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Staff Education On Medication Screening Tool For Nursing Home Residents, Jinkee Sarah Beltran Jan 2021

Staff Education On Medication Screening Tool For Nursing Home Residents, Jinkee Sarah Beltran

Walden Dissertations and Doctoral Studies

The prevalence of potentially inappropriate medications (PIMs) among nursing home residents continues to be high. Researchers have demonstrated that the use of a medication screening tool identifying PIMs can improve medication safety among older adults. Screening tools, such as the Beers criteria and the Screening Tool for Older Persons’ Prescriptions (STOPP), are evidence-based guidelines that use several validated criteria to identify PIMs in older adults’ medication regimens. While the use of these tools is standard in the acute care setting, limited studies have been conducted regarding their use in the nursing home setting. The purpose of this project was to …


Coping Strategies Of Dual-Role Informal Caregivers, Lorilee Maldonado Jan 2021

Coping Strategies Of Dual-Role Informal Caregivers, Lorilee Maldonado

Walden Dissertations and Doctoral Studies

There are nearly 43.5 million informal caregivers (ICGs) in the United States, and this number will nearly double by 2030. Trying to fulfill the needs of an aging family member and commitments to work, home, and other relationships create a constant state of stress that may result in either leaving the workforce or placing the care recipient in a facility. Finding strategies that support both roles is economically and socially critical. This study explored the strategies that some ICGs have acquired that enable them to cope with these pressures. Work-family conflict theory, focusing on the conflict between work and family …


Primary Care Physicians’ Attitudes, Beliefs, And Actions Toward Geriatric Treatment, Andrea Renee Holzner Jan 2021

Primary Care Physicians’ Attitudes, Beliefs, And Actions Toward Geriatric Treatment, Andrea Renee Holzner

Walden Dissertations and Doctoral Studies

AbstractIn the United States, an estimated 49.2 million older adults seek specialized geriatric medical treatment from a primary care physician (PCP). Due to a nationwide geriatrician deficit resulting from significant aging population growth, PCPs now manage specialized geriatric issues, such as Alzheimer’s disease, cognitive assessments, and physiological impairments, such as Parkinson’s, due to non-normative aging. Although PCPs may take geriatric courses, geriatric specialization is beyond a normative primary care medical practice. The purpose of this generic qualitative study was to explore primary care physician attitudes, beliefs, and actions, toward geriatrics and to expand the understanding of primary care physicians’ geriatric …


Parents' Perceptions Of And Reactions To Their Child's Intergroup Marriage, Theresa Aikens Jan 2021

Parents' Perceptions Of And Reactions To Their Child's Intergroup Marriage, Theresa Aikens

Walden Dissertations and Doctoral Studies

Researchers have found that parental support and acceptance are integral to the success of interracial romantic relationships (IRRs) and well-being of interracial romantic relationship participants (IRRPs). Research on couples involved in IRRs is prevalent, but researchers neglected to include the perspectives of the parents of the IRRPs. The lived experiences of parents of adult children involved in Black-White IRRs and their perceptions of societal reactions to the IRR were explored to better understand the mechanisms behind parental support or disapproval of IRRs. Bronfenbrenner's PPCT model of bioecological theory allowed for a focus on a parent's development within the parent-child relationship …


Understanding Female Full-Time Social Workers’ Experience Providing Informal Care For Older Loved Ones, Randi L. Anderson Jan 2021

Understanding Female Full-Time Social Workers’ Experience Providing Informal Care For Older Loved Ones, Randi L. Anderson

Walden Dissertations and Doctoral Studies

Limited research existed regarding the experience of informal caregiving that female social workers provide to older loved ones while managing a full-time social work position. The purpose of this qualitative action research study was to understand how Female Master’s level Social Workers (FMSWs) who are also informal caregivers manage these roles and whether the roles impact current and future well-being. Role spillover theory and cumulative disadvantage theory were the theoretical frameworks. Data were collected from nine participants through interviews completed on Zoom. The participants responded interview questions about significant changes in their levels of stress, resiliency, or burnout at work …


Access To Preventive Health Care Services And Effects On Health Outcomes For Hispanic Older Adults With Type 2 Diabetes, Shafa Al-Showk Jan 2021

