Digital Commons Network^™

The Lived Experiences Of Older African Americans Residing In Urban Nursing Homes, Marilynn Gail Byrd Knall

Wayne State University Theses

As huge numbers of baby boomers reach old age, an increased need for nursing home care in the future is inevitable. Older people face more complex health issues that often lead to debilitation or disability and thus the need for long-term care. The numbers of consumers needing long-term care services will more than triple during the next 30 years.

African Americans compose less than 10% of nursing home residents and even at age 84 and older, when the likelihood of nursing home placement is higher, proportionately fewer African Americans live in nursing homes. The underrepresentation of ethnic minorities groups in …

Department Of Family Medicine And Public Health Sciences 2008 Annual Report, Wayne State University School Of Medicine, Department Of Family Medicine And Public Health Sciences

Annual Reports

2008 annual report includes: Greetings from the Chair, Maryjean Schenk; Faculty and Academic Staff; Full-time Affiliate and Voluntary Faculty; Meet the New Faculty; Honors, Awards, and Appointments; New Family Medicine Center; Family Medicine Residency; Undergraduate Medical Education; Community Involvement; Community Network Partnership; Community Research Collaboration; External Funding; Publication Highlights; Publications; Professional Presentations; Academic Service and Peer-Review Activities; In Memoriam - Sandra Joyce Green, Ronald Mark Davis; New Models for Academic Medicine.

Daily Negative Mood Affects Fasting Glucose In Type 2 Diabetes, Marilyn M. Skaff, Joseph T. Mullan, David M. Almeida, Lesa Hoffman, Umesh Masharani, David Mohr, Lawrence Fisher

Department of Psychology: Faculty Publications

Objective: To examine the relationship between mood and blood glucose in a 21-day daily diary study.
Design: During a home visit, information was gathered from 206 persons with Type 2 diabetes regarding demographics, disease characteristics and treatment, and depressive symptoms. They had blood drawn at a laboratory, yielding HbA1C. The participants were then telephoned each evening for 21 days and were asked about their positive and negative mood during the past 24 hours. They also tested their blood glucose upon rising in the morning.
Main Outcome Measures: The main outcomes measures were positive and negative affect and fasting glucose.
Results: …

Persons As Contexts: Evaluating Between-Person And Within-Person Effects In Longitudinal Analysis, Lesa Hoffman, Robert S. Stawski

Department of Psychology: Faculty Publications

Relationships among multiple variables over time are of interest in many developmental areas and are frequently examined using time-varying predictors in multilevel models. Yet an incomplete specification of time-varying predictors will usually result in biased model effects. Specifically, the impact of constant, between-person sources of variation must be differentiated from the impact of time-specific, within-person sources of variation -that is, persons should be modeled as contexts. The current didactic article expands upon previous work to address why and how to model persons as contexts in longitudinal analysis. An electronic appendix of syntax for estimating these models is also provided.

Exploring Possibilities: Virtual Reality In Nursing Research, Rebecca L. Davis

Peer Reviewed Articles

This paper describes the use of virtual reality (VR) as a method of measurement in nursing research. VR refers to the use of computerized displays to display a life-like environment in which the user interacts. Although many disciplines are beginning to use VR environments in research, nursing has yet to embrace this technology. Nursing, as a profession which values the interaction between the environment, individual, and health, can benefit from the use of VR in research. Establishing reliability and validity of the VR tool selected for research is important and requires special consideration. VR testing can produce side effects, such …

Cultural Competence In Long Term Care : A Qualitative Phenomenological Study Of Nursing Home Administrators' Knowledge And Perception Of Cultural Competence, Sashai A. Green

HIM 1990-2015

This qualitative phenomenological study examined central Florida's nursing home administrators' knowledge and perception of cultural competence and how they perceive that their knowledge and perceptions impact residents, families, and healthcare. The theoretical framework for this study was explained through Campinha-Bacote's interdisciplinary model of The Process of Cultural Competence in the Delivery of Healthcare Services. The theoretical framework was used to guide research questions, and individual interview questions to obtain nursing home administrator's knowledge and perception of cultural competence. The study explored the level of cultural competence reported by nursing home administrators, their individual perception of cultural competence, their degree of …

Llmhs Elderly Services Outreach Program: Lincoln, Lyon & Murray Human Services, Jamie Olson

