasks, and they must show these symptoms for at least six months. Nina's show signs of hallucinations and delusions very often, one seen shows her in the bath tub and while she goes under water and appears to be releasing the stress from the day she opens her eyes under water and a woman is over her in the bathtub and the water showing traces of blood. In reality she was harming herself by scratching her back to the point of bleeding. Nina could be said to have paranoid schizophrenia, this is characteri zed by delusions and hallucinations according to our books and the DSM. There is no known cause for schizophrenia there are things that factor in that put you at risk of developing it. Stressful circumstances can be a cause of this. As the film shows Nina is under a lot of stress trying to keep and maintain the roll of both the black and white swan. The pressures she faces at work, home, and amongst the others in the company puts her in a more vulnerable state to these symptoms. Though Nina may have shown signs of paranoid schizophrenia, notably having may delusions and hallucinations that seemed to have gotten worse as the film went on. Her first psychotic episode didn't appear until Lily, another girl from the company, showed up at Nina's house to apologize for telling the director that she was crying and upset, and he needed to take it easier on her. While Lily may have had the good intensions on going over to Nina's, it ended up being a night of partying and drugs given by Lily. Nina has hallucinations in which she sleeps with Lily, but the next day when Nina confronts Lily thinking they has slept together she was shocked to find out that she did not sleep with Lily but with a man that Lily had left her with. This only furthered the delusions involving Lily, she later states that Lily is out to harm her and wants to steal the lead role from her. Nina then starts to see her face on Lily and others around her. Nina's second major psychotic epi sode happens during opening night when she finds Lily in her dressing room, after the first act of the white swan did not go as planned. Lily is dressed as the black swan and is claiming that she wants to take over performance. This ends up Nina and Lily having a violent show down that resulted

Decay of Faith in The Enduring Chill Essay Example

Decay of Faith in The Enduring Chill Essay Example Decay of Faith in The Enduring Chill Essay Decay of Faith in The Enduring Chill Essay Khaqhovia Lee Ms. Bolle IB Junior English October 5, 2012 Decay of Faith Heaven, earth, and beliefs of a superior being ruling the world are contradicted through Flannery O’Connor’s stories. â€Å"The Enduring Chill†, a short story by Flannery O’Connor, displays religious figures combined with the hypocrisy of Christian faith. â€Å"The Enduring Chill† is about Asbury, a male writer, who returns home to live with his mother due to his illness. Great conflict occurs between Asbury and his mother, so much that he would rather die and leave her in despair than to live with her, suffering life in a cage. Flannery O’Connor applies the motif of religion to express the contradiction of a Christian believer. Flannery O’Connor portrays religion through the use of animals, symbolism to religious figures, and Christian stories throughout â€Å"The Enduring Chill†. Flannery O’Connor uses religious animals to reveal the contradiction nature of humans. When Asbury sees his sister, he tells his mother to, â€Å"let sleeping dogs lie† (O’Connor 358); the dogs could be related to Cerberus, the gate keeper to the underworld. Asbury sees his sister as evil. The quote also foreshadows Asbury’s illness, because he is lying in bed waiting for the illness to take his life, like the sleeping dogs. Flannery O’Connor also uses animals from different religions to foreshadow misfortunate events, such as â€Å"the dry cows were on one side and the milk herd on the other. She slowed the car and then stopped altogether, her attention caught by a cow with a bad quarter. † (O’Connor 362). The cow is a holy animal in the Hinduism religion, and the cow having a bad quarter is an omen of bad luck. It also foreshadows to the bad milk which is tainted with the stench of smoke, and causing Asbury to fall more ill. Another use of religious animals is â€Å"to find freedom, to liberate my imagination, to take it like a hawk from its cage and set it ‘whirling off into the widening gyre’ (Yeats) and what did I find? It was incapable of flight† (O’Connor 364). The quote reveals Asbury’s sense of freedom through