Access To Preventive Health Care Services And Effects On Health Outcomes For Hispanic Older Adults With Type 2 Diabetes, Shafa Al-Showk

Walden Dissertations and Doctoral Studies

Despite elevated prevalence of diabetes among Hispanic, Hispanic older adults face challenges in self-control and management of their glucose levels, and they have less access to preventive health care services. The purpose of this retrospective quantitative cross-sectional study was to examine the associations between access to preventive health care services and Type 2 diabetes outcomes among Hispanic adults aged 65 years and older. The social-ecological model provided the framework for the study. The research question for this study examined the extent to which doctor visits, diabetes education and blood sugar checks correlate with HbA1c levels. Data were collected from 566 …


Social Support Of Caregiver Sons Of Parents With Dementia, Ralph Callanta Pascual Jan 2021

Social Support Of Caregiver Sons Of Parents With Dementia, Ralph Callanta Pascual

Walden Dissertations and Doctoral Studies

Despite the growing number of male caregivers, few researchers have examined social supports for caregiver sons of parents with dementia. The purpose of this qualitative interpretative phenomenological study was to contribute to the empirical literature on the social support of caregiver sons of aging parents with dementia. The research question centered on the lived experience of social support of caregiver sons of parents with dementia. The theoretical framework was the social role theory. The sample consisted of eight caregiver sons of parents with dementia. Participants were interviewed using semi-structured, researcher-developed questions. The results were generated from coding and thematizing processes, …


Assisted Living Transitions: Experiences Of Family Members Of Older African American Women, Carol A. Shaw Burns Jan 2021

Assisted Living Transitions: Experiences Of Family Members Of Older African American Women, Carol A. Shaw Burns

Walden Dissertations and Doctoral Studies

AbstractLong-term care, also known as aging services, is evolving to meet the needs of the aging population in the United States, which is increasingly ethnically and racially diverse. The objective of this qualitative multiple case study was to understand how immediate family members experienced the transition of older African American women as they moved into assisted living facilities. Black feminist theory provided a theoretical framework. Narrative interview data were collected from four adult children family caregivers who facilitated the move. Three themes emerged from the content analysis: (a) Transition is not planned in advance and does not happen until a …


Optimizing The Use Of Normative Data In Dementia Diagnostic Evaluations, Laurie Holler Jan 2021

Optimizing The Use Of Normative Data In Dementia Diagnostic Evaluations, Laurie Holler

Walden Dissertations and Doctoral Studies

Cognitive tests are typically scored and interpreted using an appropriate normative reference group, often similar age individuals with similar levels of education. Psychometric testing theory presupposes that demographic correction is always beneficial, supporting the ubiquitous use of age and education correction in clinical practice. In the context of dementia, however, there is some evidence suggesting that demographic correction (specifically age correction) may reduce the sensitivity of cognitive tests to age-related cognitive decline. It was hypothesized that age correction would reduce the utility of cognitive tests for detecting cognitive change in individuals with mild cognitive impairment and mild dementia due to …


Integration Of Morphine And Virtual Reality: Pain Management For Adult Hospice Cancer Patients, Arlisa Hurd Jan 2021

Integration Of Morphine And Virtual Reality: Pain Management For Adult Hospice Cancer Patients, Arlisa Hurd

Walden Dissertations and Doctoral Studies

There is currently a problem in that cancer patients engaging in hospice may experience an excessive amount of perceived pain and a decreased quality of life. The purpose of this study was to explore an intervention that could lessen the perceived pain experienced by, and increase the quality of life of, cancer patients engaging in hospice. Immersion music virtual reality (IMVR) allows a user to interact with a realistic, computer-generated environment. 3D music (IMVR) is likely suited for pain management with patients in hospice and was used for this study. The theory for the study is the gate control theory. …


Experience Of Parents Receiving In-Home Behavioral Treatment For Their Child With Autism, Gerald Lavarias Jan 2021

Experience Of Parents Receiving In-Home Behavioral Treatment For Their Child With Autism, Gerald Lavarias

