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Louisiana State University Health Sciences Center - 2015 - 141st Commencement, Office Of The Registrar, Lsu Health Sciences Center-No

Graduation & Commencement Programs

The program for the 141st Commencement of LSU Health Sciences Center - New Orleans held May 14, 2015.

Nurses' Self-Efficacy For Managing Elder Abuse, Alana Anderson

Nursing Theses and Dissertations

Elder abuse is a serious issue that negatively affects physical and mental health in a significant portion of the older population. Abuse of older adults is not adequately detected or reported. Nurses have frequent contact with older victims of abuse, providing them the opportunity to play a significant role in detecting, reporting, and intervening in such cases. Nurses are reluctant to intervene due to lack of education on elder abuse and lack of self-efficacy in their ability to properly manage elder abuse. This quantitative, descriptive study was designed to determine whether educational content on elder abuse, perceived capability, and self-efficacy …

Specialty Selection In The Face Of An Aging Demographic In Taiwan, Ian Christensen, Michael Barnes

Journal of Undergraduate Research

As of the end of August, 2013, senior citizens accounted for 11 percent of Taiwan’s population¹. According to a report published by Taiwan’s Ministry of the Interior earlier this year, Taiwan’s population is predicted to be “hyper-aged”,with 20% of the population 65 or over, by 2025. With the world’s lowest birth rate (less than 0.9 children per woman)² and a universal health care system, the aging of Taiwan’s population constitutes a massive challenge for the Taiwan health care system. Such a challenge is not, however, unique to Taiwan. Many populations, especially in developed nations such as those …

The First Year: The Relationship Between Loneliness & Wellness Among College Freshmen, Isabel M. Jimenez-Bush

Senior Honors Projects, 2010-2019

Loneliness is common in the majority of first-semester college students, but if left unaddressed, long-term loneliness may cause physical health problems. The purpose of this study was to investigate the relationship between perceived loneliness and physical health among college freshmen at James Madison University using a Qualtrics survey. The relationship between loneliness and health was assessed using the Behavioral Risk Factor Surveillance Survey (BRFSS) to gauge physical health and the UCLA Loneliness Survey (UCLA-LS) to gauge perceived loneliness. Contrary to the hypothesis, results indicated there was no relationship between loneliness and physical health. It was thought the BRFSS was a …

The Contemporary Use Of Nurse Practitioners In U.S. Emergency Departments, Jeffrey L. Bevan

Doctor of Nursing Practice Scholarly Projects

Problem: The increased demand for emergency care in the United States (U.S.) has been well-documented and there is growing utilization of nurse practitioners in U.S. emergency departments. However, little is known about the nurse practitioner (NP) role in the emergency department setting within the past five years.

Purpose: The purpose of this project was to describe the demographic characteristics of patients, patient conditions treated, diagnostic tests ordered, and procedures performed by nurse practitioners in a national sample of U.S. emergency departments.

Methodology: This secondary analysis used a non-experimental quantitative, descriptive exploratory design to review data from the National Hospital Ambulatory …

Fall Prevention Among Older Adults Living In The Community, Clarissa Silva Lopez

Theses & Dissertations

Older adults are within the fastest population growth rate in the United States, and as the population ages, the potential for falls increases (DHHS, 2011). This was a mixed-method explanatory study that investigated the perceptions of older adults regarding the usefulness, adequacy, and positive experience of fall information among older adults living in the community when received from healthcare professionals during physician’s office visits. The research questions were: 1. What is the relationship among perceptions of usefulness, adequacy, and positive experience of fall information among older adults? 2. Is there a difference in the perceptions of usefulness and adequacy among …

Medical Education Digest, Vol. 17 No. 3 (May-June 2015), Nova Southeastern University

Medical Education Digest

No abstract provided.

Impact Of Implementing The Geriatric Resource Nurse Model On Fall And Hospital Acquired Pressure Ulcer Rates, And Length Of Stay In Older Adults In An Acute Care Hospital, Elzbieta Kmiecik, Cathie E. Guzzetta, Mary-Michael Brown, Qiuping Pearl Zhou, Desale Sameer

GW Research Days 2015

Background.Older adults are at high risk for adverse care outcomes, such as injuries from falls, hospital acquired pressure ulcers (HAPUs), and prolonged length of stay (LOS). Available evidence suggests outcomes may improve when older adults are cared for by healthcare providers with competence in geriatrics. To improve outcomes, an acute care not-for-profit teaching hospital in Washington DC area implemented a Geriatric Resource Nurse (GRN) model that prepares registered nurses (RNs) as clinical experts on core geriatric principles on four general care wards (three medical-surgical and one cardiac).

