1. rehabilitation services
Introduction
rehabilitation services

2. content Communication methods for the managers
Importance of the communication methods
Internal relationships
External relationships
Steps to plan and implement change
Strategies and methods to influence change and minimize conflicts.
Planning and implementing change
Strategies and methods of implementing change
Managers role in conflict management
Ethical issues in heath care organization
How ethical issues alter change
Financial and human resources control

3. Methods of communication
Written communication
Oral communication
Face to face communication
Internet communication
the use of written communications is very essential as it can be stored for future reference. It can be presented in :- internal memos, staff magazines, notices or posters on staff notice boards. Oral communications can be in form of phone conversations between employees. Face-to-face - team briefings, meetings and presentations. In the case of meetings, handouts should be given to assist the managers to understand issues being discussed. Online can be inform of internal s and intranet . s can be used for follow up's of information or issues discussed.

4. Importance of the methods of communication
The method of communication will be very vital in the following ways:-
Strong relationships
Clear expectations.
Future reference.
Strong work teams
Ideas and innovation
Strong relationships among the managers because they interact and share their views .the managers feel that they are considered in every decision making and this bring about loyalty.
Clear expectations these methods of communication will give the manager a clear understanding of the goals and objective that have been set.
Future reference when a misunderstanding arises in the future the manager can refer from the information filed where written communication. s can also be retrieved to give evidence of the information that was sent to the other managers.
Strong work teams the managers will be able to work as a term since all the information they need is given to them as a unit.
Immediate feedback can be received where oral communication has been used.
Ideas and innovation can be enhanced by face to face communication since they share their views on

5. Internal relationship
Internal relationship enhances respect and cooperation between all the department in the organization. The relationship can be established in the following ways:-
Incentives
Special events.
Effective communication
Incentives can also play a big role for the organization to have a good internal relationship. Giving financial inventive to the hard working employees can be a good example of enhancing a good relationship. Simple positive remarks can also motivate the workers enhancing a good relationship.
Special events the various department can meet and discuss what they need to be efficient in their services. Social event in the organization can also bring the employees together and know each other.
Effective communication between the different department in the organization. The departments can communicate though s and phones within the organization. The head of departments can also have meeting to discuss the issues in the organization.

6. External relationship
The organization has to interact with external stakeholders during the course of it operations. The interaction can be in the following ways:-
External communication.
Clients treatment
Strategic partners
Cooperate social investment
External communication the organization will have to use the best ways to communicate to the clients. The use of media to advertise the services of the organization and the way the clients will get help.
Clients treatment of will be the very vital as they expect to receive the be services from the organization
Strategic partners of the organization expect an organized institution to enable them invest in the organization and contribute to growth of the organization
Cooperate social investment is very important as the members of public want to associate with organization that care about their welfare. Employment can also be created to improve the lives of citizens in our locality.

7. Planning and implementing change
These are the steps that the organization will use to implement change:-
management support for change
Case of change.
Employee involvement
Communicating the change
Implementation.
Follow up.
Removing barriers
Celebrate
management support for change the employees develop a comfort level if the management support the change this can be indicated by the way the managers interact with the rest of the staff though communication
Case of change no change should be made just because of change. Data should be collected to show the areas that need change. Change should bring satisfaction to the clients staff and all the relevant stakeholders.
Employee involvement change has to be communicated to the employees and they have to be engaged to some extend.
Communicating the change it should be systematic to avoid rumors in the organization. The managers should therefore communicate to the employees to avoid conflicts
Implementation should be structural or in phases to enable the organization to adapt to the change and also make consult were necessary.
Follow up by the management to ascertain whether the changes are being implemented and where not the make adjustment .
Removing barriers for change to be there barriers have to be detected and solved. The employees may the barrier in some cases ,lack of training and other resources.
Celebrate it is always important to celebrate success of change. It brings about motivation and engagement to continue with the change.

8. Strategies and methods of implementing change
The strategy of implementing change:-
All the stakeholder must be involved..
Remedies to resistance of change.
change the culture or change the change the change .
Follow-ups
Commitment of persons at the top management.
Pain drive change
Rewarding
All the stakeholder must be involved. Change can not be from one person in an organization the top management ha to agree on the changes.
Remedies to resistance of change it is important to have remedies to the main plan to avoid failure of change in the organization.
change the culture or change the change the change .if this is not catered for there are change in the organization may fail or bring about conflicts.
Follow-ups have to be made to avoid change being at the surface and it clear that the change is not there in the key places.
Commitment of persons at the top management. The top manager have to show the employees that the change is important and support.
Pain drive change even if the change is painful the members of the organization have to be persistent for it to succeed.
Rewarding the employees who are embracing the change to make them continue doing the good work.
must be challenges in implementing change, so there must be a strategy.

