Digital Commons Network^™

Continuous Subcutaneous Insulin Infusion For Type 2 Diabetes Mellitus, Karissa M. Schultz

Nursing Capstones

No abstract provided.

Reciprocity: Caring For America's Caregivers, Courtney Dunn

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

Should families be forced to choose between the health of a caregiver and patient? Through the eyes of a woman caring for her husband with Alzheimer's disease, we see that family caregivers suffer tremendous amounts of stress while caring for the patient. Despite the time and efforts required to care for someone with Alzheimer's disease, people every day choose this as an alternative to out-of-home care. This often leads to depression, anxiety, and physical stress which can result in series medical issues. Considering the increase of people with Alzheimer's disease in the United States, this article argues that support programs …

Management Of Type 1 Diabetes Perioperatively, Biye Gohla Tambang

Nursing Capstones

No abstract provided.

Facilitating Effective Communication Between First Responders And Older Adults During Fall Incidents: An Educational Intervention, Krystin M. Beeman, Erica L. Berger, Isabel A. Cabezas, Nicole M. Mathews

Dissertations, Masters Theses, Capstones, and Culminating Projects

PURPOSE. The purpose of this project was to provide first responders with communication strategies for older adults that may help when responding to fall- related calls. General information was also provided to First Responders on working with older adults with a focus on the aging process, fall risk factors, and communications strategies.

METHODS. A series of educational sessions to first responders at a local fire district were developed and presented by occupational therapy students. Materials were developed by presenters from evidence-based resources and tailored to the target population. Each presentation focused on statistics about older adults, the aging process, fall …

Dynamic Stability On Land And In Waist-Deep Water: Comparison Between Young And Middle Aged Adults, Christie Bunnell

Undergraduate Honors Capstone Projects

The purpose of this study was to compare dynamic stability on land and in water, between young and middle-aged adults performing plyometric exercises. Twenty adults were asked to volunteer: Young = 24.40 ± 2.63 years, n = 10 and middle-aged = 46.80 ± 3.05 years, n = 10. Participants performed three plyometric exercises (countermovement jump, squat jump, and drop landing) on land and in waist-deep water. Dynamic stability was assessed during landing for each exercise using a time to stabilization (TTS) paradigm. Data were collected via a waterproof force plate positioned on an adjustable-depth pool floor and analyzed with a …

Preventing And Reducing Falls In Assisted Living Facilities: An Educational Intervention, Jennifer A. Borcich, Raquel F. Ramos, Taylor S. Wong

Dissertations, Masters Theses, Capstones, and Culminating Projects

As the number of older adults continues to rise, falling in older adults has become a national health care issue. Many older adults who fall reside in assisted living facilities. Every time a fall incident occurs, first responders are called, utilizing a significant amount of first responder’s time and resources. Therefore, the purpose of this project was to implement a fall prevention program for residents of an assisted living facility (ALF) to reduce fall risk and fall-related calls to the local fire department. The project consisted of a four-week course given once weekly for 60 minutes to residents at an …

Importance And Implementation Of Exercise Programs In The Geriatric Population, Denise Grezeszak

Honors Projects

No abstract provided.

Screening Initiative For Non-Stroke Geriatric Inpatients, Kimberly Harper

Doctoral Projects

Current literature reveals a need for improved depression screening efforts among inpatient geriatrics. This population is at higher risk for severe depression, suicidal ideations, poorer health outcomes related to decreased compliance to healthcare regimens, and increased healthcare costs. Current best practice involves the utilization of the Geriatric Depression Scale-Short Form (GDS-SF), a 15-question yes or no answer screening tool. While not diagnostic, the tool has established validity and reliability testing. The GDS-SF should not be used on subsets of the population diagnosed with stroke, dementia or delirium.

The purpose of this project was to develop a protocol for implementation of …

The Influence Of Anti-Fatigue Matting On Gluteus Medius Muscle Activity During Functional Reaches, Marcus Payne

Health, Human Performance and Recreation Undergraduate Honors Theses

The purpose of this study was to look for changes in gluteus medius muscle activity during functional reaches and investigate whether or not anti-fatigue matting affects these changes. Fourteen participants (seven male & seven female) who did not meet any of the exclusion criteria completed forward and lateral reaches at hip and shoulder height on all four floor conditions for a total of sixteen reaches. Four floor types were tested: a control bare force platform, and a low, medium, and high stiffness anti-fatigue mat. Electromyography was applied bilaterally to the gluteus medius muscles, and maximum voluntary contractions were performed so …

Sarcopenic Obesity And Myosteatosis Are Associated With Higher Mortality In Patients With Cirrhosis, Aldo J. Montano-Loza, Paul Angulo, Judith Meza-Junco, Carla M. M. Prado, Michael B. Sawyer, Crystal Beaumont, Nina Esfandiari, Ming Ma, Vickie E. Baracos

Internal Medicine Faculty Publications

Background and aims Obesity is frequently associated with cirrhosis, and cirrhotic patients may develop simultaneous loss of skeletal muscle and gain of adipose tissue, culminating in the condition of sarcopenic obesity. Additionally, muscle depletion is characterized by both a reduction in muscle size and increased proportion of muscular fat, termed myosteatosis. In this study, we aimed to establish the frequency and clinical significance of sarcopenia, sarcopenic obesity and myosteatosis in cirrhotic patients.

