Phelp LPNtoRN 6e

CHAPTER 3 • Adapting to Change 77

8. Phase 8: Openness—Within this stage, the individual becomes more engaged with the change and is more willing to be involved in the activities needed to complete the change. 9. Phase 9: Readiness—The individual continues to be more engaged and enthusiastic about the change; they are more willing to participate in necessary activities. 10. Phase 10: Reemergence—The person now values the change and is willing to make a personal investment in the change process. The models by Kübler-Ross and Perlman and Takacs are compared in Table 3.3. These models will assist you in contemplating what change can mean for an individual or a group. It is helpful to consider these aspects when you are experiencing personal changes or when your clients are forced to adapt to a new situation. As with any stage theory, the phases may not be as clear or sequential as outlined, but the emotions that can accompany any change will be similar. The following critical thinking activity requires that you role-play the part of a client and imagine the stages of change that this client will experience. Phase 8: Openness Phase 9: Readiness Phase 10: Reemergence Source: Kübler-Ross, E. (1969). On death and dying. Macmillan; Perlman, D., & Takacs, G. (1990). The ten stages of change. Nursing Management, 21 (4), 33–38. TABLE 3.3 Comparison of Models of Stages of Individual Loss and Change (Kübler-Ross) and Phases of Organizational Change (Perlman and Takacs) Stages of Individual Loss and Change (Kübler-Ross) Phases of Organizational Change (Perlman and Takacs) Phase 1: Equilibrium Stage 1: Denial Phase 2: Denial Stage 2: Anger Phase 3: Anger Stage 3: Bargaining Phase 4: Bargaining Phase 5: Chaos Stage 4: Depression Phase 6: Depression Phase 7: Resignation Stage 5: Acceptance

THINKING CRITICALLY Mr. Fleming is 40 years old. He is a lawyer in a prominent law firm. He is married and has two young sons. Last weekend, he was on a long bicycle ride and was hit by a truck. His injuries included a severe traumatic injury to his left foot, resulting in a below-the-knee amputation. His other injuries were not as severe. Consider the stages or phases of change shown in Table 3.3 and explain in each stage or phase what you might observe in terms of his behavior and emotions. Copyright © 2025 Wolters Kluwer, Inc. Unauthorized reproduction of the content is prohibited.