Digital Commons Network^™

Pat Owens, Pat Owens, Kelsey Duinkerken

Jefferson Nursing Oral Histories

From a young age Pat Owens had a strong interest in nursing, and as a high school student she was even the President of her school’s Future Nurses Club. However, she also really liked home economics so when she went to college she decided to pursue home economics rather than nursing. After working as at the Dairy Council as a nutrition consultant and later at Campbell’s Soup in their test kitchen, Ms. Owens decided that she wanted to instead pursue a career in nursing. After looking into different programs in the Philadelphia area, she chose Jefferson, entering in 1990 and …

Factors Associated With Unmet Needs Among African-American Dementia Care Providers, P. J. Desin, Allison M. Caban-Holt, Erin L. Abner, Linda J. Van Eldik, Frederick A. Schmitt

Sanders-Brown Center on Aging Faculty Publications

Racial and ethnic minorities currently comprise 20% of the U.S. population; in 2050, this figure is expected to rise to 42%. As a result, Alzheimer’s disease (AD), the 5th leading cause of death for people aged 65 and older, is likely to increase in these groups. Most dementia caregiving for these populations comes from family and friends, especially among families with lower socioeconomic status. A convenience sample of 30 African-American dementia caregivers was interviewed to determine unmet needs. Participants expressed a limited desire for formal services, such as support groups, legal advice, case management, and homemaker services. Instead, commonly expressed …

Examining Patient-Centered Care Through The Eyes Of An Occupational Therapist, Molly R. Ray

Mahurin Honors College Capstone Experience/Thesis Projects

The concept of person-centered care is a major factor in the ongoing shift between a type of care that focuses on biological concepts ignoring psychological and emotional needs of a person, to a new type of care that considers the whole person, striving to meet not only their physical needs, but their spiritual and emotional needs, striving to involve the patient in every aspect of care. In this study, an adapted person-centered checklist was created as a possible future tool to encourage occupational therapists to implement person-centered care techniques in daily practice. Supporting research includes a literature review on person-centered …

Associations Between Advanced Cancer Patients' Survival And Family Caregiver Presence And Burden, J. Nicholas Dionne-Odom, Jay G. Hull, Michelle Y. Martin, Kathleen D. Lyons

Dartmouth Scholarship

We conducted a randomized controlled trial (RCT) of an early palliative care intervention (ENABLE: Educate, Nurture, Advise, Before Life Ends) for persons with advanced cancer and their family caregivers. Not all patient participants had a caregiver coparticipant; hence, we explored whether there were relation- ships between patient survival, having an enrolled caregiver, and caregiver out- comes prior to death. One hundred and twenty-three patient-caregiver dyads and 84 patients without a caregiver coparticipant participated in the ENABLE early versus delayed (12 weeks later) RCT. We collected caregiver quality-of-life (QOL), depression, and burden (objective, stress, and demand) measures every 6 weeks for …

The Benefits Of Body Mass Index And Waist Circumference In The Assessment Of Health Risk, Mary T. Imboden, Alexander H.K. Montoye, Leonard A. Kaminsky

Faculty Publications - Department of Kinesiology

Obesity is an epidemic in the United States. Most health and fitness (H&F) professionals are familiar with reports showing that 69% of American adults are overweight, and an estimated 36.5%are obese, defined as having a body mass index (BMI) of 25 kg/m2 or higher and 30 kg/m2 or higher, respectively. Thus, 78.6 million American adults are considered to have excess weight that is detrimental to their health (16,17,19). In 2014, there was not a single state with a prevalence of obesity of less than 20%, and 19 states were reported to have an obesity prevalence of more than 30%. This …

The Association Between Sleep Problems, Sleep Medication Use, And Falls In Community-Dwelling Older Adults: Results From The Health And Retirement Study 2010, Yaena Min, Pramit A. Nadpara, Patricia W. Slattum

Pharmacotherapy and Outcomes Science Publications

Background. Very few studies have assessed the impact of poor sleep and sleep medication use on the risk of falls among community-dwelling older adults. The objective of this study was to evaluate the association between sleep problems, sleep medication use, and falls in community-dwelling older adults. Methods. The study population comprised a nationally representative sample of noninstitutionalized older adults participating in the 2010 Health and Retirement Study. Proportion of adults reporting sleep problems, sleep medication use, and fall was calculated. Multiple logistic regression models were constructed to examine the impact of sleep problems and sleep medication use on …

Innovations Volume 1: Issue 2, Ron And Kathy Assaf College Of Nursing

Innovations Magazine

No abstract provided.

