Digital Commons Network^™

Intergenerational Music Therapy : Bridging The Generational Gap Through Community-Based Music Making., Michael R. Detmer, Petra Kern, Jill Jacobi-Vessels, Kristi M. King

Faculty and Staff Scholarship

No abstract provided.

Aging, Executive Function, Fronto-Parietal Network Cortical Thickness: Insights From Cognitive Reserve, Katherine Reiter

Dissertations (1934 -)

Cognitive reserve (CR) indexes the nonlinear relationship between neurological insult and behavioral change. CR is manifested in both static factors (e.g., childhood environment, education) and modifiable lifestyle factors, (e.g., leisure activities). Detailed investigation of the influence of CR on cortical thickness, which indexes neuropathology, and cognitive functioning could be particularly important in understanding the heterogeneity of Alzheimer’s disease (AD). While memory decline is the hallmark of AD, executive functioning (EF) decline often predates memory changes, making EF an important target for investigating CR influences. The current study examines the relationship of CR and genetic risk for AD (ε4) on EF …

2016-2017 Department Of Psychiatry And Behavioral Sciences Scholarly Activity Report, Quillen College Of Medicine, East Tennessee State University

Quillen College of Medicine Scholarly Activity Reports

No abstract provided.

Intergenerational Living Between College Students And Senior Housing Residents: A Framework, Laura Allen

Mahurin Honors College Capstone Experience/Thesis Projects

Ageism, the discrimination against persons of a certain age group, is one of the most important civil rights issues of the 21st century (Palmore, 2015). There are community-wide and personal strategies to combatting ageism. Homesharing and cohousing each offer concepts that can be utilized in intergenerational living because of their housing infrastructure. The relationship between college students and senior housing residents is unique because both groups are experiencing a season of life with common characteristics. This project aims to understand the relationship and tensions between stakeholders of existing intergenerational living programs to develop an implementation plan for a program at …

Affordable And Accessible Hearing Healthcare Interventions In The United States: A Literature Review And Prospective Analysis, Garrett Thompson

Dissertations, Theses, and Capstone Projects

Age-related hearing loss is a significant public health concern with serious and far-reaching consequences including: social isolation, depression, faster cognitive decline, and increased risk of falls. Hearing loss is a widespread condition, it is in fact a leading cause of disability among older people. Hearing aids, the primary intervention for adults with hearing loss, are costly and inaccessible to many patients who need them. Among other reasons, these factors have led to a low uptake rate among the adult population; only one in seven adults who could benefit from wearing hearing aids utilizes them. Given the status quo of high …

The Impact Of Social Support On Diet Quality In Stroke Survivors, Sarah Rocks

Yale School of Medicine Physician Associate Program Theses

Stroke is a leading cause of death and disability in the United States, and nearly 25% of strokes are repeat events. Secondary prevention strategies are needed to reduce the disabling sequelae of recurrences. Dietary modification to include more fruits, vegetables, and polyunsaturated fats is a promising tactic. If stroke leads to disability, patients may not be able to cook or grocery shop for themselves. Thus, one factor that may influence diet quality is social support, but its effect on post-stroke diet has not been assessed. In this cross-sectional study, we will examine the association between social support and diet quality …

Social Isolation And Loneliness In Older People: A Closer Look At Definitions, Mary Lou Ciolfi, Frances Jimenez Ba

Disability & Aging

Social isolation and loneliness are related and the terms are often used interchangeably, but they are distinct concepts with different definitions, health impacts, and interventions. Our population is aging and older people are at increased risk for both social isolation and loneliness and the associated negative health consequences. Understanding the important differences between social isolation and loneliness will help us recognize them earlier in vulnerable populations, engage in more meaningful conversations with older adults about their own risks, and will inform the development and delivery of more individualized, meaningful, and cost-effective interventions.

