Digital Commons Network^™

Surviving Siblings’ Illnesses, Treatments/Health Services Over 13 Months After A Sibling’S Death, Dorothy Brooten, Joanne M. Youngblut, Rosa M. Roche, Carmen Caicedo, Timothy Page

JoAnne Youngblut

Two million children experience sibling death annually and have problems that require clinical intervention although few receive such help. Effects on surviving siblings’ mental health has been well documented, however their physical health has not. This study described surviving siblings’ illnesses, treatments/health services at 2, 4, 6, and 13 months post-sibling death. The 132 children (76 girls, 56 boys, M 10.6 years, SD 3.43); 30% Hispanic, 51% Black, 26% White were recruited via hospital ICUs and published obituaries. Using a longitudinal design, parents reported types and numbers of surviving siblings’ illnesses, treatments/health services, and dates post-sibling death. Most of the …

Women With High-Risk Pregnancies, Problems, And Apn Interventions, Dorothy Brooten, Joanne M. Youngblut, Deborah Donahue, Margaret Hamilton, Jean Hannan, Donna Felber Neff

JoAnne Youngblut

Purpose

To (a) describe women’s prenatal and postpartum problems and advanced practice nurses (APN) interventions; and (b) determine if problems and APN interventions differed by women’s medical diagnosis (diabetes, hypertension, preterm labor).

Design and Methods

Content analysis of 85 interaction logs created by APNs during a randomized clinical trial in which half of physician-provided prenatal care was substituted with APN-provided prenatal care in the women’s homes. Patients’ problems and APN interventions were classified with the Omaha Classification System.

Findings

A total of 212,835 health problems and 212,835 APN interventions were identified. The dominant antenatal problems were physiologic (59.2%) and health-related …

Grandparent Health & Functioning After A Grandchild’S Death, Joanne M. Youngblut, Dorothy Brooten, Kathleen Blais, Jean Hanna, Theophile Niyonsenga

JoAnne Youngblut

Approximately 160,000 grandparents experience the death of a grandchild each year; this represents a permanent, irrevocable loss for the grandparent resulting in physical and emotional responses. Grandparents who lose a grandchild experience increased alcohol and drug use, thoughts of suicide, and pain for their adult child who is also grieving. Supportive resources available to grieving grandparents, the effects of the grandchild’s death on the grandparent-parent relationship and the influence of race/ethnicity on grandparent grieving are discussed. Despite about 40,000 child and infant deaths each year, knowledge about grandparent health and functioning following the death of a grandchild is limited.

Health Problems And Apn Interventions In Pregnant Women With Diabetes, Dorothy Brooten, Joanne M. Youngblut, Jean Hannan, Frank Guido-Sanz, Donna Felber, Wannee Deoisres

JoAnne Youngblut

The purpose of this study was to compare health problems and advanced practice nursing (APN) interventions in two types of APN care provided to 41 childbearing women with diabetes. The study’s design involved content analysis of interaction logs containing the process of APN care during two clinical trials: 1) APN care was added to physician care (n = 22); and, 2) half of physician care was substituted with APN care (n = 19). Women’s’ health problems and APN interventions were classified using the Omaha System’s Problem Scheme and Intervention Scheme. The women, in the study, had a mean age of …