Medicine and Health Sciences Commons^™

Thyroid Dysfunction In Patients Receiving Immune Checkpoint Inhibitors, Emily Metzinger, Jennifer Boyd, Julia Broussard, Christopher Klockau

Posters

Objectives: The use of immune checkpoint inhibitors (ICIs) in cancer treatment is increasing. Literature about endocrinopathies associated with ICIs in children is limited. This study investigates ICIs and thyroid dysfunction in pediatric patients at one institution.

Methods: Retrospective chart review of patients ages 1 to 19 was completed who received any of the following ICIs between January 2000 and November 2023: PD-1 inhibitors (nivolumab or pembrolizumab), PD-L1 inhibitors (durvalumab or atezolizumab), and CTLA-4 inhibitors (ipilimumab or tremelimumab). Patients were excluded if thyroid function tests (TFTs) were not available to review or if patients passed away within 30 days of ICI …

Variation In Systemic Corticosteroid Prescribing During Asthma-Related Hospitalizations Across Children's Hospitals, Sian Best, Matt Hall, Jessica L. Bettenhausen, Shelby Chesbro, Nicholas Clark, Megan Collins, Adrienne G. Deporre, Jonathan Ermer, Bridgette Jones, Leah Jones, Jessica Markham, Elisha Mccoy, Maria Newmaster, Laura Plencner, Henry T. Puls, Smit Shah, Kathryn Kyler

Presentations

Asthma exacerbations are a leading cause of pediatric hospitalizations, and systemic corticosteroids remain a key component of inpatient treatment. Emergency department-focused studies have shown dexamethasone to be equivalent to prednisone/prednisolone in terms of outcomes such as readmission rates, but less is known about the trends in dexamethasone use versus other systemic corticosteroids, and associated outcomes in the inpatient setting. Objective (216) To describe variability and trends in inpatient systemic corticosteroid prescribing practices for acute asthma exacerbations, and to determine associations between the prescribed steroid and hospitalization outcomes. Design/Methods (949) This retrospective cross-sectional study utilized the PHIS database to examine patients …

Uab School Of Nursing Ai Taskforce: Transforming Nursing Education At Uab, Matthew Jennings Med, Chris Hickman Msis, Tonya Judson Dnp, Rn, Ni-Bc, Cne, Benjamin J. Galatzan Phd, Rn, Tedra S. Smith Dnp, Cpnp-Pc, Cne, Chse, Carrie Beth Littleton Dnp, Rn, Cnecl, Chse, Penni Watts Phd, Rn, Chse-A, Fssh, Faan

School of Nursing Professional Posters

Invited poster presentation

May 2024, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

May is Mental Health Awareness Month

• 1 in 5 U.S. adults experience a mental health condition each year.
• You are not alone on your mental health journey.
• Mental illness affects more than 50 million people in the U.S.

Nurse Suicide: Examining Depression And Anxiety In Critical Care Settings, Arianna Bernardine Barata

Nursing | Student Research Posters

Nurses play a critical role in healthcare, yet the demanding work environment often exposes them to stressors, leading to the development of depression and anxiety. According to the National Library of Medicine (NLM) (2021), 50.8% of nurses have stress, 74% have anxiety, 70.8% have depression, and 79.1% have at least one of them. Burnout, understaffing, COVID fatigue, alarm fatigue, patient ratios, and disrupted sleep patterns are some of the stressors nurses contend with in every shift. While some nurses may cope and overcome these challenges, many face more severe issues, such as suicide. Nurse suicide is an issue that has …

Telehealth: A Rising Intervention For Latina Mothers Experiencing Prenatal And Postpartum Depression, Britney Gutierrez

Nursing | Student Research Posters

Abstract: Background: Postpartum depression (PPD) is high among Latina women but often goes unrecognized and untreated. Recognition and management of PPD in this population is crucial as PPD contributes to negative health effects on the mother and infant. Purpose: This research aims to look into telehealth to improve screening methods and treatment for Latina mothers through a Spanish mobile health application that will provide screening and education on PPD. Method: This mixed-method quality improvement study will include 300 participants from an OB-GYN and Pediatrics community clinic, > 18 years old, of Hispanic/Latino ethnicity, Spanish speaking, currently pregnant, or had a child …

The Effects Of Adverse Childhood Experiences On The Weight And Emotional Stability In Adolescents, Lauren Parayno

Nursing | Student Research Posters

Adverse childhood experiences (ACES)a r e traumatic events that can occur during an adolescent's life. Af e w example of ACES are: • parental divorce/ separation • having a parent or guardian that isaddicted to a substance. These events cause the adolescent tolive through a state of chronic stress. Furthermore, these experiences put adolescents at a greater risk for obesity and depression. With adequate screening, nurses would be able to identify adolescents going through these troubling times. Interventionssuch aseducation on a healthier lifestyle and providing counseling services, would be beneficial to the age group.

