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Improving Communication Between Child Life Services And Nursing On An Inpatient Pediatric Unit, Sherryann St. Pierre, Elizabeth Shaughnessy, Bethany Kay, Barbara Bush Children's Hospital, Mark Parker, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks 2018 Maine Medical Center

Improving Communication Between Child Life Services And Nursing On An Inpatient Pediatric Unit, Sherryann St. Pierre, Elizabeth Shaughnessy, Bethany Kay, Barbara Bush Children's Hospital, Mark Parker, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks

Operational Excellence

IMPROVING COMMUNICATION BETWEEN CHILD LIFE SERVICES AND NURSING ON AN INPATIENT HOSPITAL UNIT

Effective communication between patient caregivers has been shown to reduce stress and trauma related to hospitalization and subsequent improved outcomes. An HCAHP score for a 30 bed acute inpatient pediatric unit illustrated the confusion faced by children as a result of nursing and care life specialists not working together as a team.

A root cause analysis identified a number of issues as to why patients were not benefitting fully from child life services. Several counter measures were instituted with the goals of improving the HCAHP score and ...


Hand Issues On Scleroderma Patients, Ana Font Hernandez 2018 City University of New York (CUNY)

Hand Issues On Scleroderma Patients, Ana Font Hernandez

Publications and Research

Based on the design of a 3D-printed spoon prototype, we surveyed scleroderma patients about the device's value. 75% of patients mentioned having problems on their hands due to scleroderma. 85% of patients said their hand form changed because of the disease. Answers to the frequency or speed of the changes provide inconclusive results. The 3D printing technology has the potential to solve specific issues scleroderma patients face in their daily lives. Nevertheless, further research is needed to fully understand how hands shape change over time.


Operant Conditioning Of Human Upper-Limb Stretch Reflexes, Ehsan Abolhasani 2018 The University of Western Ontario

Operant Conditioning Of Human Upper-Limb Stretch Reflexes, Ehsan Abolhasani

Electronic Thesis and Dissertation Repository

Operant conditioning of short-latency reflex (SLR) and H-reflex have been investigated in animals and humans. We modified previously established protocols for conditioning lower limb H-reflexes to up-condition the SLR in brachioradialis muscle and to investigate the effect of such conditioning on the long-latency response (LLR) of synergistic muscles. Our study included 12 healthy participants. Each participant took part in 3 baseline and 27 conditioning sessions in 6 weeks, followed by two additional sessions one month and two months after the last conditioning session. We found an increase in SLR magnitude in 50% of participants (by 15%±2.50). However, there ...


The Effect Of A Voice Treatment On Facial Expression In Parkinson’S Disease: Clinical And Demographic Predictors, Amanda D. Bono 2018 The Graduate Center, City University of New York

The Effect Of A Voice Treatment On Facial Expression In Parkinson’S Disease: Clinical And Demographic Predictors, Amanda D. Bono

All Dissertations, Theses, and Capstone Projects

Parkinson’s disease (PD) is a neurodegenerative disease associated with a wide range of motoric, cognitive, and behavioral symptoms. Impairments in facial mobility and emotional expressivity are common and can impair communication, in turn, affecting daily functioning and quality of life. Previous research suggests that the Lee Silverman Voice Treatment © (LSVT LOUD; Ramig et al., 2001, 2011) increases vocal loudness and facial expressivity in individuals with PD compared to PD and healthy controls. This study extends the literature by examining the effects of LSVT and an articulation-based control treatment (i.e., ARTIC) on multiple aspects of facial expressivity (i.e ...


