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Full-Text Articles in Medicine and Health Sciences

Mechanical Properties Of Canine Patella-Ligament-Tibia Segment., Jeffery Biskup, Andy Freeman, W Camisa, J Innes, Michael Conzemius Jan 2104

Mechanical Properties Of Canine Patella-Ligament-Tibia Segment., Jeffery Biskup, Andy Freeman, W Camisa, J Innes, Michael Conzemius

Jeffery Biskup, DVM, DACVS

OBJECTIVE: To test the ex vivo mechanical properties of canine patella-ligament-tibia (PLT) segment and establish the relationship between donor size and PLT dimensions to the mechanical properties of PLT grafts.STUDY DESIGN: Ex vivo mechanical testing study. SAMPLE POPULATION: Canine PLT segments (n = 21 dogs; 42 PLT). METHODS:Morphometric measurements of PLT segments were taken from computed tomography (CT) images and compared with results obtained using calipers. PLT were tested to failure at a rate of 100% length/s. Mechanical properties and failure mode were recorded. RESULTS: PLT width and thickness (P < .001 for both) measured by calipers were significantly lower than those taken from CT images. Thirty-five (83%) specimens failed by avulsion fracture from the patella, 1 failed mid-ligament, and 6 failed by tibial fracture. Dog weight and PLT length had the strongest Pearson's r value when correlated with load at failure (r = 0.73, 0.81, respectively). CONCLUSION:Dog weight and PLT length were the best predictors of load at failure. PLT failure load of dogs weighing >25 kg were similar to those reported for ...


Using The Rat Grimace Scale To Detect Orofacial Pain In Mechanically-Induced Temporomandibular Joint Pain In Rats, Ya-Hsin Yu, Megan M. Sperry, Beth A. Winkelstein, Eric J. Granquist Jun 2018

Using The Rat Grimace Scale To Detect Orofacial Pain In Mechanically-Induced Temporomandibular Joint Pain In Rats, Ya-Hsin Yu, Megan M. Sperry, Beth A. Winkelstein, Eric J. Granquist

Dental Theses

Introduction: Orofacial pain in animal models of TMJ disorders is typically evaluated by measuring evoked reflexive responses. Since the rat grimace scale (RGS) was adopted recently to assess spontaneous pain in other pathologies, this study evaluated its effectiveness for TMJ pain in the rat. RGS was evaluated using a well-defined pain model of TMJ loading.

Material and Methods: Female Holtzman rats were assigned to separate groups: loading (n=10); sham (n=4); loading with naproxen (n=4) or vehicle (n=3) on days 4 and 5 after pain developed. Jaw loading was imposed for 7 consecutive days under anesthesia by ...


Clinical Management Of Pressure Control Ventilation: An Algorithmic Method Of Patient Ventilatory Management To Address “Forgotten But Important Variables”, Lonny Ashworth, Yasuhiro Norisue, Megan Koster, Jeff Anderson, Junko Takada, Hatsuyo Ebisu Feb 2018

Clinical Management Of Pressure Control Ventilation: An Algorithmic Method Of Patient Ventilatory Management To Address “Forgotten But Important Variables”, Lonny Ashworth, Yasuhiro Norisue, Megan Koster, Jeff Anderson, Junko Takada, Hatsuyo Ebisu

Respiratory Therapy Faculty Publications and Presentations

Pressure controlled ventilation is a common mode of ventilation used to manage both adult and pediatric populations. However, there is very little evidence that distinguishes the efficacy of pressure controlled ventilation over that of volume controlled ventilation in the adult population. This gap in the literature may be due to the absence of a consistent and systematic algorithm for managing pressure controlled ventilation. This article provides a brief overview of the applications of both pressure controlled ventilation and volume controlled ventilation and proposes an algorithmic approach to the management of patients receiving pressure controlled ventilation. This algorithmic approach highlights the ...


Are Underground Coal Miners Satisfied With Their Work Boots?, Jessica Dobson, Diane L. Riddiford-Harland, Alison F. Bell, Julie R. Steele Jan 2018

Are Underground Coal Miners Satisfied With Their Work Boots?, Jessica Dobson, Diane L. Riddiford-Harland, Alison F. Bell, Julie R. Steele

Faculty of Science, Medicine and Health - Papers

Dissatisfaction with work boot design is common in the mining industry. Many underground coal miners believe their work boots contribute to the high incidence of lower limb injuries they experience. Despite this, the most recent research to examine underground coal mining work boot satisfaction was conducted over a decade ago. This present study aimed to address this gap in the literature by assessing current mining work boot satisfaction in relation to the work-related requirements for underground coal mining. 358 underground coal miners (355 men; mean age = 39.1 ± 10.7 years) completed a 54-question survey regarding their job details, work ...