Preventive Strategies For Elder Abuse Within Hospice Care By Healthcare Professionals, Joshua Eason

Nursing | Student Research Posters

Background: Healthcare professionals providing hospice care need to have particular specialized abilities, empathy, and trust. Unfortunately, some of these medical professionals are unable to provide their patients the care they need, so they will instead abuse and ignore them. Elder abuse must be identified and addressed in hospice care settings if older patients are to have their rights and dignity upheld and a standardized, compassionate end-of-life care program is to be provided for each patient.

Purpose: The purpose of this study is to examine the effectiveness and preventative strategies for elder abuse, implemented by healthcare providers within the hospice care …

Intouch Week Of April 22, 2024, New York Medical College

InTouch

• Erika Berman Rosenzweig, M.D., to Lead NYMC Department of Pediatrics
• Distinguished Speakers Will Deliver Remarks to the Graduating Class of 2024
• D.P.T. Class of 2026 Celebrates the Start of Clinicals with the White Coat Ceremony
• Division of Physical Therapy Hosts 20^th Annual Doctoral Project Presentation Day
• NYMC Graduates Reunite at the Alumni Neurology Reunion
• NYMC Students’ Altruism Shines with Woodfield Cottage Youth Initiative
• Faculty Spotlight: Rebecca A. McAteer Martin, M.D. '08, Shares her Mission in Healing

Voices Beyond Bars: A Qualitative Study Examining Occupational Participation For Formerly Incarcerated Women, Brianna Correia, Mary Smith Otd, Otr/L, Cynthia Simons Rps, Mhps

Spring 2024 Virtual OTD Capstone Symposium

This capstone project addressed the research question: “What are the systemic, societal, and personal barriers and facilitators to occupational participation and engagement that formerly incarcerated women experience in Texas?” The project aimed to advocate for formerly incarcerated women living in Texas by interviewing and collaborating with them to create an advocacy booklet highlighting their lived experiences. Following USAHS IRB approval, recruitment, and screening, 20 participants engaged in a semi-structured interview via Zoom. Insights on their experience post-incarceration in Texas regarding housing, employment, family, healthcare, and change were explored. The data obtained was analyzed and codes and themes were identified. When …

An Adapted Yoga Program For Adults With Neuromuscular Impairments Designed To Improve Balance, Mood, Quality Of Life, And Engagement In Daily Occupations, Hayes Miller, Mary Smith Otd, Otr/L, Christienne Parten Otd, Med, Otr

Spring 2024 Virtual OTD Capstone Symposium

Neuromuscular impairments such as Parkinson's disease (PD) and Multiple Sclerosis (MS) affect an individual's balance, mood, and ability to engage in daily occupations, ultimately impacting their quality of life. Yoga is a practice that is adaptable to any level of function and is holistic in its goal of mind-body unity. However, there has been minimal research regarding yoga's efficacy as a modality for populations with neuromuscular impairments. This study aimed to improve these factors as well as proprioception and interoceptive awareness through the delivery of a 6-week community-based yoga program. The program involved 5 participants, 4 with PD and 1 …

Improving Patients’ Perception Of Provider Trust And Communication With Birth Plans, Christelle Reeves, Nicole Tenzel, Timothy Kremer

North Texas Research Forum 2024

Objective: Birth plans are an effective tool for a pregnant person to express their desires and expectations for labor and postpartum. Shortcomings of birth plans can be found whenever there is a lapse in communication between provider and patient. In the management of labor and emergent situations, it has been observed by patients that obstetric providers can communicate in authoritarian and dismissive manners. In response to this, birth plans were developed to serve as a guide in these scenarios. Birth plans allow a pregnant person to design a thoughtful plan of action with their healthcare provider before giving birth, rather …

2024 North Texas Research Forum Program, Hca Healthcare

North Texas Research Forum 2024

No abstract provided.

