Digital Commons Network^™

Exploring The Effect Of An Interdisciplinary Teamwork Intervention In Acute Rehabilitation, Julie K. Cope

Theses and Dissertations

Purpose: The purpose of this study was to explore the efficacy of an interdisciplinary intervention on interdisciplinary teamwork and patient functional outcomes in an acute inpatient rehabilitation unit at a mid-sized regional hospital. Design: Pilot mixed-methods pre-post intervention study. Methods: Interdisciplinary teamwork and patient functional outcomes were measured before and after a teamwork intervention. Interdisciplinary teamwork was measured with the Healthcare Team Vitality Instrument (HTVI) and a qualitative staff questionnaire developed by a content expert. Patient functional outcomes were measured by aggregated Functional Independence Measure (FIM®) scores. Findings: Post-intervention FIM® gain scores increased significantly (p = .008). Staff questionnaire revealed …

2015-2016 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.

Using Instructions And Behavioral Skills Training To Teach Facebook Skills To Seniors, Alison Ann Oconnell

USF Tampa Graduate Theses and Dissertations

The senior population is growing faster than any other population group, and life expectancy is increasing. E-mail and social media enable people of all ages to stay in touch, and find information, resources, and entertainment. Positive effects are associated with computer and internet use for older adults, but not all seniors have embraced technology and some seniors feel negatively about it. Several different methods have been used to teach seniors computer skills, including mentoring, lecturing, and providing instructions, but not many procedures have been evaluated for effectiveness. In the current study, we recruited three to five seniors, taught them to …

The Effects Of Personal And Family History Of Cancer On The Development Of Dementia In Japanese Americans: The Kame Project, Adam Lee Slotnick

USF Tampa Graduate Theses and Dissertations

An increasing number of studies have shown an inverse association between a personal history of cancer (PHC) and dementia/Alzheimer’s disease (AD), both in those using dementia/AD as the outcome or cancer as the outcome. This is the first study to examine this potential association in Japanese Americans; and to examine family history of cancer and its association with incident dementia. Also, the association between these two diseases in the parents of participants were analyzed.

The Kame Project, conducted from 1992 through 2001 in King County, Washington was a population-based, prospective cohort study of older Japanese Americans. Conversion to incident dementia …

Independent Study Project: The Use Of Exercise In Treating Depression, Katelin Umland

Nursing Capstones

No abstract provided.

Evasions In Interactions: Examples From The Transcultural Nursing Research Field, Janice D. Crist Phd, Rn, Fngna, Faan, Heather Coats Ms, Aprn-Bc, Phd, Kay Lehman Rn, Msn, Cwocn, Isela Luna Rn, Phd, Ccm

The Qualitative Report

Transcultural qualitative research is known for its utility in eliciting in-depth narratives, resulting in increased understanding about cultural phenomena. However, sometimes specific phenomena in the researcher’s inquiry are ignored, evaded, or denied; or a seemingly crucial experience demonstrating society’s unfairness, which the researcher had been expecting, does not emerge. In this paper, the issue of evasions in narratives is addressed, with two examples in which participants evaded the issue about which they were asked: perceptions of discrimination for aging adults of Mexican descent, and perceptions of living with life-limiting illnesses for aging African American adults. The Ethno-Cultural Gerontological Nursing Model …

The Effects Of A Twelve-Week Aerobic And Cognitive Training Intervention On Cognitive Function In Cancer Survivors, Jesus Medrano, Jessica Brown, Daniel Shackelford, Corey Beebe, Alyse Brennecke

Ursidae: The Undergraduate Research Journal at the University of Northern Colorado

There are more than 100 clinically distinct types of cancer, each having their own symptoms and requiring a different method of cancer treatment. Despite current advances, the positive effects from treatment are often matched and outweighed by negative effects. One of the most prevalently reported symptoms is chemotherapy-related cognitive impairment (CRCI). CRCI has been reported to negatively affect memory, concentration, reaction time, attention, cognition, organizational skills, linguistic abilities, executive function, and activities of daily living. Purpose: To examine the effects of a 12-week aerobic and cognitive training on cognitive function in cancer survivors who have undergone or are currently …

Postural Stability And Flexibility In Young Adults, Danielle Ingle

Ursidae: The Undergraduate Research Journal at the University of Northern Colorado

