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Caring Minds, University Of Texas Health Science Center At Houston School Of Nursing

Caring Minds

• Welcome from Dean Patricia Starck
• The Face of Health Care
• Leading Technology
• School of Nursing Collaborates to Initiate Texas Medical Center’s First Digital Repository
• Nursing Research, A Growing Field
• Nursing in the Wake of the Storm
• Profile: Huaping Liu, RN, PhD, Dean and Associate Professor, School of Nursing at Peking Union Medical College
• Newsbrief: Planning for the Future with a New Doctor of Nursing Practice Program in Fall 2006
• Newsbrief: Fast Track Nursing Program Gives Students a Speedy Start
• Profile: Susan Bankston, RN, BSN, Psychiatric Nursing, Currently enrolled in the MSN to DSN track
• Newsbrief: University of Texas Health Services …

Detecting Suicide Risk In Adolescents In An Emergency Department: An Implementation Study, Rebecca L. Hahn

Honors Projects

A study was conducted to detect suicide risk in adolescents and adults seeking treatment in an Emergency Department (ED) in the Midwest, as well as to test the reliability, validity, and inter-rater reliability of the 4-item Risk of Suicide Questionnaire (RSQ) developed by Horowitz et al. (2001). The feasibility and need for the ED staff to conduct suicide screening of all patients who present to the ED was also assessed. This study expanded the implementation of the RSQ beyond its initial use with children and adolescents with psychiatric symptoms seeking treatment in a pediatric ED to include adolescent, adult, and …

Achieving The American Dream: Facilitators And Barriers To Homeownership Among Immigrants, Lutchmie Narine, Marcia A. Shobe

Public Health, Food Studies, and Nutrition

As of March 2003, the immigrant population in the United States (US) has reached 33.5 million individuals. Finding a way out of poverty is very difficult for many immigrants due to both individual and institutional barriers to savings and asset accumulation. Given that the primary sources of wealth among native-born households is through homeownership, it is only fitting that foreign-born households would also wish to achieve the “American Dream.” This paper outlines significant supports and barriers to savings and, more importantly, homeownership among US immigrants. Several suggestions for asset-based policy development for immigrants are also included in the discussion. By …

Professional Hope In Working With Older Adults, Terry Koenig, Richard Spano

The Journal of Sociology & Social Welfare

Writings about hope within gerontological literature assume social workers already possess hope that they can use in their practice. The purpose of this article is to challenge this assumption and to examine ways in which social workers can sustain hope in personal life, in their agencies, and in the reform of larger social structures that impact older adults. The authors examine culture change in nursing homes as an emerging approach that can be more fully developed by applying the strengths perspective to interpersonal work with elders, agency change and broader structural change.

College Of Optometry Overview 2006, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Audiology 2006, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Physical Therapy 2006, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Urban Versus Rural Mortality Among Older Adults In China, Zachary Zimmer, Toshiko Kaneda, Laura Spess

Poverty, Gender, and Youth

For some time, Chinese government policies have treated rural and urban areas very differently, and a by-product of China’s rapid development seems to be an even greater differentiation between urban and rural social and economic life. Over the next several decades, in part because of rapid fertility declines and in part as a result of mortality declines at older ages, China and other developing countries will experience enormous increases in the proportion of older adults and the proportion of the “oldest-old.” It is reasonable to expect that these age structure changes will alter the provision of health care, making an …

Department Of Family Medicine 2005 Annual Report, Wayne State University School Of Medicine, Department Of Family Medicine And Public Health Sciences

Annual Reports

2005 annual report includes: WSU Trains Family Medicine Physicians; Letter from the Chair, Maryjean Schenk; Introducing New Faculty; Full-time affiliate and voluntary faculty; In memoriam of Bernard Dash; Faculty Serving in the Dean's office; Faculty Profiles; Honors, Awards and New Appointments in 2005; Family Medicine Residency and Residents; Occupational and Environmental Medicine; Behavioral Science; External Funding; Highlights from 2005 Publications; Peer-Reviewed Publications; Editorial and Peer-Review Activities; Division of Medical Education; Family Medicine Initiatives; Presentations at Professional Meetings; People of Detroit: A Living Project; Practice-based Research; University Family Physicians - Detroit and Royal Oak; Staff; Trends in Federal Grants and Publications.

Poverty, Wealth Inequality, And Health Among Older Adults In Rural Cambodia, Zachary Zimmer

Poverty, Gender, and Youth

This working paper examines the distribution of household wealth and tests whether associations exist between wealth inequality and health outcomes among older adults living in one of the world’s poorest regions, rural Cambodia. Results confirm difficult economic conditions among most elderly in rural Cambodia. This study suggests there is some validity to generalizing the relationship between wealth inequality and health to extremely poor populations and that a very small difference in wealth makes a relatively large difference in regard to the association with health among those living in impoverished surroundings.