Nurses' Knowledge Of Advance Directives And Perceived Confidence In End-Of-Life Care: A Cross-Sectional Study In Five Countries, A. Coffey, G. Mccarthy, E. Weathers, M. I. Friedman, K. Gallo, M. Ehrenfeld, S. Chan, W. H.C. Li, P. Poletti, M. Itzhaki, +4 Additional Authors

Journal Articles

No abstract provided.

Burden And Depression Among Caregivers Of Visually Impaired Patients In A Canadian Population, Zainab Khan, Puneet S. Braich, Karim Rahim, Jaspreet S. Rayat, Lin Xing, Munir Iqbal, Karim Mohamed Mohamed, Sanjay Sharma, David Almeida

Ophthalmology Publications

Purpose/Background. This study reports the degree of burden and the proportion at risk for depression among individuals who provide care to visually impaired patients. Study Design. This is clinic-based, cross-sectional survey in a tertiary care hospital. Methods. Caregivers were considered unpaid family members for patients whose sole impairment was visual. Patients were stratified by vision in their better seeing eye into two groups: Group 1 had visual acuity between 6/18 and 6/60 and Group 2 were those who had 6/60 or worse. Burden was evaluated by the Burden Index of Caregivers and the prevalence of being at …

Burden And Depression Among Caregivers Of Visually Impaired Patients In A Canadian Population, Zainab Khan, Puneet S. Braich, Karim Rahim, Jaspreet S. Rayat, Lin Xing, Munir Iqbal, Karim Mohamed, Sanjay Sharma, David Almeida

Ophthalmology Publications

Purpose/Background. This study reports the degree of burden and the proportion at risk for depression among individuals who provide care to visually impaired patients. Study Design. This is clinic-based, cross-sectional survey in a tertiary care hospital. Methods. Caregivers were considered unpaid family members for patients whose sole impairment was visual. Patients were stratified by vision in their better seeing eye into two groups: Group 1 had visual acuity between 6/18 and 6/60 and Group 2 were those who had 6/60 or worse. Burden was evaluated by the Burden Index of Caregivers and the prevalence of being at risk for depression …

What Are The Needs Of Older Adults?, Edward F. Ansello

Director's Editorials from Age in Action

Mobility, social connections, health declines, lifelong learning, safety, caretakers or caregivers speak to interdependence or assisted autonomy, rather than to independence. Realizing the best of ourselves means that we are engaged or interdependent with others.

Palette: An Intergenerational Art Program To Improve Health Care Delivery And Health Outcomes Of Older Adults, Sadie Rubin

Case Studies from Age in Action

Educational Objectives:

1. Demonstrate the positive out-comes of the PALETTE model in training and educating health pro-fessional students in gerontological experiences.

2. Describe the partnerships devel-oped and their importance in exe-cuting PALETTE programs.

3. Highlight student experiences in intergenerational visual arts and intergenerational movement arts.

Attitudes Toward Complementary And Alternative Medicine, Miranda Lea Cobb

Theses, Dissertations and Capstones

Complementary and alternative medicine (CAM) usage has increased throughout the years, as many people are becoming interested in using less conventional interventions for common illnesses. As a whole, CAM encompasses any practice used to treat an illness or disorder that does not fall under the category of traditional medicine. CAM interventions not only treat the physical aspects of health, but as clinicians are beginning to realize, these interventions may also be effective in treating psychological problems, most notably anxiety and depression. This research focused on attitudes toward CAM for psychological disorders. I examined participants’ attitudes about the use of CAM …

Establishing A Nurse Mentor Program To Improve Nurse Satisfaction And Intent To Stay, Sara Jane Jones

Doctor of Nursing Practice Projects

Retention of new graduate registered nurses (RNs) is a problem within the healthcare system negatively impacting patient safety and health care outcomes. The problem of retention of qualified RNs is compounded by the potential shortage of RNs, the aging RN workforce and the aging US population. During a period of transition, a novice RN requires the guidance of others to learn to apply theoretical knowledge to real life clinical experiences. In the linear progression of Benner’s levels of clinical competency, the beginning two levels of nurses need a resource person to guide their progression in clinical practice. A mentoring relationship …