Objectives. Toexamine the effects of GRN model implementation on fall and …

Total Body Water And Its Relationship To Functional Performance In Individuals With Diagnosed Osteoarthritis, Sara Hanson

HIM 1990-2015

This study examines a possible relationship between Total Body Water (TBW) levels, osteoarthritic pain and functional performance in a sample of untrained adults. Participants complete a Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaire, TBW is measured using single-frequency bioelectrical impedance (SF-BIA) and strength, balance and physical function are measured by the completion of 7 standardized functional tests. Participants in this study will include adult men and women, age 35 years and older, who have been previously diagnosed with Osteoarthritis (OA) in the hip or knee, or who score 35 or higher on the WOMAC. This study aims to …

Activity-Rest And Skin Temperature Circadian Rhythms And Sleep Patterns In Community-Dwelling Women, Kristina L. Leyden

Dissertations and Theses (Open Access)

Purpose: The purpose of the study was to explore activity-rest and temperature circadian rhythms and sleep patterns in ambulatory women of reproductive, perimenopausal, and postmenopausal stages. Study aims were to (1) correlate the patterns of activity-rest with skin temperature and determine (2) lead-lag relation between activity-rest and circadian temperature rhythm, (3) stability of activity-rest patterns during work and non-work days, (4) duration of actigraphy sampling sufficient to reliably capture activity-rest patterns, and (5) sleep parameters in participating women across reproductive stages.

Design: Analysis of extant data sets.

Sample and Setting: Seven community-dwelling women, 27-to-54-years old

Methods: Participants wore an actigraph …

Depression And Spiritual Predictors Of Wellness In Family Caregivers Of Individuals With Alzheimer’S Disease, Christine Green

Doctor of Psychology (PsyD)

This study investigated the role of spirituality in family caregivers of individuals with Alzheimer’s disease as a means of lessening the development of depressive symptomology arising through caregiver burden. For this study, there were 41 caregiver participants taking care of a family member with Alzheimer’s disease. The population was obtained through various divisions of the Alzheimer’s Association of the United States of America. Participants completed a basic demographic survey, the General Well-Being Schedule, the Patient Health Questionnaire- 9, and the Spiritual Experience Index. Two groups, religious and non-religious, had their mental health functioning compared. Results from the 41 surveys suggest …

Weight Management Of Diabetic Patients: Can Text Messaging Help?, Culver Randolph

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The prevalence of obesity and diabetes have steadily increased over the past three decades with projections calling for 83% of men and 72% of women becoming overweight or obese by 2020; similarly, the incidence of women with diabetes is projected to increase from 37 % to 44% (Shute, N., 2011). These drastic increases have brought about a dramatic growth of innovative disease management tools that have proven to increase patient control over their disease as well as enhance patient-practitioner correspondence. The literature provided information involving the use of text messaging to prompt the patients to increase their adherence to the …

Live Model Simulation: Improving Nursing Students' Attitudes And Knowledge Of Alzheimer's Disease, Teresa Maharaj

Nursing Theses and Dissertations

Our country's older adult population (those 65 and older) continues to grow at unprecedented rates yet few nurses are prepared to safely and competently care for them with their challenging needs, especially those with Alzheimer's Disease and Related Dementias (ADRD). Research focused on teaching strategies that influenced students' preconceived attitudes and improved knowledge toward older adults with or without Alzheimer's disease (AD) is limited. This study examined whether a live-model simulation used as a teaching modality could improve student attitudes and knowledge of AD. Findings indicated that within the group of students who participated in the AD lecture and AD …

Choices Related To Maximizing Quality Of Life At End Of Life, Theresa Lynn

Dissertations

Humans, including those residing in the United States, can live in denial of their own mortality. Because of this, futile care is sometimes provided, often at great monetary expense and for little or no return in terms of quality or length of life. At least two opportunities exist for making choices regarding care at the end of life in the U.S.: completing advance directives and choosing hospice care. This dissertation consists of three studies related to this topic. The first is a quantitative study about advance directives and attitude toward death. The advance directive completion rate among adults in the …

Connecticut's Elderly Population: An In-Depth Analysis Of Current And Future Trends In Elder Care, With A Focus On Dementia And Cognitive Decline, Emily J. Snodgrass

Honors Scholar Theses

The aging population in Connecticut currently represents ~15% of the state’s population but is anticipated to rapidly increase over the next 20 years. My thesis is an examination of the types of interventions and programs currently available for elderly persons with memory impairment and cognitive decline, as well as the challenges associated with caring for a larger elderly population. Data collected from interviews with CT healthcare and research professionals representative of the diverse specialties of aging together with an analysis of current research literature are used to demonstrate the importance of continued research and expansion of appropriate and accessible services …

