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The Management Of Newly Diagnosed Probable Creutzfeldt-Jakob Disease In Acute Rehabilitation Setting: A Case Report, Royce Copeland, Shefali Amin, Anthony Donato

Advances in Clinical Medical Research and Healthcare Delivery

Abstract

Creutzfeldt-Jakob disease is a rare and fatal neurodegenerative disease. The purpose of this report is to demonstrate the role of inpatient rehabilitation for a patient recently diagnosed with probable Creutzfeldt-Jakob disease. A 62-year-old male was readmitted to an acute care hospital after a recent mechanical fall. For several weeks, he had a constellation of symptoms, including cognitive impairment and progressive memory loss, gait and postural instability, 20 pounds of unintentional weight loss, visual hallucinations, myoclonus, and hypophonia. After an extensive workup, a diagnosis of probable Creutzfeldt-Jakob disease was made, and he was transferred to an acute inpatient rehabilitation hospital. …

Enhancing Interprofessional Collaboration And Interprofessional Education In Women's Health, Laura Baecher-Lind, Angela C Fleming, Rashmi Bhargava, Susan M Cox, Elise N Everett, David A Forstein, Shireen Madani Sims, Helen K Morgan, Christopher M Morosky, Celeste S Royce, Tammy S Sonn, Jill M Sutton, Scott C Graziano

2020-Current year OA Pubs

This article is from the 'To The Point' series from the Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee. The purpose of this review is to provide an understanding of the differing yet complementary nature of interprofessional collaboration and interprofessional education as well as their importance to the specialty of Obstetrics and Gynecology. We provide a historical perspective of how interprofessional collaboration and interprofessional education have become key aspects of clinical and educational programs, enhancing both patient care and learner development. Opportunities to incorporate interprofessional education within women's health educational programs across organizations are suggested. This is …

Assessing The Intention, Attitudes, And Social Influences On Covid-19 Preventive Behaviors Among Non-Rural Black And Rural Appalachian White Populations: A Faith-Based Community Study, Maria L. Gomez, Tofial Azam, Jean Edward, Hannah Bowman, Lovoria B. Williams

Journal of Appalachian Health

Introduction: The COVID-19 pandemic has had detrimental impacts in non-rural Black and rural Appalachian populations. Yet despite the pandemic’s magnitude, there is a scarcity of research exploring potential influences of attitudes and social influences within these populations on their adherence to COVID-19 public health preventive behaviors.

Purpose: This study examines the intention, attitudes, and social influences to adhere to COVID-19 preventive behaviors among non-rural Black and rural Appalachian congregants in Kentucky by integrating the Theory of Planned Behavior (TPB).

Methods: Secondary analysis of cross-sectional data was used to assess the association between the TPB constructs and four key public health …

Podium Presentation: Relationships Between Nursing Stress And Perceived Importance Of Access To Chaplains During The Covid-19 Pandemic, Teresa Bigand, Adam Gaines, Sheila Doucette, Danell Stengem, Rachel Freedberg, Jamie Roney, Rosemary Timmerman

2022 Providence Nurse Research Conference

Background:

Hospital chaplains are trained to provide spiritual support to inpatients, family members, and support persons across the continuum of care. Patients receiving a chaplain visit during their hospital stay report higher satisfaction, quality of life, and spiritual well-being. Chaplain consultation during hospitalization is related to higher rates of hospice enrollment and lower rates of in-hospital deaths. Additionally, evidence suggests nurses who are employed in hospitals with staff chaplains report lower stress and compassion fatigue based on frequency of interactions with chaplains during worked shifts. Since the COVID-19 pandemic, hospital nurses providing front-line care report higher stress levels compared to …

Podium Presentation: Levels Of Compassion Satisfaction Among Prescribers, Nursing Staff, And Chaplains, Teresa Bigand, Adam Gaines, Dawn Bock, Jamie Roney, Rachel Freedberg, Rosemary Timmerman, Danell Stengem

2022 Providence Nurse Research Conference

Background:

Patient care delivered in hospitals is fast-paced, complex, and ever-changing. During the COVID-19 pandemic, nurses, prescribers, and chaplains provided front-line, whole-person care in hospital settings to patients who had decreased or no access to visitors without the use of technology while facing acute illness and difficult prognoses. During the pandemic, nurses and physicians reported increased fatigue and stress in scientific literature. Poor emotional well-being may lead to decreased compassion satisfaction. Increased compassion satisfaction may mitigate adverse occupational and patient-centered outcomes, support fewer missed days at work, lead to higher staff satisfaction, and raise patient satisfaction scores. Literature reports that …