the use of a hawk; hawks are known to be one of the most intelligent birds, as well as having a great vision. The hawk foreshadows Asbury’s realization, when Asbury discovers his illness wouldn’t kill him. Asbury is incapable of flying free from his caged life because he takes back the key to the drawers which held the letters, as soon as he discovers he would not die; caging himself in and stopping himself from gaining his freedom. A hawk also refers to a dove, which represents freedom and peace in the bible, and Asbury wants to live free and in peace. Animals are used to portray the progression of human life. Flannery O’Connor uses allusion to refer to bible stories, while using the stories to display the unfaithfulness of Christians. Asbury comes off the train and waits for his mother to come pick him up, and â€Å"Asbury felt that he was about to witness a majestic transformation, that the flat of roofs might at any moment turn into†¦some exotic temple of a god he didn’t know† (O’Connor 357). The majestic transformation alludes to Jesus on Mt. Sinai, where Jesus becomes engulfed in light, and radiates with the power of God. Asbury does not know the temple of God because he constantly turns away from God. The illusion he witnesses is common in the bible when God send’s a messenger and dreams to humans to warn and help them. Another example appears during the car ride to his mother’s home, and â€Å"the he turned and faced his mother grimly, irked that he had allowed himself, even for an instant, to see an imaginary temple in this collapsing country junction† (O’Connor 358). The temple of God is not a physical temple but the body of all the Christian believers, but Asbury does not understand God’s will. The collapsing country junction is an allusion to the destruction of the walls of Jericho. The walls fall from the undying faith of the Israelites. Asbury does not believe he sees the event and decides to continue in life waiting for his death to come without realizing God. The wall of Jericho symbolizes Asbury’s faith which is crumbling down. While Asbury lies in the hospital â€Å"a blinding red-gold sun moved serenely from under a purple cloud†¦ below it the treeline was black against the crimson sky† (O’Connor 382). The red-gold sun represents the death of Christ, as he is hanging on the cross. Jesus’s blood symbolizes the crimson sky. The black tree line forms the countless amounts of sinners which resent God and Jesus. The darkest days of the world are also on the day Christ dies; Asbury’s darkest days are also on the very same day he witnesses the scene. Each allusion displays the decaying faith of Christians and increase of human weakness. Flannery O’Connor displays the decaying faith of Christians by incorporating religious figures. Asbury describes his friend as being â€Å"as bland as the Buddha himself† (O’Connor 359). Buddha is usually seen as a cheerful and chubby man, who never falls into temptations, and not bland. Asbury’s knowledge of religion is very low by applying bland to Buddha. Buddha descends from a wealth family but he decides to follow the road of hardships, but Asbury is from a well off family but he decides to live the life of a metropolitan. Asbury fails in living the life and becomes overwhelmed with hardships; giving up the life he wished for and travels on a darker path. As Asbury wonders around his mother’s home he noticed the â€Å"water stains on the gray walls. Descending from the top molding, long icicle shapes had been etched by leaks and, directly over his bed on the ceiling, another leak had made a fierce bird with spread wings† (O’Connor 365). A fierce bird with spread wings symbolizes the Holy Spirit which appears to the disciples as they are enlightened by the Holy Spirit, with flames floating above their heads. Instead of flames there is a long icicle, the exact opposite of a flame. A fierce bird also symbolizes the anger of God because he would show no mercy to though who go against his will. Asbury disobeys his mother’s rules and falls into a deeper illness. Asbury stunned by the fact he wouldn’t die, looks into the mirror and â€Å"the eyes that stared back at him were the same that had returned his gaze every day from that mirror but seemed to him that they were paler† (O’Connor 382). God is all powerful and all seeing, the eyes represent his presence in the room, but he realizes the eyes are paler. Asbury loses God and stays living in his life trapped in a cage, with is mother. Religious figures portray the weakening of Christian Faith.