Dose Response Relationship Between Aquatic Treadmill Running And Change To Si In Land Treadmill Running, Luke Campbell Roberts

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

Aquatic therapies have been used in some of the earliest human civilizations. Examples can be seen in China, ancient Rome and even in the early history of U.S. settlements.^1,2 Over the past few years aquatic environments have become a more common method for rehabilitation, injury prevention, and cross training. Additionally, research has observed that aquatic exercise may assist in pain relief, swelling reduction, and ease of movement due to the pressure and warmth of water.⁷ Aquatic environments can also be used to reduce forces placed on the lower extremities by reducing the weight of the subject through buoyancy. …

Art Therapy With A Familial Caregiver Of An Individual With Dementia Of The Alzheimer’S Type, Alexandra M. Serino

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

Alzheimer’s disease is the most common type of dementia and causes problems with memory, behavior, and thinking. The symptoms of this progressive disease commonly develop slowly and worsen over time. Family members who are caring for individuals with Dementia of the Alzheimer’s type (DAT) experience significant burden that affects their psychological well-being. This may result in an increase in stress/anxiety and a decreased mood. In this mixed methods case study, six individual in-home art therapy sessions were conducted with one 80 year old woman who was caring for her husband who had DAT, in order to gain preliminary understanding of …

The Effect Of Balance-Based Torso-Weighting On Mobility, Gait, Balance, Postural Control, And Falls Efficacy In Mobility Limited Older Adults, Jennifer L. Vincenzo

Graduate Theses and Dissertations

Exercise is a known intervention to prevent fall risk among older adults; however, adherence is poor. Therefore, it is of interest to determine if other interventions improve function and decrease fall risk among older adults. Balance-Based Torso-Weighting (BBTW) is a non-exercise intervention that improves functional measures among adults with multiple sclerosis, yet the effectiveness of BBTW has not been assessed among older adults without progressive neurological disorders. We conducted a double-blind, randomized study to analyze the effect of BBTW on functional measures and falls efficacy among community-dwelling, mobility limited older adults after 5 days of wearing BalanceWear® for 4 hours …

Reporting Practices, Knowledge And Opinion Of Policy Regarding Drivers With Dementia Among Arkansas Neurologists And Geriatricians, Erika Martin Gergerich

Graduate Theses and Dissertations

Background: States have various policies regarding a physician's ability or responsibility to report at-risk drivers with dementia to the Department of Motor Vehicles (DMV). Some states have mandatory reporting policies, others have optional reporting policies and some have no policy regarding this issue. Arkansas has no reporting policy regarding drivers with dementia to the DMV. Therefore, physicians in Arkansas face the risk of liability if they report a patient against their will to the DMV in good faith. Neurologists and geriatricians are often in a position to diagnose and treat individuals with dementia. Research Questions: The following three research questions …

Comparison Of Body Composition Assessment Techniques In Older Adult Females, Lauren Yacapraro

Honors Projects

Comparison of Body Composition Assessment Techniques in Older Adult Females

Introduction: As the aging population increases, the need for accurate assessment of chronic disease risk also increases. There is considerable debate over the best way to assess this risk. BMI is a weight-to-height ratio that is commonly used to assess adiposity and obesity related risk. However, it does not differentiate lean (i.e., muscle and bone) versus fat mass – the true predictors of obesity-related diseases (e.g., cardiovascular disease and diabetes). This is prevalent in post-menopausal women who often experience age-related gains in fat mass and losses in lean mass.

Methods: …

Participants' Perceptions Of Factors In Preventing Falls, Jaclyn Fok

Scholarly and Creative Works Conference (2015 - 2021)

Falls pose a serious threat to older adults, often resulting in physical, emotional, and financial consequences. The use of multifactorial fall prevention programs has provided community- dwelling older adults with strategies to decrease the risk of falling. Outcomes for these programs are measured in terms of such factors as fear of falling, balance and self-efficacy. One outcome of fall prevention programs that is less well understood is what the older adults themselves perceive as most beneficial. For this program evaluation project, five women participated in semi-structured interviews to understand which aspects of a multifactorial fall prevention program they found to …

Inclusion Of Seniors In The Design Of Assistive Technology, Margaret Rusnak

Ohio Association of Gerontology and Education Conference (2015)

Assistive technology helps many older adults complete essential tasks, thus providing them a means to remain functionally independent within their communities. However, many older adults either reject the use of devices or misunderstand their intention. The gap between design and need may be bridged through the active participation of elders in the design process. Previous studies have focused on older persons’ attitudes toward adopting new technology, emphasizing how to promote and maintain usage. Recent research reveals the necessity of including older adults in the design, research, and application of assistive technology in an effort to meet the real needs of …

Improving Healthcare Outcomes Through An Interdisciplinary Effort Of Social Work And Pharmacy In A “Village” Model Setting, Elizabeth Hipp, Lauren Post

Ohio Association of Gerontology and Education Conference (2015)

No abstract provided.