All Graduate Theses, Dissertations, and Other Capstone Projects

Right now there is a lack of professional and community knowledge regarding the services LLMHS provides to those over age 65. Thus, there are elderly who are in need of help who are not getting connected to a county long term care social worker. The elderly may need help to simply get connected to resources, have questions answered, correct misconceptions about long term care, get recommendations, or assistance paying for home and community based services. There are also many providers and professionals with questions about what LLMHS does and does not do as well as what the assistance programs can …

Walk To Jerusalem: Facilitating Physical Activity In A Faith Community, Lisa Schmidt

Master's Theses and Doctoral Dissertations

Obesity and physical inactivity are on the rise in our society today. Combined with poor eating habits, many Americans are overweight or obese. Churches have become important settings for providing health education programs, especially for African-American populations. There have been mixed results from faith-based physical activity studies, and few have been conducted with Caucasian populations. The present study used the Walk to Jerusalem program as a motivational tool within a Caucasian faith-based setting. The objectives were to increase physical activity, decrease blood pressure and weight, if needed, and improve attitude toward physical activity. The primary objective of the project was …

Effects Of Community Of Practice And Knowledge Translation Strategies On Nurse Practitioners' Knowledge And Practice Behavior, Helen M. Holman

UNF Graduate Theses and Dissertations

Background: Emerging evidence suggests that interactive CE activities will have the most effect in terms of knowledge and practice. Using technology to provide interactivity via computer-based applications is as effective an educational strategy as traditional education formats.

Methods: A randomized controlled trial was conducted to test the effectiveness and satisfaction of educational activities provided within an online community of practice(CoP) on nurse practitioner (NP) knowledge and practice behavior. The online interactive website combined certified continuing education, professional forum, Ask-the-Experts, national guideline links, patient education tools, and professional resources. A Two-Group Control Group design was used. Study participants were assessed on …

Fall Prevention Algorithm And Programs For Wyoming Medical Center, Janna Rone

Occupational Therapy Capstones

Falls are the leading cause of fatal and non-fatal injuries for people over the age of 65 (Center of Disease Control and Prevention, 2008). Literature indicates that 30-40% of falls are preventable (Sjosten, Vaapia, & Kivela, 2008). The population for this scholarly project is people over the age of 65 who are admitted into Wyoming Medical Center (WMC). WMC is a 180 bed acute care hospital that services the medical needs of the residents of Casper, Wyoming and the surrounding area. Like many acute care hospitals around the country, WMC has a problem with the number of fall occurrences. This …

College Of Optometry Program Overview, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Nps' Perceptions Of Disaster Preparedness Education: Quantitative Survey Research, Milada Tichy, A. Elaine Bond, Renea L. Beckstrand, Barbara Heise

Faculty Publications

Nurse practitioners need to be effective in responding to large-scale natural and man-made disasters. However, disaster core competencies for NPs are largely nonexistent. The purpose of this study was to assess NPs' level of disaster preparedness and determine how NPs acquired knowledge about disaster preparation. Findings suggest that a consistent national NP curriculum for disaster preparedness, including communication with other disaster agencies, is needed. With proper education, NPs can play a major role in disaster management.

Daily Negative Mood Affects Fasting Glucose In Type 2 Diabetes, Marilyn M. Skaff, Joseph T. Mullan, David M. Almeida, Lesa Hoffman, Umesh Masharani, David C. Mohr, Lawrence Fisher

Department of Psychology: Faculty Publications

Objective—To examine the relationship between mood and blood glucose in a 21 day daily diary study.

Design—During a home visit, information was gathered from two hundred six persons with type 2 diabetes regarding demographics, disease characteristics and treatment, and depressive symptoms. They had blood drawn at a laboratory, yielding HbA1C. The participants were then telephoned each evening for 21 days and were asked about their positive and negative mood during the past 24 hours. They also tested their blood glucose upon rising in the morning.

Main Outcome Measures—The main outcomes measures were positive and negative affect and fasting glucose.

Results—Multilevel …

Content Validity Of Nutrition Diagnostic Term Involuntary Weight Loss, Paula K. Ritter-Gooder, Nancy M. Lewis

Department of Nutrition and Health Sciences: Faculty Publications

Objective The purpose of this study was to validate content of the Nutrition Diagnostic Term NC- 3.2 Involuntary Weight Loss using expert raters.