The components of postural stability and flexibility are considered essential to overall physical fitness and well-being. Previous researchers have evaluated the relationship between these factors in the elderly; however studies addressing the younger population in relation to implications of gender difference have been largely inconclusive. The purpose of this study was to assess the strength of the correlation between stability and flexibility in young adults as well as to evaluate ways in which the anthropometrical differences between men and women dictate flexibility performance. The present quantitative clinical study tested 20 young adults between 20 and 29 years in age, a …

25(Oh)D Status Of Elite Athletes With Spinal Cord Injury Relative To Lifestyle Factors, Kelly Pritchett, Robert Pritchett, Dana Ogan, Phil Bishop, Elizabeth Broad, Melissa Lacroix

All Faculty Scholarship for the College of the Sciences

Background: Due to the potential negative impact of low Vitamin D status on performance-related factors and the higher risk of low Vitamin D status in Spinal Cord Injury (SCI) population, research is warranted to determine whether elite athletes with SCI have sufficient 25(OH)D levels. The purposes of this study were to examine: (1) the seasonal proportion of vitamin D insufficiency among elite athletes with SCI; and (2) to determine whether lifestyle factors, SCI lesion level, and muscle performance/function are related to vitamin D status in athletes with SCI. Methods: Thirty-nine members of the Canadian Wheelchair Sports Association, and the US …

Hearing Aid Use And Cognitive Function: A Systematic Review, Hershel Korngut

Dissertations, Theses, and Capstone Projects

This systematic review analyzed the research relating the use of hearing aids to cognitive function. Hearing aid use was examined to see if wearing hearing aids improves cognitive function, if the length of time hearing aids are worn impacts cognitive ability, if the type of hearing aid used has any impact on cognitive function, and if hearing aid use slows down cognitive decline. Ten studies met the criteria for this review. An analysis of the research revealed some evidence to support wearing hearing aids improves cognitive function, however, there is substantial evidence that shows no impact between wearing hearing aids …

Exploring Older Adults’ Perceptions Of The Utility And Ease Of Use Of Personal Emergency Response Systems, Patricia A. Mclean

Dissertations, Theses, and Capstone Projects

Key Words: Older adults, aging in place, functional impairment, assistive home-based technology, personal emergency response system (PERS).

Aim: The aim of this study was to explore and describe perceptions of the utility and ease of use of a personal emergency response system (PERS) among older adults who are aging in place.

Research Question: “What is the meaning of a PERS use for functionally impaired older adults?”

Design: An exploratory-descriptive qualitative design was used to recruit members of a VNSNY CHOICE Managed Long Term Care (MLTC) site in Queens, NY, who met the study’s eligibility through the selection criteria. …

Social Isolation, Social And Emotional Loneliness, And Self-Reported Hearing Difficulties In Older Adults With Hearing Loss, Yuliya Borik

Dissertations, Theses, and Capstone Projects

Hearing loss is known to affect communicative ability and has been associated with poor health-related outcomes such as impaired cognition, increased risk for falls, and psychotic manifestations. Social isolation and loneliness are also widely recognized to negatively impact mental and physical health. The purpose of this systematic review is to review literature that explores a relationship between hearing loss with and/or without self-reported hearing difficulties and social isolation and social and emotional loneliness in older adults with hearing loss ranging from mild to profound. The goal is to determine whether there is a direct relationship between subjective and/or objective hearing …

Social Support, Social Companionship, And Social Distress In Young Adults With Cochlear Implants, Arta Ljubanovic

Dissertations, Theses, and Capstone Projects

Research has shown that social support has a positive impact on mental health and decreases levels of stress in young adults with normal-hearing sensitivity. Social relationships are one psychological construct that has not been previously studied in young adults with cochlear implants. In light of the importance of social support in the overall well-being of an individual and the lack of research on this topic in individuals with cochlear implants, the study purpose is to examine social relationships in young adults with cochlear implants and to determine the presence of any significant differences in social relationships between the group with …

Chewing Gum And Saliva Substitute For The Treatment Of Thirst In Heart Failure: A Crossover Trial, Alison Robb

Yale School of Medicine Physician Associate Program Theses

No abstract provided.

Volume V (2016), Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Educating Family Caregivers For Older Adults About Delirium: A Systematic Review, Margaret J. Bull, Lesley Boaz, Martha G. Jermé

College of Nursing Faculty Research and Publications

Background

Delirium in older adults is considered a medical emergency; it contributes to a cascade of functional decline and to increased mortality. Early recognition of delirium symptoms is critical to prevent these negative consequences. Family caregivers who are educated about delirium could partner with nurses and other healthcare professionals in early recognition of delirium symptoms. Before implementing such partnership models, it is important to examine the effectiveness of educating family caregivers about delirium.

