Medicine and Health Sciences Commons^™

Geriatric Interest Plan For Individuals With Dementia: Improved Quality Of Life, Alexis T. Francois

Department of Occupational Therapy Entry-Level Capstone Projects

The purpose of this Capstone experience was to identify the specific needs to improve the quality of life for individuals with Dementia and Alzheimer’s. According to the Alzheimer’s Association (2022a), 1 in 9 people aged 65 and older have dementia. It is imperative for people living with this disease to be actively involved in meaningful activities that can reduce their negative symptoms. People with dementia constitute 40% of patients with significant depression (Alzheimer’s Association, 2022a). The common risk factors that increase the likelihood of depression in these adults include social isolation and loneliness, lack of exercise, and functional limitations that …

Examining The Benefits Of A Sustained Balance And Fall Prevention Programming For Independent Older Adults Living In A Community Setting, Noah Davis

Legacy Theses & Dissertations (2009 - 2024)

Falls have been an identified public health and social problem since the 1980’s and now recognized as a global health problem in many of the developed nations. The National Council on Aging and the Centers for Disease Control and Prevention acknowledge many evidence-based fall prevention programs. However, there are identified concerns to the programs; for example, a lack of sustained programming for older adults in the community setting. The literature review on fall prevention interventions identifies that few programs are sustained after two years, primarily due to a lack of funding and a lack of interest by older adults. However, …

The Effects Of Sociodemographic Characteristics, Caregiving Practice Patterns, Coping Mechanisms, And Social Support On The Health Of Asian American Ethnic Groups And Asian American Caregivers, Suryadewi Edi Nugraheni

Legacy Theses & Dissertations (2009 - 2024)

Background: Asian American family caregivers came from various ethnic groups with different sociodemographic characteristics and culturally specific values. However, cultural practices were often overlooked because researchers often combined all Asian Americans under one umbrella. Objective: The purpose of the study was two-fold. First, the study investigated the study sample of Asian Americans participating in the California Health Interview Survey (CHIS) 2009 comprised of multiple Asian American ethnic groups. By utilizing the study sample, the research aimed to investigate 1) the associations between caregiving and self-rated health (SRH) and hypertension and 2) the associations between heterogeneity of Asian American ethnic groups …

Implementation Of Post Falls Huddles In Skilled Nursing Facility, Princess Lomax

Evidence-Based Practice Project Reports

The purpose of this paper is to discuss the quality improvement project, implementation of the post fall huddle in a long-term care facility. Falls are the most common problem in adults 65 years and older. Falls in this population can have devastating effects, often leading to significant changes in morbidity or death. Adults in long term care settings have an increased risk of falling and having a subsequent fall due to an acute illness, weakness, or confusion (CDC, 2015). At the skilled facility, there has been a significant increase in hospitalizations due to injuries sustained from falls. To address this …

Optimising Refurbishment In Australian Residential Aged Care Facilities Using A Mixed Methods Approach, S Neylon

Theses

The growth in ageing populations in addition to an increase in rates of chronic diseases such as dementia, has led to projections that this upsurge will be matched by increased demand for residential aged care placements for the foreseeable future. Currently, significant proportions of aged care government funding both locally and internationally are directed towards the residential sector. Australia has recently released Aged Care Quality Standards whereby the outcomes to residents need to be verified specifically across a range of domains (including the living and built environment) in order to maintain this government funding. Building new facilities is not always …

Using Digital Health Technology To Optimise Older People’S Pain Self-Management Capabilities: A Mixed Methods Study (The Digitech Pain Project), Priyanka Bhattarai

Theses

Background

Arthritic pain is a major cause of illness and disability among older people. As the use of smartphones and apps increases in the lives of older people, there is an opportunity to explore the role of these apps in helping older people better manage their arthritic pain.

Aim

To explore the feasibility and acceptability of older people using an arthritic pain selfmanagement app to improve their pain symptoms.

