Digital Commons Network^™

Effect Of Aerobic Exercise With Blood Flow Restriction On Substrate Utilization And Energy Expenditure, Nathen Andrews

Honors Theses

The purpose of this study was to examine the effects of intermittent blood flow restriction (BFR) compared to low- (LIIE) and high-intensity interval exercise (HIIE) on energy expenditure (EE) and substrate utilization. Participants randomly performed each interval exercise protocol, and then rested for a three-hour period, in which EE and substrate utilization were measured. Total EE was different between BFR (321.6 ± 30.1 kcals), HIIE (254.5 ± 33.5 kcals), and LIIE (287.1 ± 25.5 kcals). Fat oxidation (FatOx) in BFR (1hr = 0.14 ± 0.01 g / min, 3hr = 0.11 ± 0.01 g / min) was greater than LIIE …

A Quality Improvement Initiative To Decrease Fall Risk In Community Dwelling Elderly, Michele Shearer

Doctor of Nursing Practice (DNP) Manuscripts

Falls are a health concern for the elderly and are the leading cause of fatal and non-fatal fall injuries in this population (Burns & Lee, 2016). Meijers, et al. (2012) found that one in three community dwelling elderly will experience at least one fall per year with an even higher rate in adults greater than 80 years old. Numbers of falls are expected to increase as this population ages. This increase in falls and their consequences will produce an enormous economic burden on the United States health care system (Burns & Lee, 2016). The purpose of this program was to …

The Feasibility Of A Music Listening Intervention On The Incidence, Severity, And Duration Of Delirium In The Older Acute Care Patient: A Feasibility Trial, Mary Kovaleski

Electronic Theses and Dissertations

Background.Delirium is an acute change in cognition in response to some form of noxious insult whichhas been shown to last for up to one year post occurrence and may lead to permanent cognitive decline.As a non-pharmacological treatment, music may aid in improving patient engagement and attention. Method. An integrative review (IR) was used to synthesize current literature examining the effectof a musicinterventionon delirium in older acute care patients. Results. Systematicdatabase searches (2000-2019) yielded fourstudies that included a music listeningintervention.This IR found that collaborative music listening interventions (not music therapy), have been shown to decreasedelirium in the older acute care patient, …

Associations Of Perceived Overall Health, Psychological Distress, Functional Impairment, And Alcohol Use Among Older Adults Of Sexual Minority Status And Heterosexual Peers, Carolyn Tran

Dissertations and Theses (Open Access)

Background: Lesbian, gay, and bisexual (LGB) adults, 50 and older, are likely to have experienced mistreatment and discrimination, contributing to poor physical and mental health and risky behaviors, such as alcohol misuse. Few studies have examined the relationships between perceived health, psychological distress, functional impairment, and alcohol use of older LGB adults and heterosexuals.

Specific Aims: The specific aims were: (1) to determine if perceived overall health status is associated with psychological distress and functional impairment in sexual minority older adults compared to heterosexual older adults, and (2) to determine if sexual minority status moderates the relationship between psychological distress …

Dual Task Study Of Cognitive And Postural Interference: Development Of A Methodology For Use In Vestibular Disorders, Valerie Beacham

Dissertations, 2020-current

For patients with vestibular impairments, postural stability alone can be demanding but is more taxing when an individual’s attention is focused on both maintaining balance and a secondary/cognitive task simultaneously. Thus, dual task paradigms where balance must be maintained while performing postural and cognitive tasks concurrently provides an assessment on one’s attentional resources available for balance. Previous studies show varying levels of dual task effects in patients with vestibular loss with little consistency between studies regarding choice of balance and cognitive tasks. The purpose of this study was to assess the feasibility of a dual task paradigm using portable instrumentation …

Influences Of Sleep Disturbances And Mild Traumatic Brain Injury On Gait Performance Among College Student-Athletes, Narjes Asgari