Aims

To examine whether providing education on delirium to family caregivers improved their knowledge, emotional state, or response in reducing the incidence of delirium in older adults. …

Demographic Profile, Geographic Distribution, Disability Prevalence, And Likelihood Of Being In-Poverty Amongst Grandparents Responsible For Grandchildren, Carlos Siordia, Mary E. Rauktis

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Evidence-based research on Grandparents Responsible for Grandchildren (GRfG) continues to grow in recent decades. This brief report expands global knowledge on custodial grandparents by making use of a large data resource in the United States (US). The specific aim was to delineate the demographic profile, geographic distribution, and prevalence of specific-disabilities for the GRFG population in the US mainland. We also explore how demographic factors are associated with likelihood of being in-poverty. The analysis used data from the 2009-2013 American Community Survey (ACS) 5-year Public Use Microdata Sample (PUMS) file. The ACS is a nationally representative, yearly, statistical survey administered …

Factors That Influence Advance Directives Completion Amongst Terminally Ill Patients At Akuhn, Stephen Omondi Otieno

Master of Medicine in Internal Medicine

Background: An advance directive is a written or verbal document that legally stipulates a person’s health care preference while they are competent to make decisions for themselves, and which is then used to guide decisions on life-sustaining treatment in the event that they become incapacitated. Advance directives can take one of four forms: a living will, a limitation of care document, a do-not-resuscitate order, and an appointment of a surrogate by durable power of attorney. The completion rate of advance directives varies from region to region, and it is influenced by different patient, caregiver, legal, institutional, cultural, and religious factors. …

Increasing Colorectal Cancer Screening Rates In A Rural Health Clinic Through Practice Change, Kirsten S. Johanson

Doctor of Nursing Practice Scholarly Projects

Colorectal cancer (CRC) is the third leading cause of cancer deaths in the United States (Siegel, DeSantis, & Jemal, 2014). The United States Preventative Services Task Force (2008) “recommends screening for CRC using fecal occult blood testing, sigmoidoscopy, or colonoscopy in adults, beginning at age 50 years and continuing until age 75 years” to decrease CRC rates (p. 627). In May 2015, CRC screening rates were 70.65% at the Monroe Clinic-Durand Primary Care branch (D. Dubs, personal communication, May 18, 2015). Increasing CRC screening rates in the Monroe Clinic-Primary Care branch office could decrease CRC rates and deaths in the …

Integrating Improved Geriatric Content Into A Nursing Curriculum: Enhancing The Competencies Of Nursing Students In Gerontological Care, Sylvia Andrade

Doctor of Nursing Practice (DNP) Projects

The United States is facing a critical shortage of health care professionals who are trained in geriatrics. Among the health care professions, nursing, with more than 3 million members, comprises the largest segment of the nation’s health care workforce. New nurses entering this workforce find themselves caring for an extraordinarily large number of older patients with complex health care needs, regardless of the care setting. Currently, 36 million Americans are aged 65 or older. By 2030, that number will double. Accordingly, the need is significantly greater for more gerontologically trained registered nurses to address the complex health care needs of …

Implementing The 5as Framework For Obesity Management, Jennifer C. Sassman

Doctor of Nursing Practice Final Manuscripts

This Doctor of Nursing Practice (DNP) pilot project strives to improve management of obesity by increasing provider knowledge and utilization of the 5As Framework which is an effective evidence-based intervention and a behavioral counseling tool. Pre-data including BMI and waist circumference were collected over one month. An educational in-service on the 5As was held for one primary care nurse practitioner. Post data was gathered over five months. Provider knowledge on the 5As was increased however, there was not an increase in identifying obesity. The 5As was used about 10% of time with obese patients. This pilot project can be expanded …

Louisiana State University Health Sciences Center - 2016 - 142nd Commencement, Office Of The Registrar, Lsu Health Sciences Center-No

Graduation & Commencement Programs

The program for the 142nd Commencement of LSU Health Sciences Center - New Orleans held May 19, 2016.