How Do Health Care Providers Identify And Address Lifestyle Factors With Community Dwelling Adults Who Have Chronic Wounds?, Linda Norton 2018 The University of Western Ontario

How Do Health Care Providers Identify And Address Lifestyle Factors With Community Dwelling Adults Who Have Chronic Wounds?, Linda Norton

Electronic Thesis and Dissertation Repository

Wound prevention and management best practice guidelines and literature contain recommendations that treatment plans need to consider the client’s lifestyle but offer little guidance about the specific lifestyle factors to be considered, nor how to address these. A post positivist constructivist grounded theory study was used to explore this gap Participants were health care providers with at least 5 years of experience working with community dwelling adults with chronic wounds. Data were transcripts of two semi structured individual interviews, a reflective journal, relevant documents identified by participants and transcripts of focus groups.

A common understanding of lifestyle factors was ...


The Effectiveness Of Neurofeedback And Heart Rate Variability Biofeedback For Individuals With Long-Term Post-Concussive Symptoms, Marquise Bonn 2018 The University of Western Ontario

The Effectiveness Of Neurofeedback And Heart Rate Variability Biofeedback For Individuals With Long-Term Post-Concussive Symptoms, Marquise Bonn

Electronic Thesis and Dissertation Repository

Case studies have shown that low resolution electromagnetic tomography (LoRETA) neurofeedback is effective for many psychological disorders, but it’s effectiveness for individuals experiencing persistent post-concussive symptoms (PPCS) is uncertain. Individuals with PPCS (n = 7) received an eight-week LoRETA neurofeedback and heart rate variability biofeedback intervention. Change in symptoms, driving simulation performance, electroencephalographic z-score deviations, and heart rate variability were compared to PPCS (n = 9) and healthy (n = 8) control groups. Statistical analyses revealed that the intervention significantly reduced electroencephalographic z-score deviations (p < 0.005) compared to PPCS controls. Additionally, headache, nausea, and dizziness symptoms were reduced in the intervention group (p = 0.003) and the PPCS controls (p = 0.001) compared to healthy controls. Participants responded variably ...


The Listening Shift: Evaluating A Communication-Strategies Training Program For Telepractice Nurses Experiencing Hearing Challenges, Raphaelle Koerber 2018 The University of Western Ontario

The Listening Shift: Evaluating A Communication-Strategies Training Program For Telepractice Nurses Experiencing Hearing Challenges, Raphaelle Koerber

Electronic Thesis and Dissertation Repository

Workers who wish to remain employed should be supported in doing so, even if they are experiencing age-related disabilities, such as hearing loss. I aimed to better understand the strategies from which workers with hearing loss might benefit, and how they can be supported in adopting these strategies. To collect rich data, I recruited telepractice nurses who rely on listening to make critical decisions about triaging and health care recommendations. My first research question was: What strategies exist for making telephone speech more intelligible for health care providers and patients with hearing challenges? I performed a scoping review following the ...


Reestablishing A Culture Of Water Competency At An Hbcu, Knolan C. Rawlins 2018 Delaware State University

Reestablishing A Culture Of Water Competency At An Hbcu, Knolan C. Rawlins

International Journal of Aquatic Research and Education

African American children ages 5 – 19 years drown in swimming pools at rates of 5.5 times higher than those of whites (Gilchrist & Parker, 2014). Literature suggested culture is the culprit for this disparity. A fear of water dates to slavery (Pitts, 2007). After slavery was abolished, the memory of drowning remained part of the African American culture. In the twentieth century, the popularity of swimming grew with the increase in public pools. The era of the Jim Crow laws kept African Americans out of public pools (Pitts, 2007). Although the political landscape has shifted since the Jim Crow era, inequities have continued to linger. Despite the reported disparity between drowning among African Americans and others, a gap exists in the literature regarding aquatic programming at Historically Black Colleges and Universities (HBCUs). Delaware State University (DSU) is addressing the fear of water among students on campus and among members of the surrounding community to DSU by implementing the American Red Cross Parent Orientation to Swim Curriculum. DSU’s current motto is “Making our mark on the world;” the previous motto was, “Only an educated man is free.” We prefer to recall that Plato said, “A man is not learned until he can read, write, and swim” (Silver, 2018).


