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Full-Text Articles in Medicine and Health Sciences

Achieving Advance Care Planning In Diverse Populations Via Teleconferencing With Skilled Nursing Facility Residents, Tania Huezo May 2021

Achieving Advance Care Planning In Diverse Populations Via Teleconferencing With Skilled Nursing Facility Residents, Tania Huezo

Doctor of Nursing Practice Final Manuscripts

Background: Advance care planning (ACP) has always been a priority in healthcare, and even more crucial during the COVID-19 pandemic. It has been extremely challenging for ACP to occur in the skilled nursing facility (SNF) population once social distancing restrictions were put in place to protect residents and staff.

Purpose: The purpose of this evidence-based project was to assess the effectiveness of ACP via teleconferencing with skilled nursing facility (SNF) residents in the hope of increasing completion of high-quality Physician’s Orders for Life-Sustaining Treatment (POLST) forms.

Methods: The San Diego Coalition for Compassionate Care developed an ACP community outreach ...


Weight Reduction Motivation In Osteoarthritis Patients Through Nurse Practitioner Driven Education And Follow-Up: A Pilot Project, Caoilfhionn Mulvey, Martha Fuller Phd May 2021

Weight Reduction Motivation In Osteoarthritis Patients Through Nurse Practitioner Driven Education And Follow-Up: A Pilot Project, Caoilfhionn Mulvey, Martha Fuller Phd

Doctor of Nursing Practice Final Manuscripts

Purpose of Project: The ultimate goal of this short-term pilot project is for

overweight or obese osteoarthritis patients to increase their knowledge on the benefits of

weight loss and physical activity. Research shows that for every kilogram of weight lost,

2.2–4.0 kilograms of weight is taken off of the joint and could reduce joint pain up to

thirty to fifty percent and improve quality of life. Following education from the provider,

patients will understand the correlation of osteoarthritis symptom management with

weight loss.

EBP Model/Frameworks: This project utilizes the Iowa Model of Evidence-Based

Practice to Promote ...


Get America Talking: Implementing Advanced Care Planning In Primary Care, Sasha Recht May 2021

Get America Talking: Implementing Advanced Care Planning In Primary Care, Sasha Recht

Doctor of Nursing Practice Final Manuscripts

Advanced Care Planning (ACP) is an essential part of providing adequate care in the primary care setting. Discussing end of life with patients can be a tedious and uncomfortable conversation for many providers, however, its continued avoidance contributes to the stigma of end of life care and may also result in significant healthcare cost expenditure with the use of unwanted invasive treatments. All providers should engage in consistent advanced care planning in order to improve patient and provider communication, improve patient satisfaction, increase advanced directives on file, reduce the stigma of the topic, and improve quality of life.


Communication In Interventional Radiology: Addressing The Challenges Of Complexity And The Impact Of Secure Text-Message Communications, Aakriti Mishra, Daniel Harwood, William Schaeffer, Anna Fabre, Emily Ochmanek, Paul Vantine, Sean Biggs, Ryan Lebaron May 2021

Communication In Interventional Radiology: Addressing The Challenges Of Complexity And The Impact Of Secure Text-Message Communications, Aakriti Mishra, Daniel Harwood, William Schaeffer, Anna Fabre, Emily Ochmanek, Paul Vantine, Sean Biggs, Ryan Lebaron

Quality Improvement/Patient Safety Symposium

Background: The utilization of smartphone-based technology to improve multidisciplinary communication and patient care provides an exciting opportunity for quality improvement research. In our institution, consult requests have traditionally been responded to verbally, in person or over the phone. Unfortunately, this is prone to communication errors and duplication of work. Approximately three years ago, our division developed a uniform consultation note that could easily be placed in the patient record. Additionally, we analyze the impact of a HIPAA compliant messaging system (“Tiger Connect™”) on communication inside and outside the interventional radiology (IR) department.

Methods and materials: The electronic health record (EHR ...


Utilizing Tracer Methodology To Evaluate The Effectiveness Of A Hospital Antimicrobial Stewardship Program, Christine Smyth May 2021

Utilizing Tracer Methodology To Evaluate The Effectiveness Of A Hospital Antimicrobial Stewardship Program, Christine Smyth

Doctor of Nursing Practice (DNP) Projects

Antimicrobial resistant organisms are a growing threat in the United States and globally. It has become the expectation that healthcare institutions, including hospitals, contribute resources to create and maintain antimicrobial stewardship programs to decrease antimicrobial resistance, improve patient outcomes, and decrease the spread of multi-drug resistant organisms. The methods utilized to evaluate antimicrobial stewardship at hospitals often only evaluate outcome measures and fail to capture knowledge of the hospital antimicrobial stewardship program among prescribers, clinical pharmacists, and nurses, as well potential barriers to antimicrobial stewardship among healthcare providers. The purpose of this Doctor of Nursing project is to implement and ...