Walden Dissertations and Doctoral Studies

In-home applied behavior analysis (ABA) treatment has well-documented results and is widely recommended for children with autism. Since 1987, parents have sought and implemented ABA treatment in their homes for their children with autism. However, research on parents’ lived experiences with in-home ABA treatment is limited. As such, there is a need to study the impact and influence of ABA treatment on parents’ quality of life (e.g., challenges, scheduling, parenting). This qualitative study explored parents’ lived experiences while their children with autism received in-home ABA treatment. A phenomenological approach was used to explore the experiences of 5 parent participants who …


The Lived Experiences Of Grandparents As Primary Caregivers For Children Of Incarcerated Parents, Idonia Kaleena Barrett Jan 2021

The Lived Experiences Of Grandparents As Primary Caregivers For Children Of Incarcerated Parents, Idonia Kaleena Barrett

Walden Dissertations and Doctoral Studies

In the last decade, the number of grandparents in the United States acting as caregivers for children who have incarcerated parents has increased significantly. Incarceration separates individuals from their families and limits contact with the outside world. The imprisoned parent is dependent on the caregiver, who becomes the "gatekeeper" to maintain contact with their child. It can be challenging for the grandparent to maintain parent-child contact because of the hardships they endure as primary caregivers, which may cause them to experience strain. The purpose of this qualitative, descriptive phenomenological study was to determine the lived experiences of grandparents who serve …


An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden Jan 2021

An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden

Walden Dissertations and Doctoral Studies

Elderly nursing home patients’ high rates of hospitalization due to sepsis impact their morbidity and mortality and significantly cost the U.S. healthcare system. Skilled nursing facility (SNF) nurses who have the knowledge to assess older adults for signs and symptoms of sepsis and communicate findings to providers are instrumental in providing improved care for patients. The purpose of this doctoral project was to provide a group evidence-based educational intervention on sepsis care of older adults geared toward nurses working in SNFs. The practice-focused question asked whether an educational intervention focused on the signs and symptoms of sepsis in the elderly …


An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden Jan 2021

An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden

Walden Dissertations and Doctoral Studies

Elderly nursing home patients’ high rates of hospitalization due to sepsis impact their morbidity and mortality and significantly cost the U.S. healthcare system. Skilled nursing facility (SNF) nurses who have the knowledge to assess older adults for signs and symptoms of sepsis and communicate findings to providers are instrumental in providing improved care for patients. The purpose of this doctoral project was to provide a group evidence-based educational intervention on sepsis care of older adults geared toward nurses working in SNFs. The practice-focused question asked whether an educational intervention focused on the signs and symptoms of sepsis in the elderly …


Assisted Living Transitions: Experiences Of Family Members Of Older African American Women, Carol A. Shaw Burns Jan 2021

Assisted Living Transitions: Experiences Of Family Members Of Older African American Women, Carol A. Shaw Burns

Walden Dissertations and Doctoral Studies

AbstractLong-term care, also known as aging services, is evolving to meet the needs of the aging population in the United States, which is increasingly ethnically and racially diverse. The objective of this qualitative multiple case study was to understand how immediate family members experienced the transition of older African American women as they moved into assisted living facilities. Black feminist theory provided a theoretical framework. Narrative interview data were collected from four adult children family caregivers who facilitated the move. Three themes emerged from the content analysis: (a) Transition is not planned in advance and does not happen until a …


Sociodemographic And Psychosocial Factors And Wellbeing Among Adults 65 And Older In England, Dainelle Clark Jan 2021

Sociodemographic And Psychosocial Factors And Wellbeing Among Adults 65 And Older In England, Dainelle Clark

Walden Dissertations and Doctoral Studies

The increased number of older adults living longer parallels with the growth of public health concerns regarding the impact of sociodemographic and psychosocial factors (e.g., loneliness and social isolation) on older adults' wellbeing. The purpose of this quantitative study was to examine the association between loneliness, social isolation, the combined model of loneliness, and social isolation on wellbeing among older adults when accounting for age, gender, ethnicity, and social support. The socioecological model (SEM) was used to evaluate the multiple levels of environmental determinants for loneliness, social isolation, and wellbeing. The target population included older adults 65 years and older …