2017-2018 Fall Bulletin, University Of Mississippi Medical Center

Bulletins/Catalogs

2017-2018 Fall Bulletin

Effects Of Head Motion On Postural Stability In Participants With Chronic Motion Sensitivity, Abdulaziz A. Albalwi

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Motion sensitivity, or motion sickness, is common among individuals in modern vehicular and visually stimulating environments; notably, people with normal vestibular function are susceptible to this condition. Motion-provoked dizziness often causes postural instability. Purposes: This study aimed to compare the effects of head motion on postural stability in healthy adults with and without chronic motion sensitivity (CMS) and to determine the effects of head motion direction (horizontal versus vertical) on postural stability. Methods: Sixty healthy adult males and females aged 20 to 40 years old were assigned to two groups, 30 participants with CMS and 30 participants without CMS. …

Volume Vi (2017), Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a …

Improving Advance Directive Completion Rates Through Advance Care Planning, Erica Shadae Koeppen, Joseph Burkard, Ellen Ward

Doctor of Nursing Practice Final Manuscripts

Purpose: The purpose of this evidence-based practice (EBP) project is to assess the effectiveness of a multimodal intervention to increase advance care planning discussions (ACP) and advance directive (AD) completion rates.

Background: Advance care planning (ACP) and advance directives (AD) is the ongoing discussion and recording of patient preferences and goals of care in the event they lose the capacity to speak for themselves. The Center of Disease Control and Prevention (CDC) estimates that 70% of Americans are without ADs. Centers for Medicare and Medicaid Services (CMS) reimburses for advance care planning consultations. ACP has improved multiple outcomes including higher …

Optimizing Medication Appropriateness In Older Adults: A Randomized Clinical Interventional Trial To Decrease Anticholinergic Burden, Daniela C. Moga, Erin L. Abner, Dorinda N. Rigsby, Lynne Eckmann, Mark Huffmyer, Richard R. Murphy, Beth B. Coy, Gregory A. Jicha

Pharmacy Practice and Science Faculty Publications

Background

The complexity of medication therapy in older adults with multiple comorbidities often leads to inappropriate prescribing. Drugs with anticholinergic properties are of particular interest because many are not recognized for this property; their use may lead to increased anticholinergic burden resulting in significant health risks, as well as negatively impacting cognition. Medication therapy management (MTM) interventions showed promise in addressing inappropriate medication use, but the effectiveness of targeted multidisciplinary team interventions addressing anticholinergic medications in older populations is yet to be determined.

Methods

We conducted an 8-week, parallel-arm, randomized trial to evaluate whether a targeted patient-centered pharmacist–physician team MTM …

Fall Prevention: Responder 5 Bed Connectors, Ani Tatevossian

Master's Projects and Capstones

This paper explores falls, a sentinel event plaguing hospitals in the United States and internationally. Falls are a major contributor to negative patient outcomes and a source of financial strain for hospitals. One particular fall prevention intervention, Responder 5 bed alarms, was explored. A literature review on falls was conducted to study the effectiveness of bed alarms. Capezuti et al. (2009) found bed alarms to be error prone and stress the importance of patient risk factor assessment and using bed alarms as a multifactorial approach to fall prevention. Shorr et al. (2012) came to a similar conclusion after conducting a …

End Of Life Care For The Incarcerated, Codie Robinson

Dialogue & Nexus

As the prison population ages, a new need has come to light – caring for those who are in the final stage of life. This paper will examine the current end of life services provided to those in prison throughout the United States. After a general awareness of the system is presented, a more complete discussion of end of life care for prisoners will be considered, in light of ethics, social justice, and the Christian perspective. The two care options presented, hospice care and compassionate release, are observed through these lenses. In order to make a decision on how to …

Temperature Induces Significant Changes In Both Glycolytic Reserve And Mitochondrial Spare Respiratory Capacity In Colorectal Cancer Cell Lines, Mihail I. Mitov, Jennifer W. Harris, Michael Alstott, Yekaterina Y. Zaytseva, B. Mark Evers, D. Allan Butterfield

Markey Cancer Center Faculty Publications

Thermotherapy, as a method of treating cancer, has recently attracted considerable attention from basic and clinical investigators. A number of studies and clinical trials have shown that thermotherapy can be successfully used as a therapeutic approach for various cancers. However, the effects of temperature on cancer bioenergetics have not been studied in detail with a real time, in a microplate, label-free detection approach.