Barriers To Music Therapy In The Care Of Those With Alzheimer's/Dementia, Karin E. Kvam

Honors College Theses

This pilot study examines the barriers caregivers encounter when implementing music therapy in the care of those with Alzheimer’s/dementia. An 8-question survey was distributed at two long-term care facilities and an Alzheimer’s support group to understand how often and in what ways music therapy is utilized, as well as what barriers caregivers face when using the therapy. Results indicated that, although the majority of caregivers report using music therapy, it is not implemented as frequently as it could or should be. Caregivers report a knowledge deficit as the main reason for not implementing music therapy. The data suggests that an …

Occupational Therapy And Family Caregiver Training: The Key To Successful Dementia Care, Catherine V. Piersol, Phd, Otr/L, Ann O'Sullivan, Otr/L, Lsw, Faota

Department of Occupational Therapy Posters and Presentations

Most people with Alzheimer’s disease and related disorders live in the community and are cared for by family caregivers who have not received formal training. Evidence has shown that caregiving can have profound negative effects on a caregiver’s own physical and psychological health, including increasing social isolation and decreasing quality of life and wellbeing. If the demands of care exceed the caregiver’s capacity, the person with dementia can also be negatively affected. Research supports the effectiveness of teaching caregivers approaches that match the skills and interests of the person with dementia, use appropriate cues, identify and modify behavioral triggers, and …

Is Work The Forgotten Occupation?, Holly Ehrenfried Otr/L, Cht

Department of Medicine

No abstract provided.

The Meaning Of Patient-Nurse Interaction For Older Hospitalized Women: A Phenomenological Study, Deborah Mize

Doctor of Education (EdD)

The purpose of this dissertation is was to explore how older women perceived their interactions with nurses after receiving care in a hospital setting. Older women are a vulnerable population subject to being overlooked or misunderstood by the nurses caring for them, hence the importance of this study. To gather the data on older women’s lived world of nursing care, I used a phenomenological approach based on a hermeneutic framework that considers linguistic, historical, and social factors to interpret older women’s lived world of nursing care while hospitalized. I personally interviewed seven women between the ages of 66 and 81 …

The Impact Of A Support Group For Mentors, Joel Bates

Senior Honors Theses

In recent years, mentoring has been recognized by organizations and researchers as having great importance and potential. One of the three major mentoring fields, youth mentoring has been utilized and noted as a source of support and benefit for youth. Although some reviews are conflicted, the literature has largely shown this practice of guiding youth to be effective in helping to produce improved outcomes for children later in life. Researchers have also found evidence for the benefits of mentoring for mentors that can be explained within the context of Erikson’s psychosocial theory of development. The program that was studied for …

Factors That Lead To Hospital Readmissions And Interventions That Reduce Them: Moving Toward A Faith Community Nursing Intervention, Deborah J. Ziebarth

International Journal of Faith Community Nursing

Abstract

Hospital readmissions affect over 80 percent of all Medicare enrollees. Hospitals have a responsibility to their Medicare patients to keep them safe after discharge in their homes and communities. With changes in the Medicare reimbursement model, hospitals are examining efficient methods of decreasing avoidable re-admissions. A Faith Community Nurse Transitional Care Program may be just the answer to improve patient’s discharge experience, ensure post-discharge support and reduce re-hospitalization.

Methods

In preparations for testing a Faith Community Nurse Transitional Care Program Model, a systematic integrative review was needed. Using PRISMA, a search was done, inclusion criteria identified, and articles retrieved. …

Examining Faith Community Nurses’ Perception And Utilization Of Electronic Health Records, Carole N. Mattingly, M. Eve Main

International Journal of Faith Community Nursing

Abstract

The purpose of this study is to identify current faith community nurse documentation practices, explore factors impacting intention to adopt electronic health records, and identify perceived barriers and benefits to electronic health record use among faith community nurses practicing in the Midwest. The technology acceptance model is used to examine impact of perceived usefulness and perceived ease of use of electronic health records on intention to adopt.

This study is a quantitative exploratory research study utilizing a cross-sectional researcher-developed 39-item questionnaire. Surveys were distributed by mail and e-mail to faith community nurses practicing in South-Central Indiana and Western Kentucky. …