Methods

A parallel convergent, mixed methods design underpinned by Bandura’s Self-Efficacy Theory and the Technology Acceptance Model 2; comprising of the following five studies:

(i) Study 1a: an integrative review;

(ii) …

The Association Of Comorbid Chronic Physical Conditions And Psychological Illness With Health Care Utilization In Middle-Aged And Older People, Allison Houston

Legacy Theses & Dissertations (2009 - 2024)

Abstract

The Impact Of Peer-Led Falls Prevention Education On Community-Dwelling Older Adults: A Mixed Methods Evaluation, Linda Khong

Theses

Older adults are not optimally engaged in falls prevention strategies. Peer education may be an approach to improving engagement and uptake of falls prevention strategies by community-dwelling older adults. However, empirical research regarding this approach has been inconclusive. Accordingly, the primary aim of this research was to design a peer-led falls prevention education program and evaluate its impact on community-dwelling older adults’ beliefs, knowledge, motivation, and intention to engage in falls prevention strategies. This research was a mixed methods study conducted in two phases. Phase 1 comprised three concurrent studies. These aimed to elucidate the issues regarding falls prevention education …

Slip, Trip And Fall Risk Among Elderly Men And Women Living In The Hawaii Adult Foster Care Home System, Michelle Echauz Ching

UNLV Theses, Dissertations, Professional Papers, and Capstones

Adults 65 years of age and older (hereby referred to as “elderly”) are one of the fastest growing populations in the United States (U.S.). A major public health concern affecting the elderly population is unintentional injuries, particularly slips, trips, and falls (STFs). While there is extensive research on STFs among the elderly living in the community and long-term health care facilities, little to no research is found on STFs among the elderly living in community-based health care facilities. Research has also shown that STFs are caused by the interaction between multiple risk factors. Therefore, the purpose of this quasi-experimental study …

The Effects Of 12 Weeks Of Instructor-Led Yoga Classes On Balance In Older Adults, Patricia C. Hart

Evidence-Based Practice Project Reports

Participation in a regular exercise program is an effective way to reduce and/or prevent a number of functional declines associated with aging (Chodzko-Zajo et al., 2009). Older adults are advised to participate in regular aerobic activity and practice muscle strengthening activities and exercise that maintains or improves balance (U.S. Department of Health and Human Service, [USDHHS], 2012). Less than one third of older adults engage in 30 minutes of low to moderate intense physical activity at least five days a week as recommended in current guidelines (USDHHS, 2012), and these guidelines fail to address losses in strength and flexibility seen …

The Impact Of Heat Event On Emergency Department Visits Due To Cardiovascular Diseases Among Elderly During Transitional Seasons And Summer In New York State, 2005-2013, Mengxuan Li

Legacy Theses & Dissertations (2009 - 2024)

Background: Prior studies have reported the association between heat exposure and cardiovascular diseases (CVDs) in summer, but transitional season effects are rarely studied. Additionally, the elderly has not received enough attention as a high risk group. Emergency department (ED) visits can capture heat response at the early stage, but few studies have used it as an outcome.

Effect Of Telephone Counseling On Physical Activity Among Older Adult Cancer Survivors, Ellen C. Mullen

Nursing Theses and Dissertations

The elderly population, especially those with cancer coupled with low health literacy, is at high risk for poor health outcomes. Telephone counseling has been shown to be effective in improving health behaviors among other populations, but it has not been studied for older adult cancer survivors. The purpose of this mixed methods study was to examine the effectiveness of telephone counseling on physical activity among older adult cancer survivors (n=50). The relationship between health literacy level and perceived changes in physical activity was assessed. Based on existing literature and Orem's Theory of Self-care, the following hypotheses were tested: H1: Telephone …

The Acute Effects Of Static Stretching Of The Gastrocnemius On Limits Of Stability In Young Adults Versus Elderly Adults, Matt Bugnet, Kirk Player

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Balance is an important part of everyday life for all individuals with many body systems interacting to achieve optimal balance. Proprioceptive organs aid in this interaction, while also acting as stretch receptors. Therefore, it is possible that stretching may influence the overall balance of the individual. The purpose of this study was to investigate the acute effects of stretching on dynamic balance of healthy young and elderly adults. The two groups were used to determine if stretching may discriminately affect balance at different ages.

Subjects: Thirty healthy adults between the ages of 18 and 35 …

Vital Tooth Whitening: Effects On Tooth Color Satisfaction, Beliefs About Dentofacial Appearance, And Self-Esteem In Older Adults, Kelly Marie Seeber

Dental Hygiene Theses & Dissertations

The purpose of this study was to explore the effects of vital tooth whitening on tooth color satisfaction, beliefs about dentofacial appearance, and self-esteem in a population 50 years of age and older. A two-group, randomized, pre-test, post-test, single-blind design was utilized following !RB-approval. Sixty-two participants were enrolled. Fifty-three participants (N=53) completed the study with no adverse events reported. Both the control and experimental groups received instructions for a threeweek oral self-care regimen, a toothbrush, toothpaste, and floss. The experimental group also received a tooth whitening product (independent variable) to be used during the same three-week period. Dependent variable measures …