This study investigate how changes in temperature affect the bioenergetics characteristics (mitochondrial function and glycolysis) of three colorectal cancer (CRC) cell lines utilizing the Seahorse XF96 technology. Experiments were performed at 32°C, 37°C and 42°C using assay …

An Annotated Bibliography Of Creative Interventions Within Dance/Movement Therapy, Kaitlynn Kavanaugh

Creative Arts Therapies Theses

This annotated bibliography explores how creativity is integrated in dance/movement therapy (DMT) interventions. The central question guiding this research was: How is creativity explicitly implemented in DMT interventions, approaches, and/or theoretical frameworks? Literature was gathered from journal articles, books, book chapters, and online peer reviews; a total of fifteen sources were annotated. During the research process, several challenges emerged when searching for explicit explanations of creativity used within DMT. This included annotations from sources which described creativity used within DMT interventions, approaches and theoretical frameworks that did not explicitly define creativity. This bibliography uncovers several themes related to the concept …

Hippotherapy: An Alternative Treatment From The Perceptions Of Practitioners, Leah Tinkham

Honors Program Theses and Projects

Hippotherapy can be defined as a dynamic service offered by occupational, physical, and speech-language pathologists that utilizes a horse’s unique movement to achieve functional outcomes. While there are an abundance of studies demonstrating the effectiveness of hippotherapy, very few have examined the perceptions of the practitioners. The purposes of this thesis are to investigate hippotherapy’s effectiveness as well as to examine the beliefs and attitudes towards hippotherapy use among occupational therapists, physical therapists, and speech therapists. A literature review was conducted to examine the effectiveness of hippotherapy.

The study included a total of 15 occupational, physical, and speech-language therapists who …

Alzheimer’S Disease And The Impact Of Music Therapy A Systematic Literature Review, Hayley Guess

Senior Honors Projects, 2010-2019

Currently ranked as the sixth leading cause of death in the United States, Alzheimer’s disease (AD) has become the most prevalent form of dementia, a term commonly associated with memory loss and other progressive cognitive deficits that compromise patients’ lives. What may begin as a mindlessly misplaced object or momentary inability to recall newly learned information will eventually advance to a loss of personal identity, forgotten loved ones, and utter misperception of reality. Although a cure for AD has yet to be discovered, there are several non-pharmacological treatments that can improve patients’ quality of life and provide temporary relief from …

The Community 911 System: Sources Of Strain And Relief, Elizabeth Zulauf

Senior Honors Projects, 2010-2019

This thesis will identify best practices from other localities around the country and propose a set of possible solutions for Harrisonburg EMS. Because non-emergency 911 calls use resources, finances, equipment and time that contribute to the burden that the emergency system faces, communities have adopted programs that aim to ease this burden by limiting the amount of ambulance responses to calls that turn out to be non-emergency. It is not only in Harrisonburg, but across the country that “providers are overwhelmed with evaluation, treatment and transportation of patients who have minor medical conditions but who have nowhere else to turn …

Influence Of Socioeconomic Status And Family Support On Disability, Depressive Symptoms, And Perceived Poor Health In Older Korean Adults, Insook Lee, Young Ko

Asian/Pacific Island Nursing Journal

This purpose of this study is to identify factors associated with older Korean adults’ disability, depressive symptoms, and perceived poor health, with a focus on their socioeconomic status and family support. This is a secondary data analysis of the initial survey data from a home visiting center in 2009. The data were analyzed using frequencies, percentages, and multivariate logistic regression. We observed significant differences in perceived health between men and women based on their socioeconomic status. Type of medical insurance was strongly associated with depressive symptoms among the men and women. Results also indicated that being unschooled was significantly related …

De-Prescribing, A Solution To The Issue Of Polypharmacy, Megan R. Kampa

Nursing Capstones

No abstract provided.

Efficacy Of Herpes Zoster Vaccine, Kayla M. Stremick

Nursing Capstones

No abstract provided.