Design/Subjects This descriptive survey invited all Board Certified Specialists in Gerontological Nutrition (CSG) to participate by mail. An instrument was developed that included the definition, etiologies, and signs and symptoms (s/s) of the diagnosis with items added from literature review. CSG rated how common or characteristic each item is to the diagnosis using a 5 point Likert scale. A weighted response for each item was used to calculate a Diagnostic Content Validity (DCV) score. DCV scores of …

Older Adults With Traumatic Rib Fractures: An Evidence-Based Approach To Their Care, Blaine A. Winters

Faculty Publications

It is expected that over the next decade the population of older adults in the United States will increase dramatically. As the older adult population increases, the number of older adults involved in traumatic accidents is also expected to climb. The older population is at na increased risk for complications and poor outcomes following trauma. Practitioners caring for these older adults will need to use evidence-based practice guidelines in an attempt to improve outcomes. This article provides a clinical guideline for the assessment and management of pain in older adults with traumatic rib fractures, and an approach for pain assessment, …

Mennonite College Of Nursing Annual Report, 2008-2009, Mennonite College Of Nursing

Annual Reports - Mennonite College of Nursing

Annual report of the Mennonite College of Nursing at Illinois State University

In Step With Our Parents: 3-Part Educational Series, Kate Boisen-Macdonald

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to educate adult children caring for their parents, so they can identify as caregivers so they can better cope with, identify with, and/or navigate the role of care giving, and be aware of the resources available to them.

Chronic Cyclodextrin Treatment Of Murine Niemann-Pick C Disease Ameliorates Neuronal Cholesterol And Glycosphingolipid Storage And Disease Progression, Cristin D. Davidson, Nafeeza F. Ali, Mathew C. Micsenyi, Gloria Stephney, Sophie Renault, Kostantin Dobrenis, Daniel S. Ory, Marie T. Vanier, Steven U. Walkley

Open Access Publications

No abstract provided.

Effect Of Group Aphasia Treatment On Word Retrieval Skills, Claire Renee Zimmerman

LSU Master's Theses

ABSTRACT The present single subject study investigated the treatment effects of group aphasia treatment (GAT) on word retrieval skills. Two participants participated in 1.5 hours of GAT, two times a week for 17 sessions. Both participants demonstrated significant improvements in percent of correct responses, but theses gains were not maintained. Slight improvements were noted on the Boston Naming Test (BNT; Kaplan et al., 2001) in one participant, but not the other. Both participants demonstrated improvement in discourse as evidenced by percent correct information units (CIUs; Nicholas & Brookshire, 1993) and in functional communication abilities as evidenced by the ASHA Functional …

The Impact Of Centre Based Respite On Occupational Performance For People With Dementia, Kristy Ness

Theses : Honours

Dementia affects occupational performance by restricting one's ability to carry out valued roles and activities. Centre based respite has been described as one intervention to maintain or improve occupational performance and prevent or delay institutionalisation for people with dementia. The purpose of this study was to explore the impact of centre based respite on occupational performance components as outlined by the Occupational Performance Model (Australia) for people with dementia. Five spousal caregivers, recruited through Alzheimer's Australia WA, participated in semi-structured interviews. Data was analysed using framework analysis techniques. Findings revealed centre based respite attendance can positively influence marital relationships, mood, …

Risk Of Dementia Associated With Elevated Plasma Homocysteine In A Latin American Population, Inara J. Chacon, Aldrín E. Molero, Gloria Pino-Ramírez, José A. Luchsinger, Joseph H. Lee, Gladys E. Maestre

School of Medicine Publications

The relationship between total homocysteine (tHcy) and dementia risk remains controversial, as the association varies among populations and dementia subtypes. We studied a Venezuelan population that has high prevalence of both elevated tHcy and dementia. We tested the hypotheses that (1) elevated tHcy is associated with increased dementia risk, (2) the risk is greater for vascular dementia (VaD) than for Alzheimer’s disease (AD), and (3) a history of stroke may partly explain this association. 2100 participants (≥55 years old) of the Maracaibo Aging Study underwent standardized neurological, neuropsychiatric, and cardiovascular assessments. Elevated tHcy was significantly associated with dementia, primarily VaD. …

Depressive Symptoms In Elderly Women With Chronic Conditions: Measurement Issues, Jaclene A. Zauszniewski, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Objective: Depression is highly prevalent in elderly women with chronic conditions and measuring depressive symptoms is complicated by co-occurring chronic illnesses. The 20-item Center for Epidemiological Studies Depression (CES-D) Scale is commonly used with elders, but its length may result in missing data. Twelve short four to 16 item CES-D forms exist, but their psychometric properties have not been systematically evaluated.

