Social and Behavioral Sciences Commons^™

Community House Cooperative: A Model For Collaboration And Building Partnerships With Community/Government Agencies, Universities And Secondary Schools, Jamie Branam Kridler, Mary R. Langenbrunner, Karen Neef, Terry Cutshaw

Mary R. Langenbrunner

No abstract provided.

Predictors Of Parent Engagement Based On Child Care Providers’ Perspectives, Aileen Garcia, Dipti A. Dev, Virginia C. Stage

Aileen Garcia

Objective: Determine the predictors of child care providers’ parent engagement regarding child nutrition in child care centers (CCCs) and family child care homes (FCCHs).

Design: Cross-sectional. Setting: Child care centers and FCCHs. Participants: Child care center directors (n = 337) and FCCH providers (n = 1,153) completed a self-administered survey.

Main outcome measures: Fifteen variables were examined as predictors for parent engagement: providers’ perceived barriers to communication, participation in Go Nutrition and Physical Self-Assessment in Child Care, National Association for the Education of Young Children accreditation, participation in Quality Ratings and Improvement Systems, feeding practices, and professional …

Mapping Quality Of Life In Nebraska: Population Distribution By Race, Ethnicity, And Age, Sarah Taylor, Maria Rosario T. De Guzman, Grant Daily, Rodrigo Cantarero, Soo-Young Hong, Aileen S. Garcia, Jeong-Kyun Choi, Yan Xia

Aileen Garcia

KEY POINTS

This section details key points from the data on racial, ethnic, and age groups across Nebraska.

RACIAL AND ETHNIC MINORITIES IN NEBRASKA

• The proportions of Nebraska’s racial and ethnic minority populations tend to be smaller by 4% (i.e., Asian) to 8% (i.e., Black or African American, Hispanic/Latino) than those of the US, except for the Hawaiian and Pacific Islander and American Indian and Alaska Native populations (i.e., smaller only by 0.1% to 0.2%).

• Nebraska’s urban areas, which comprise 73.1% of the Nebraska population, have higher numbers of racial and ethnic minorities than suburban or rural areas. …

Mapping Quality Of Life In Nebraska: Migration Rates, Aileen S. Garcia, Rodrigo Cantarero, Grant Daily, Maria Rosario T. De Guzman, Jeong-Kyun Choi, Soo-Young Hong, Sarah Taylor

Aileen Garcia

KEY POINTS AND IMPLICATIONS

Nebraska is a state that is not often viewed as affected significantly by mobility and migration. As a state, the net migration rate of 1.1 from 2015 to 2016 is fairly low compared to others like Florida (16.0) or Nevada (14.4). However, data from this report suggests that there is, in fact, substantial movement of people moving in and moving out; as well as pockets within the state where there is higher than average influx of both domestic and international migrants.

In general, migration trends in the state mirror national trends of “rural flight” where people …

Impact Of An Extension Social Media Tool Kit On Audience Engagement, Aileen Garcia, Dipti A. Dev, Colin M. Mcginnis, Tyler Thomas

Aileen Garcia

Extension professionals can improve their use of social media as channels for extending programmatic efforts by maximizing target audience reach and engagement. We describe how implementation of a tool kit highlighting best practices for using social media improved Extension professionals' efforts to engage target audience members via social media. Specifically, we found that after having access to the tool kit, Extension professionals were able to prompt greater participation and engagement from the applicable target audience across three online platforms— Facebook, Twitter, and Pinterest. Our findings indicate that Extension professionals can benefit from learning how to use social media more purposefully …

Improving The Nutrition And Screen Time Environment Through Self-Assessment In Family Childcare Homes In Nebraska, Dipti A. Dev, Natalie A. Williams, Iheoma Iruka, Aileen S. Garcia, Yage Guo, Irina Patwardhan, Katrina Cummings, Zainab Rida, Emily Hulse, Ami Sedani

Aileen Garcia

Objective: To determine if family childcare homes (FCCH) in Nebraska meet best practices for nutrition and screen time, and if focusing on nutrition and screen time policies and practices improves the FCCH environment.

Design: A pre–post evaluation was conducted using the Go Nutrition and Physical Activity Self-Assessment for Childcare (Go NAP SACC).

Setting: FCCH in Nebraska, USA.

Subjects: FCCH enrolled in the Child and Adult Care Food Program (CACFP; n 208) participated in a pre–post evaluation using Go NAP SACC.

Results: At baseline, all FCCH met the minimum childcare standards for fifty-four of fifty-six practices …

Mapping Quality Of Life In Nebraska: The Geographic Distribution Of Poverty, Grant Daily, Rodrigo Cantarero, Maria Rosario De Guzman, Soo-Young Hong, Sarah Taylor, Aileen Garcia, Jeong-Kyun Choi, Yan Ruth Xia

Aileen Garcia

Headings:

What is poverty?