Pathways For Healing: An Online Therapeutic Support Group Program, Lisa Yvette Salazar

Loma Linda University Electronic Theses, Dissertations & Projects

Pathways for Healing: An Online Therapeutic Support Group Program (OTSG) is for women, ages 18 to 65 years old, diagnosed with chronic pelvic floor dysfunction (PFD). The program focuses on women living in Texas rural communities with limited access to mental health providers. The aim for this study is to determine if an OTSG program, utilizing narrative therapy (NT) within a biopsychosocial-spiritual lens (BPS-S) will improve overall health-related quality of life (HRQOL). Support groups are provided in English and Spanish, over the course of 12 weeks, facilitated by a licensed marriage and family therapist (LMFT) and licensed pelvic floor physical …

Improving Access To Non-Pharmacologic Integrative Pain Management Modalities In Sickle Cell Disease (Scd) Inpatients, Nicole Lincoln

Doctor of Nursing Practice Scholarly Projects

Background: Evidence suggests that non-pharmacologic therapies complement and work synergistically alongside traditional pharmacologic therapies for chronic pain and have a beneficial impact on the intensity of pain, improved quality of life and functional status. Sickle Cell Patients have complex pain and often feel stigmatized due to pain seeking behaviors. This project evaluates the effect of a clinical initiative stewarded by nurses and managed in the electronic health record. The project aims to improve access to preferred modalities for integrative pain management among hospitalized Sickle Cell Disease (SCD) inpatients.

Methods: The nurses received e-learning and in-person training on the use of …

An Unfinished Melody: Mental Illness, Worship Music, And The Tension Of The Pentecostal “Now” And “Not Yet, Brianna Turbeville

Masters of Theological Studies

According to the National Institute of Mental Health, it is estimated that nearly 20% of adults within the United States suffer from some form of mental illness.1 With roughly one-fifth, if not more, of the entire U.S. population facing a daily internal battle of some sort, this is an issue that is certainly elemental to the overarching purpose of the Church as an agent of reconciliation of creation with Creator. A prevalent problem requires prevalent solutions. What is something even more pervasive in every culture than mental health? Music. Melodies and lyrics are native to virtually every individual on earth. …

Compassion Fatigue: The Effects Of Secondary Traumatic Stress And Vicarious Traumatization Among Baltimore Police Department Community Chaplains, Angela Teresa Jones-Ramirez

Doctoral Dissertations and Projects

Baltimore is plagued with a history of high crime, violence, and murder resulting in trauma. The purpose of the Doctor of Ministry action research project was to educate Baltimore Police Department (BPD) Community Chaplains concerning compassion fatigue while maintaining effective quality care. A two-day workshop was developed as an intervention to address the problem. Pretest and posttest surveys were administered using the Professional Quality of Life Scale, Version 5, and the Skovholt Professional Practitioner Resiliency and Self-Care Inventory. Data in the form of surveys, group notes, field notes, recorded testimonials, and stories were collected and analyzed. Results of the data …

Descriptive, Comparative, And Correlational Study Related To End-Of-Life Care Prior To The Covid-19 Pandemic Outbreak (Time 1) And 12 Months Following Lockdown (Time2), Elizabeth Infante

Theses & Dissertations

Background

Palliative care has grown in its acceptance nationally and formed the base of a growing number of programs to provide care in a way that recognizes the importance of supporting people with chronic, debilitating, and life-limiting illnesses by focusing on “care” rather than “cure.” This special care warrants an understanding by all nurses and requires education across specialties and disciplines. Despite the increase of palliative care services in hospitals and other settings, long-term care and home care agencies continue to struggle with the education of staff and delivery of care to clients that incorporate the central tenets of what …

A New Directive: An Ethical Analysis Of The Ethical And Religious Directives And Catholic Healthcare Mission To Promote And Sustain Catholic Healthcare, Noah Dimas

Graduate Student Research Symposium

At the heart of all Catholic healthcare is the mission and duty to further the healing ministry of Jesus Christ and care for one’s neighbor to uphold human dignity. However, some in Catholic healthcare may not fully know nor understand these foundational Catholic teachings. As such, these healthcare professionals can turn to a simple but rich guide in giving direction to these healthcare professionals, the USCCB’s Ethical and Religious Directives. This document acts as both a primer and set of guidelines regarding Catholic doctrine, the Catholic moral tradition, and how both inform the Catholic response to common ethical concerns. However, …