Business Accounting and Ethical Standards

A) The duty of the auditor arises from the ASA 315 which in conjunction with ASA 570 on Going Concern wherein he has to see if there is an environment which leads to misstatement of records. He should accordingly recalibrate his assessment. With the new evidence, he should check if there exists a material uncertainty and therefore conjectures to the ability of the pany to continue as a Going Concern. With the new evidence, the auditor will see the following that there is an immense doubt on the fact whether the pany can continue as a Going Concern and therefore adequate disclosures are made pointing to such events which creates such conjectures on the pany to continue as a Going Concern. Here, King & Queen (K & Q) auditor are auditors of Impulse since 2005. They should be aware that there are liquidity problems in the pany. Hence applying ASA 570 and dictated by their duty in Sec 295 (4) of the Corporations Act, K & Q auditor should have done additional audit procedures to check the viability of the Going Concern assumption. These could include points like valuation of inventory,   receivable realisations. This will stamp the fact that if there is a risk of Going concern and whether such facts will be disclosed. Hence they have not done their duty as per audit standards and mon law. As a result, there is a transgression of proper professional skill and standards In a case of Esanda Finance Corp Ltd vs. Peat Marwick Hungerford’s[1], there is a landmark High Court ruling. This has thrown light and made it clear about their view on earlier judgements and revised their mistakes in the past judgements. They have now eliminated the liability of the auditor in a third party liability. In that they have tested the bined facts of Proximity, Reliance and Causation. The case is similar to this case study where Esanda had an economic deprivation when they sanctioned the loan to the pany on the back of the auditor’s report analysis. It satisfied itself whether auditor to be held liable. The courts concluded that there was a mere reporting to the shareholders and not to the financiers. They did not have any clairvoyance that lenders would act based on this report. This is in spite of the fact that they were aware that report did not indicate a true and fair view of financial statements. Since they did not anticipate that the financier will b e using the report, K & Q auditor should have made it clear that the report would be analysed and used verbatim by the lenders and hence a probability of loss could be there; It is stated that Esanda unreasonably depended on the audit report and did not perform diligence themselves to convince of the finances of the borrower The Court held that auditor has not breached duty of care and used the test of Proximity & Causation in their conclusion. Depending on this case, K & Q auditor were not aware that the report would have been used by EFL Finance for lending. The finance pany lent to Impulse by relying on the report and did not conduct an independent diligence. Depending on the case of Proximity, Reliance and Causation, K & Q auditor remained within their limits of duty of care and hence are not liable to EFL Finance b) If Esanda had ab initio mentioned to K & Q auditor that they will use the report for deciding on lending to Impulse, it can be concluded that the test of Proximity and Reliance are maintained. Hence K & Q auditor may exercise reasonable care keeping in mind that one of the intended audiences is EFL Finance who will rely on the audit procedures of K & Q auditor. Hence they need to collect audit evidence and reach a conclusion in their audit report keeping in mind the reader. Even after such mention, if the procedures on inventory and debtors are not done by K & Q auditor, then they have transgressed the precincts of care and their pliance with Proximity, Reliance has failed. As a result, the Causation factor or cause of economic loss has been triggered and accordingly K & Q auditor will be liable to EFL Finance in this scenario 2A) This is defined by APES 110 Code of Ethics for Professional Accountants, Independence prises of: Independence of Mind (Actual Independence) – This expects a mental state which ensures that the auditor acts as an objective and independent person. His opinion will therefore be free from any vested interests and influences. Independence in Appearance (Perceived independence) – Auditor to maintain his image and standard such that any third party will not raise any doubt on his independence and credentials to form an opinion. Independence of the mind or actual independence involves objectivity of the mental condition and mental state and his objectivity to react to specific situations. An auditor who is truly independent has the ability to make non vested decisions in spite of the prejudices. However, since the state of mind where he is perceived to have colluded with the pany and promised his principles is highly volatile, it cannot be objectively benchmarked with respect to time and environment. Therefore, the test of Independence in Appearance or â€Å"Perceived Independence† needs to e upheld wherein he shows the same consistency in behaviour to a knowledgeable person and his client equally. Perceived independence can be measured based on how close the audit member is