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The Availability & Efficacy Of Non-Pharmacological Interventions For Pain Management For Children With Sickle Cell Disease: A Systematic Review Of The Literature, Uchenna Onyema-Jones 2017 DePaul University

The Availability & Efficacy Of Non-Pharmacological Interventions For Pain Management For Children With Sickle Cell Disease: A Systematic Review Of The Literature, Uchenna Onyema-Jones

Grace Peterson Nursing Research Colloquium

The Availability & Efficacy of Non-Pharmacological Interventions

For Pain Management for Children with Sickle Cell Disease:

A Systematic Review of the Literature

Uchenna N. Onyema-Jones

Faculty Sponsor: Tamara Poole, MS, APN, FNP-BC

Background: Pain is the leading cause of hospitalizations for many pediatric patients with sickle cell disease and unfortunately it is often sub-optimally managed by healthcare professionals with pharmacological interventions.

Objectives: The purpose of this systematic literature review was to examine the availability and efficacy of non-pharmacological interventions used to manage pain in pediatric patients with sickle cell disease.

Method: A systemic literature review was conducted using the databases of Cumulative Index of Nursing and Allied Health (CINAHL) Complete, ProQuest Nursing & Allied Health Source, and PubMed. The keywords used in this search included: sickle cell disease, child, pain, management, nursing, and interventions.

Results: From the extensive review of literature, four non-pharmacological pain interventions were deemed effective to reduce pain for pediatric patients with sickle cell disease. Those interventions included; guided imagery, massage therapy, use of video games as a distraction modality, and omega-3 supplementation.

Conclusion: Additional studies are needed to find more effective non-pharmacological interventions for pain in pediatric patients with sickle cell disease. Furthermore, nurses who care for these pediatric patients should be able to help them cope, recognize signs of complications, involve appropriate support agencies, but most importantly recognize, assess, and treat pain.


The Effects Of Physical Exercise On The Executive Functions Of Children With Attention Deficit Hyperactivity Disorder: An Integrative Review Of Literature, Julie Diamond 2017 DePaul University

The Effects Of Physical Exercise On The Executive Functions Of Children With Attention Deficit Hyperactivity Disorder: An Integrative Review Of Literature, Julie Diamond

Grace Peterson Nursing Research Colloquium

Abstract

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder that affects 6.4 million children in the United States. These children often experience deficits in both behavioral and cognitive executive functioning. Physical exercise (PE) has been gaining recognition as an alternative non-pharmacological treatment option for children with ADHD. This study aims to gain a better understanding of the efficacy of physical exercise in improving the executive functions (EF) of these children. Critical gaps in the literature were identified and addressed. A detailed search was conducted using CINAHL, PubMed, and PsycINFO. Peer-reviewed studies written in English and published between ...


Acupuncture As An Effective Method For Pain Management In Post-Op Care, Margaret Severance 2017 DePaul University

Acupuncture As An Effective Method For Pain Management In Post-Op Care, Margaret Severance

Grace Peterson Nursing Research Colloquium

Abstract

Background: There is much evidence that portrays the lack of satisfactory pain control in post-operative care. Acupuncture has been shown to be effective in the clinical setting for pain management and control and its therapeutic indications are well recognized by WHO. A multimodal approach to post-op pain care can provide non-opioid pain, and anti-emetic relief.

Objectives: The aim of the integrative literature review was to determine whether acupuncture provides efficient pain management in post-operative care.

Method: This study is an integrative literature review, in which an intensive review of literature was analyzed to seek evidence that acupuncture for pain ...


Mindful Mornings: Piloting A Meditation Group With Vulnerable Adults In A Drop-In Center, Iyo Kubota 2017 The University of San Francisco

Mindful Mornings: Piloting A Meditation Group With Vulnerable Adults In A Drop-In Center, Iyo Kubota

Master's Projects and Capstones

An accumulation of stress and lack of coping resources can contribute to a higher incidence of mental and physical health disparities. Homeless adults are one of the most vulnerable subgroups who utilize Enterprise Resource Center, a peer-run day-center in Marin County. Because stress from multiple factors was identified in this transient and high-risk population, an intervention for stress reduction and management was explored. The findings from the needs assessment suggested that there was a need for an integrated approach for stress reduction and management. The challenge of sustaining a program was also highlighted during the needs assessment.