African-American Lay Pastoral Care Facilitators’ Perspectives On Dementia Caregiver Education And Training, Nik M. Lampe, Nidhi Desai, Tomeka Norton-Brown, Alexandra C. H. Nowakowski, Robert L. Glueckauf

The Qualitative Report

The African-American Alzheimer’s Caregiver Training and Support Project 2 (ACTS 2) is a faith-integrated, skills-training and support program for distressed African American family caregivers of persons living with dementia across Florida. Caregivers participate in a 12-week, telephone-based, skills-building and support program led by faith community workers (i.e., lay pastoral care facilitators) who provide volunteer services to their denominations. In this case study, we examined facilitators’ perspectives and recommendations for supplementary audiovisual and written training materials to optimize group process and goal-setting skills. Utilizing a qualitative approach, we explored facilitators’ needs, experiences in using current training materials, and recommendations for supplementary …

Ecospirituality In Forensic Mental Health: A Preliminary Outcome Study, Clark Patrick Heard, Jared Scott, Stephen Yeo

The Open Journal of Occupational Therapy

Background: In this study, the personal experience of spirituality in nature (the concept of ecospirituality) was supported by occupational therapy and spiritual care staff enabling a community-based group for persons affiliated with a forensic mental health system in Ontario, Canada. Spirituality is a key, though debated, tenet in occupational therapy practice. At the same time, immersive participation in nature has been linked to positive health outcomes.

Methods: A qualitative method consistent with Interpretative Phenomenological Analysis was employed. Data was collected via the completion of semi-structured interviews (n = 9). Collected data was transcribed verbatim and then coded for …

An Educational Program For Nurses To Incorporate Spiritual Care Into Clinical Practice, Alicia J. Thomas

Walden Dissertations and Doctoral Studies

Spiritual well-being is associated with several positive outcomes, including a greater tolerance of the emotional and physical demands of illness. Spiritual care is a basic element of holistic nursing, yet nurses generally lack spiritual care knowledge and abilities and are often unable to satisfy patients’ spiritual care needs. Therefore, nurses are in urgent need of relevant training to enhance their abilities to provide patients with spiritual care. Evidence-based education was lacking at the project site, a privately owned long-term care facility. Primary care attention was focused on the patients’ physical care; however, insufficient attention was being paid to spiritual care, …

Evangelical Families’ Experiences Of Mental Health Challenges, Elom Togbi-Wonyo

Walden Dissertations and Doctoral Studies

Evangelical Christians with mental distress in the family face stigma, adverse psychological and physical health effects, and financial hardships. They often mistrust professional counselors, preventing them from accessing much-needed support. The purpose of this descriptive phenomenological study was to gain knowledge about Evangelical Christians’ everyday life with a family member experiencing mental distress and their perceptions of the faith community’s responses. After collecting accounts from eight participants through one-on-one interviews, Giorgi’s psychological phenomenological method was used for data analysis, resulting in the identification of seven themes and 19 subthemes. The results showed that living with a family member experiencing mental …

Stakeholder Perspectives Of A Pilot Multicomponent Delirium Prevention Intervention For Adult Patients With Advanced Cancer In Palliative Care Units: A Behaviour Change Theory-Based Qualitative Study, Anna Green, Annmarie Hosie, Jane L. Phillips, Slavica Kochovska, Beverly Noble, Meg Brassil, Anne Cumming, Peter G. Lawlor, Shirley H. Bush, Jan M. Davis, Layla Edwards, Jane Hunt, Julie Wilcock, Carl Phillipson, Eugene Wesley Ely, Cynthia Parr, Melanie Lovell, Meera Agar

Nursing Papers and Journal Articles

Background: Theory-based and qualitative evaluations in pilot trials of complex clinical interventions help to understand quantitative results, as well as inform the feasibility and design of subsequent effectiveness and implementation trials.

Aim: To explore patient, family, clinician and volunteer (‘stakeholder’) perspectives of the feasibility and acceptability of a multicomponent non-pharmacological delirium prevention intervention for adult patients with advanced cancer in four Australian palliative care units that participated in a phase II trial, the ‘PRESERVE pilot study’.