Racial Disparities In Cardiovascular Risk Associated With Body Mass Index In Men And Women: A Subject-Level Meta-Analysis, Jill Abell

MUSC Theses and Dissertations

Introduction The prevalence of obesity is increasing in all segments of the population. While excess body mass is associated with increased disease risks, the magnitude of the risks are unclear from existing studies. In this dissertation we examine the association between BMI and cardiovascular outcomes, CHD, stroke and CVD mortality and blood pressure in four gender-race subgroups. Methods This study uses Black Pooling Project data which includes subject level data on 27,691 men and women and 450,962 person-years of follow-up. Analysis includes linear regression and Cox Proportional Hazard models and is gender-race specific. Subject-level meta-analysis is used to obtain overall …

Women Who Continue Hormone Replacement Therapy Despite Findings From The Women's Health Initiative, Catherine Margaret Greenblum

UNF Graduate Theses and Dissertations

Since the results of the Women's Health Initiative (WHI) study were published in 2002, millions of women and their healthcare practitioners have had to re-examine decisions about the use of hormone replacement therapy. This level one descriptive study explored the characteristics of menopausal women who could not tolerate estrogen withdrawal and continued taking hormone replacement therapy despite findings of risk published in the Women's Health Initiative. The sample included the medical records of 1,195 patients in a single-physician OB-GYN practice in northeast Florida. All records of women with a birth date in 1954 or prior and a visit to the …

We Have Arrived!: Magnet Status 2006, Maine Medical Center

Annual Reports

Report on Nursing, vol. 1, 2005 & 2006

Self Reported Pain Diary For Assessment Of Chronic Pain In The Communicative, Cognitively Intact Nursing Home Resident, Kathy K. Hager

DNP Projects

This paper describes a clinical project using a self-reported pain diary for the assessment of chronic pain in the communicative, cognitively-intact nursing home resident. There are estimates of chronic pain among nursing home residents that range from 4 – 83%. The goal of this clinical project was to evaluate a chronic pain diary in relation to its effectiveness and efficiency in accurately assessing pain among nursing home residents. Assessment has been identified as a major barrier in the control of chronic pain, and the self-report is accepted as the most reliable measure of a person’s pain. The self-reported pain diary’s …

Mennonite College Of Nursing Annual Report, 2005-2006, Mennonite College Of Nursing

Annual Reports - Mennonite College of Nursing

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

Questionnaires Based On Social Cognitive Theory Constructs Do Not Predict Exercise Adherence In Older Adults After Discharge From Home Health Physical Therapy., Jason Hardage

All ETDs from UAB

No abstract provided.

The Criminal Justice Response To Elder Abuse In Nursing Homes: A Routine Activities Perspective, Brian K. Payne, Randy R. Gainey

Sociology & Criminal Justice Faculty Publications

Politicians and researchers have begun to pay more attention to elder abuse in recent times. Most of the research on elder abuse has focused on cases of abuse perpetrated by family members, treating the phenomenon as a social problem, but it is increasingly being conceptualized as a crime problem. The current study examines elder abuse in nursing homes from a criminological perspective. Using routine activities theory as a guide, particular attention is given to the criminal justice system's response to abusive activities committed by nursing home employees. In all, 801 cases of abuse investigated by Medicaid Fraud Control Units are …

Association Between Smoking, Chemical Exposure And Hearing Loss In An Occupational Setting, Darlene W. Olive

Theses and Dissertations

Objective: Twenty-two million Americans or roughly 8% of the population are hearing impaired. This affects more than just the ability for one to hear. In the last three decades, younger Americans have shown a sharp increase in hearing impairment. Hearing loss affects social and emotional well being and thus has the ability to decrease one's quality of life. This study was designed to examine the association between smoking, workplace chemical exposure, and hearing loss.Methods: This cross-sectional population-based study was conducted in an occupational health clinic setting in Virginia. The study population consisted of employees from local businesses who visited the …

Mobile Applications That Empower People To Monitor Their Personal Health, Kay Connelly, A M. Faber, Y Rogers, Katie Siek, Tammy Toscos Phd

Health Services and Informatics Research

Researchers have an opportunity to develop assistive applications that empower people to change unhealthy habits through monitoring their behavior. Mobile applications can enhance self-monitoring by providing real-time feedback and employing persuasive technology. The projects presented demonstrate the potential of persuasive, assistive applications for both chronically ill and healthy individuals.