A brief mindfulness ...


The Value In Verifying Medical Folklore, Dennis J. Baumgardner 2017 Aurora University of Wisconsin Medical Group, Aurora Health Care

The Value In Verifying Medical Folklore, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Citing a related article published within this issue of the Journal of Patient-Centered Research and Reviews, the author opines on why traditional ideas regarding human health can persist over decades, and even centuries, despite a lack of scientifically accumulated evidence. It is important to keep in mind that some commonly accepted truths are supported by little to no factual data, and that occasionally patients may benefit from clarification on what is (or, often, is not) actually known about longstanding “rules of thumb” (eg, certain home remedies, disease-prevention measures or behavioral concerns). On the flip side, traditions that are shown to ...


Education Program Using Non-Pharmacologic Support During Benzodiazepine Reduction In Patients With Anxiety Disorders, Kelly D. Kearney DNP, RN, PMHNP-BC, Diane Wardell PhD, WHNP-BC 2017 The University of Texas Health Science Center at Houston, School of Nursing

Education Program Using Non-Pharmacologic Support During Benzodiazepine Reduction In Patients With Anxiety Disorders, Kelly D. Kearney Dnp, Rn, Pmhnp-Bc, Diane Wardell Phd, Whnp-Bc

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A private mental health clinic developed an initiative to aid patients with anxiety disorders to taper their use of benzodiazepines. Based on best practices, a treatment protocol was developed in which patients attended 4 sessions (1 per month) in which they combined instruction in non-pharmaceutical anti-anxiety techniques (guided imagery, mindfulness meditation, deep breathing, progressive muscle relaxation, exercise, emotional freedom) with cognitive behavioral therapy and use of selective serotonin re uptake inhibitors. Participants experienced a reduction in benzodiazepine use. This small scale initiative showed that the holistic approach to anxiety management was an effective plan to decrease the use of benzodiazepines ...


The Mary Wigman Book, Mary Wigman 2017 Wesleyan University

The Mary Wigman Book, Mary Wigman

The NEH/Mellon Open Book Program, Dance Titles – open access Ebooks

The final testament of a great creative artist, whose genius as a dancer and choreographer was well matched by her verbal gifts. In this volume, Walter Sorell, her longtime friend, brings together a rich selection of her writings: warm letters, poems, anecdotes of her early years, witty cartoons, essays on the art of dance, and on some of her own works. Included are her reminiscences of her first compositions and performances, of the dancers who flocked to her company and school at Dresden, and of her triumphant American tours in 1930–1933. The Mary Wigman Book was originally published by ...


Effects Of Perceived Treatment On Quality Of Life And Medical Outcomesin A Double-Blind Placebo Surgery Trial, Cynthia McRae, Eva Cherin, T. Gayle Yamazaki, Gretchen Diem, Alexander H. Vo, Daniel W. Rusell, J. Heiner Ellgring, Stanley Fahn, Paul Greene, Sandra Dillon, Hal Winfield, Kimberly B. Bjugstad, Curt R. Freed 2017 University of Denver

Effects Of Perceived Treatment On Quality Of Life And Medical Outcomesin A Double-Blind Placebo Surgery Trial, Cynthia Mcrae, Eva Cherin, T. Gayle Yamazaki, Gretchen Diem, Alexander H. Vo, Daniel W. Rusell, J. Heiner Ellgring, Stanley Fahn, Paul Greene, Sandra Dillon, Hal Winfield, Kimberly B. Bjugstad, Curt R. Freed

Daniel W. Russell

Context This study was part of a large double-blind sham surgery–controlled trial designed to determine the effectiveness of transplantation of human embryonic dopamine neurons into the brains of persons with advanced Parkinson's disease. This portion of the study investigated the quality of life (QOL) of participants during the 1 year of double-blind follow-up. Objectives To determine whether QOL improved more in the transplant group than in the sham surgery group and to investigate outcomes at 1 year based on perceived treatment (the type of surgery patients thought they received). Design Participants were randomly assigned to receive either the ...


