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University of Massachusetts Amherst

2019

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Self-Management Of Dyspnea In Chronic Obstructive Pulmonary Disease Patients., Juliet Marcia Farrell Jan 2019

Self-Management Of Dyspnea In Chronic Obstructive Pulmonary Disease Patients., Juliet Marcia Farrell

Doctor of Nursing Practice (DNP) Projects

Background: Patients with chronic obstructive pulmonary disease (COPD) exacerbation are reported to have a decreased quality of life relating to their health. In 2015 it was reported that over three million COPD patients died as a result of their disease. Although COPD patients are receiving medication, they still struggle with dyspnea as they carry out their daily activities.

Purpose: To implement an evidence-based educational program to assist COPD patients in self-management of dyspnea.

Methods: The DNP student obtained consent from prospective participants and assigned a unique identifier, which included his or her first and last initial and three digits. …


Hiv Education And Empowerment A Program For The Women Of Kiryabicooli, Uganda, Emily Rymland Jan 2019

Hiv Education And Empowerment A Program For The Women Of Kiryabicooli, Uganda, Emily Rymland

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: HIV continues to be a serious health, social and economic burden in Uganda. Early in the epidemic, the government’s rapid response brought the HIV infection rates from 30% in the 1990s to 4% by 2000, however rates are rising with some district’s reporting the HIV rate rising up to 7.8%. Myths surrounding transmission, disease progression and treatment compound the country’s vulnerability. The goal of this Quality Improvement project is to educate women with children under 13 years old about the facts of HIV, in the hopes that with that knowledge they can take action to decrease their own …


Reducing 30-Day Heart Failure Readmission Among Elderly Population In Long-Term Care, Nkechi Ukomadu Jan 2019

Reducing 30-Day Heart Failure Readmission Among Elderly Population In Long-Term Care, Nkechi Ukomadu

Doctor of Nursing Practice (DNP) Projects

Background: Heart failure is the leading cause of hospitalization in the United States and accounts for more than one million hospitalizations every year. Readmission within 30 days of discharge is an indicator used for measuring the quality of care for heart failure patient. Methods: The goal of this quality improvement project is to reduce the 30-day readmission rate of heart failure patients 60 years and older in a long-term care setting in Texas by using an evidence-based transitional readiness discharge checklist for heart failure. Interventions included staff education on the key components and on the checklist. A pre- and post-test …