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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 Education: Fy2009 Annual Report, Lehigh Valley Health Network

Department of Education

No abstract provided.

Catalog (2009 - 2010), Philadelphia College Of Osteopathic Medicine

Catalogs

A snapshot of the PCOM curriculum throughout the decades.

Frequent Users Of The Emergency Department: A Policy Proposal, Tina Ann Olson

All Graduate Theses, Dissertations, and Other Capstone Projects

Research has extensively documented that a small number of Emergency Department (ED) patients make disproportionate use of emergency services (Okin et al., 2000). The term “Frequent Users” is used to describe patients who utilize ED services more than four times per year (Byrne et al., 2003). Frequent Users are often times patients with chronic medical, mental health, alcohol and drug problems, as well as other psychosocial issues (Fulde & Duffy, 2006). Homeless people also appear to have significantly higher ED rates than the general population (Pope et al., 2000). Immanuel St. Joseph’s-Mayo Health System (ISJ) ED appears to have many …

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 …

The Implementation Of The Kentucky Transitions: A Money Follows The Person Demonstration Grant Program, Amie Goodin

MPA/MPP/MPFM Capstone Projects

Kentucky Transitions is a Kentucky Medicaid program that is funded primarily by a grant from the Centers for Medicare and Medicaid Services. The purpose of this program is to transition individuals residing in long-term care facilities back into the community, where they will continue to receive health, social, and other benefits but do so in an approved residential setting. Individuals living in the community may experience higher quality of life and the increased ability to choose how and when they receive services, while Medicaid reaps the projected financial benefit of providing less-expensive community alternatives for care.

Though Kentucky Transitions operates …

Best Practices For Increasing Pro-Social Behavior In Adolescents With Mental Health And Behavioral Disorders, Danielle Armbrust-Malone

All Graduate Theses, Dissertations, and Other Capstone Projects

Approximately 2 to 16 percent of the general population has a disruptive behavior disorder such as oppositional defiant disorder (ODD) or conduct disorder (CD) (Corcoran & Walsh, 2006). In a school setting, youth with these disorders may engage in acts such as disrespecting teachers, swearing at others, threatening others, assaulting staff or students, stealing, or vandalizing property and may benefit from a day treatment program which provides mental health services in a school setting. (Whitfield, 1999). Micro intervention strategies such as cognitive behavioral therapy and contingency management and mezzo interventions such as family therapy have been used to treat disruptive …

Minnesota Health Care Programs: Renville County Human Servics Outreach Project, Bethany Leindecker

All Graduate Theses, Dissertations, and Other Capstone Projects

Purpose:

To develop an outreach program for use by Renville County Human Services staff to educate potential service recipients and other community residents about Minnesota health care programs.

To assist outreach staff in gaining skills and knowledge necessary to effectively conduct the outreach.

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 …

Best Practices For Vulnerable Adult Investigation Policies And Procedures At Blue Earth County, Anna Stindt

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to update the policies and procedures for conducting vulnerable adult investigations in Blue Earth County to reflect changes in the statute and to incorporate current best practices for conducting investigations.

Multi-Sectoral Approaches To Preventing Sexual Assault And Domestic Violence: A Collective Force To Stop The Violence, Population Council

Reproductive Health

The Multi-Sectoral Approaches to Preventing Sexual Assault and Domestic Violence Symposium took place May 6–7, 2009, in Gauteng, South Africa. The symposium aimed to: increase awareness of sexual assault and domestic violence and its relationship to HIV and AIDS among decision-makers; promote evidence-based programming for practitioners; advocate for increased preventative measures and service delivery around sexual and gender-based violence (SGBV) in the public and private sectors; facilitate networking, strengthen and develop partnerships, and create opportunities for ongoing collaboration between key stakeholders; and inspire a coordinated plan of action for prevention that supports the government’s 365-day plan. South Africa has some …

Medical Response To Male Same-Sex Sexuality In Western India: An Exploration Of 'Conversion Treatments' For Homosexuality, Ketki Ranade