Prostate Cancer: Patient Education For Changing Guidelines, Richard Mendez Jan 2018

Prostate Cancer: Patient Education For Changing Guidelines, Richard Mendez

Family Medicine Block Clerkship, Student Projects

In May 2012 United States Preventative Services Task Force (USPSTF) recommended against prostate cancer screening, Grade D, with no other recommendation for providers. Since prostate cancer continues to be among the most common cancer in the United States among men, patients were exposed to previous guidelines during routine visits and require updated educational materials for primary care visits.


Introduction To Laser Induced Breakdown Spectroscopy Imaging In Food: Salt Diffusion In Meat, Yash Dixit, Patrick Cullen, Carl Sullivan Jan 2018

Introduction To Laser Induced Breakdown Spectroscopy Imaging In Food: Salt Diffusion In Meat, Yash Dixit, Patrick Cullen, Carl Sullivan

Articles

This study illustrates the ability of laser induced breakdown spectroscopy (LIBS) to detect and map 22 minerals in food. A LIBS system was used to spatially collect spectra of beef samples. Samples were 23 brined in a 6% salt solution for 2h and 24h along with a control sample. Samples were measured by 24 scanning the cross-section of each sample in a 90 X 90 square grid. Sodium (Na) distribution images 25 with respect to emission peak at 589.05 nm were generated after pre-processing the spectral data which 26 directly corresponds to salt levels. As expected, the control sample ...


Intensity Inhomogeneity Correction Of Sd-Oct Data Using Macular Flatspace, Andrew Lang, Aaron Carass, Bruno M. Jedynak, Sharon D. Solomon, Peter A. Calabresi, Jerry L. Prince Jan 2018

Intensity Inhomogeneity Correction Of Sd-Oct Data Using Macular Flatspace, Andrew Lang, Aaron Carass, Bruno M. Jedynak, Sharon D. Solomon, Peter A. Calabresi, Jerry L. Prince

Mathematics and Statistics Faculty Publications and Presentations

Images of the retina acquired using optical coherence tomography (OCT) often suffer from intensity inhomogeneity problems that degrade both the quality of the images and the performance of automated algorithms utilized to measure structural changes. This intensity variation has many causes, including off-axis acquisition, signal attenuation, multi-frame averaging, and vignetting, making it difficult to correct the data in a fundamental way. This paper presents a method for inhomogeneity correction by acting to reduce the variability of intensities within each layer. In particular, the N3 algorithm, which is popular in neuroimage analysis, is adapted to work for OCT data. N3 works ...


A Systematic Review Of Food Composition Tools Used For Determining Dietary Polyphenol Intake In Estimated Intake Studies, Yasmine Probst, Vivienne Guan, Katherine Caldwell Jan 2018

A Systematic Review Of Food Composition Tools Used For Determining Dietary Polyphenol Intake In Estimated Intake Studies, Yasmine Probst, Vivienne Guan, Katherine Caldwell

Illawarra Health and Medical Research Institute

Translating food intake data into phytochemical outcomes is a crucial step in investigating potential health benefits. The aim of this review was to examine the tools for determining dietary-derived polyphenol intakes for estimated intake studies. Published studies from 2004 to 2014 reporting polyphenol food composition information were sourced with 157 studies included. Six polyphenol subclasses were identified. One quarter of studies (n = 39) reported total flavonoids intake with 27% reporting individual flavonoid compounds. Assessing multiple compounds was common with approximately 10% of studies assessing seven (n = 13), six (n = 12) and five (n = 14) subclasses of polyphenol. There was no ...