Effectiveness Of A Practice Regimen For Decreasing Floor Rise Time In Older Adults, Deborah Waldschmidt Gibbs

Human Movement Studies & Special Education Theses & Dissertations

Some older adults experience extended periods of time lying on the floor waiting for help to arrive because they can not rise up independently (Campbell et al., 1990; Nevitt, Cummings, and Hudes, 1991). In many of these cases the older adults are not seriously injured, yet they lack the ability to rise up (Tinetti and Speechley, 1989; Vellas, Cayla, Bocquet, Pemille, and Albarede, 1987). Body Recall, an exercise program that teaches floor rising to older adults, advocates practicing getting up from the floor as a method for retaining this ability. The benefit of Body Recall is only anecdotal and has …

Fall Risk Assessment : A Prospective Investigation Of Nurses' Clinical Judgement And Risk Assessment Tools In Predicting Patient Falls In An Acute Care Setting, Helen Myers

Theses: Doctorates and Masters

Falls are a significant problem in acute care, hospital settings, and can have serious consequences, especially for older patients. Fall prevention has therefore been recognised as an important area for research and intervention. In order to target interventions and use resources effectively, a major strategy of many fall prevention programmes has been the development and/or use of risk assessment tools to identify patients who are at high risk of falling. Although many tools have been developed, few have been rigorously tested, and there is currently no evidence to support the clinical utility of fall risk assessment tools. There is a …

A Health System Analysis Approach To Health Outcomes In Medicare Clients With Chronic Illnesses, Christine A. Elnitsky

Health Services Research Dissertations

Since 1863, outcomes measurement efforts have provided information to health care consumers, administrators, and policymakers in assessing concerns about access, quality and costs. With a growing population of older adults with chronic illnesses, cost-cutting strategies in health delivery systems, and federal endorsement of managed care systems, researchers have begun to evaluate the impact of different delivery system organizations on health. The current study combines two areas of health services research to provide the first published hierarchical analysis of the influence of delivery system factors, and a profile of population and community characteristics and utilization factors, on perceived health outcomes of …

The Use Of The Cognitive Status Examination In Detecting Cognitive Impairment In Elderly People, Geoff Mccann

Theses: Doctorates and Masters

Dementia is a growing social problem in Australia because as the population ages, the incidence of dementia increases. While the prevalence rates are only about I% at age 65, they double every five years until by 85 years of age the rate is over 24%. It is expected that by the year 2030, the number of elderly people with dementia will increase by 200%. Dementia is easily recognized in its advanced stages but can be overlooked in the early phase. Family members, care-givers and even the treating medical practitioner may mistakenly attribute the early decline in mental function to the …

How General Practitioners And Aged Care Workers Perceive Incidences Of Elder Abuse, Paul Howrie

Theses: Doctorates and Masters

As the Australian population is expanding and ageing, there is an associated need for a focus to be placed on the Individual rights of elderly people, and for the general populus to be made more aware of areas related to our older generation. Elder abuse, as an area of concern, developed as an offshoot of investigations into child abuse and general domestic violence, and initially surfaced in the 1970s and 80s. Some sections of the medical profession were made specifically aware of the problem initially in 1975, through a letter that was sent to the British Medical Journal. However, throughout …

A Qualitative Study Of The Impact Of Hip Fracture In The Elderly Population, Stephanie Anne Price

Theses: Doctorates and Masters

The social, emotional and economic impact of falling in the elderly population is significant. Falls are the leading cause of injury related deaths and hospitalisation amongst people aged 65 years and older, a major factor in their morbidity and mortality rates. Post fall sequelae can have major ramifications that include reduction or avoidance of activities, attributable to an enduring fear of future falls. Twenty-three older people who had fallen in the community were located via hospital records and invited to participate in the study. Subjective accounts of the impact of falling and sustaining a hip fracture were obtained by means …

Perceived Social Support Of Family Members Of Aged Care Facility Residents And Its Relationship With Family Members Well-Being And Their Support Of Relatives In Residential Care, Christine Toye

Theses: Doctorates and Masters

When elderly people are cared for In Aged Care Facilities (ACFs) it is known that their family members frequently suffer negative effects. These effects may be alleviated by social support and, because they feel better, family members may then offer more support to residents. In this study, the researcher tested a model with a sample of 213 family members of ACF residents. Predictive relationships were hypothesised among incentives for family members to support residents, stress related factors, the perceived formal and Informal support of family members, their psychological wellbeing, and the support they offered to residents. The researcher also developed …

Nursing Home Ownership And Public Policy: An Historical Analysis, K. R. Kaffenberger

Graduate Doctoral Dissertations

In the early days of the United States, care of the disabled elderly outside the home meant the public almshouse. By the 1920s, private, nonprofit homes for the aged were prevalent. More recently, private, for-profit facilities have grown to dominate the field.