Astrocyte-Derived Interleukin-6 Promotes Specific Neuronal Differentiation Of Neural Progenitor Cells From Adult Hippocampus, Jisun Oh, Michael A. McCloskey, Christopher C. Blong, Lee Bendickson, Marit Nilsen-Hamilton, Donald S. Sakaguchi 2017 Iowa State University

Astrocyte-Derived Interleukin-6 Promotes Specific Neuronal Differentiation Of Neural Progenitor Cells From Adult Hippocampus, Jisun Oh, Michael A. Mccloskey, Christopher C. Blong, Lee Bendickson, Marit Nilsen-Hamilton, Donald S. Sakaguchi

Marit Nilsen-Hamilton

The purpose of this study was to investigate the ability of astrocyte-derived factors to influence neural progenitor cell differentiation. We previously demonstrated that rat adult hippocampal progenitor cells (AHPCs) immunoreactive for the neuronal marker, class III β-tubulin (TUJ1) were significantly increased in the presence of astrocyte-derived soluble factors under non-contact co-culture conditions. Using whole cell patch clamp analysis, we observed that the co-cultured AHPCs displayed two prominent voltage-gated conductances - tetraethyl ammonium (TEA)- sensitive outward currents and fast transient inward currents. The outward and inward current densities of the co-cultured AHPCs were approximately 2.5-fold and 1.7-fold greater, respectively, than ...


Red Grain Sorghum Whole Kernel Crude Lipid Protects Energy Metabolism And Short Chain Fatty Acid Profile In A Hamster Model To Minimize Intestinal Stress Caused By A High Fat Diet, Haowen Qiu 2017 University of Nebraska-Lincoln

Red Grain Sorghum Whole Kernel Crude Lipid Protects Energy Metabolism And Short Chain Fatty Acid Profile In A Hamster Model To Minimize Intestinal Stress Caused By A High Fat Diet, Haowen Qiu

Nutrition & Health Sciences Dissertations & Theses

Multiple studies have shown throughout the past 10+ years that grain sorghum (GS) lipid extract protects against high plasma and hepatic cholesterol and, to a lesser degree, positively modulate the gut microbiota in response to a high fat (HF) diet. However, the impact of GS lipids on intestinal stress induced by such a diet remains largely unknown. The objective of this project was to determine the ability of GS crude lipid (GS-CL) obtained from the surface of GS whole kernel to protect energy metabolism and short chain fatty acid (SCFA) profile produced by the gut microbiome that may be negatively ...


Putting Care Back Into "Health Care:" An Analysis Of The Place Of Community Health Workers Within The U.S. Health Care System, Megan Schowalter 2017 University of Puget Sound

Putting Care Back Into "Health Care:" An Analysis Of The Place Of Community Health Workers Within The U.S. Health Care System, Megan Schowalter

Honors Program Theses

This paper explores who a Community Health Worker (CHW) is and contextualizes the social, political, and historical factors that allowed for the growth of CHWs within the primary health care sector in the U.S. It analyzes how CHWs perceive their own roles and responsibilities within the U.S. health system as a means of highlighting the gap within health care services and the influence of Social Determinants of Health (SDH) on well-being. The second part of this paper relates CHWs to scholarship by medical anthropologist Paul Farmer and public health scholar Alicia Yamin concerning pathologies of power and the ...