Health and Kinesiology Theses

Sleep disturbances from stress are common among college students. In addition, student-athletes in contact sports (e.g., football and soccer) are at a higher risk of receiving a mild traumatic brain injury(mTBI). Stress-related sleep disturbances and mTBI may provoke cognitive and brain changes associated with gait abnormalities. Therefore, the purpose of this study was to examine the association between stress, sleep disturbances, mTBI, and gait performance among college student-athletes. Twelve college student-athletes from men’s and women’s soccer teams who indicated a history of mTBI (experimental group) and twenty-eight college students without a history of mTBI (control group) were recruited and asked …

Implementation Of A Zoom Toolkit For Web-Based, Evidence-Based Health Promotion Programs, Samantha Brown, Julie Shelton

Nursing DNP Projects

This article describes a project to promote the utilization of online evidence-based programs for the self-management of chronic conditions for older adults. The project has been developed based on the findings of a comprehensive review of literature on the outcomes of online health promotion programs for people with chronic health conditions, and on the training needed prior to starting an online course. The project was completed in partnership with WellConnect^®, a non-profit organization facilitating community-based programs that support people in Southeast Minnesota with tools and resources needed to improve individuals’ health and wellbeing.

Interviews with WellConnect^® stakeholders, …

Effects Of Sleep Duration On Falls In A West Virginia Population-Based Study, Brfss, 2018, R. Constance Wiener, Christopher Waters

Journal of Appalachian Health

Introduction: West Virginia is a state in which most counties are rural, as well as a state with multiple health disparities among its population. The purpose of this study was to determine the association of sleep duration and falls for non-institutionalized West Virginia adults, aged 40 years and above, using the National Sleep Foundation’s definition of “may be appropriate” and “not recommended” sleep durations for specific ages.

Methods: Behavior Risk Factor Surveillance System (BRFSS) 2018 data concerning West Virginia residents were extracted for sleep duration and number of falls within the previous year. Data were analyzed with Chi square and …

Dnp Final Report: Reducing The Rate Of Falls With A Stuctured Fall Program, Elanda L. Douglas

DNP Final Reports

Background: Fall rates continue to be a significant problem in health care facilities despite all the research and tool kits created to prevent falls. Hospitals that have successfully reduced fall rates find it challenging to sustain a reduction in the fall rates. During hospitalizations, 3%-20% of patients fall, with 30%-50% resulting in injury (Joint Commission, [JC], 2015).

Internal Evidence: Despite Medical City Alliance (MCA) having an evidence-based fall program, the fall rate has not decreased. Falls are one of the quality measures identified at the division level that needs improvement.

PICOT: In adult patients in a progressive care unit (P), …

The Human Services Workforce Crisis: Moving Forward With Intention In Massachusetts, Suzanne Gray Henderson

School of Professional Studies

The human services field is growing rapidly in Massachusetts as it is across the country, and the Commonwealth does not have enough qualified staff to fill vacancies. The workforce shortage has risen to crisis levels due to high turnover, insufficient training, low wages, and a lack of recognition and appreciation for direct support professionals. The individuals receiving services in Massachusetts deserve quality and stability. The state budget – strained by inefficient service models and reactive fixes – also demands systemic change. The human services workforce crisis impacts a variety of stakeholders. Individuals served are directly affected, as are the direct …

Implementation Of Hypertonic Saline Sliding Scale Protocol In A Neuroscience Icu, Guillermina A. Nelson

Cohort IX

Cerebral edema, a complication that can occur in acute ischemic or hemorrhagic strokes, can lead to detrimental effects. Hypertonic saline therapy is use to obtain therapeutic hypernatremia to prevent further cerebral edema. In a neuroscience intensive care unit (ICU) setting, patients admitted with acute stroke and at risk for cerebral edema, are treated with hypertonic saline solution and the rate adjustment according to plasma serum sodium results every 4-6 hours. After a 10-day Reflective Practice Log, I gained insight of this issue. After a literature review, approval The University of Texas at El Paso Institutional Review Board (IRB), I started …

Evaluating Va Nurse Acceptance Of Virtual Healthcare Technology During The Coronavirus Outbreak, Francesca Bryan-Couch

Doctor of Nursing Practice Scholarly Projects

At a regional Veterans Administration (VA) hospital, nurses performing case management were unable to perform face-to-face visits with patients due to coronavirus. Care coordination and discharge planning efforts occurred through telephonic case management to preserve personal protective equipment and reduce transmission rates through social distancing. Trust and rapport between patients and nurses were reduced without personal contact. Peplau’s theory of interpersonal relations described six nurse roles and three phases of relationship development required to create therapeutic nurse-patient relationships. Connectedness was a key concept considered to be the path to a successful meaningful therapeutic nurse-patient relationship (Hrabe, 2005).