Understanding Older Adults Living In Medically Underserved Areas Perspectives Regarding Type 2 Diabetes Care Received, Christopher Rogers May 2021

Understanding Older Adults Living In Medically Underserved Areas Perspectives Regarding Type 2 Diabetes Care Received, Christopher Rogers

Seton Hall University Dissertations and Theses (ETDs)

Older adults with type 2 diabetes living in medically underserved areas (MUAs) have unique health and social needs that must be taken into consideration when supporting their type 2 diabetes treatment and management care. Effective treatment and management of type 2 diabetes for older adults living in MUAs requires incorporating the preferences, desires, needs, values, and goals of the person at the center of the care into his/her care plan. Shifting care to be conducive to the treatment and management goals and plans co-created with older adults living in MUAs based on their individual physical, psychological, social, and spiritual ...


Effects Of Social Determinants Of Health In Progression To Type 2 Diabetes, Folabi I. Ariganjoye May 2021

Effects Of Social Determinants Of Health In Progression To Type 2 Diabetes, Folabi I. Ariganjoye

Applied Research Projects

The prevalence of prediabetes and diabetes in the United States and around the world has increased faster than expected in the last 30 years. The economic burden this costs a nation can be astronomic both in terms of expense and loss in productivity. One-third of U.S. adults, 86 million people, have prediabetes. Effective management is needed that can reach these 86 million, and others at high risk, to reduce their progression to diagnosed Type 2 diabetes. After the literature review, there was not enough literature to support how these led to the progression to diabetes. The abundant literature is ...


Empathy Training To Combat Provider Burnout In Geriatric Healthcare, Heather N. Block May 2021

Empathy Training To Combat Provider Burnout In Geriatric Healthcare, Heather N. Block

Honors Thesis

The correlation between provider empathy and the quality of patient care is strong (Hojat, 2016). Provider bias, whether conscious or unconscious, can be detrimental for patients, particularly for vulnerable geriatric populations. This population is especially vulnerable due to the ailments that often accompany age such as diabetic neuropathy, glaucoma, hearing loss, tinnitus, cataracts, retinitis pigmentosa, and illnesses that affect mobility. The Aging Awareness Activity was created to help future healthcare providers understand the difficulties facing the geriatric population. Using hands-on tools to simulate hearing, visual, dexterity, and movement impairments allows for participants to practice activities of daily living with impairment ...


Abstracts From The 2021 Health Care Systems Research Network Annual Conference May 2021

Abstracts From The 2021 Health Care Systems Research Network Annual Conference

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN) is comprised of 19 not-for-profit health systems with embedded research departments. The network’s annual conference serves as a forum for member institutions to highlight research findings, explore new collaborations, and share insights and opportunities. Abstracts accepted for oral and poster presentation at the 2021 HCSRN Conference are published in this supplement of Journal of Patient-Centered Research and Reviews, the official scientific journal of the annual conference.


Salem State University Grant Department Research Assistant, Lorrain Annette Alvarado May 2021

Salem State University Grant Department Research Assistant, Lorrain Annette Alvarado

Healthcare Studies Pre-Professional Day

I have spent my internship at Salem State University Grants Department, as a research assistant to the department working from home remotely. The Grants Department at Salem State University provides assistance finding grants/funds to help support faculty and staff. Salem State University provides a high quality student-centered education that prepares a diverse community of learners to contribute responsibly and creatively to a global society, and serve as a resource to advance the social, cultural, social, and economic development. The grants department also provides faculty with the necessary resources by providing assistance researching grants and fundundings in numerous websites. Where ...


Digital Health Communications Project, Understanding College Student Health Through Instagram, Lessley Columna May 2021

Digital Health Communications Project, Understanding College Student Health Through Instagram, Lessley Columna

Healthcare Studies Pre-Professional Day

In recent years, digital health promotion has quickly increased and has allowed health professionals to develop and provide a variety of online resources. These tools can be especially beneficial in reaching college students who are increasingly seeking health resources online. The proposed project examined student interaction on online platforms specifically Instagram and the relevant health topics being explored. Online health resources were developed based on Salem State University’s participation in the 2020 American College Health Association – National College Health Assessment III. This project focused on five main health topics including; sexual health, sleep, substance use, mental health, and nutrition ...