Snail-Cathepsin L Signaling In Human Breast And Prostate Cancers, LizaJoy Burton 2017 Clark Atlanta University

Snail-Cathepsin L Signaling In Human Breast And Prostate Cancers, Lizajoy Burton

Electronic Theses & Dissertations Collection for Atlanta University & Clark Atlanta University

Prostate and breast cancer are the leading causes of cancer-related death in men and women, respectively, and metastasis is the primary factor underlying the high mortality rates.1 Snail transcription factor is an important molecule that drives prostate and breast cancer metastasis through the process of epithelial mesenchymal transition (EMT). Proteolytic enzymes that promote invasion and metastasis such as the lysosomal cysteine protease cathepsin L (Cat L) have been shown to degrade E-cadherin, promoting the epithelial mesenchymal transition (EMT).2 It has also been shown that silencing Cat L can inhibit transforming growth factor-beta (TGF-β)-mediated EMT by suppressing Snail ...


Livin’ On A Prayer: An Analysis Of Intercessory Prayer Studies, Savannah Vincent 2017 Abilene Christian University

Livin’ On A Prayer: An Analysis Of Intercessory Prayer Studies, Savannah Vincent

Dialogue & Nexus

A meta-analysis of intercessory prayer studies was done. Current studies fail to account for the numerous variables and limitations posed by these studies; nevertheless, it is possible to reach the conclusion that the prospect of prayer as an alternative medicine is, at best, limited. The boundaries of faith and science need to be respected. The essential takeaway from this discussion is to look deeper into what sounds like simple and well-designed scientific studies on faith. These studies are often either inconclusive or have varying results when compared to similar studies.


The Effects Of Yoga On Adults With Type Ii Diabetes: A Systematic Review And Meta-Analysis, Herpreet Thind, Lori Scott-Sheldon, Ryan Lantini, Brittany Balletto, Marissa Donahue, Melissa Feulner, Elena Salmoirago-Blotcher, Beth C. Brock 2017 University of Massachusetts Lowell

The Effects Of Yoga On Adults With Type Ii Diabetes: A Systematic Review And Meta-Analysis, Herpreet Thind, Lori Scott-Sheldon, Ryan Lantini, Brittany Balletto, Marissa Donahue, Melissa Feulner, Elena Salmoirago-Blotcher, Beth C. Brock

UMass Center for Clinical and Translational Science Research Retreat

Objective: The purpose of this meta-analysis was to examine the effects of yoga for glycemic control among adults with type II diabetes (T2DM).

Methods: Comprehensive electronic databases searches located 2,559 unique studies with relevant key terms. Studies were included if they a) evaluated a yoga intervention to promote T2DM management, b) used an objective measure to assess glycemic control at post-intervention, and c) had follow-up length or post-test of at least 8 weeks from baseline. Studies were excluded if yoga was not the primary intervention focus (e.g., if yoga was part of a mindfulness-based intervention). Independent raters coded ...


Healing Touch: Enhancing Quality Of Life, Julia McCann-Khludenev 2017 Valparaiso University

Healing Touch: Enhancing Quality Of Life, Julia Mccann-Khludenev

Evidence-Based Practice Project Reports

Healing touch (HT) is a non-invasive energy therapy used in the management of symptoms of various health conditions. HT utilization has demonstrated enhanced comfort and relief of symptoms such as chronic pain, post-traumatic-stress, depression, and anxiety. The purpose of this evidence-based practice (EBP) project was to promote awareness and appointment compliance rate of HT amongst veterans, and also to determine effectiveness of HT intervention on symptom relief and well-being. The PICO question was: “For Veterans, what is the effect of HT education material and mail notification on appointment compliance rate, and HT delivery on symptom relief and well-being as compared ...