Work Hardening And Mindfulness Training For Individuals Living With Traumatic Limb Loss, Jayda Gibson, Cassandra Nelson

Spring 2024 Virtual OTD Capstone Symposium

About 185,000 amputations occur every year, leaving roughly about 2 million individuals currently living with limb loss in the United States. Within this population, about 45% of these injuries occur from traumatic events (Department of Veteran Affairs, 2022). These events include military veterans injured in combat, civilian motor vehicle accidents, gun shot wounds, industrial incidents, and various other traumatic events (Pomares et al., 2020). Due to the the recent loss of a limb, individuals within this population are at high risk of occupational abandonment secondary to many factors that are discussed within the Model of Human Occupation. Following a traumatic …

Preparatory Program For Women During Pregnancy/Postpartum And Transitioning Back To Work Or School, Bria Runnels, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

Despite the importance of maternal health during the prenatal, postnatal, and parenting stages, there is a lack of research on the role of occupational therapists (OTs) in addressing the occupational challenges faced by women during this transitional phase. This dissertation aims to develop a program that raises awareness of the role of occupational therapy in maternal health and promotes occupational therapists as part of an interdisciplinary team within the scope of maternal health care. By adapting co-occupation for mothers, occupational therapists can play an important role in individualizing occupations for enhanced transitioning and overall quality of life. The study highlights …

Fine Motor Integration For Children With Special Needs And Low Tone, Iliana V. Blancas, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

The topic of focus will be a Fine Motor Integration Program for Children with Special Needs and Low Tone and provide students, parents, teachers, and therapists a resource to aid with the development of these skills. This program hopes to establish the development of the fine motor skills at an early age to reduce the issues that arise later within the school years that stem from lack of fine motor skills within this population.

An Ot Program To Support Women With High-Risk Pregnancy, Mackenzie M. Morgan, Cassandra Nelson

Spring 2024 Virtual OTD Capstone Symposium

This poster is an overview of an occupational therapy program developed at a Women's Health OBGYN Clinic in Texas. The program was designed to address the needs of women with high-risk pregnancy and focused on mental health, physical health, energy conservation, emotional regulation, and social participation. The findings indicate the needs for further research to understand how occupational therapy can support women's health and an expansion of program offerings to increase support for high-risk pregnancy.

Improving Health And Wellness In Patients With Frailty Traits, Jessica Lyndsay Moore, Cassandra Nelson

Spring 2024 Virtual OTD Capstone Symposium

Frailty is an age-related syndrome characterized by impairments in strength, endurance, mobility, and cognitive function (Panayi et al., 2019). Studies show that frailty increases vulnerability during stressful events such as hospitalization and is linked to poor recovery (Peeler et al., 2022). In addition to poor recovery, frail patients are at risk for increased dependence, reduced occupational performance, and reduced occupational engagement (Kawaguchi et al., 2017). Purpose: This capstone project aimed to improve health and wellness in individuals with frailty traits by implementing a comprehensive program focused on improving strength, functional capacity, nutrition intake, stress management, cognitive health, and social wellness.

Home And Community Reintegration In Chronic Phase Guillain Barre Recovery, Avani Johnson, Cassandra Nelson

Spring 2024 Virtual OTD Capstone Symposium

To improve the transition of individuals with Guillain Barre Syndrome (GBS) to their homes and communities following the onset of their condition, Avani Johnson, OTS, CPT, in partnership with Able Faith, Inc. and key stakeholders will present a poster presentation on the development of a home and community reintegration program. The overarching goal of this project was to identify the efficacy of community reintegration programs in yielding effective transitions to home and community roles for individuals with (GBS). This was completed through the development and implementation of a home and community reintegration program at a community center located within the …

The Social Participation Development For Individuals With Unilateral And Bilateral Lower Extremity Amputation, Priscilla D. Omewah, Cassandra Nelson, Scott Love

Spring 2024 Virtual OTD Capstone Symposium

This occupation-based program aims to help maintain and increase social participation for individuals with unilateral or bilateral lower extremity amputations. It was developed with an occupational therapy (OT) lens targeting adults with a lower limb amputation with a population of various ages (18-70), genders, and causes of injury to develop an occupation-based program with an OT focus. Individuals living with amputation often experience hardship when developing crucial ADL/IADL skills that can be vital for social participation regardless of age or cause of injury. This program focuses on developing social participation skills lost due to decreased functional mobility and skills caused …

Exploring Healthy Occupations For Adolescents At Risk For The Juvenile Justice System, Megan Vo, Dana Madalon, Mary Jan Greer

Spring 2024 Virtual OTD Capstone Symposium

Many youth who are at risk for the juvenile justice system are likely to have spent some time in the foster care system or child welfare system. This population is often found lacking in social skills and/or life skills that contribute to the difficulties with independent living. Occupational therapy practitioners can provide independent life skills training, such as cooking/meal prepping, budgeting, and job exploration as well as providing healthy leisure outlets to promote a successful transition into adulthood. This program aims to promote the development of skills this population requires for successful independent living as an adult such as basic …