Design: A trial-embedded qualitative study via semi-structured interviews and directed content analysis using Michie’s Behaviour Change Wheel and the Theoretical Domains Framework.

Setting/participants: Thirty-nine …

Help-Seeking And Services Utilization Among African American Emerging Adults: A Qualitative Study, Brittany G. Suggs, Lauren B. Robins, Rachel Kerrigan, Megan Cannedy, Melissa S. Buquo, David M. Savinsky

Counseling & Human Services Faculty Publications

This qualitative phenomenological study explored the mental health services utilization experiences of African American emerging adults and investigated the barriers and encumbrances interviewees experienced while seeking mental health support. An inductive thematic analysis revealed six themes: (a) hesitancy-acceptance conflict, (b) positive encounters with mental health services utilization, (c) intersectional barriers to seeking mental health services, (d) resource awareness and navigation, (e) help-seeking motivators, and (f) pastoral guidance and counseling. Interviewees emphasized financial factors, services affordability, and resource knowledgeability as prominent barriers to mental health services utilization, denoting familial, peer, and culturally driven faith influences as double-edged motivators and hindrances to …

Christian U.S. Army Female Combat Veterans Diagnosed With Ptsd Experiencing A Moral Injury Of War, Kathaleen Graham-Young

Walden Dissertations and Doctoral Studies

Warzone exposure potentially impacts the mental and physical health of veterans who receive a diagnosis of PTSD. There is limited research addressing the adjustments of the potentially morally injurious event(s) (PMIEs) experienced by Christian U.S. Army female combat veterans diagnosed with PTSD who returned home from Iraq and Afghanistan warzones post - 9/11. To better understand the impact of PMIEs experienced by the target population, a study of the integration of the transpersonal-existential meaning-based model was used. A general qualitative research design was selected to understand the complex social phenomena. In-depth telephone interviews were conducted to gather viable data. These …

Factors Influencing Military Personnel Utilizing Chaplains: A Literature Scoping Review, Mark D. Layson, Katie Tunks Leach, Lindsay B. Carey, Megan C. Best

IES Papers and Journal Articles

Chaplains have been embedded in military settings for over a millennium. In recent years however, the decline in spiritual/religious (S/R) affiliation of military personnel across Western cultures has led to some commentators questioning the utilization of religious chaplains by defence personnel. This scoping review maps the literature on S/R and non-S/R factors that influence utilizing military chaplains— with a particular emphasis on the Australian military context. A systematic scoping review of tertiary literature databases using Arksey and O’Malley (2003) and Joanna Briggs Institute methodologies (JBI, 2021), revealed a total of 33 articles meeting the inclusion criteria. Results fell into three …

What Is The Role Of Spiritual Care Specialists In Teaching Generalist Spiritual Care? The Perspectives Of Pastoral Care Staff In A Large Catholic Health And Aged Care Organisation, Kate Fiona Jones, Jennifer Washington, Matthew Kearney, Megan C. Best

IES Papers and Journal Articles

The value of spiritual care training for all staff working in health and aged care has been demonstrated. This study investigated how spiritual care specialists (SCSs) perceive their role in delivering spiritual care education to other staff. Fourteen SCSs participated in three online focus groups. Two key themes were identified: First, SCSs build upon existing capacity of staff by: (i) recognising existing strengths and capabilities; (ii) using relevant stories; (iii) using language which makes spiritual care accessible; (iv) making training relevant and practical; (v) tapping into staff vocation or calling; and (vi) building awareness of one’s own spirituality. Second, SCSs …

Life Skill Needs Of Occupational Therapy Assistant Students: Perceptions Of Instructors, Preceptors, Graduates And Current Students, Candi Raudebaugh, Marcia Finlayson, Kathleen Norman, Sally Stewart

Journal of Occupational Therapy Education

Life skills are the basic skills required to function in everyday life. Occupational therapy assistant (OTA) students may struggle with life skills, and as a result experience challenges in academics and practicum. The purpose of this phase of a multiphase study was to identify the life skill needs of OTA students from multiple perspectives. This study used a pragmatic qualitative design. Students in the second year of a 2-year therapy assistant diploma program, graduates, instructors, and preceptors participated in interviews or focus groups to discuss OTA students’ life skill needs. Interviews and focus groups were recorded and transcribed. Applied thematic …

Implementation Of An Acute Care For The Elderly (Ace) Unit In A Community Hospital, Kimberly A. Colonnelli

Doctor of Nursing Practice (DNP) Projects

Background: “Baby boomers” (born between 1946 and 1964) represent 15% of the total population of the United States (Population Reference Bureau, 2019), but 50% of its total healthcare expenses (Mattison, 2021). Growth of this population will have a corresponding rise in demand on healthcare resources. Replication of a geriatric inpatient care model (Palmer et al., 1994) was introduced in a large geographically and ethnically diverse integrated care delivery system.