Aberrant Brain Functional Connectivity In Newborns With Congenital Heart Disease Before Cardiac Surgery, Josepheen De Asis-Cruz, Mary T. Donofrio, Gilbert Vezina, Catherine Limperopoulos Jan 2018

Aberrant Brain Functional Connectivity In Newborns With Congenital Heart Disease Before Cardiac Surgery, Josepheen De Asis-Cruz, Mary T. Donofrio, Gilbert Vezina, Catherine Limperopoulos

Pediatrics Faculty Publications

Newborns with congenital heart disease (CHD) requiring open heart surgery are at increased risk for neurodevelopmental disabilities. Recent quantitative MRI studies have reported disrupted growth, microstructure, and metabolism in fetuses and newborns with complex CHD. To date, no study has examined whether functional brain connectivity is altered in this high-risk population after birth, before surgery. Our objective was to compare whole-brain functional connectivity of resting state networks in healthy, term newborns (n = 82) and in term neonates with CHD before surgery (n = 30) using graph theory and network-based statistics. We report for the first time intact global network topology – efficient ...


Perceptions Of Stress: Employee Participation In A Yoga Class, Rosemarie Lee Jan 2018

Perceptions Of Stress: Employee Participation In A Yoga Class, Rosemarie Lee

Walden Dissertations and Doctoral Studies

Abstract

Employees experience workplace stress that can affect their health resulting in chronic diseases such as diabetes, stress, hypertension, and cardiovascular diseases. Stress also contributes to staff presentism, absenteeism, and high turnover rate. The employee wellness program (EWP) yoga class at a metropolitan teaching hospital has not been evaluated for its effectiveness in employee stress reduction and improvement in employee health. The practice focus question for this project explored employees' perception of the impact of a metropolitan teaching hospital's EWP yoga class on their stress reduction and health promotion activities. The theoretical framework for this project is Lazarus' transactional ...


Developing An Impella Education Program For The Critical Care Registered Nurse, Sara Jackson Jan 2018

Developing An Impella Education Program For The Critical Care Registered Nurse, Sara Jackson

Walden Dissertations and Doctoral Studies

Every year, hundreds of thousands of patients have coronary angiograms performed in the United States. The Impella is a percutaneous ventricular support device that provides hemodynamic support for patients if hemodynamic instability occurs during the procedure. The critical care nurse is responsible for the recovery and management of the patient with the Impella device in place. The purpose of this scholarly project is to provide registered nurses (RN) who have not previously managed the Impella device with the appropriate education in order to demonstrate competency. The program demonstrated improved RN knowledge about the Impella and increased confidence when managing the ...


Examining Health Disparities And Childhood Obesity In Florida And Georgia, Jennifer Wesley Jan 2018

Examining Health Disparities And Childhood Obesity In Florida And Georgia, Jennifer Wesley

Walden Dissertations and Doctoral Studies

Childhood obesity is a major issue in the United States. The rates of obesity vary among racial and ethnic groups in the U.S. South. The purpose of this quantitative cross-sectional study was to investigate significant state health disparities differences in childhood obesity in the South region between Florida and Georgia. To steer this study, the social cognitive theory was used. The associations between neighborhood safety and support, physical activity, family health and activities on body mass index were examined in this study. Data was obtained from the National Survey of Children's Health 2011-2012 on 1,688 children aged ...


Developing A Nurse Retention Program Aimed At Reducing Nursing Turnover, Stacy Michelle Coleman Jan 2018

Developing A Nurse Retention Program Aimed At Reducing Nursing Turnover, Stacy Michelle Coleman

Walden Dissertations and Doctoral Studies

Many healthcare organizations are investigating the reasons for nurse turnover and seeking ways to retain the nurses they already employ. The primary deliverable of the DNP project was a nurse retention plan. In order to devise the plan, the DNP student conducted a literature review, collected qualitative data from representative nursing staff members, and assembled an expert panel of senior leaders to secure permissions to implement the nurse retention plan. The purpose of the project was to develop a nurse retention plan for the emergency department and propose it to an expert panel of nursing administration at the project site ...


Chapter 62: Multiple Myeloma, Beth Faiman, Tiffany Richards Phd, Joseph D. Tariman Phd Dec 2017

Chapter 62: Multiple Myeloma, Beth Faiman, Tiffany Richards Phd, Joseph D. Tariman Phd

Joseph D Tariman PhD, RN, ANP-BC, FAAN

A book chapter on multiple myeloma. Covers disease definition, diagnostic criteria, staging, treatments, supportive care and promising clinical trials.


Grand Rounds: Year End Roundup, Daniel G. Kipnis, Msi Dec 2017

Grand Rounds: Year End Roundup, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

Use your break to expand your knowledge by checking out the many Grand Rounds posted in the Jefferson Digital Commons. Topics range from nasal reconstruction to sexuality and aging. With hours of Grand Rounds to experience (see some samples below), your holiday will transform from boredom to excitement! Happy holidays from the Jefferson Digital Commons!