To evaluate current …

Medication And Pharmacy-Related Outcomes As Part Of The Seniors At Risk For Falls After Emergency Room Visit (Safer) Project, Hyesoo Chae, Sharon Leigh, Colleen M Casey

Providence Pharmacy PGY1 Program at Providence Portland and Providence St. Vincent Medical Centers 2021

Background

The United States is comprised of an aging population; adults over the age of 85 are the fastest-growing age group in the United States and will reach approximately 9 million in 2030.1 25% of patients ≥ 65 years old in the United States report falling each year.1 There are over 3 million emergency department visits related to falls in the United States, totaling approximately 50 billion dollars in total medical expenditures.2 Falls are a major threat for older adults as they can lead to increased risk of further injury, loss of independence, decreased mobility, and premature death.1,2 Despite numerous …

Sarcopenia Screening By Registered Dietitian Nutritionists (Rdns) In The United States (U.S.), Madison Marcom

Electronic Theses and Dissertations

Sarcopenia is a disease of muscle wasting primarily seen in older adults. Although this term was first coined over three decades ago, there is a lack of consensus on a definition, screening criteria, and treatment protocol for sarcopenia. The primary purpose of this study is to determine whether registered dietitian nutritionists (RDNs) in the United States (U.S.) screen for sarcopenia. Study participants were recruited through a randomized email list and included RDNs throughout the U.S. Respondents completed a survey questioning knowledge of sarcopenia, screening tools and company protocols in place, and the need and desire for sarcopenia education. Data revealed …

How Music Shapes Our Identities And Why It Matters: Case Studies Of Professional Musicians, Annabelle C. Linker

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Brain research has demonstrated that music uniquely contributes to neural functioning, but little is known about how losing the ability to produce music, which may be inherent to personal identity for professional singers, impacts quality of life. This study explored identity and music in the lives of five well-known vocal music professionals selected because they have publicly talked about the role of music in their lives via books, televised interviews, and documentaries. The careers of three of the individuals were disrupted by neurogenic disease; one lost the ability to sing after treatment for vocal nodules; and the fifth individual remains …

Invasive Needling Therapy For Myofascial Pain Syndrome, Katelyn Corine Krueger

Physician Assistant Scholarly Project Papers

Myofascial pain syndrome (MPS) is one of the most common musculoskeletal conditions characterized by tight bands of fascia and muscle fibers known as myofascial trigger points (MTrP). Empirical evidence suggests that deactivation of MTrP’s is best accomplished with invasive needling therapy such as dry needling, trigger point injections, and Botulinum toxin-A (BTX-A) injections. The objective of this systemic review is to compare the effectiveness of various needling therapies on pain intensity and determine if ultrasound guidance and obtaining a local twitch response (LTR) improves clinical outcomes. A comprehensive search of five databases including PubMed, Science Direct, Google Scholar, Cochran, and …

Anticholinergic Medications And Risk Of Developing Dementia, Heidi N. Artz Schmaltz

Physician Assistant Scholarly Project Papers

Abstract (to Come)

Evaluation Of Telehealth Training To Teach The Stimulus Identification Questionnaire And Multiple Stimulus Without Replacement, Andrea Perez

Dissertations

The field of behavioral gerontology has seen a paucity in literature within the past 15 years focused on updating training technology and teaching best practice skills to staff. Specifically, there is a need to expand the breadth of training research focus areas could more broadly the elderly population (e.g., increasing engagement), to ensure that trainings are designed to equip caregivers with the skills to be independent, and finally, given the frequent staffing challenges experienced by aging settings (Harrington et al., 2020), to explore effective and efficient training techniques that are alternatives to lengthy, in-person training modalities. Given the personnel challenges, …