to the client and he gets any pecuniary benefits for the same. This could also include a dependency test on his economic drive with one client measured to his total revenue. Perceived independence accentuates the credibility of th e report and opinion expressed by the auditor and therefore his opinion is worth the salt. (i) Bob – Principle of Confidentiality is a key point of APES 110 Code of Ethics for Professional Accountants wherein information extracted in a professional engagement is not to be disclosed to any third party without specific authority nor use it for personal benefits provided there is no legal and official reason to reveal. In the instant situation, Bob copied confidential information which was used for his personal benefit of finishing his university assignments though it did not contain the Club Casino name. Even if you remove the name of the client in the assignment, it does not remove the fact that confidentiality was predominantly breached. This being used for vested interest and not professional interest, there is no possibility of cover up with any alternate action. (ii) Wendy – Wendy is a partner in an audit firm. She has been assigned post of pany Secretary (CS) position in the same pany who is her audit client. This triggers Clause 290.142 of APES 110 Code of Ethics for Professional Accountants. Assignment of such staff is pointing to a self review threat which could have been absolved if it was for only a temporary period. But that not is the case, wherein Wendy has been given the post on a permanent basis. Her position is close to the pany triggering self-review and advocacy threats. Hence there is no way the threat can be brought to acceptable level. Per AUST290.148.1, a pany Secretary is an Officer under the Corporations Act. Wendy cannot act as a temporary partner in the client.   The only way is to resign from the audit engagement. (iii) Leo- Leo is a close member of the audit group and his elative prepares the financials and statements in the firm. The opinion to be expressed on such cash flows has a conflict for Leo. The threat therefore can be minimised to Acceptable level if Leo is replaced and he is restricted from working on such assignments where his relative has an influence in making the base documents to be audited. Per APES 110 Code of Ethics for Professional Accountants, it is r mended that Leo to be removed from the audit since his father has a more than significant influence (iv) Chan & Associates – If Chan holds stake, such stake will not create an independence threat if the business relationship is insignificant to Chan, his audit form and the pany where he holds stake. Such stake should also not create an ability to control the pany and it is immaterial to him. But here Chan has 25% equity in the entity which is high and can create two threats namely self interest/intimidation. Per APES 110 Code of Ethics for Professional Accountants, Chan has to relinquish his stake and resign from his audit engagement responsibility of Classic Reproductions. Accounting Professional & Ethical Standards Board, (2008).  APES 110 Code of Ethics for Professional Accountants. Australia. Auasb.gov.au. (2016).  Australian Auditing Standards. [online] Available at: https://www.auasb.gov.au [Accessed 12 Dec. 2016]. Auditing and Assurance Standards Board, (2013).  Auditing Standard ASA 570 Going Concern. Austlii.edu.au. (2016).  ASA 570 - Going Concern - April 2006. [online] Available at: https://www.austlii.edu.au/ [Accessed 12 Dec. 2016]. Cpaaustralia .au. (2016).  Accounting professional and ethical standards. [online] Available at: https://www.cpaaustralia .au [Accessed 12 Dec. 2016]. Nguyen, V. and Rajapakse, P. (2008). An Analysis of the Auditors' Liability to Third Parties in Australia. mon Law World Review

Religion and Ecology Essay Example | Topics and Well Written Essays - 1750 words

Religion and Ecology - Essay Example This book guides its reader through everyday life with an eco-friendly and animal -friendly outlook. It advises its readers on how to raise children in an environmentally sound way of life as well. The application of religion could potentially be applied to this type of lifestyle but the conflict arises in the arena of commitment to God. Particularly in Christianity, one’s devotion to God is of the utmost importance. This means that one should be concerned about one’s spiritual life and the promise of the eternal afterlife more so than the physical realm of this earth and its inhabitants and recourses. In the Old Testament, routine sacrificing of animals was imperative in keeping one’s God happy. This was a ritual that rid an individual of sin and evil deeds, before the eyes of God. Certainly, this made for a good disciple of God but was not an animal friendly approach to life by any means. One of the key aspects to environmentally friendly living, is respecting the creatures that live on this planet. That means humans as well as all animals. Through a religious perspective, God gave Adam and Eve dominion over all of the animals. This is often interpreted by Christians to mean that humans should feel free to eat animals, wear their skin and sacrifice them as burnt offerings if need be. There is a more eco-friendly interpretation of this that states that having dominion over animals just means that humans are to watch out for and care for the animals of the earth. But, as the Bible goes from Old Testament to New Testament, readers of the Bible are told that Jesus was the ult imate sacrifice and that animal sacrifices were no longer necessary. Most Christians though today, will freely eat meat and concern themselves with spirituality as opposed to the physical condition of the earth. The concept of Christianity is ultimately that one