Federal definitions of poverty: the poverty line

General poverty and poverty brackets

Poverty and vulnerable populations

Child poverty (under 18 years)

Young child poverty (0 - 5 years)

School age poverty (6 - 17 years)

Elderly poverty (65+)

Comparing child, adult, and elderly poverty

Minority poverty

Key points

Nebraska vs. United States

Geographic distribution

Poverty in children and the elderly

Poverty rates for racial/ethnic minorities

References

Too Many Choices Confuse Patients With Dementia, Ronald C. Hamdy, J. V. Lewis, Amber Kinser, Audrey Depelteau, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

Amber E. Kinser

Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.

Repetitive Questioning Ii, Ronald C. Hamdy, Amber Kinser, A. Depelteau, J. V. Lewis, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

Amber E. Kinser

Repetitive questioning is a major problem for caregivers, particularly taxing if they are unable to recognize and understand the reasons why their loved one keeps asking the same question over and over again. Caregivers may be tempted to believe that the patient does not even try to remember the answer given or is just getting obnoxious. This is incorrect. Repetitive questioning is due to the underlying disease: The patient’s short term memory is impaired and he is unable to register, encode, retain and retrieve the answer. If he is concerned about a particular topic, he will keep asking the same …

Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp

Amber E. Kinser

Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the …

Patients With Dementia Are Easily Distracted, Ronald C. Hamdy, Amber Kinser, Audrey Depelteau, Tracey Kendall-Wilson, J. V. Lewis, Kathleen Whalen

Amber E. Kinser

Mild cognitive impairment (MCI) is the middle ground between normal, age-appropriate memory impairment, and dementia. Whereas patients with MCI are able to cope with the memory deficit, those with dementia are not: Their memory impairment and other cognitive deficits are of sufficient magnitude to interfere with the patients’ ability to cope independently with daily activities. In both MCI and dementia, there is evidence of declining cognitive functions from a previously higher level of functioning. In both the conditions, there is also an evidence of dysfunction in one or more cognitive domains. There are two subtypes of MCI depending on whether …

Fronto-Temporal Dementia, Diabetes Mellitus And Excessive Eating, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen

Amber E. Kinser

Diabetes mellitus is common among older people. Hypoglycemia is a sign of poorly controlled diabetes mellitus and may lead to irritability, agitation, anxiety, hunger, and an excessive food intake, which in turn may make the control of diabetes more difficult. Excessive, inappropriate food intake is also a sign of Fronto-Temporal Dementia (behavioral variant: bvFTD). In this case study, we describe the events leading to an altercation that developed between an older diabetic patient with bvFTD and the staff in an Assisted Living Facility. His first dose of insulin was given early that morning while he was still asleep. He, subsequently, …

Impulsive, Disinhibited Behavior—Dining In A Restaurant, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen

Amber E. Kinser

Dining in a restaurant with a loved one who has dementia can be an ordeal, especially if the expectations of the caregiver do not match those of the patient and the restaurant environment is not suitable for patients with dementia. The size of the dining area, lighting, background music or noise, décor of the room, number of customers, variety of the items on the menu, number of plates and cutlery on the table, in addition to flowers, candles, and other decorations on the table are all potent distractors. There are so many stimuli; the patient can be overwhelmed with information …

Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

Amber E. Kinser

Insomnia is a common problem in older people, especially in patients with mild cognitive impairment (MCI) whose circadian rhythm is often compromised. Insomnia exerts such a toll on caregivers that it is frequently the primary reason for seeking to institutionalize their loved ones. Three different types of insomnia are recognized: sleep-onset or initial insomnia, sleep maintenance or middle insomnia, and early morning awakening or late insomnia. Nocturnal hypoglycemia, as a cause of middle insomnia, is the main focus of this case study. Other types of insomnia are also briefly reviewed. The management of insomnia is then discussed including sleep hygiene, …

Agnosia Interferes With Daily Hygiene In Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Jennifer E. Culp, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

Amber E. Kinser

Patients with dementia, particularly Alzheimer’s disease, may not recognize that their clothes are dirty. They may see the food stains and discoloration of the clothes and yet because of their agnosia are unable to integrate these observations and deduce that their clothes are dirty and need to be changed. They will, therefore, resist attempts to get them to change clothes, especially if these clothes happen to be their favorite ones. This often causes caregivers to become frustrated, especially, if it represents a change in the patient’s previous habits of only wearing clean clothes. In this case study, we present a …