Healthnet News V.32:No.3 May-June 2017, Wendy Urciuoli

Articles - Patient Care

Linking Connecticut Patients and Families to Reliable Health Information

The Emotional Cost Of Caring: Compassion Fatigue Experienced By Nurse Staff On An Inpatient Geriatric Behavioral Health Unit, Susan Annette Campbell

Theses and Dissertations from 2017

Purpose: Research studies on the prevalence of compassion fatigue (CF) in nursing have been conducted in various clinical settings. There has been limited empirical research conducted on nurses working within the geriatric behavioral health setting, which can present increased nursing challenges related to the chronic health problems of aging coupled with acute behavioral health crises. The purpose of this quantitative, descriptive research study was to identify the prevalence of CF in RN and LPN staff within an inpatient geriatric behavioral health unit setting in two comparably sized hospitals. Design/Methods: An electronic survey design (consisting of demographics and the ProQOL v. …

Provider Based Interventions To Mitigate Risk For Opioid Pain Medication Abuse Among Adult Patients In A Primary Care Setting, Sheree Lamara Conley-Donaldson

Doctoral Projects

Mental and substance use disorders are predicted to exceed all physical disease processes causing major disability by 2020. Misuse and overdose of opioid pain medications is a significant public health concern in the United States. Approximately 1 in 4 patients receiving prescription opioids in primary care settings struggle with misuse. Half of all opioid prescriptions are written by primary care providers, including nurse practitioners. The purpose of this DNP project was to determine if nurse practitioner providers are implementing evidence-based practice guidelines including screening, brief intervention, and referral to treatment (SBIRT) to mitigate risk of prescription opioid pain medication misuse …

Novel Effects Of Prefoldin Pathway On Intestinal Homeostasis Via Dietary Restriction In Drosophila Melanogaster, Jesse Simons

Dissertations, Masters Theses, Capstones, and Culminating Projects

The field of medicine research is embroiled in a battle against aging. Particular focus is on the extension of lifespan and health-span. Lifespan duration is affected by many factors, one of which is the maintenance of the intestines of the organism. Homeostasis of the intestines is controlled by the regulation of intestine cell apoptosis and intestine cell proliferation. My research explores the role of two protein subunits found in a complex which may have possible functions in the regulation of these processes. The overall complex is formed from six subunit proteins, some of which are known to assist in other …

Volunteer Resource Guide For Older Adults In The Bowling Green Area, Mallory Farabaugh

Honors Projects

The purpose of this volunteer resource guide is to provide older adults a booklet with a variety of volunteer programs available in the Bowling Green/Wood County area. There are several benefits to volunteering including gaining an increased sense of purpose, giving back to the community, and fulfilling new roles in later life. It is made more convenient for the older adults in the community to access information about each program by listing it in one spot. Each program listed includes general information, how to sign up, any training that is involved, and how to contact the facility. The resource guide …

Utilizing Tranexamic Acid To Reduce Blood Transfusion In Hip Fractures, Katherine Balzano-Cowan, Morgan Guerrette

Nurse Anesthesia MSNA Student Capstones

Minimizing perioperative blood loss during orthopedic surgery has proven challenging for providers. Perioperative utilization of antifibrinolytic pharmacologic interventions, such as tranexamic acid (TXA), has been demonstrated as a safe and effective technique for decreasing blood loss and allogenic blood transfusion rates. Currently, the Food and Drug Administration (FDA) approved on-label indications of TXA are for use in short-term treatment of hemophilia patients undergoing dental extractions and in management of patients experiencing menorrhagia (Mayeux, Alwon, Collins, & Hewer, 2016). Despite the current limited scope of FDA approval for TXA, use in elective surgery with otherwise clotting-uncompromised patients is not a new …

The Effects Of Pain On Informed Consent, Bryan Aja

Nurse Anesthesia MSNA Student Capstones

It is common for providers to withhold pain medication as opposed to treating pain prior to obtaining informed consent due to the concern of invalid informed consent. Pain’s influence on cognition can significantly impact the cognitive domains required to obtain valid informed consent. Determining if a patient has the capacity or competence to participate in the informed consent process has medical, ethical, and legal implications. The medical use of competence and capacity is not equivalent to the legal use of the same terminology. Legal implications concerning consent include signing consent while in duress or pain, signing under the influence of …