Impact Of Resource Update: Autism Support, Healthcare & Advocacy, Daniela Garcia May 2021

Impact Of Resource Update: Autism Support, Healthcare & Advocacy, Daniela Garcia

Healthcare Studies Pre-Professional Day

Resource database updates are key factors in the progression and access of quality healthcare for all. Northeast Arc’s Autism Support Center promotes inclusivity, access, and awareness to the community. Providing up to date, reliable, and accurate information across a variety of fields (i.e. advocacy, intervention, support, events, and healthcare providers) is critical for this population. The purpose of this senior-level internship was to create and organize a reliable database for Northeast Arc and the community they serve while adhering to HIPAA policies and protocols. Approximately 150 professionals on the North Shore with a variety of expertise were contacted ...


The Brain And Music Therapy, Naomy Garcia May 2021

The Brain And Music Therapy, Naomy Garcia

Healthcare Studies Pre-Professional Day

What are the benefits of music therapy on brain injury survivors? This project is focused on the ability of music therapy in providing therapeutic outcomes while also addressing the recovery process of an injured brain. Music therapy is a creative and pure form of stress relief. Throughout the patient experience at Supportive Living Inc, a brain injury wellness program, I was able to make observations on patient progress with the use of a tailored playlist. Each patient reported using a scale of one to five. As a result of the methods used, there were positive outcomes in three variables, motivation ...


Balance Training: The Effectiveness Of Exercise In Traumatic Brain Injury, Haley Dennis May 2021

Balance Training: The Effectiveness Of Exercise In Traumatic Brain Injury, Haley Dennis

Healthcare Studies Pre-Professional Day

The brain plays a major role in every function of the human body. Traumatic brain injuries can cause setbacks for individuals’ physical abilities, and that is why exercise is very important for this population. This internship consisted of a Neuro Fit program through Supportive Living, Inc. to support brain injury survivors. The main focus of the exercise program was to improve the balance of three participants by observing their independent abilities at week 1, and to consistently practice balance exercises for 12 consecutive weeks. Each exercise plan was created and catered to the three participants’ own physical abilities and goals ...


Capturing Stories And Wellness: Creating Community Wholeness, Sabrina Diaz May 2021

Capturing Stories And Wellness: Creating Community Wholeness, Sabrina Diaz

Healthcare Studies Pre-Professional Day

The Guild is a multi-sited social enterprise and cross-sector ecosystem, owned and led by Black, Indigenous, and People of Color. The purpose of this senior-level internship was to gain insight from community members on the impact of The Guild during the pandemic. Through interviews and casual interactions with community members at The Guild, there is clear understanding that The Guild offers a sanctuary space with holistic effects due to its intentional design. Specific questions were asked of the community members in which they expressed gratitude for the love they receive and peace they feel when they visit especially during the ...


Preparing Bridgewell For Residential State Licensing: Bridgewell Of Peabody, Alison Kraatz May 2021

Preparing Bridgewell For Residential State Licensing: Bridgewell Of Peabody, Alison Kraatz

Healthcare Studies Pre-Professional Day

Preparing Health and Human Service organizations for State Licensing is a rigorous and extremely important process. For the Residential Program at Bridgewell of Peabody, MA, data from various client portals, including the eHana database and the Virtual Gateway database, was compiled, sorted, summarized and graphed for preparation of the Department of Developmental Services (DDS) Residential State Licensing and October 2021 Audit. With this information, the Residential Program at Bridgewell was then able to be better informed to make necessary adjustments to improve the efficiency and performance of the organization and is more prepared for the DDS Residential State Licensing and ...


Improving Senior Care Faclilities: New Policies For Delivery System And Inventory, Eleni Laskaris May 2021

Improving Senior Care Faclilities: New Policies For Delivery System And Inventory, Eleni Laskaris

Healthcare Studies Pre-Professional Day

COVID19 has triggered different issues within long term care facilities such as the delivery system of clothing and personal belongings. These items that residents are waiting on may be the only thing that provides them with comfort, as well as a sense of familiarity during this unprecedented time. Normally, items could be delivered as soon as they were dropped off, but due to the pandemic, new regulations require a 24-quarantine period. This leaves residents waiting longer periods of time for their items. This undergraduate internship demonstrates steps taken to develop new policies and procedures for the speedy delivery of personal ...