Problem: The demographic for this small community hospital located in Northern California has a larger percentage of patients over the age of 65 compared to other facilities within this …

Letter To The Editor From Baptist Health South Florida Chief Well-Being Officer, Ana Viamonte Ros

Nursing & Health Sciences Research Journal

No abstract provided.

Impact Of Nurse Residencies On A Graduate Nurse’S First Year, Melinda R. Fox

MSN Capstone Projects

The purpose of this presentation is to highlight the importance of the graduate nurses first year in their clinical role and highlight the positive impact of nurse residency programs. The target audience for this presentation includes, but is not limited to, the University of Texas at Tyler students and professors enrolled in NURS 5382: Capstone. The observers of this presentation will be able to describe the rationale behind the importance of Nurse Residency Programs, discuss the current literature recommendations, and understand the overview of the change process proposed.

A Good Life: Palliative Care In The World Of Dementia, Nicola Farmer

Journal of Interdisciplinary Graduate Research

Objective: The World Health Organization (2019) reports that dementia is the seventh leading cause of death with an estimated 50 million people worldwide with this disease. In the United States out of one and a half million Medicare patients on hospice in 2016, only 18% had dementia (The National Hospice and Palliative Care Organization, 2017). McAteer and Wellbery (2013) identified that while referrals to services seem to be on the rise, many are not made until the patient is close to death in the last weeks of an illness. The purpose of this project was to review the literature to …

An Innovative Approach For Integrating Mandatory, Longitudinal Spirituality Training Into The Medical School Curriculum, David W. Fleenor, Holly G. Atkinson, Reena Karani, Susan Lerner, Staci Leisman, Deborah Marin

Publications and Research

Problem:

Most Americans indicate they are religious and/or spiritual and wish to have their beliefs taken into account when engaging with health care providers, yet gaps in medical education and health care practice remain. To underscore the importance of spirituality as a significant social determinant of health, a team at the Icahn School of Medicine at Mount Sinai in New York developed mandatory spirituality and health training for students integrated into all 4 years of the undergraduate medical education curriculum.

Approach:

From 2014 to 2020, a small group of faculty took an innovative approach, launching the initiative and expanding the …

Faith Into Action: Prayer Shawls And Ministry, Laura Van Loon

International Journal of Faith Community Nursing

No abstract provided.

Justifying Advocacy Of Patients’ Belief Diversity W/ Support From William James’ Lectures On Pragmatism: A New Name For Some Old Ways Of Thinking, The Variety Of Religious Experiences & The Will To Believe, Sterling Courtney

The Hilltop Review

Abstract:

Predating monastic healthcare in the Middle Ages (Siraisi, 2019), spirituality and/or religion have been unified with healing, caring for the sick and consoling the dying, as documented by historical writings as early as c.3000 BCE-c.500 BCE in Mesopotamia and followed by coinciding accounts from c.750 BCE-c.280 BCE Greece and Rome (Mann, 2014). Via philosophy and science, a movement towards secularization has been perceived (as the Renaissance faded and the scientific revolution led into the Age of Enlightenment), therefore creating a dichotomy between treating the physical body separate from the metaphysical soul. In the early 1900’s, Abraham Flexner discredited any …

Mid-Atlantic Ethics Committee Newsletter, Fall 2021

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Spiritual Care: The Overlooked Need In End-Of-Life Care, Michael Howard Vrmeer

Doctor of Nursing Practice Scholarly Projects

Background: A number of studies have validated the use of the FICA tool to evaluate a patient’s spirituality. FICA has been helpful in many palliative care settings to screen for spiritual problems that influence the patient's overall health. Aim: The project was a quality improvement initiative with the purpose of implementing the FICA tool as part of the admission assessment to increase chaplain referrals for inpatient palliative care services. Methods: The staff received an in-service on using the FICA questions on admission, and a prompt to complete the screen was placed at each work station in the project setting. Results: …