Revealing The Quality Of Movement: A Meta-Analysis Review To Quantify The Thresholds To Pathological Variability During Standing And Walking, Niklas König Ignasiak

Physical Therapy Faculty Articles and Research

Neuromotor processes are inherently noisy, which results in variability during movement and fluctu-ations in motor control. Although controversial, low levels of variability are traditionally considered healthy, while increased levels are thought to be pathological. This systematic review and meta-analysisof the literature investigates the thresholds between healthy and pathological task variability.

After examining 13,195 publications, 109 studies were included. Results from over 3000 healthy sub-jects and 2775 patients revealed an overall positive effect size of pathology on variability of 0.59 forwalking and 0.80 for sway. For the coefficient of variation of stride time (ST) and sway area (SA), upperthresholds of 2.6% …

Exercise In The Treatment Of Depression And/Or Depressive Symptoms, Mariah Fevig

Nursing Capstones

No abstract provided.

The Effect Of Stress On Bone Mineral Density In College Aged Females, Grace C. Berardini

Senior Honors Projects, 2010-2019

The relationship between psychological variables and bone mineral density (BMD) has been increasingly studied in the past few years, with research suggesting that decreased mood may play a role in decreased BMD. The purpose of this study was to determine if stress in college aged females on the James Madison University campus was related to decreased BMD. This study included 46 females between the ages of 18-24, who were currently enrolled in the Fall of 2015. All participants completed a medical questionnaire, 24-hour dietary recall, the Perceived Stress Scale (PSS), and the Depression, Anxiety, and Stress Scale (DASS). Participants’ BMD …

Rural Nebraska Women's Explanatory Models Of Postpartum Depressive Symptomatology, Elizabeth Mollard

Theses & Dissertations

The purpose of this study was to construct the explanatory models of postpartum depressive symptomatology (PPDS) from the perspective of rural Nebraska women and to compare these models with the medical model of PPDS. A sample of 20 rural Nebraska women were interviewed in a one-on-one qualitative descriptive telephone interview using questions based on Kleinman’s (1980) explanatory model of illness. This study used feminist pragmatism as a guiding philosophical paradigm. Qualitative data were analyzed using content analysis, and results were compared and contrasted with the medical model of PPDS, which included the onset, symptoms, and duration listed in the DSM-5 …

Factors And Outcomes Associated With Potentially Inappropriate Medication Use In Rural Community-Dwelling Older Adults, Marcia Y. Shade

Theses & Dissertations

Potentially inappropriate medications (PIMs) use in older adults is a significant public health concern. The use of PIMs to avoid may lead to negative outcomes such as adverse drug events. Prior conceptual analysis of PIMs use and observation of health-related factors in rural adults led to the design of this dissertation study. A sample was recruited from a population of rural community-dwelling older adults to examine the following specific aims: 1) Describe the use of PIMs to avoid, 2) Explore individual demographic characteristics (age, gender, income, education, and rural home location), health experience (comorbidity, number of medications and health providers), …

The Health And Well-Being Of Older Adults With Dual Sensory Impairment (Dsi) In Four Countries, Dawn M. Guthrie, Anja Declercq, Harriet Finne-Soveri, Brant E. Fries, John P. Hirdes

Kinesiology and Physical Education Faculty Publications

Objectives

Dual sensory impairment (DSI) is a combination of vision and hearing impairments that represents a unique disability affecting all aspects of a person’s life. The rates of DSI are expected to increase due to population aging, yet little is known about DSI among older adults (65+). The prevalence of DSI and client characteristics were examined among two groups, namely, older adults receiving home care services or those residing in a long-term care (LTC) facility in four countries (Canada, US, Finland, Belgium).

Methods

Existing data, using an interRAI assessment, were analyzed to compare older adults with DSI to all others …

Optimal Time Between Procedures For Contralateral Total Knee Arthroplasty, Thomas G. Wilson

Nursing Capstones

No abstract provided.

Association Of Sleep Behavior To Physical Activity And Bmi In 9th And 10th Grade Students, Sonia Lina Davda

Senior Theses

Despite the topic’s popularity in research, the relationship between sleep duration and physical activity (PA) remains unclear. Measurement protocol differences, highly specific samples, and incomplete data contribute to varying results suggesting that additional research is needed. The purpose of the TRACK II study was to examine the relationship between PA, BMI, and self-reported sleep in adolescents. 369 9 th and 10 th grade students from 2 diverse school districts participated in the study. Participants completed a self-reported sleep questionnaire and had their height and weight measured. Demographic variables were also reported by participants. Actigraph accelerometers were used to objectively measure …