Aim High, Win Big: Optimizing The Or Nurse's Skills To Improve Surgical Outcomes, Ammie Rose Agbuya-Gates Dec 2017

Aim High, Win Big: Optimizing The Or Nurse's Skills To Improve Surgical Outcomes, Ammie Rose Agbuya-Gates

Master's Projects and Capstones

Abstract

Operating room nurses are constantly challenged with new surgical procedures and technology that affect the delivery of safe patient care. A deficiency in skill sets was identified among 50% of OR nurses in this microsystem. A structured scrub training program will improve the performance of novice and advanced beginner nurses to prevent the occurrence of adverse events. This program includes 320 hours of exposure to scrub the top ten procedures of two specialty services after the nurse learns how to circulate. The ability to circulate and scrub is an indication of high performance. It is expected that the OR ...


Coping With Labor Education For Nurses, Donna Vo Dec 2017

Coping With Labor Education For Nurses, Donna Vo

Master's Projects and Capstones

The “Coping With Labor Education for Nurses” education plan is substantiated by data from the California Maternal Quality Care Collaborative (CMQCC) vaginal birth initiative toolkit and other research. Evidence-based data from multiple sources indicates that improving how labor support is offered at the bedside for the laboring patient can potentially decrease cesarean rates, reduce expenses, and increase savings. The objectives of this plan are to improve patient advocacy and the level of labor support interventions labor and delivery nurses will provide for patients to improve patient satisfaction score above 80%, decrease or maintain cesarean rates below 24.9%, and improve ...


Teaching A Primary Prevention Falls Program: Using The Stop Elderly Accidents, Deaths, And Injuries (Steadi) Toolkit, Janice Mark Dec 2017

Teaching A Primary Prevention Falls Program: Using The Stop Elderly Accidents, Deaths, And Injuries (Steadi) Toolkit, Janice Mark

Doctor of Nursing Practice (DNP) Projects

Problem: Falls in the community dwelling older adult (CDOA) are a growing health concern, placing large financial and social burdens. Primary care providers (PCPs) are not engaging in falls assessment and prevention activities due to the lack of knowledge and time. Context: Falls are the leading cause of fatal and nonfatal injuries, and is projected to worsen with the increase in the aging population. STEADI is a fall assessment and prevention toolkit created by the CDC to tackle this problem designed to address the knowledge and practice gaps of PCPs. Interventions: A DNP project was crafted and implemented to train ...


An Evidence-Based Implementation Project On High Utilizers In The Emergency Department, Bernadette Martin Ruggles Dec 2017

An Evidence-Based Implementation Project On High Utilizers In The Emergency Department, Bernadette Martin Ruggles

Doctor of Nursing Practice (DNP) Projects

Abstract

Challenges have been presented to the Emergency Department (ED) over the last several years as the dramatic rise in health insurance enrollment continues. Although, with the Republican bill, the American Health Care Act, changes to Medicaid may alter the health program leaving many uncertainties (Kaplan & Pear, 2017). Evidence reflects EDs are inundated with even more patients taking advantage of the availability of a one-stop shop for their care and treatment. Costs of ED services and resource allocation are rising as a result of these unnecessary visits contributing to a total healthcare expenditure of approximately 17.6% of the US ...


Development Of A Nurse Practitioner First Assistant Orientation Program, Romoanetia Lofton Dec 2017

Development Of A Nurse Practitioner First Assistant Orientation Program, Romoanetia Lofton

Doctor of Nursing Practice (DNP) Projects

The demand for surgical services continues to increase, creating a strain in our healthcare system and causing increasing backlog hours for the operating room. Allowing nurse practitioners (NP) to function in an expanded role in the perioperative environment requires additional training beyond the generic NP program. With this additional training, the NP can function as a first assistant, providing delegated medical functions in the perioperative environment. An in-house NP registered nurse first assistant orientation program was developed based on the adult learning theory as a conceptual framework combined with the AORN perioperative standards as a foundation. The cost of using ...