Using Multidisciplinary Focus Groups To Inform The Development Of Mi Smart: A Nurse-Led Technology Intervention For Multiple Chronic Conditions, Jennifer A. Mallow, Laurie A. Theeke, Elliott Theeke, Brian K. Mallow

Faculty & Staff Scholarship

Used as integrated tools, technology may improve the ability of healthcare providers to improve access and outcomes of care. Little is known about healthcare teams’ preferences in using such technology. This paper reports the findings from focus groups aimed at evaluating a newly developed primary care technology platform. Focus groups were completed in academic, outpatient, and community settings. Focus groups were attended by 37 individuals. The participants included professionals from multiple disciplines. Both prescribing (��=8) and nonprescribing healthcare team members (�� = 21) completed the focus groups and survey. The majority were practicing for more than 20 years (44.8%) in …

Retrieval Of Individual Participant Data For Exercise Meta-Analyses May Not Be Worth The Time And Effort, George A. Kelley, Kristi S. Kelley

Faculty & Staff Scholarship

Purpose. While individual participant data (IPD) meta-analyses are considered the gold standard for meta-analysis, the feasibility of obtaining IPD may be problematic. Methods. Using data from a previous meta-analysis of 29 studies on exercise in adults with arthritis and other rheumatic diseases, the percentage of studies in which useable IPD was provided was calculated. Results. Eight of 29 authors (28%, 95% CI = 11% to 44%) provided IPD. Using logistic regression, neither year of publication (odds ratio = 1.05, 95% CI = 0.90 to 1.27, �� = 0.58) nor country (odds ratio = 1.36, 95% CI = 0.20 to 10.9, …

Audiology Brochure, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Validity Of The Promis Physical Performance Scale In Determining Frailty And Physical Ability In Community-Dwelling Elderly, Jeff Houck, Tomoko Iwanaga, Christine Kieu, Keegan Lerma, Chelan Murasaki, Tawny Souza

Student-Faculty Research - College of Physical Therapy

In many clinical settings, therapists are continuously seeking efficient and valid assessments for older adults to determine their physical abilities and functional status. The Patient Reported Outcome Instrument System (PROMIS) is a newly developed computer adapted test (CAT) that is being incorporated into electronic medical records and has been reported to assess a person’s physical function. The current gold standard to assess different levels of frailty and physical function in older individuals is the Modified Physical Performance Test (mPPT). However, the mPPT is a lengthy performance based outcome measure that takes time to administer. The purpose of this study is …

Prevalence And Related Factors Of Psoriasis And Seborrheic Dermatitis: A Community Based Study, Yalçin Baş, Havva Yildiz Seçki̇n, Göknur Kalkan, Zennure Takci, Riza Çitil, Yalçin Önder, Şafak Şahi̇n, Ayşe Kevser Demi̇r

Turkish Journal of Medical Sciences

No abstract provided.

Hepatoprotective And Antidiabetic Activities Of Fraxinus Angustifolia Vahl Extracts In Animal Models: Characterization By High Performance Liquid Chromatography Analysis, Zineb Medjahed, Dina Atman-Kilani, Marie-Laure Fauconnier, Gaetan Richard, Djebbar Atmani

Turkish Journal of Medical Sciences

Background/aim: The present study was designed to explore antidiabetic and hepatoprotective potentials of Fraxinus angustifolia leaf (FAL) and bark (FAB) extracts in vivo. Materials and methods: Streptozotocin (STZ)-induced diabetic rats, pretreated with the extracts (25 and 50 mg/kg), were monitored for fasting blood glucose (FBG) levels. Hepatoprotective potential was examined after injection of an excessive dose of paracetamol (10 g/60 kg) by analysis of biochemical parameters (transaminases, bilirubin), malondialdehyde (MDA) levels, and histological sections. high performance liquid chromatography analysis was also performed for partial characterization. Results: A considerable hypoglycemic effect was noticed 2 h after the STZ-induction, with a higher …

Physical Therapy Doctorate Overview, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

College Of Optometry Overview 2016, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Dietary Transition And Obesity In Selected Arabic-Speaking Countries: A Review Of The Current Evidence, Basil H. Aboul-Enein, J. Bernstein, A. C. Neary