Comparison Of Analysis Techniques For Assessing Oro-Pharyngeal Swallow From Videofluoroscopy, Prasanna Venkataraman 2018 University of Wisconsin-Milwaukee

Comparison Of Analysis Techniques For Assessing Oro-Pharyngeal Swallow From Videofluoroscopy, Prasanna Venkataraman

Theses and Dissertations

MBSImP® is an ordinal rating scale designed to evaluate 17 swallowing events from Videofluoroscopic Swallowing Study. Use of an ordinal scale to judge swallowing impairment involves subjectivity and could affect the reliability of judgements. There is a need to validate the ordinal levels of ratings in MBSImP® with objective data, in order to improve confidence of clinical judgements. The hypothesis was that discrete objective data could be obtained for each level of rating in MBSImP® that are statistically different from the data of the subsequent rating level, which would objectively support the concept of the MBSImP® tool. Two hundred 5ml ...


Speech-Language Pathologists' Practices And Attitudes Toward App Use In Therapy, Tessa Alexandra Benedon 2018 University of Wisconsin-Milwaukee

Speech-Language Pathologists' Practices And Attitudes Toward App Use In Therapy, Tessa Alexandra Benedon

Theses and Dissertations

Numerous national surveys have established that Americans of all ages are using mobile technologies (e.g. cell phones, smartphones, and tablets) more than ever before (Pew Research Center, 2018; American Academy of Pediatrics, 2016a; American Academy of Pediatrics, 2016b; Reid-Chassiakos et al., 2016; Tsetsi & Rains, 2016; Kabali et al., 2015). In the same vein, Morris, Jones, and Sweatman (2016) found that Americans with visual, hearing, motor, learning, and speech disabilities area also engaging with apps on smartphone and tablet technologies for vocational, educational, and social purposes. Developers of the iOS and Android operating systems have prioritized user-friendly design and accessibility features to ...


Parkview Health Supervised Exercise Therapy For Peripheral Artery Disease (Pad): A Chart Review, Garrett Bastin, Srikiran Dasari, Michael J Mirro MD, Peter Chaille MD 2018 Parkview Health

Parkview Health Supervised Exercise Therapy For Peripheral Artery Disease (Pad): A Chart Review, Garrett Bastin, Srikiran Dasari, Michael J Mirro Md, Peter Chaille Md

SERF Student Research

Background: Peripheral artery disease (PAD) is the narrowing of arteries in the extremities due to atherosclerosis. The most common symptom of PAD is intermittent claudication (IC), which describes pain and fatigue in the muscles that occurs during physical activity and is relieved by rest. Supervised exercise therapy (SET) is an exercise-based therapy that demonstrates efficacy in the treatment of symptomatic PAD. SET programs consist of walking exercises in which patients alternate between walking to claudication and rest; studies indicate that it is recommended as the initial treatment to relieve IC in PAD patients. Objective: This study determines if the Parkview ...


Predicting Gains With Visuospatial Training After Stroke Using An Eeg Measure Of Frontoparietal Circuit Function, Robert J. Zhou, Hossein M. Hondori, Maryam Khademi, Jessica M. Cassidy, Katherine M. Wu, Derek Z. Yang, Nikhita Kathuria, Fareshte R. Erani, Lucy Dodakian, Alison McKenzie, Cristina V. Lopes, Walt Scacchi, Ramesh Srinivasan, Steven C. Cramer 2018 University of California, Irvine

Predicting Gains With Visuospatial Training After Stroke Using An Eeg Measure Of Frontoparietal Circuit Function, Robert J. Zhou, Hossein M. Hondori, Maryam Khademi, Jessica M. Cassidy, Katherine M. Wu, Derek Z. Yang, Nikhita Kathuria, Fareshte R. Erani, Lucy Dodakian, Alison Mckenzie, Cristina V. Lopes, Walt Scacchi, Ramesh Srinivasan, Steven C. Cramer

Physical Therapy Faculty Articles and Research

The heterogeneity of stroke prompts the need for predictors of individual treatment response to rehabilitation therapies. We previously studied healthy subjects with EEG and identified a frontoparietal circuit in which activity predicted training-related gains in visuomotor tracking. Here we asked whether activity in this same frontoparietal circuit also predicts training-related gains in visuomotor tracking in patients with chronic hemiparetic stroke. Subjects (n = 12) underwent dense-array EEG recording at rest, then received 8 sessions of visuomotor tracking training delivered via home-based telehealth methods. Subjects showed significant training-related gains in the primary behavioral endpoint, Success Rate score on a standardized test of ...