The Effects Of Continuous Insulin Pump Therapy On Glycemic Control In Pregnant Type 1 Diabetics, Kimberly Kelsey Dec 2017

The Effects Of Continuous Insulin Pump Therapy On Glycemic Control In Pregnant Type 1 Diabetics, Kimberly Kelsey

Senior Theses and Capstone Projects

Type 1 Diabetics have various ways of managing their diabetes that have been studied for their effectiveness. Pregnancy in the Type 1 Diabetic has been understudied. It is known that Diabetics in general have poorer pregnancy outcomes because of poor glycemic control. This coupled with the fact that the body needs 3-4 times more insulin as pregnancy comes to an end makes managing blood glucose levels challenging for diabetics (Lowdermilk, 2016, p. 689). For the Type 1 Diabetic, there are two main ways to control diabetes: multiple daily injections using at least two type of insulin and continuous subcutaneous insulin ...


Liking, Craving, And Attentional Bias In Non-Dependent Drinkers, David Lovett Dec 2017

Liking, Craving, And Attentional Bias In Non-Dependent Drinkers, David Lovett

Theses and Dissertations

The purpose of the present study was to better understand alcohol use problems by examining the effect of alcohol liking on alcohol attentional bias among non-dependent drinkers. An adapted model of Robinson and Berridge’s (1993) incentive-sensitization theory of addiction was proposed which theorized that manipulation of alcohol liking would produce alcohol attentional bias (assessed via visual probe task) among non-dependent drinkers. To test this adapted model, alcohol liking was manipulated and the effect on alcohol attentional bias was examined. Participants were 53 legal-age, college drinkers (Mage = 23.49; 32.1% female; 67.9% White Non-Hispanic). Participants completed measures of ...


Assessing The Long-Term Effects Of Brief Behavioral Health Treatment In Primary Care Patients, Debbie Gomez Dec 2017

Assessing The Long-Term Effects Of Brief Behavioral Health Treatment In Primary Care Patients, Debbie Gomez

Theses and Dissertations

Although increasingly studies show brief behavioral health services are effective for primary care patients (Bridges et al., 2013; Bryan, Morrow, & Appolonio, 2009; Corso et al., 2012; Gomez et al., 2014), there is a paucity of research exploring the long-term effects of these interventions (e.g., Ray-Sannerud, 2012). The primary aim of the current study was to explore long-term effectiveness. Specifically, the current study 1) examined whether reductions in patient global distress following brief behavioral health care services were maintained long-term, 2) evaluated whether improvements were reliable and not due to regression to the mean effects, and 3) explored medical cost offset via ...


Impact Of Natural Blind Spot Location On Perimetry., Mengyu Wang, Lucy Q. Shen, Michael V. Boland, Sarah R. Wellik, Carlos Gustavo De Moraes, Jonathan S. Myers, Peter J. Bex, Tobias Elze Dec 2017

Impact Of Natural Blind Spot Location On Perimetry., Mengyu Wang, Lucy Q. Shen, Michael V. Boland, Sarah R. Wellik, Carlos Gustavo De Moraes, Jonathan S. Myers, Peter J. Bex, Tobias Elze

Wills Eye Institute Papers

We study the spatial distribution of natural blind spot location (NBSL) and its impact on perimetry. Pattern deviation (PD) values of 11,449 reliable visual fields (VFs) that are defined as clinically unaffected based on summary indices were extracted from 11,449 glaucoma patients. We modeled NBSL distribution using a two-dimensional non-linear regression approach and correlated NBSL with spherical equivalent (SE). Additionally, we compared PD values of groups with longer and shorter distances than median, and larger and smaller angles than median between NBSL and fixation. Mean and standard deviation of horizontal and vertical NBSL were 14.33° ± 1.37 ...


Improving Service Delivery Through Provider Training: A Process Evaluation Of The Veterans Affairs Palo Alto Health Care System “Commitment To Serve” Workshop, Ismael Barrera Dec 2017

Improving Service Delivery Through Provider Training: A Process Evaluation Of The Veterans Affairs Palo Alto Health Care System “Commitment To Serve” Workshop, Ismael Barrera

Master's Projects

As the customer-focused management strategies gradually advances into all of the VISNs [Veterans Integrated Service Networks], the Veterans Health Administration in Palo Alto, California implemented a customer service training program for employees to meet the diverse and complex needs of its customers. This research will analyze whether participants in this training, known as Commitment to SERVE, believe that it is achieving its goal. In other words, does the Veterans Affairs Palo Alto Health Care System (VAPAHCS) staff perceive the Commitment to SERVE workshop as a beneficial customer service training program?