Technological Change and Economic Growth Research Paper

Technological Change and Economic Growth - Research Paper Example Moreover, it is very essential to understand here that technology does not refer only to the information and technology but it signifies the transfer of knowledge, both theoretical and practical knowledge (Amesse & Cohendet, 2001, pp. 1459-1478) that influences the process of development positively and/or negatively. In order to understand the role of technological change in economic growth and broadly, economic development, it is very imperative to understand the definition of the terms itself that will subsequently indicate the role. Particularly, it has been an observation that economic development (Borensztein & Lee, 1995, pp. 115-124) has often been taken only in terms of economic progress of a state; in other words, in terms of its gross domestic production. However, in current era, economic development is more than an increase in GDP and various factors play a role in determining positive or negative economic development of a country. ... Here, one can notice various indicators in this list cannot be analysed quantitatively and therefore, economic development is more than quantitative progress of a country. The World Bank (2013) data confirms strong relationship of technological change with economic growth of countries. Analysis of its findings has indicated that countries that have invested more in technological advancements, especially in the sectors of education and business have been successful in providing basic facilities to its population, which has resulted in their overall economic growth and/or development. In other words, when a government ensures secure and encouraging social environment by working towards increased technological advancements, it automatically results in higher economic growth of the country. This surely is an indication of the role of technological changes that facilitates economic growth of a country. While the paper includes discussion on the role of technological change in economic gro wth of a country, it will be inappropriate to overlook the particular role of multinational enterprises that they play by bringing FDIs especially in developing countries. For many decades, quantitative indicator of economic growth (Victor, 2008, pp. 5-11) has remained an essential requisite for developing countries to transform into modern and developed economies. In the year 1972, Gould (pg. 1) defined economic growth as â€Å"the sustained increase in real per capita incomes.† Here, one can see that economic growth does not consider short-term alterations since it focuses on ‘sustained increase’. In this regard, one cannot overlook the significant role of

Figure Of Christ In lord Of The Flies :: essays research papers

"CHRIST" IN LORD OF THE FLIES Many critics have compared the character of Simon in the book Lord of the Flies to a Christ figure. After reading this book I also found out that Simon and Christ had a lot in common. The first time we, readers start considering Simon a special person, different from the others is when we see him the only one to helping the littluns to gather fruits they were unable to reach. "Simon found for them the fruit they could not reach, pulled off the choicest from up in the foliage, passed them back down to the endless, outstretched hands." (p.51) So we know about Jesus -- carrying about starving and suffering. After Christ was baptized he walked away to the desert and stayed there for forty days, meditating and praying. So did Simon. He felt better walking in the jungle alone, thinking, probably, dreaming, enjoying the power and the beauty of the nature. In that desert Christ also talked to God and I think it was the God's appeal to Simon when the large ray of light fell down from the sky. "Beyond the screen of leaves the sunlight pelted down and the butterflies danced in the middle their unending dance."(p.120) Simon did not fear it and he faced it. As Christ facing God, Simon knelt. Physical help to people was not the main task of Christ -- he taught, gave sermons, appealed to clear their souls and thoughts - to get rid of internal evil. As well Simon was the only one who supposed that the beast they were so afraid of was, probably, inside them. "What I mean is . . . maybe it's only us." (p.80) God chose Christ from all others to fulfill the most important task because Jesus was sinless and saint. Simon was the only one on that island with clear soul and the good inside him without any ambitions of power and suppression. So it was his destiny and privedge to confront the "beast" first and to talk to it The Lord of the Flies told Simon that the evil was inside the boys and for that reason - invinsible. It was trying to tempt Simon saying that he was initially good but everyone was going to have fun on the island so Simon has to quit being perfect and become like the rest of the boys.