A Program To Address Adl Independence For Young Adults With Autism And Sensory Processing Disorder And Their Caregivers, Benjamin Stovall, Ots, Mary Greer, Phd, Otr, Elizabeth Mcbride, Otr

Spring 2024 Virtual OTD Capstone Symposium

Young adults with autism spectrum disorder (ASD) and sensory processing disorder (SPD) often have difficulty understanding the steps to perform activities of daily living (ADLs) and may become overstimulated when performing their ADLs. Difficulties performing their ADLs cause dependence on their caregivers, which in turn causes both the client and caregiver to have increased stress and avoidance of these ADLs. Occupational therapists (OT) work with individuals with ASD and SPD, but there is little literature to support OT intervention with young adults or to reduce caregiver stress. This capstone found resources and techniques to improve young adults independence in ADLs …

Learning Within The Autism Perspective, Sarina Alvarez, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

The project addresses the needs of children with Autism Spectrum Disorder (ASD) within school settings, aiming to improve educational outcomes and quality of life. It highlights the role occupational therapists play in fostering collaboration and creating a supportive environment. The program utilizes a variety of activities to positively impact students education and encourage educational participation. Recommendations include further distribution of the activities to different campuses to promote program adoption.

Use Of Medication Management Strategies To Increase Medication Compliance In Person’S Who Have Suffered A Stroke, Mason Pace, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

The provided research provides education to increased independence in person with stroke for the occupation of medication adherence. Various exercises and education provided in the research to increase independence in persons with stroke.

Promoting Child Rearing For Teen Mothers Within The Foster Care System, Monic Chavez, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

Teenage pregnancy in foster care is twice the national average, with one-third becoming pregnant by 17. There are limited programs available to assist teen mothers in foster care in developing healthy parent-child relationships and parenting skills despite their desire to break the cycle of trauma and improve their relationships with their children. The objective of the capstone program is to establish and operate a residential maternity home-based trauma-informed parenting program that assists teenage mothers in foster care in developing parenting skills and a healthy parent-child relationship by providing them with the necessary resources and support.

Yoga Program For Children At Risk For Trauma: Promoting Self-Regulation And Educational Participation, Sydney Gonzales, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

This presentation describes implementing a yoga-based program within an early childhood education setting. Occupational therapists can utilize yoga-based activities and advocate for their use in classrooms to promote the positive development of self-regulation and educational participation for at-risk populations.

Ot's Role With Survivors Of Sexual Assault, Myracle N. Carter, Cassandra M. Nelson

Spring 2024 Virtual OTD Capstone Symposium

Sexual assault can lead to a multitude of symptoms that can negatively impact an individual’s occupational participation and quality of life. However, the literature and programming surrounding the use of occupational therapy (OT) with survivors of sexual assault is limited or outdated. Therefore, this program was created to be a resource and guide to increase the use of OT with survivors. This program included a total of five modules, which provided education and occupation-based activities to the participants to increase their occupational participation, specifically in work and education, and their overall quality of life. Following the conclusion of the implementation …

A Guide For Supplemental Education On Seating And Positioning For Parents And Caregivers Of Individuals With Cerebral Palsy, Grace Johnson, Mary Jan Greer, Franchesca Cox

Spring 2024 Virtual OTD Capstone Symposium

An educational program that educates caregivers and families on the importance of proper seating and positioning during play, feeding, bone development and growth, speech, reaching, toy manipulation, handwriting and interacting with peers.

A Program To Help At Home: Social Skill For Children With Autism Spectrum Disorder, Naomi Solomon, Mary Jan Greer, Justine Faghihifar

Spring 2024 Virtual OTD Capstone Symposium

The Autism spectrum disorder (ASD) typically presents in early childhood with delayed or abnormal functioning and according to the CDC (2022), 1 in 44 children have been diagnosed across all demographics. With these high prevalence rates, occupational therapy can be an asset in ASD through a client-centered approach. The problem is the lack of generalization of skills used in the clinic to the home environment to develop and maintain social skills in children with ASD for social participation. This capstone used program development to demonstrate the impact group sessions have on social skills for a child diagnosed with autism by …

The Impact Of Acquired Brain Injury On Functional Cognition And Meal Preparation And Strategies To Reduce Caregiver Burnout, Ladarrian Cobb, Cassandra Nelson

Spring 2024 Virtual OTD Capstone Symposium

In this presentation the background, purpose, problem, methods and program results that the student completed on his doctoral capstone experience are presented.