Methods We analysed 678 patients with cirrhosis. Sarcopenia, sarcopenic obesity and myosteatosis were analysed by CT scan using the third lumbar vertebrae skeletal muscle and attenuation indexes, using …

Case Report: Reducing Polypharmacy In Elderly, Orina Machoka

Nursing Capstones

No abstract provided.

Effect Of Glycemic Control On Infection In Post Total Joint Replacements In The Diabetic Patient, Sandra Hall

Nursing Capstones

No abstract provided.

The Comparison Of Dual-Tasking And Functional Fitness In Older Females, Anna Engler

Health, Human Performance and Recreation Undergraduate Honors Theses

Context: America’s aging population is growing faster than ever, resulting in increasing challenges for healthcare providers and caregivers. Over 33% of adults aged 65 and older fall annually, and falls are the number one cause of injury-related death in this age group. Assessing fall risk is difficult due to its multifactorial nature, but functional fitness serves as a proxy measure. Women are at a particularly high risk for fall-related injury due to lower bone mineral density and higher fall frequency when compared to males. Fear of falling is also a serious contributor to fall risk, and it affects up …

The Impact Of Education On Fear Of Falling In Elderly Women, Whitney R. Muller

Health, Human Performance and Recreation Undergraduate Honors Theses

Context: More than one third of individuals 65 and older fall each year. Approximately 85% of these falls occur in the homes of independent older adults. Falls can lead to an increased fear of falling, defined as a pervasive concern that a fall may occur. Fear of falling can decrease quality of life due to a lower sense of well-being, limiting mobility, and reduction of social interaction. Reduction in activity can result in a sedentary lifestyle and poor balance which increases the risk of falling. Fifty percent of women 75 years and older participate in no physical activity beyond …

Staff Interactions And Affect In Persons With Dementia: An Observational Study Of A Memory Care Unit, Keirstin V. Meyer

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

It is estimated that the number of people in the United States living with dementia in 2015 will nearly triple by the year 2050. With no cure for dementia, we are faced with providing care in a way that maximizes well-being. The majority of prior research focused on the best ways to reduce behavioral problems and mood disorders, such as depression and anxiety. The objective of this study was to increase knowledge about the social influences on well-being in persons with dementia, particularly from staff in residential memory care units. This study found that the most common interaction type from …

A Qualitative Study Of Job Competencies For Healthcare Social Work Administrators: An Application Of The Short Competency Model Process Used To Identify The Behaviors And Personal Characteristics Of Exemplary Performers, Lashonda Jones-Moore

UNLV Theses, Dissertations, Professional Papers, and Capstones

Job competencies are central to every organization’ s human resource management system. Competencies can be used to help organizations create high performance cultures, select and hire a workforce, develop leaders, and establish a foundation for training strategies. Social work, as a profession, has developed competency models for many specialized fields of social work. Health is the second most common practice area reported by social workers with a master’ s degree in social work, the predominant social work degree for licensed social workers. In highly structured, rapidly evolving, and complex organizations such as healthcare systems, leaders and managers require distinctively different …

Influences Of Body Composition, Multimorbidity And Polypharmacy On Physical Mobility Of Older Adults, Chieh Chen, Linna Sestini, Rachel Wilde

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: The prevalence of falls, and the resulting injuries and complications reflect a key concern in the older adult population. An increased risk of falls is highly correlated with decreases in physical mobility and related functions. The Timed Up-and-Go test (TUG) has an established reliability and validity in assessing physical function and the risk of falling in the older adult population. With age, a person typically has an increased number of health morbidities, which may be reflected in changing body composition and the number of medications associated with diseases. However, the influence of these factors on physical mobility …

Effect Of Increasing External Loads On Countermovement Jump Landing Kinetics Between Ncaa Di Women's Soccer And Gymnastics On Land Vs In Water, Paul Bryan Beachem Iv

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The purpose of this study was to compare the effect of differing loads on landing kinetics on land, and in aquatic conditions. Twenty four NCAA DI athletes volunteered for this study twelve female soccer players and twelve female gymnasts. Participants performed three jumps with four differing external loads in both land and aquatic environments. External loads were body weight (BW), BW*1.1, BW*1.2, BW*1.3 and applied via a weighted vest. All external loads for both conditions were added based upon participants BW on land. Kinetic measures were peak force, rate of force development, and impulse of the landing phase of the …