Organizational Change Plan Essay

Falls are a common cause of morbidity and the leading cause of nonfatal injuries and trauma-related hospitalizations in the United States (Center for Disease Control and Prevention, 2012). Falls can occur in home and as well as in any health care facility. In hospitals, falls consistently make up the largest single category of reported incidents, with most falls occurring as a result of medication related issues, toileting, and hospital environment conditions. With falls accounting for the leading cause of injuries in hospital, it is imperative that environment safety and fall prevention is addressed in facilities. This change plan will include the need for implementation of a fall risk assessment and fall precautions, barriers to change, factors influencing change and the readiness for change as well as resources available to support change. These changes will be implementing with the help of using, Kurt Lewin’s Change Plan Theory. Need for the Proposed Change A fall is defined as an event which there is a downward displacement of a patient’s body from a standing, sitting, or lying position that may result in injury (St Peter’s Hospital, 2012). St. Peter’s Hospital in Albany, New York, is one of the major acute care hospitals committed to promotion of patient safety. Acute care hospitals show that fall rates range from 1.3 to 8.9 falls/1,000 patient days and that higher rates occur in units that focus on eldercare, surgical, neurology and rehabilitation (â€Å"National Quality Measures Clearinghouse†, 2013). Due to the high number of patient falls and increased risk factors in the hospital it is imperative to have fall assessments and fall prevention standardized throughout the hospital. Patients’ will be provided an optimal safe environment during care based on the Environment Safety and Fall Prevention Policy and Procedure. Fall  prevention strategies are to be executed per standard of care and indivi dualized based on patient assessment within the patient plan of care. Certain patients are considered to be at a greater risk for falls. Factors such as patients who are 85 years old or older, osteoporosis, anticoagulants treatment, bleeding disorders and patients post-operative. Every patient who is admitted into the hospital is placed on universal fall precautions and nurses will further assess patients based on the Hendrich II Assessment Tool and Get-Up-and-Go Assessment. Patients are also reassessed every shift, with change in condition, after a transfer, and after a fall. The Hendrich II Fall Risk Model is used to assess a hospitalized patient’s risk of falling. Designed to be administered quickly, it focuses on eight independent risk factors: confusion, disorientation, and impulsivity, symptomatic depression, altered elimination, dizziness or vertigo, male sex, administration of antiepileptic (or changes in dosage or cessation), administration of benzodiazepines, and poor performance in rising from a seated position in the Get-Up-and-Go Assessment (Hendrich, MSN, RN, FAAN, 2007). Along with universal fall precautions, Hendrich assessment and Get-Up-and-Go Assessment, staff members should be monitoring their environment on an ongoing basis for situations that may lead to a fall, such as tubing and equipment posing as a tripping hazard. Staff members must be proactive with assisting patients with unsteady gait, need for assistive devise and patients with weakness to ensure safety. Once a patient is scored a fall risk, the nurse will initiates a fall prevention program and activate fall risk in patient’s plan of care. A yellow arm band is placed on the patient, special skid resistant slipper socks are provider to the patient and fall precaution sign is placed outside patient’s door and over the bed to ensure all staff members are aware of fall risk. Providing education on preventing falls to both family and patient, placing patients closer to the nurses’ station, providing bed alarms, sitters and hourly rounding are other measures to avoid falls. Patients who score five or greater are considered to be risk for falls and fall interventions will be initiated. Another safety measure important to prevention of falls is to include fall risks in all shift to shift reports. Barriers to Change St. Peter’s Hospital is an large organization specializing in Cardiac,  Hepatobiliary, Bariatric, Gastrointestinal and Orthopedic Surgeries. Being such a diverse large organization inconsistency throughout the hospital shows to be the major barrier to change. Other barriers are lack of employee involvement, lack of financial resources and poor communication. To overcome such barriers, an awareness of the need for an effectiveness of fall risk assessment and fall prevention program is essential. Employees, patient’s, and family members need to be aware of fall risks, fall precautions and the fall prevention program. Factors Influencing Change Increasing patient satisfaction and at the same time preventing and reducing the amount of falls on a daily basis is the key factor. Patient satisfaction is ultimately the driving force behind the changes in the hospital. If patients are not satisfied with care, they will go to another provider and thus the hospital will lose money. In order for St. Peter’s Hospital to remain ranked in the top 10 hospitals, they must ensure all patients are pleased and safe with their care. One way to make certain that the hospital patient safety increases is by implementing changes throughout the hospital