Health & Wellness Department Faculty Publications and Research

Escalating obesity rates have become a significant public health problem in the Middle East and North Africa [‎MENA]‎ region and have been associated with shifts towards a westernized diet. This integrative review aimed to examine the current dietary trends and transitions and their association with obesity in Arabic-speaking countries of the MENA region. Relevant databases were searched for studies in MENA countries between 1998 and 2014 that investigated obesity trends and changes in dietary patterns at the regional level in all age groups. A total of 39 articles fulfilled the inclusion criteria. All the articles noted that obesity was increasingly …

Conceptualizing Cognitive-Behavioral Therapy As A Supportive-Educative Nursing System For Patients With Insomnia, Christine Kurtz, Nola Schmidt

Nursing and Health Professions Faculty Publications

Difficulty initiating and maintaining sleep is one of the most common health complaints of the general population. Approximately 35-50% of people experience occasional insomnia symptoms (Walsh et al., 2011) while 12-20% have insomnia disorder (Morin, et al., 2011; Roth et al., 2011). An effective treatment is cognitive behavioral therapy for insomnia (CBT-I; Schutte-Rodin, Broch, Buysse, Dorsey, & Sateia, 2008), a nonpharmacological, evidence-based intervention aimed at changing sleep behaviors. The purpose of this paper is to frame CBT-I as a nursing intervention for insomnia within the context of Orem’s self-care deficit nursing theory (Orem, 2001). Orem’s theory provides a framework from …

Process Evaluation On Crisis Services In Northern Idaho, Claudia G. Miewald

Doctor of Nursing Practice Projects

Background: Idaho ranks last of all states for per capita spending on mental health treatment (Kaiser Family Foundation, 2014). In Idaho, individuals in crisis who suffer from mental illness or Substance Use Disorder (SUD) have few options for care. They often utilize the most expensive treatment through the emergency department, inpatient services, or by going to jail. Idaho has the 7^th highest suicide rate in the nation (Suicide Prevention Action Network of Idaho, 2015), while Region 1 of Idaho has the second highest suicide rate in the state from 2010-2014 (Suicide Prevention Action Network of Idaho, 2015).

Methods: This …

Color Your Plate: A Pilot Nutrition Education Intervention To Increase Fruit And Vegetable Intake Among Older Adults Participating In The Congregate Meal Site Program In Kentucky Senior Centers, Emily Dickens

Theses and Dissertations--Nutrition and Food Systems

The purpose of this study was to determine if the amount and variety of fruit and vegetable intake increased among community-dwelling older adults participating in Kentucky’s congregate meal site program following a series of educational nutrition lessons. A convenience sample (n=35) of community-dwelling older adults at two intervention (n=19) and two control (n=16) senior centers in central Kentucky participated in this quasi-experimental pre-post pilot study. Following the intervention there was a trend towards increased self-reported intake in the variety of fruit and vegetables among the intervention group (range:0.03±3.31 to 1.32±2.75 servings per week); a significant increase in the number of …

The Efficacy Of A House Call Provider Service, Lynne M. Jacobson

Regis University Student Publications (comprehensive collection)

Problem: Many individuals who are disabled, homebound from chronic disease or are of advanced age have difficulty seeking medical services from an outpatient medical provider. Unnecessary or preventable hospital readmissions/ER visits from congestive heart failure (CHF) and/or chronic obstructive pulmonary disease (COPD) exacerbations are costly and these individuals would benefit from a house call program. The PICO format is as follows: P) Elderly and adult population with COPD and/or CHF. I) Adult and elderly population with COPD and/or CHF receiving house call visits by a nurse practitioner. C) Adult and elderly population with COPD and/or CHF receiving medical care at …

Exploring The Influence Of Bc-Adm Certification On Advanced Practice Nurses’ Clinical Practice And Knowledge Of Cognitive Dysfunction In Geriatric Diabetes Care, Kimberley J. Krapek

Regis University Student Publications (comprehensive collection)

To meet the healthcare demands of an aging population one strategy is the use of advanced practice nurses (APN) in primary care (Buerhaus, DesRoches, Dittus, & Donelan, 2015). Diabetes affects 26.9% of people aged 65 and older in the United States. Mild cognitive impairment (MCI) is often unrecognized in this population (Munshi, Hayes, Iwata, Lee &Weinger, 2012). Information on APN knowledge of this comorbidity or practice characteristics regarding cognitive function assessment is limited. This capstone project sought to increase understanding of APN practice and knowledge of MCI, comparing APNs board certified in advanced diabetes management (BC-ADM) to those without certification. …

Physical Therapy 2016, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Nurse Practitioner M.S.N. Aprn Overview, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.