Adapted Aquatics For Children With Severe Motor Impairments, Phillip Conatser, Eric James, Ulku Karabulut 2018 University of Texas Rio Grande Valley

Adapted Aquatics For Children With Severe Motor Impairments, Phillip Conatser, Eric James, Ulku Karabulut

International Journal of Aquatic Research and Education

Available research clearly shows that more children who have disabilities, including those with severe disabilities, are participating in swimming programs as well as wanting to be taught in a regular aquatic class without being segregated. Aquatic instructors need to prepare lessons that include children both with and without disabilities. This means that aquatics instructors need to understand and be willing to implement unique teaching and managerial techniques that foster the safe and successful learning environment for all children. While the task of teaching children who have severe disabilities may seem difficult at first, with a little knowledge and experience, instructors ...


Lymphedema Techniques To Manage Edema After Sci: A Retrospective Analysis, Rebecca Hammad, Catherine Furbish, W. Mark Sweatman, Edelle Field-Fote 2018 Shepherd Center

Lymphedema Techniques To Manage Edema After Sci: A Retrospective Analysis, Rebecca Hammad, Catherine Furbish, W. Mark Sweatman, Edelle Field-Fote

Rebecca Hammad

Study design:
Retrospective analysis of treatment data for a cohort of clients with spinal cord injury (SCI) who received therapy for management of edema.

Objective:
To evaluate the safety, feasibility, and benefit of a modified lymphedema treatment approach for treatment of chronic lower extremity edema in persons with SCI.

Setting:
A specialty rehabilitation hospital in Atlanta, GA, USA.

Methods:
Certified lymphedema therapists with experience in SCI rehabilitation modified standard complete decongestive therapy (CDT) techniques to accommodate sensory and motor impairments and ensure skin safety. Therapists applied the modified CDT (mCDT) approach as part of treatment in 59 adults with SCI ...


Dynamical Properties Of Postural Control In Obese Community-Dwelling Older Adults, Christopher W. Frames, Rahul Soangra, Thurmon Lockhart, John Lach, Dong Sam Ha, Karen A. Roberto, Abraham Lieberman 2018 Arizona State University

Dynamical Properties Of Postural Control In Obese Community-Dwelling Older Adults, Christopher W. Frames, Rahul Soangra, Thurmon Lockhart, John Lach, Dong Sam Ha, Karen A. Roberto, Abraham Lieberman

Physical Therapy Faculty Articles and Research

Postural control is a key aspect in preventing falls. The aim of this study was to determine if obesity affected balance in community-dwelling older adults and serve as an indicator of fall risk. The participants were randomly assigned to receive a comprehensive geriatric assessment followed by a longitudinal assessment of their fall history. The standing postural balance was measured for 98 participants with a Body Mass Index (BMI) ranging from 18 to 63 kg/m2, using a force plate and an inertial measurement unit affixed at the sternum. Participants’ fall history was recorded over 2 years and participants with at ...


Vision Therapy Rehabilitation Of Post-Concussion Visual Impairments, Sarah Morton 2018 University of Wyoming

Vision Therapy Rehabilitation Of Post-Concussion Visual Impairments, Sarah Morton

Honors Theses AY 17/18

Concussion is a common, mild form of traumatic brain injury that is caused by blunt force trauma to the head. Concussion can be caused by a wide variety of situation, commonly sports collisions, automobile accidents, and falls. Signs of concussion include a loss of consciousness, temporary amnesia, and disorientation. Severe concussion can result in visual impairments such as blurred vision, light sensitivity, attention deficits, impaired memory, and double vision. Vision therapy can significantly or completely improve many of these visual impairments. Vision therapy is a series of procedures monitored by an optometrist that are designed to improve visual movements and ...