to standardized the fall risk assessments and fall prevention program. In order to be successful with this change, regulatory changes will be necessary to be made in accordance with fall prevention. St. Peter’s Hospital is committed to patient’s safety and ensures all patients are provided with an optimal safe environment during care. Training is required for all employees to guarantee compliance and full understand of the fall prevention program. Evaluation of the program is another regulatory change that is necessary for the success of the program. Monitoring on a regular basis is required to determine effectiveness of program and deciding if changes should be made or modified. Factors Influencing Readiness for Change When organizational readiness for change is high, organizational members are more likely to initiate change, exert greater effort, exhibit greater persistence, and display more cooperative behavior (Weiner, 2009). Readiness requires both the capability to make change as well as the motivation to make the change. Readiness is contingent on several different factors throughout the hospital. Several factors for implementing the falls  risk assessment and fall prevention program is the high rate of falls throughout the hospital. Readiness is also determined by the financial stand point of the hospital. The hospital must be willing and able to devote extra funds to pay for increased amount of employee training and education. Theoretical Change Model: Kurt Lewin’s Change Theory Utilizing Kurt Lewin’s Change Theory can assist St. Peter’s Hospital to make the change, minimize disruption and assure that the change is adopted permanently. Lewin’s three step model of change are as follows: Unfreezing, Changing and Refreezing. Unfreezing is the readiness for change. During this phase St. Peter’s Hospital will prepare the hospital staff for the implementation of the falls risk assessment and falls prevention program. In order to prepare the hospital staff of the need for change, they must first provide information and research regarding the program and the benefits. Once unfreezing is complete, St. Peter’s Hospital would transition into the second phase known as, Change. Change is the actual implementation of the proposed change. In order to implement these changes, training will be provided and required for all employees to guarantee compliance and full understand of the fall prevention program. Evaluation and monitoring of the program will also be conducted during this phase to ensure compliance as well as understanding. Actually making the falls risk assessment and falls prevention program a permanent entity to the nursing assessment is the final stage of refreezing. During this stage, St. Peter’s Hospital will continue to offer education and support throughout the hospital to standardized the fall risk assessment and falls program. Recourses Available for Change It would be virtually nearly impossible to implement an successful change without having the necessary resources. In order to implement such a plan as the fall risk and fall prevention program, St. Peter’s Hospital must have a team of educated employees throughout the many disciplines and be able to train the remainder of the hospital with the new proposed changes. Education would be in the form of class room demonstrations, on the unit in-services in addition to hospital based website education. Finances is another major resource that is required for the change plan. Without the  proper means, the hospital is not able to pay the employees and implementation would not be in effect. Conclusion Patient education needs to be incorporated into the admission process and continue throughout the hospitalization stay. Education provides the patient with the knowledge of the importance of safety and what part he or she contributes in their care as well as risk factor identified. Fall prevention programs are designed to determine fall risk and prevention strategies while collaborating with the patient’s health care. Informing both the patient and the family will bring an understanding and mindfulness to fall prevention. Falls are devastating to both the patient and the hospital considering a single fall may result in a downward spiral of reduced mobility with a loss of function and further risk of falls. Along with proper education, fall risk assessments are vital to the fall prevention process. These fall risk assessment are implemented hospital wide and are conducted every shift, change in status, during transfers to different units and at discharge (St. Peter’s Hospital, 2012). Compliance and consistency reduces falls and the overall cost of falls throughout the hospital improving the care. References Center for Disease Control and Prevention. (2012). Falls Among Older Adults: An Overview. Retrieved from August 23, 2014, from http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html Currie, D.N. Sc, M.S.N., R.N., Leanne. (n.d. ). Fall and Prevention. Retrieved August 23, 2014, from http://ncbi.nlm.gov Hendrich, MSN, RN, FAAN, Ann. (2007, November). How to Try This† Predicting Falls. AJN, 107(11), 50 National Quality Measures Clearinghouse. (2013). Retrieved August 23, 2014, from http://www.qualitymeasures.ahrq.gov/content.aspx?id=36944 Environmental Safety and Fall Prevention. (2012). Retrieved August 23, 2014, from http://www.sphcs.org/environmentalsafetyandfallprevention.org Weiner, B. J. (2009, October). A Theory of Organizational Readiness for Change . Implementation Science, 4(67)