The Flame, Winter 2005-2006, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

Controlling Involvement To Promote Confidence In Palliative Care Decisions - A Grounded Theory From The Patient's Perspective, Susan F. Lee

Theses: Doctorates and Masters

Decision making in the context of palliative care is particularly complex given the unpredictable illness trajectories experienced by patients and the number of individuals who may be part of the decision making process. This grounded theory study explored and described from the perspective of patients with advanced illness, their experiences of making care decisions. A review of literature at the commencement of the study indicated that there was a lack of evidence to support the best way of ascertaining patient's preferences for involvement in decisions in a palliative care context and almost no research to guide clinicians about the involvement …

Clinical Case Mix And Other Challenges To Detroit's Medicaid-Dependent Nursing Homes, Richard L. Douglass, William Lavery, Paul Bridgewater, Gloria Long, Joyce Blair

Michigan Journal of Public Health

Nursing homes that care for the poor in Detroit are frequently dependent upon Medicaid as their principal source of revenue. These facilities face numerous challenges because they face limited resources for maintenance of facilities, staff and administrative supports, and other normal costs. They lack the kinds of support that are provided in-kind, or by more generous sources of revenue and are often characterized as institutions of poor quality; yet nearly 70% of the nation’s Medicaid-recipient elderly nursing home patients are in for-profit facilities that are sustained largely on Medicaid funding. These facilities are often sources of care for underserved minority …

Resistance Exercise In Men Receiving Androgen Deprivation Therapy For Prostate Cancer, Daniel A. Galvao

Theses: Doctorates and Masters

This thesis encompasses two literature reviews (chapter 2 & 3) and two experimental chapters (4 and 5) examining the available literature on exercise and cancer, resistance training and its anabolic responses in older men and women, the side effects of Androgen Deprivation Therapy (ADT) for prostate cancer and finally, the role of resistance exercise as a clinical intervention to counteract such changes as an adjuvant therapy.

Validity And Reliability Of The Perceived Readiness For Discharge After Birth Scale, Marianne E. Weiss, Polly Ryan, Lisa Lokken

College of Nursing Faculty Research and Publications

Objective: To assess the psychometric properties of a scale measuring mothers’ perceptions of readiness for discharge after birth.

Design: Psychometric analyses including construct validity using factor analysis and known groups comparisons, predictive validity, and reliability. Data were collected at discharge and 6 weeks postdischarge. Setting: Tertiary-level perinatal center in the Midwestern United States. Participants: 1,462 postpartum mothers. Intervention: None. Main Outcome Measures: Perceived Readiness for Discharge After Birth Scale scores; subscale scores for personal status and knowledge factors.'

Results: Exploratory and confirmatory factor analyses indicated that the scale contained two factors. Perceived Readiness for Discharge After Birth Scale scores were …

Influences On Health Related Quality Of Life In Community Dwelling Adults Aged 60 Years And Over, Hilary Beth Greenberger

Theses and Dissertations

Interest in patient-reported health care outcomes such as health related quality of life (HRQL) has increased dramatically over the past two decades. Typically, HRQL has been conceptualized as having at least three domains: physical, psychological, and social functioning. Although research has attempted to identify factors that influence HRQL,few studies have simultaneously examined how various factors impact HRQL in the elderly. The purpose of this study was to develop and test a causal model to identify factors influencing HRQL. The constructs and observed variables hypothesized to influence HRQL included medical burden, housing satisfaction, socioeconomic status,religion/spirituality, age, gender, and marital status.Three hundred …

Psychometric Evaluation Of The Shared Care Instrument In A Sample Of Home Health Care Family Dyads, Margaret Sebern

College of Nursing Faculty Research and Publications

Researchers have studied negative effects of caregiving on a family caregiver; however, less is known about positive aspects of exchanging assistance for both members of a family caregiving dyad. In a previous naturalistic inquiry the author indentified a basis for studying caregiving interactions was a construct called shared care. The three components of shared care identified in the naturalistic inquiry were communication, decision making, and reciprocity. The Shared Care Instrument (SCI) was developed to measure the construct. The purpose of this study was to assess the psychometric properties of the SCI, and to assess its construct and criterion-related validity. A …

麻雀治療實務手冊, Social Services Department, Yan Chai Hospital 仁濟醫院社會服務部, Asia-Pacific Institute Of Ageing Studies, Lingnan University 嶺南大學亞太老年學研究中心, Cheung Ming, Alfred Chan, Wing Suen Wan Au