Method: This study of 250 elderly women compared reliability and validity estimates for the 20-item CES-D and its 12 short forms; all scales used four response alternatives. The study also investigated whether women with varying numbers of chronic conditions …

Test Of A Multidisciplinary Health Behavior Model Of Medicare Elders' Antihypertensive Acquisitions, Ann Marie Kopitzke

Health Services Research Dissertations

This study examined the relative utility of the enhanced Health Belief Model as compared to the proposed Pharmaceutical Acquisition Model for Medicare Elders (PAMME) in describing antihypertensive acquisition with usage intentions for Medicare elders (65 years or older) in Southeastern Virginia. Data collection included record reviews to identify hypertensive Medicare elders. Consenting Medicare elders were randomly selected for invitation, with consenting Medicare elders contacted by telephone or in-person interviews. The survey instrument utilized open and closed ended questions. The target population for this study is Southeastern Virginia Medicare elders enrolled in a Part D plan and prescribed at least one …

The Comparison Of Volunteer Work And Regular Exercise For The Promotion Of Health Among The Aged, Wen-Ming Chang, Shih-Wei Chou, Wei-Hsien Hong, Wen-Chung Tsai, Jyh-Yuh Ke, M. K. Wong

Rehabilitation Practice and Science

The aging of Taiwan's population is creating a heavy burden on the government's public finances allocated for elderly health care. The purpose of this research is to compare health promotion behavior among the aged; these included hospital volunteers, those undertaking Tai Ji, those who swam or those who took no specific exercise.This study recruited a total of 136 subjects who lived in the community and the total included 59 males and 77 females. They could be divided into four groups: (1) the hospital volunteer group; (2) the Tai Ji group; (3) the swimming group and (4) the general elderly control …

Kajian Keamanan Pemakaian Obat Anti-Hipertensi Di Poliklinik Usia Lanjut Instalasi Rawat Jalan Rs Dr Sardjito, Zullies Ikawati

Majalah Ilmu Kefarmasian

Increasing age is generally followed by increasing chronic diseases so that the elderly needs much therapy using drugs for therapy of numerous diseases they have. Hyper-tension is one of diseases of which its prevalence increases along with increasing age. Most of the elderly diagnosed as having hypertension finally take therapy using anti-hypertension drugs. Physiological changes that happen to the elderly lead to use of drugs for side effect diseases of which their consumption should be considered while having anti-hypertension drugs. Changes in biological system to the elderly will af-fect the process of drug molecular interaction, which finally affects clinical efficacy …

Efficacy Of Complementary And Alternative Medicine On Perceived Well-Being In Geriatric Long-Term Care Residents, Shannon L. Baer

Regis University Student Publications (comprehensive collection)

Non-conventional therapies have been termed and captured by the phrase Complementary and Alternative Medicine (CAM), since the establishment of The National Center for Complementary and Alternative Medicine (NCCAM), by the Federal Government in 1992. With the use of CAM on the rise in the baby boom population and the expectation that the number of nursing home residents is expected to double by 2020, it is imperative that healthcare providers gain more knowledge in effective means for treating the geriatric population holistically. The purpose of this study was to determine whether the implementation of a CAM intervention program in a sample …

Bibliolinking: An Adaptation Of Bibliotherapy For University Students In Transition, K. M. Becker, D. Pehrsson, P. S. Mcmillen

Library Faculty Research

A team composed of one student and two faculty members worked in concert to develop and evaluate a training model for personnel who work with university students in transition. This model utilizes “Bibliolinking” (a newly coined word developed during this research) which is an adaptation of bibliotherapy. The primary purpose for using Bibliolinking is to establish and nourish relationships among Resident Assistants (RAs) and student residents (SRs) via a shared experience with a text such as a novel, short story, article or self-help book. Although, RAs play an important, often counselor-like role, they receive no or little formal preparation for …

Ada News - 11/17/2008, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Medical Education Digest, Vol. 10 No. 6 (November/December 2008), Nova Southeastern University

Medical Education Digest

No abstract provided.

Widowhood And The End Of Spousal Caregiving: Wear And Tear Or Relief?, Jennifer Reid Keene, Anastasia H. Prokos

Sociology Faculty Research

This paper analyses the impact of spousal care-giving on survivors’ depressive symptoms six months into widowhood, and examines the applicability of a ‘ relief model’ of spousal adjustment during bereavement. We examine several aspects of the care-giving situation, including care-giver stress, care-giving demands, and type and duration of care and how these affect survivors’ depressive symptomatology. The sample is drawn from two waves of the Changing Lives of Older Couples (CLOC) survey, which was conducted in the United States in the Detroit Metropolitan Area, Michigan. The first wave of data was collected from couples and the second from the surviving …