The Bobsled Push Start: Influence On Race Outcome And Push Athlete Talent Identification And Monitoring, Alex Harrison Dec 2017

The Bobsled Push Start: Influence On Race Outcome And Push Athlete Talent Identification And Monitoring, Alex Harrison

Electronic Theses and Dissertations

Bobsled is an Olympic sport that has progressed from rudimentary in the 1800’s to highly technological replete with biomechanical analyses and investment in engineering from the world’s top engineers. Little to no investigation has been carried out on all the tracks and the interrelationship between various measures of starts and sled-travel down-track. Further, little quality research has been produced in the athletic characteristics required for high-level competition in bobsled.

The present manuscript investigates the reliability of, and interrelationship between, start time, start velocity, split times, and finish times in World Cup 2- and 4-man bobsled competition. A strong ...


Discharge Readiness For Families With A Premature Infant Living In Appalachia, Kathy Zimmerman Dec 2017

Discharge Readiness For Families With A Premature Infant Living In Appalachia, Kathy Zimmerman

Electronic Theses and Dissertations

With increased advances in technology, the overall survival rates in the Neonatal Intensive Care Unit (NICU) for premature infants at lower gestational ages, has also increased. Although premature infants survive at lower gestational ages, they are often discharged to home with unresolved medical issues. While the birth of a new baby for parents is a joyous occasion, they often have difficulty coping and transitioning into a parental role. Premature infants also have ongoing complications such as difficulty with feeding, developmental delays in growth, and long-term eye and respiratory complications. As a result of chronic health sequelae, premature infants require extensive ...


Primary Headache Disorders In The Adult General Population Of Pakistan - A Cross Sectional Nationwide Prevalence Survey., A. A. Herekar,, A. Ahmad, , U. L. Uqaili, Bilal Ahmed, J Effendi, S. Z. Alvi, , M. A. Shahab, U. Javed, A. D. Herekar, Rafiq Khanani, T. J. Steiner Dec 2017

Primary Headache Disorders In The Adult General Population Of Pakistan - A Cross Sectional Nationwide Prevalence Survey., A. A. Herekar,, A. Ahmad, , U. L. Uqaili, Bilal Ahmed, J Effendi, S. Z. Alvi, , M. A. Shahab, U. Javed, A. D. Herekar, Rafiq Khanani, T. J. Steiner

Department of Medicine

Background: The large geographical gaps in our knowledge of the prevalence and burden of headache disorders include almost all of Eastern Mediterranean Region (EMR). We report a nationwide population-based study in Pakistan, an EMR country with the sixth largest population in the world, conducted as a project within the Global Campaign against Headache.

Methods: We surveyed six locations from the four provinces of Pakistan: Punjab, Sindh, Khyber Pakhtunkhwa and Baluchistan. We randomly selected and visited rural and urban households in each. One adult member (18–65 years) of each household, also randomly selected, was interviewed by a trained non-medical interviewer ...


The Effects Of Perinatal Methamphetamine Use On Maternal And Child Outcomes: Implications For Education Among Bsn Nursing Students, Tina Nguyen Dec 2017

The Effects Of Perinatal Methamphetamine Use On Maternal And Child Outcomes: Implications For Education Among Bsn Nursing Students, Tina Nguyen

Honors Theses

The implications of methamphetamine use are vast and prevalent in the U.S. This epidemic is also well recognized in Tennessee and in Hamilton County. The number of men and women that continue to use methamphetamine speaks to the importance of this issue. Among these individuals, pregnant women comprise a significant portion of female methamphetamine users across the United States. The potential complications that can arise for not only a mother but also her child due to maternal methamphetamine use pose a much more significant issue. The detrimental effects that a child can experience as a result of maternal methamphetamine ...


A Clinical Nurse Leader Initiative: Promoting Mobility Among Long-Term Care Facility Residents, Ulyses Reamico Dec 2017

A Clinical Nurse Leader Initiative: Promoting Mobility Among Long-Term Care Facility Residents, Ulyses Reamico

Master's Projects and Capstones

Maintenance of mobility during hospitalization or stay in long-term care facility result in improved patient outcomes including but not limited to decreased incidence of falls, non-pharmacological pain intervention, and prevention of further functional decline. In a 45-bed rehabilitation unit of a Veterans Affairs (VA) health care facility, a clinical nurse leader (CNL) initiative was done to promote mobility among the patients to mitigate functional decline. The patients, also referred to as clients or residents in long-term care facilities, were aged between 20s and 90s. The resident population consisted of patients admitted for physical rehabilitation after a stroke or surgical procedure ...