Sex Out Loud Virtual Workshop: Educating The Youth Of Chelsea On Sexual Health And Access, Steicy Martins May 2021

Sex Out Loud Virtual Workshop: Educating The Youth Of Chelsea On Sexual Health And Access, Steicy Martins

Healthcare Studies Pre-Professional Day

The purpose of this undergraduate internship project was to educate Chelsea (MA) youth about sexual health. The creation of a survey collected current sexual practices and health knowledge of local youth. As a result of the survey, a sexual health workshop was created and publicized utilizing social media platforms, and virtual event planning strategies. The workshop included free sexual health kits, open ended discussions, and resources and guidance for those of age beginning to learn about reproductive health. This workshop was successful because individuals had a safe ground to talk about their personal health. This workshop allowed sexual health conversations ...


Making A Good First Impression Matters: Dental Website Redesign, Caroline Mata May 2021

Making A Good First Impression Matters: Dental Website Redesign, Caroline Mata

Healthcare Studies Pre-Professional Day

We live in a very technological period. People using technology to search for everything means websites are now a companies' first impression when motivating customers and patients to visit their office or buy their product. A good first impression will leave people wanting more and in return they will advertise your company for free to friends and family. A user-friendly website is a marketing tactic business owners should not miss out on.


The Why And How Of Food Pantry Donations: The Salem Pantry, Paula Mcmenimen May 2021

The Why And How Of Food Pantry Donations: The Salem Pantry, Paula Mcmenimen

Healthcare Studies Pre-Professional Day

The work done at a food pantry has become even more important during COVID-19. More people are in need and the donations that people have been giving to the pantry are helping. This project investigated how and why people are choosing to donate to the Salem Pantry. After analyzing donation databases, more people prefer donating online rather than sending a check. With more donations coming in during COVID-19, it can be presumed that people are more appreciative of how important food pantries are for those in need.


Collaborative Care Models For Behavioral Health: Establishing Protocols For Close Monitoring Of Patients Receiving Ssri Drug Therapy, Devin Smallwood May 2021

Collaborative Care Models For Behavioral Health: Establishing Protocols For Close Monitoring Of Patients Receiving Ssri Drug Therapy, Devin Smallwood

Healthcare Studies Pre-Professional Day

More children and young adults are diagnosed with depression and anxiety each year. Selective serotonin reuptake inhibitors, or SSRIs are the first-choice treatment method in both adult and pediatric patients presenting with depression and or anxiety. SSRIs cause fewer side effects than other medications, however, these side effects disproportionately affect patients at the pediatric level. This poster demonstrates the impact that Woburn and North Andover Pediatric Associates SSRI Protocol has had on patient outcomes at the pediatric level. Closer monitoring of patients and an increase in patient care coordination form the foundation of this newly implemented protocol. This study analyzes ...


Survey On Food Security And Food Habits Of Seniors In Salem, Andrea Sahovey May 2021

Survey On Food Security And Food Habits Of Seniors In Salem, Andrea Sahovey

Healthcare Studies Pre-Professional Day

In the United States as a result of the COVID-19 pandemic, food insecurity has skyrocketed and millions of Americans have turned to their local food pantries for help. Particularly for the elderly, it has been difficult to safely attain food amid the pandemic. In a new partnership with the Salem Housing Authority, the Salem Pantry will set up mobile markets at Salem Housing Authority buildings for seniors in order to provide easier access to produce and other food items available. To better understand residents needs and preferences, and improve options available at the mobile markets, we surveyed residents to gain ...


Northeast Arc: The Benefits Of Age Parity And Abi, Ashley Sacco May 2021

Northeast Arc: The Benefits Of Age Parity And Abi, Ashley Sacco

Healthcare Studies Pre-Professional Day

This project was conducted to find out the impact of age parity and exercise on an individual diagnosed with an Acquired Brain Injury. I worked one-on-one with a 22-year-old male twice a week, encouraging an increase in physical activity through creative exercises and therapeutic game-playing. The overall goal was to assist and support this individual with maintaining physical, mental and emotional wellness in the face of so much loss at such a young age. By brainstorming and connecting with the on-site physical therapist, I was able to create an environment where the individual and I connected easily on age-related topics ...


U.S. Nitrile Glove Shortage In A Humanitarian Crisis: Inmogeia Technologies Inc., Connor Bandar May 2021

U.S. Nitrile Glove Shortage In A Humanitarian Crisis: Inmogeia Technologies Inc., Connor Bandar

Healthcare Studies Pre-Professional Day

The COVID-19 pandemic has impeded the global supply of nitrile gloves, causing mass shortages, scams, fraud, and chaos. The nitrile glove shortage has presented the U.S. with a humanitarian crisis. U.S. hospitals, nursing homes, dental practices, first responders, the entire healthcare system is in peril. Health workers are scared to provide care because they lack the necessary protective nitrile gloves. The U.S. reliance on importation of nitrile gloves has left the nation susceptible, and victim too, the major portion of global fraud and scams. The COVID-19 pandemic, combined with deficient domestic manufacturing, and lacking federal guidance has ...