Supporting Dining Occupations For Dementia Residents In Skilled Nursing Facilities, Esther Yu, Nooshin Moslehi, Vickie Nguyen, Aileen Quach, Cierra Passey, Julia Lee

Occupational Therapy | MSOT Capstone Projects

Dementia Friendly Dining provides skilled nursing facilities (SNFs) with a practice guideline and training resources for caregivers. The program is informed by existing research on environmental modifications, both physical and social, to enhance the occupations of feeding, eating, and dining for individuals with dementia (IwD) in SNF settings. The physical and social environment has a significant effect in supporting the dining experience for IwD and their caregivers (Keller et al., 2015; Hung et al, 2016; Palese et al., 2018), but many facilities have not integrated physical and social modifications, creating a gap in practice. Therefore, an evidence-based dining program that …

Letters Against Loneliness: The Effect Of A Pen Pal Program Uniting Older Adults And College Students On Perceived Loneliness, Allyson Miriani, Caroline Crawford

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Surveys within years and particularly the COVID-19 pandemic have revealed increasing rates of loneliness. More research is also emerging linking loneliness with a myriad of negative health outcomes as well as reduced quality of life. There is little research about effective interventions addressing loneliness. This paper reviews the available literature on the topic and proposes a pen pal program for college students and older adults developed based on available evidence.

Examining The Mental Health Of Older Hispanic/Latino Adults: Relationship Between Psycho-Social-Cultural Factors And Depressive Symptomatology, Anna Prado

Theses and Dissertations

The most prevalent disorders affecting the older adult population worldwide are dementia and depression. Ethnic minorities are disproportionately more likely to be affected by these two distressing and debilitating conditions. Hispanic/Latino older adults encounter numerous psycho-social-cultural factors that influence health behaviors, attitudes, and beliefs in positive and negative ways. Presently, research on the influence of these factors on Hispanic/Latino mental health is highly inconsistent. The purpose of the present study is to examine the relationship between selected psycho-social-cultural factors and the mental health of older Hispanic/Latino adults. Using data from the Health and Retirement Study, the association between the Hispanic/Latino …

Prevalence And Associated Factors Of Urinary Incontinence Among Elderly In Pekanbaru, Indonesia, Wulan Sari

Makara Journal of Health Research

Background: The proportion of the elderly in Riau Province was 4.8% higher than that (4.2%) in 2011. Urinary incontinence (UI) is a common health problem among the elderly. This study aims to determine the prevalence and associated factors for UI among the elderly (≥60 years).

Methods: This cross-sectional study was conducted in 20 public health centers in Pekanbaru City in 2018. A total of 351 elderly meeting the inclusion criteria were enrolled. Gender, age, education, occupation, marital status, obesity, depression, cognitive impairment, smoking status, history of chronic cough, and history of lower abdominal surgery served as the independent …

Promises Endure: Historical Views Of Nursing Faculty, Laura R. Muñoz

Verbum Incarnatum: An Academic Journal of Social Justice

Lessons learned from the history of an organization are valuable. This is especially true for an organization with the legacy held by the Ila Faye Miller School of Nursing and Health Professions at the University of the Incarnate Word. Memories recounted by nursing faculty were collected to enhance information provided in the two-volume chronicle written by Sister Patrice Slattery in 1995 entitled, “Promises to Keep” and the last history of the school, “The Story of One School of Nursing” written by Sister Charles Marie Frank in 1976.