9. Managers role of in conflict management
Conflicts are part of individual relationship and organization. For an organization to mature it productivity the conflicts must be resolved. The conflict can be solve using the following strategies:-
Preventive strategy
Reactive strategy
Key learning
Preventive strategy the manager should prevent the conflict or minimize the conflict. To do this the manager has to set the ground rules applicable in meetings, engage in team agreement and train in conflict. resolution.
Reactive strategy it is important that the manager uses his authority to solve the conflict as soon as possible. The manager should not consult or involve any one in resolving the conflict.
Key learning the manager should learn knowledge and skill to help him or her to solve the conflicts. As a team leader he or she should act as an example to the other managers.

10. Ethical issues in health care organizations.
Many ethical issues arise from patients health care. These ethics are:-
Patients welfare.
Therapies.
Sexual harassment.
Provided information.
Transition of diseases.
Patients welfare is important as the doctor or nurse should keep careful when handling the patient. They should also be secretive of information regarding the patients.
Therapies the different techniques should be used to help patients recover from stress and trauma.
Sexual harassment committee in healthcare should be strict about these to protect the patients.
Provided information the information that they provide to the public should be accurate and honest.
Transition of diseases the doctors and nurses are at risk of getting communicable disease and this is rising concern to the ethical committees.

11. How ethical issues may alter change
Financial resources
Fear,
Poor service delivery
Time consuming
Support for ethical issues may be limited among the employees.
Financial resources the management has to set a side extra capital to address and educate the ethical issues.
Fear it is important to give the doctor assurance that they will not be exposed to risk by providing protective clothing,
Poor service delivery this may be caused by the restriction of the doctor to share patients information.
Time consuming educating the employees on the requirement on ethical issues may affect the time period scheduled for change.
Support for ethical issues may be limited among the employees. The organization may want to the ethical issue in the organizations change plan .

12. Financial and human resource control
financial and human control contribute to :-
Training of staff
Estimate of capital requirement
Management of cash.
Recruitment
Training of staff the management has to note the key areas that it employees to be productive.
Estimate of capital requirement the management has to make decision on what is need by the organization to operate effectively and allocate the necessary resources.
Management of cash has to consider what to purchase and what to forego.
Recruitment of new staff the management has to identify the areas that need more personnel to provide better services and improve productivity.

13. Environmental factors that influence outcomes of healthcare and quality within an organization
Pressure to reduce cost yet improve quality.
Growing number of elderly patients.
Increased demand in healthcare and facility use patterns.
Need to adopt costly but effective new medical technologies.
Mounting demand to increase patients satisfaction
There is increase in pressure to healthcare facilities to reduce the cost of providing healthcare services to the public at a low cost so as to be able to remain competitive in this business. This call for planning in the institutions so as to be able to cover all these costs and match with effectiveness so as to provide full customer satisfaction.
The number of the elderly patients is surprisingly increasing in the resent past, this has mounted pressure on the healthcare proviers because these elderly patients can not make their own decisions.
There is an increased demand in the healthcare facility demand and facility use in the resent past, forcing the healthcare providers with a challenge to improve and develop more facilities and healthcare personnel.
there is technological advancement these days and its costly to adopt them, they are also very effective in the provision of healthcare facilitation, this has left the healthcare providers with the challenge to provide services to the best of their abilities.
Patients come to healthcare facilities to get healthcare satisfaction, this has posed a challenge to the healthcare providers to improve their services and also use this as a challenge to market themselves to the public.

14. How change will be tracked and implemented
The evaluation process must be thought though from the start.
Adequate findings must be set aside for evaluation.
Measuring indicators of progress, including progress towards target.
Assessing whether the changes were a result of the intervention.
Assessing how well various aspects of the strategy were perceived to work from the point of view of professionals from all sectors and by communities.
The evaluation process must be thought though from the start at the same time as developing the strategies aims, objectives and targets.
Adequate findings must be set aside for evaluation through adequately collecting data.
The indicators of progress should be included in the tracking process so as to get the exact results required from the study.
There should be assessment of the whether the obtained results were as a result of the intervention into tracking the systems so as to know what Is expected under normal circumstances.
Assessment of how well various aspects of the strategy have been perceived in the process and in a professional point of view.

15. References
Kane, R. A., Kane, R. L., & Ladd, R. C. (2010). The heart of long-term care. New York [u.a.: Oxford Univ. Press.
Hunter, A. (1990). Policies and procedures for long term care dietetic services. Rockville, Md: Aspen Publishers.
Pratt, J. R. (2013). Long-term care: Managing across the continuum.
Goldsmith, S. B. (2013). Long-term care administration handbook. Gaithersburg, Md: Aspen Publishers.
Miller, E. A. (2001). Federal and state initiatives to integrate acute and long-term care: Issues and profiles. Huntington, NY: Novinka Books.
Lambert, J. V. (2004). Long term care in Maine: Home and community-based services. New York: Novinka Books.