Policies And Procedures For Nursing Home Visitation Post Covid-19 Vaccination: Woburn Rehabilitation And Nursing Center, Emefa Katamani May 2021

Policies And Procedures For Nursing Home Visitation Post Covid-19 Vaccination: Woburn Rehabilitation And Nursing Center, Emefa Katamani

Healthcare Studies Pre-Professional Day

Nursing homes have been severely impacted by COVID-19, with high rates of infection, morbidity, and mortality. Visiting restrictions made since the start of the pandemic have had a significant impact on residents and visitors including family, loved ones, friends, guardians and staff. The Centers of Medicare and Medicaid (CMS) have collaborated with the Centers for Disease Control and Prevention (CDC) to safely issue and expand visitations for nursing homes. With vaccinations rolling out fast and millions getting vaccinated, it paves the way for nursing home visitations. A survey was created and distributed to residents about their experiences and mental health ...


Quality Assurance: Satisfaction Analysis Of Bridegwell's Services Through Data Extraction, Hunter Kraatz May 2021

Quality Assurance: Satisfaction Analysis Of Bridegwell's Services Through Data Extraction, Hunter Kraatz

Healthcare Studies Pre-Professional Day

Analyzing outcomes reports is a key component to assess quality of care in healthcare. Examining satisfaction of services is one of the main roles of the quality assurance department in the healthcare field. Satisfaction surveys are a main identifier of the overall big picture of quality of care and provide insight on how the company is preforming, and areas in which it can improve. Feedback from anonymous satisfaction surveys allows health system administrators to identify and respond to patterns of performance and further help the organization as a whole improve its quality of care. Such analysis allows a conclusion of ...


Nebraska Public Guardianship Of Unbefriended Patients: A Preliminary Review Of Health Outcomes And Cost Savings, Emily N. Berzonsky May 2021

Nebraska Public Guardianship Of Unbefriended Patients: A Preliminary Review Of Health Outcomes And Cost Savings, Emily N. Berzonsky

Capstone Experience

Unbefriended patients often experience an extended length of stay in the hospital while their medical providers await legal appointment of a public guardian to make their medical decisions. The medically unnecessary days the unbefriended patient spends in the hospital equates to high costs for the hospital, but more importantly, negative health outcomes for the patient. The purpose of this study is to provide literature and data to support recommendations for possible changes in Nebraska’s public guardianship appointment process. A literature review seeks to answer: (1) What is the median hospital length of stay for an unbefriended patient without a ...


May 2021, Swosu Bulldog Wellness Committee May 2021

May 2021, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

National Osteoporosis Month

About 54 million Americans have osteoporosis and low bone mass, placing them at increased risk for osteoporosis.

American Stroke Awareness Month

Stroke is dangerous and deadly, but you can control and treat several risk factors for it.


Comparison Of Mortality Data From Nebraska’S Rural & Metropolitan Health Districts, Claire Figi May 2021

Comparison Of Mortality Data From Nebraska’S Rural & Metropolitan Health Districts, Claire Figi

Theses/Capstones/Creative Projects

As there has been minimal research done on the correlation between communities identified as rural or metropolitan and their mortality rates, this research aims to provide baseline evidence that mortality rates associated with non-infectious and infectious diseases are connected to an area’s rural or metropolitan classification. This study analyzed public data from the Nebraska Department of Health and Human Services and the Center for Disease Control to compare mortality rates related to the top two causes of death in both rural and metropolitan health districts of the state of Nebraska, United States. This data was then compared to mortality ...


Administrator Training At The Laurels Of Mount Vernon Skilled Nursing Facility, Lance Stambaugh May 2021

Administrator Training At The Laurels Of Mount Vernon Skilled Nursing Facility, Lance Stambaugh

Masters Theses/Capstone Projects

The job duties of a Licensed Nursing Home Administrator exist in a great multitude, and require those aspiring to obtain the position to complete training in all areas of focus. The focus of this practicum is to gain exposure to the job duties of a Licensed Nursing Home Administrator, while also gaining experience in a multitude of departments that function within a skilled nursing facility. This practicum was completed amidst the COVID-19 pandemic, and therefore emphasis was placed on infection control and procedures that allow for a safe environment for those residing in this nursing facility. This increased emphasis is ...