The Value Of Community Psychiatric Services For The Elderly’S Dementia Caregiver Group: Exploring The Perspectives Of Participants, Elise Greto

Patient Experience Journal

Community Psychiatric Services for the Elderly (CPSE) at a large teaching hospital in Toronto has offered a monthly support group for caregivers of persons with dementia for over 30 years. Participants were surveyed in January 2018 about group attendance, benefits of attending the group, and areas for improvement. Results are shared in this case study. A total of 8 participants responded to the survey with a response rate of 47%. The feedback was predominantly positive. The most prevailing theme that emerged from the survey responses was group members’ appreciation for the opportunity to meet with one another to discuss relevant …

Doctoral Capstone Experience With A Neurological Population, Courtney E. Groce

Department of Occupational Therapy Entry-Level Capstone Projects

Through the completion of a doctoral capstone experience, an entry-level occupational therapy doctoral student is able to further develop advanced skills. The doctoral capstone experience is during the student’s last semester in the program and is 16 weeks long. The doctoral capstone experience consists of both a culminating project and the experience itself. The capstone project is “comprised of a literature review, needs assessment, goals/objectives, and an evaluation plan based on specific focus areas” (ACOTE, 2020). The Nova Southeastern University Entry-Level Doctor of Occupational Therapy Doctoral Capstone Manual states that “the goal of the doctoral capstone project and experience is …

Music Therapy For Treatment Of Bpsd, Heather Cunningham

MSN Capstone Projects

Alzheimer's disease can cause a decline in cognitive and physical abilities, however, behavioral and psychological issues can occur as well. With the many ways to alleviate behavioral and psychological symptoms in dementia (BPSD), music therapy shows to be an effective, low-cost, feasible, and safe option for patients. Music therapy can reduce BPSD and equips caregivers with a non-pharmalogical way to provide their loved ones with comfort.

Final Culminating Project: Program Development, Erin Helms

Department of Occupational Therapy Entry-Level Capstone Projects

This 16-week capstone project was completed at Parker Place, a children’s health, and wellness center, with a focus on program development and advocacy with additional work related to leadership and administration. The overall goal of the capstone project was to determine the benefit of using an occupation-based approach to enhance health outcomes for the patients at Parker Place. The capstone student provided education about the role of occupational therapy in a non-traditional setting, created a program to help patients acquire sustainable healthy habits, developed a workshop for families struggling to maintain a healthy lifestyle, and provided resources about picky eating …

Exploring The Impact Of Care Delivery On Families Of Children With Medical Complexity, Shelby Pawlowski

DNP Projects

Background: Children with medical complexity (CMC) are considered most medically fragile and require the most health care needs. Medical care for CMC is described as fragmented, uncoordinated, and crisis-driven with a tendency to over-medicalize the child and under-support the family. The intimate link between caregiver and child health supports further exploration of factors that may influence family health-related quality of life (FHRQOL) in families of CMC. Purpose: The purpose was description of the population of CMC receiving rehabilitation services in the community setting and exploration of the impact of a comprehensive outpatient rehabilitation facility (CORF) on FHRQOL. Review of Evidence: …

Sarcopenia: A Functional Chronic Disease, Mike Haines, Md

Department of Family & Community Medicine Presentations and Grand Rounds

Objectives

• Define sarcopenia as a clinical diagnosis as described by the European Working Group on Sarcopenia in Older Persons (EWGSOP2)
• Recognize, identify, and describe sarcopenia as a distinct disease process
• Review impact on health outcomes and healthcare costs
• Explain tools used to aid in diagnosis in clinical practice
• Explore the nuances of therapeutic interventions
• Discuss role of the primary care physician

Outline

● What is sarcopenia?

• Definition provided by EWGSOP2
• Brief overview of pathophysiology

● Why is it important?

• Epidemiology
• Impact on health outcomes
• Healthcare costs

● Diagnosis

• Review EWGSOP2 framework for clinical practice
• Questionnaires
• Office based testing
• Imaging

● …

Compliance In Fall Prevention In Dementia Vs Non-Dementia Nursing Home Units, Garima Shrestha

Merge

The student nurse researcher performed a research study to determine if there was a difference in the compliance of fall prevention interventions between dementia and non-dementia nursing home units. The student nurse researcher hypothesized the dementia nursing home units would be more compliant with fall prevention interventions than the non-dementia nursing home units. In contrast, the null hypothesis stated there would be no statistically significant difference in the compliance of fall prevention interventions between the dementia and the non-dementia nursing home units. The Fall Prevention Intervention Checklist was used to assess environmental fall hazards in occupied resident rooms. Of the …