Using An Online Learning Module In A Nursing Program To Improve Knowledge And Skills To Prevent Falls In The Community Dwelling Older Adult Population, Susan Kane Patton

Graduate Theses and Dissertations

Nationally, 28.4% of older adults fall each year. Falls and resulting injury result in decreased mobility, functional impairment, loss of independence, and increased mortality. Utilization of evidence based protocols by providers to identify older adults at risk of falling is limited and rates of participation by older adults in prevention activities is low. Because of nursing’s increasing role in caring for older adults, development of fall prevention education for nursing students would result in increased awareness of the need for fall prevention in community dwelling older adults and increased access of older adults to falls risk assessment. There is a …

Strategies Of Balancing: Regulation Of Posture As A Complex Phenomenon, Allison Leich Hilbun

Electronic Theses and Dissertations

The complexity of the interface between the muscular system and the nervous system is still elusive. We investigated how the neuromuscular system functions and how it is influenced by various perturbations. Postural stability was selected as the model system, because this system provides complex output, which could indicate underlying mechanisms and feedback loops of the neuromuscular system. We hypothesized that aging, physical pain, and mental and physical perturbations affect balancing strategy, and based on these observations, we constructed a model that simulates many aspects of the neuromuscular system. Our results show that aging changes the control strategy of balancing from …

Polypharmacy And The Importance Of Medication Review In The Elderly Population, Rose Betak Agbor

Nursing Capstones

No abstract provided.

Reducing Potentially Inappropriate Prescribing In Geriatrics Using The Stopp/Start Tool, Samantha Radel

Nursing Capstones

No abstract provided.

Non-Pharmacological Therapies For Mild Depression, Geoffrey Ongaga

Nursing Capstones

No abstract provided.

Blood Glucose Management In The Surgical Patient, Alison Lynch

Nursing Capstones

No abstract provided.

Use Of Insulin Pumps In The Perioperative Patient, Judith Raboy

Nursing Capstones

No abstract provided.

Relationship-Centred Care In Health: A 20-Year Scoping Review, Sophie Soklaridis Phd, Paula Ravitz Md Frcpc, Gili Adler Nevo Md Frcpc, Susan Lieff Md Prcpc

Patient Experience Journal

Relationship-centred care (RCC) is a framework for conceptualizing health care which recognizes that the nature and quality of relationships in health care influence the process and outcomes of health care. Our goal was to undertake a scoping review of the peer-reviewed and grey literature on RCC in health. Using Arksey and O’Malley’s scoping review methodology we identified literature about RCC in teaching, learning and clinical practice. Electronic databases were searched, and targeted searches were also conducted for grey literature to capture unpublished material. Subsequently, data abstraction tools were used with eligible studies for analysis. Sixty-nine publications originated mainly from the …

Examining Cognitive And Emotional Responses To Inter-Age Rejection, Kristina M. Deem

Morehead State Theses and Dissertations

A Thesis Presented to the Faculty of the College of Science and Technology Morehead State University in Partial Fulfillment of the Requirements for the Degree Master of Science by Kristina M. Deem on April 21, 2016.

The Effects Of Aging And Estrogen Treatment During Aging On The Rat Epididymis, Kathryn Davis

Honors Theses

Previous studies from our lab have demonstrated that a normal estrogen environment in the testis contributes to maintaining spermatogenesis in adult rats and that estrogen treatment can attenuate the age-associated decline in sperm production. The purpose of this study was to determine if the estrogen environment of the epididymis is altered with age and what effects estrogen treatment may have on the epididymis during aging. The study compared untreated rats at 15 months of age to 18 month old rats that were treated with either vehicle, or estradiol- valerate, once every third day from 15 to 18 months. Mean concentrations …

Cognitive Behavioral Therapy For Treatment Of Mild Depression, Justus Ongaga

Nursing Capstones

No abstract provided.

Aging Converts Innate B1a Cells Into Potent Cd8+ T Cell Inducers, Catalina Lee-Chang, Monica Bodogai, Kanako Moritoh, Xin Chen, Robert Wersto, Ranjan Sen, Howard A. Young, Michael Croft, Luigi Ferrucci, Arya Biragyn

United States Public Health Resources

B cell dysregulation in aging is thought to mostly occur in conventional B2 cells without affecting innate B1 cells. Elderly humans and mice also accumulate 4-1BBL+ MHC class-IHi CD86Hi B cells of unknown origin. In this article, we report that these cells, termed 4BL cells, are activated murine and possibly human B1a cells. The activation is mediated by aging human monocytes and murine peritoneal macrophages. They induce expression and activation of 4-1BBL and IFN-gR1 on B1a cells to subsequently upregulate membrane TNF-α and CD86. As a result, activated B1a/4BL cells induce expression of granzyme B in CD8+ T cells by …