For-profit ownership has been controversial. Underlying the controversy is the concern that quality might be lowered in order to enhance profit.

This study asks why most nursing homes are privately owned and why most privately owned nursing homes are operated for profit. It does so with reference to The Nonprofit Economy, in which Burton Weisbrod describes a …

The Meaning Of Quality In Living Service Environments: An Analysis Of The Experiences Of People With Disabilities, Elderly People And Service Workers, Ruth Marquis

Theses: Doctorates and Masters

The purpose of the study was to examine the experiences of both people with disabilities and elderly people and to identify their perceptions of quality as it relates to living in a service or being supported by a service to live in the community. The study was naturalistic in design and used a phenomenological approach and inductive analysis. It involved immersion in living services for a two year period, in-depth interviews with people living and working in services and participant observation. Fifty service users between the ages of twenty-one and ninety-six, and twenty-six service workers between the ages of twenty-six …

The Lived Experience Of The Aged Care Nurse, Christine Martin

Theses: Doctorates and Masters

The purpose of this phenomenological study was to describe and interpret the common, shared meanings of the experience of aged care nursing from the perspective of the registered nurse working in a nursing home. There are insufficient registered nurses being attracted into aged care, with resulting difficulties in maintaining regular staffing levels in nursing homes. Previous studies conducted in Australia have predominantly used quantitative research methods to investigate various influences QD the recruitment and retention of aged care nurses. These studies do not take into account the practitioners' perceptions of their experience of aged care nursing. A purposive sample of …

The Development Of The 'Nursing Home/Hostel - Quality Of Life Index': A Tool To Measure The Quality Of Life Of Permanent Residents In Geriatric Care Institutions, Linda Pettit

Theses : Honours

The purpose of this study was to develop the 'Nursing Home/Hostel: Quality of Life Index' (NH/H:QLI). This was to be a tool which would indicate the 'quality of life' of elderly residents in geriatric care institutions, such as nursing homes and hostels. Several means were employed to establish the validity of the tool. These were: consultation with experienced geriatric nurses, an examination of similar types of tools and correlation with another already established tool; Bigot's Life Satisfaction Index. The reliability of the NH/H:QLI was established by determining how well the scores correlated on a test re-test format. Kendall's Tau was …

Verbal Fluency Performance Of Normal Elderly Subjects, Molly Secrest

Dissertations and Theses

The purpose of this study was to measure the verbal fluency of normal gerontologic subjects and to determine the extent of association between verbal fluency score and level of education. Specifically, this investigation sought to determine means, ranges and standard deviations for three groups of subjects: those 61 to 69 years of age, those 70 to 79 years of age, and those 80 years of age and above. In addition, correlations between verbal fluency score, and age, sex, years of education, and order of stimulus presentation were computed.

Art Therapy As A Mechanism For Increasing Life Satisfaction In Later Life, Phyllis Laulainen Mcgraw

Dissertations and Theses

It was hypothesized that art therapy with the elderly would increase the quality of an informal life review and motivate them toward greater psychological well-being (life satisfaction). To test this hypothesis, 30 subjects between the ages of 61 and 83 were assigned to three experimental conditions: Art Therapy Group, Discussion Group, and Control Group.

Assessment Of Hearing Sensitivity By Use Of The Acoustic Reflex In The Geriatric Population, Donna Elvira Gilham

Dissertations and Theses

The purpose of this study was to investigate the use of the SPAR test (Sensitivity Prediction by the Acoustic Reflex) on a sample of older adults who professed negative otologic histories. Twenty-seven subjects, ranging in age from sixty-four to eighty-three years of age (54 ears) were ultimately chosen as subjects. A young adult group, ranging in age from eighteen to thirty years of age, with normal audiometric hearing levels served as controls. Reflex threshold levels were obtained using 500 Hz., 1000 Hz., and 2000 Hz. pure tones and noise stimuli. Assessment of hearing loss was calculated on the difference between …