Manual & Guide 手冊及指引

本港人口正急速老化，65歲以上的老年人口將在未來三十年佔總人口的四分之一。如何確保長者的生活質素，以及提升護老者的照顧能力，將會是未來香港社會的挑戰。過去十年，各政府部門、醫管局、大學、專業團體和社會服務機構，都致力發展和研究有關老年健康的課題，藉以提升長者的生理、認知、心理和社交健康。近年，很多從西方引入的治療研究，亦被嘗試應用在不同類型的疾病上，例如：懷緬治療、多感觀治療、音樂治療和認知行為治療等，但應用在華人身上的成效，則有待更多的驗證。

華人社會一向重視家庭和親屬關係，以及勤奮工作的文化。大部份長者的教育水平偏低，年青時都只着重工作，甚少娛樂；跳舞、上戲院、閱讀、攝影只是少部份長者的嗜好，普羅大眾的娱樂文化主要是往茶樓品茗、打麻雀、打天九、看電視和賭博等等。麻雀治療是從長者過往較多接觸的活動中，發展出來的一套具有本土特色而非使用藥物的治療方法，旨意在融入長者的日常生活中，達到既提供娛樂活動，亦同時提升長者的身體、認知、心理和社交功能。

傳統的中國文化，一直流傳著所謂「打麻雀能醫百病」、「打麻雀是一種心靈寄託」、「打麻雀可以使人忘記煩惱、病痛」等說法。而每逢節日和家人團聚，“打幾圈”麻雀已成為一種很普及的娛樂活動。最近，有些報導以及一些醫生均指出打麻雀有助老年人避免患上心理疾病，以及減輕老年痴呆症患者的退化症狀。然而，上述的觀點至今仍未有科學方面的引證。

在2004年，仁濟醫院社會服務部與嶺南大學亞太老年學研究中心,採用科學化的研究方法，於仁濟醫院社會服務部轄下八間老人院舍中，選取121位患有輕度及中度認知能力受損的長者進行麻雀治療的研究。研究的目的是希望引證麻雀治療能否改善患有老年痴呆症長者的身體、認知、心理和社交功能，並找出一套具策劃及有效執行的麻崔治療模式。透過研究的經驗和成果，將麻雀活動發展成為一稱具本土特色的健康治療工具。我們盼望藉此實務手冊，為年長一聚提供多一個非藥物的治療選擇；同時亦希望本手冊能夠發揮拋縛引玉的效果，使各界人士能夠繼續推廣和實行麻雀治療，造福廣大的社群。

The Role Of Spiritual Well-Being In Moderating Frail Elders' Affective Response To Functional Difficulty, Marie P. Dennis, Laura N. Gitlin, Laraine Winter, Yeon K. Chee

Center for Applied Research on Aging and Health Research Papers

Anxiety and depression have been well documented as affective consequences of functional impairment. Little research, however, has examined factors that moderate these associations. The present cross-sectional study examined the role of spiritual well-being in buffering the impact of functional difficulty on the anxiety and depressive symptoms of 319 functionally vulnerable community-dwelling elders, aged 70 or older, participating in a 6-month randomized controlled trial designed to enhance function. As demonstrated in recent research on spirituality and health, we expected that spiritual well-being would moderate the association between functional difficulty and anxiety as well as the relationship between functional difficulty and depression. …

What Is Valuation Of Life For Frail Community-Dwelling Older Adults: Factor Structure And Criterion Validity Of The Vol, Marie P. Dennis, Laraine Winter, Helen K. Black, Laura N. Gitlin

Center for Applied Research on Aging and Health Research Papers

Lawton et al. (1999) defined valuation of life (VOL) as a cognitive-affective schema consisting of complex judgments, emotions and projections influenced by demographic and QOL factors. However, little is known about what constitutes VOL for frail elders. The present study evaluated the psychometric properties of a 13-item version of Lawton et al's. (2001) VOL Scale and examined correlational evidence in support of its construct validity with 319 elders enrolled in the Project ABLE study. Responses of half the sample (N=159) were submitted to principal axis factoring, yielding two factors (spiritual well-being, a = .88 and goal-related self-efficacy, a = .84), …

The Tension Of Loss In Old Age, Christa Caruso, Helen K. Black

Center for Applied Research on Aging and Health Research Papers

Our poster is based on a larger qualitative study that explores the personal meaning of suffering to 122 community-dwelling elders. Because loss in old age emerges as a significant aspect of suffering in elders' narratives, we focus on suffering as loss. We are recruiting community dwelling elders aged 80 and above, stratified by ethnicity, gender and self-reported health for extended qualitative interviews. Respondents tell their life story and story of suffering along with personal definitions of suffering. Through narrative analysis we examine responses to the many losses experienced during a long life and the suffering that results from loss. By …