Selective Generation Of Dopaminergic Precursors From Human Fibroblasts By Direct Lineage Conversion, Miao He 2018 University of Nebraska Medical Center

Selective Generation Of Dopaminergic Precursors From Human Fibroblasts By Direct Lineage Conversion, Miao He

Theses & Dissertations

Transplantation of dopaminergic precursors (DPs) is a promising therapeutic strategy of Parkinson’s disease (PD). However, limited cell source for dopaminergic precursors has become a major obstacle for transplantation therapy. In the first part of the study, we demonstrated that Foxa2 is superior to Lmx1a in inducing dopaminergic neuronal differentiation from induced neural progenitor cells (iNPCs). Based on the results above and some other published results, our group demonstrated that mouse fibroblasts can be reprogrammed into induced dopaminergic precursors (iDPs) through ectopic expression of transcription factors Brn2, Sox2 and Foxa2(1). In the current study, we hypothesized that similar strategy ...


Assistive Listening Devices In Primary And Secondary Educational Settings: A Systematic Review, Paige Wagner-Skinner 2018 Minnesota State University Moorhead

Assistive Listening Devices In Primary And Secondary Educational Settings: A Systematic Review, Paige Wagner-Skinner

Dissertations, Theses, and Projects

The purpose of this study was to identify the scientific evidence available to support the use of assistive listening devices in primary and secondary educational settings. The American Speech-Language-Hearing Association (ASHA) makes it clear that it is the role of the speech-language pathologist (SLP) to modify the classroom environment, as needed, to enhance communicative abilities for this population (ASHA, 2016; Carney, 1998). Each journal article included in this study was published in a peer reviewed journal between the years of 2000 and 2018, written in the English language, and comprised of scientific information relevant to the research question proposed. Experimental ...


Measuring Physiological Responses To Sensation In Typical Adults, Sarah Button, Kristen Christensen, Emily Minor 2018 Dominican University of California

Measuring Physiological Responses To Sensation In Typical Adults, Sarah Button, Kristen Christensen, Emily Minor

Graduate Master's Theses, Capstones, and Culminating Projects

Objective: Sensory processing issues can have a large negative impact on the ability to participate in daily occupations such as ADLs, access to work, school and leisure environments, and social interactions (Dunn, 2001). The evidence documenting sensory processing issues in adults is sparse. Physiological information can be used as objective evidence to support the claim that those with over-responsivity to sensations are experiencing their environment differently than the typical population. Understanding more about sensory processing in adults may lead to increased recognition of the problem and more opportunities for intervention to increase occupational participation. The purpose of this quantitative study ...


Managing Fatigue With Technology For Individuals With Multiple Sclerosis, Janie Grant, May Anne Gamueda, America Ortega, Jordan Song 2018 Dominican University of California

Managing Fatigue With Technology For Individuals With Multiple Sclerosis, Janie Grant, May Anne Gamueda, America Ortega, Jordan Song

Graduate Master's Theses, Capstones, and Culminating Projects

OBJECTIVE: The purpose of this study was to investigate whether the use of a mobile health application (mHealth app) in conjunction with energy conservation management techniques will result in a decrease in fatigue for adults with multiple sclerosis.

METHOD: Using a quantitative, exploratory, pre-posttest design, we examined outcomes associated with the use of the mHealth app, Pace My Day, by seven participants during one chosen task over two weeks. The app reinforced the use of energy conservation management techniques during the chosen task. Outcome measures included Modified Fatigue Impact Scale (MFIS) and Canadian Occupational Performance Measure (COPM).

RESULTS: There was ...


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