Effects Of Anandamide Administration On Components Of Reward Processing, Howard C. Cromwell 2017 Bowling Green State University

Effects Of Anandamide Administration On Components Of Reward Processing, Howard C. Cromwell

Howard Casey Cromwell

Previous research has implicated the positive modulation of anandamide, an endocannabinoid neurotransmitter,on feeding behavior. Anandamide is particularly noteworthy as it acts as an endogenous ligand of the CB1receptor, the same receptor that is activated by tetrahydrocannabinol, the primary psychoactive component in Cannabis sativa. Cannabis legalization in North America has presented with a need to study endocannabinoid agonists and their effects on behavior. Much has yet to be determined in terms of the role of the endocannabinoid system in decision-making scenarios. The research presented here tested the hypothesis that anandamide wouldaugment motivation and reward processing via appetitive and ...


Therapy Dogs And The Impact On Employees In The Pediatric Medical Setting, Laine Foith 2017 Abilene Christian University

Therapy Dogs And The Impact On Employees In The Pediatric Medical Setting, Laine Foith

Electronic Theses and Dissertations

More than 40% of nurses reported experiencing significant burnout. Burnout is characterized by disengagement, cynicism, negative views of personal accomplishment and ability, and emotional exhaustion. The healthcare providers that experience burnout can possibly expect a decrease in ability to recognize/report errors, increase of negative feelings toward the patient, and decrease levels of patient satisfaction (Ernest, 2014). One of the ways Schub (2015) suggested to regulate burnout for employees was to provide psychosocial support to colleagues to reduce stress. This study is one of the first attempts to bridge the gap between the unknown correlation between qualitative and quantitative benefits ...


One-Pot Synthesis And Characterization Of A “Click-Able” Polyester Polymer For Potential Biomedical Applications, James F. Beach II 2017 Pittsburg State University

One-Pot Synthesis And Characterization Of A “Click-Able” Polyester Polymer For Potential Biomedical Applications, James F. Beach Ii

Electronic Thesis Collection

In this study, a synthetic polyester polymer was designed using polyethylene glycol, sorbitol, glutaric acid and 4-pentynoic acid as monomers. The synthesis was carried out using standard melt polymerization technique and catalyzed by Novozyme-435, an enzyme suitable for polyesterification of biocompatible compounds. The progress of the reaction was monitored with respect to time and vacuum exposure, with samples being subjected to standard characterization protocols. Polymers with high molecular weight and water solubility were chosen for further modification into folate-functionalized polymeric nanoparticles for targeted drug delivery to cancer cells. This was achieved by employing a solvent diffusion method, wherein the polymer ...


Determining The Knowledge, Attitudes And Beliefs Of Healthcare Providers In Treating Non-Specific Acute And Chronic Back Pain, Stacey L. Kale 2017 Pittsburg State University

Determining The Knowledge, Attitudes And Beliefs Of Healthcare Providers In Treating Non-Specific Acute And Chronic Back Pain, Stacey L. Kale

Doctor of Nursing Practice

An Abstract of the Scholarly Project by

Stacey Kale

Managing back pain has become a public health and clinical challenge (Krein et al., 2016). Incidence of back pain related complaints requiring treatment in the US is estimated at 11.2% of the adult population (Dowell, Haegerich, & Chou, 2016). New research suggests that it is the most common pain problem (Pauline, 2016). It is the third most expensive health disorder and is exceeded only by cancer and heart disease. Many health care providers lack formal pain management education and training thus leaving them at risk for failing to properly manage patients ...


Cross-Cultural Investigation Of Birth Experience : A Comparison Between Mexico And The United States., Alice J Darling 2017 University of Louisville

Cross-Cultural Investigation Of Birth Experience : A Comparison Between Mexico And The United States., Alice J Darling

College of Arts & Sciences Senior Honors Theses

This study investigates the maternal birth experience through a cross-cultural lens. While the field of medical anthropology has researched birth practices of many cultures, few cross-cultural studies have been performed and no recent studies have suggested a transition in birthing. Ethnographic interviews with women and practitioners in Yucatán, Mexico and with women in Kentucky, United States allowed for a better understanding of the respective birthing environments. Grounded theory was then employed to develop a birth transition theory explaining changes occurring when society transitions from traditional birth practitioners to allopathic birth practitioners. The themes of knowledge, expectation and power were isolated ...


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