Reproductive Health

This report aims to explore the use of conversion therapy by healthcare providers in Western India to treat homosexuals, the criteria used for selecting clients for conversion therapy, the types of therapies employed, and perceived outcomes of such therapies. In contrast to most international guidelines for treatment of homosexuality, conversion therapy still seems to be practiced by many healthcare providers in India. Findings suggest that providers’ attitudes, understanding, and assumptions regarding normative and non-normative sexuality, homosexuality, marriage, procreation, and change or cure of homosexual sexual orientation makes up a complex belief system that has not incorporated some of the latest …

A Narrative Analysis Of The Experiences Of Living With Hiv For Heterosexual Men, Tanya Millard

Theses : Honours

The number of heterosexual men presenting with Human Immunodeficiency Virus (HIV) is steadily increasing in Australia. A paucity of literature currently exists surrounding the experience of living with HIV for heterosexual men, with most information targeted towards gay men, injecting drug users (IDUs) and women. This narrative literature review examines the body of knowledge concerning the experiences of heterosexual men living with HIV. The findings of this review indicate that for heterosexual men, HIV significantly impacts on their physical, psychological and social well being. In particular, they struggle with social and intimate relationships, negotiating disclosure, managing their stigmatised identity, and …

Balancing Multiple Roles: A Pilot Study Exploring The Complexity Of Role Balance In Working Mothers With Primary School Aged Children, Katherine Prince

Theses : Honours

For working mothers, maintaining a balance between work and parenting roles is a challenge. Each role presents its own set of physical, mental and temporal demands which frequently compete for the limited personal and environmental resources available to the mother. These competing demands can create conflict and stress, which prompts a coping response. The coping response initiated is a physiological reaction to the mother's appraisal of her situational conflict, and follows a process of appraisal. Firstly the working mother appraises the conflict itself. This is followed by the appraisal of the personal and environmental resources, constraints and demands. Finally, a …

Preterm Infants With Gastroesophageal Reflux Disorder: An Intervention Handbook For Paretns [I.E. Parents], Melissa Cramer

Occupational Therapy Capstones

One of the problems that health care workers practicing in the neonatal intensive care unit (NICU) face is providing care that is individualized to each infant and his/her family, being supportive to the infant during their development and to parental roles, and being sensitive to the needs of each infant and his/her parents and family (Lawhon, 2002). There is an additional challenge when the infant is also diagnosed with gastroesophageal reflux (GERD). Parents are often the primary caregivers and advocates for their infant in the NICU; for this reason, it is important that they understand and take part in their …

Gaining Cultural Competency For The Occupational Therapy Student & Clinician On The Lesbian, Gay, Bisexual & Transgender (Lgbt) Population, Lindsey Belzer, Jessa Hulteng

Occupational Therapy Capstones

When considering cultural groups, people in the lesbian, gay, bisexual, and transgender (LGBT) population are rarely considered or discussed as a cultural group. For many people, discussion about the LGBT community and sexuality is uncomfortable or often deemed private in order to avoid discussion. Therapists often state "well it's none of my business," but as Harrison (2001) states, it is our job as health professionals to provide therapy settings that are safe for all individuals to openly express themselves. The challenge that arises is in developing a greater understanding around sexual differences in order to be able to provide quality …

Managing Dual Relationships In Rural Healthcare Settings: An Education Module For Occupational Therapists, Jennifer Maus, Caroline Olson

Occupational Therapy Capstones

Dual relationships are a common challenge for health care providers serving a rural community. A dual relationship is when a therapist has a professional and a personal relationship with a client. Occupational therapists may be at greater risk for dual relationships because of the personal nature of their interventions. These relationships create ethical dilemmas between the patient and the therapist and impact the effectiveness ofthe delivery of therapy services. A literature review includes information on the following topics: issues of rural healthcare, occupational therapy in rural healthcare, dual/multiple relationships, and continuing education.

The project is a continuing educational course on …

Acute Physical Therapy Management Of Pediatric Patient With Traumatic Brain Injury, Michelle Holt

Physical Therapy Scholarly Projects

Background and Purpose: Traumatic brain injury can cause many deficits including decreased balance and coordination. The purpose of this case report is to describe the interventions used and subsequent outcomes for a pediatric patient following traumatic brain injury in the acute care setting. Also, this case report serves to describe the methods and tools used in a hospital that is not equipped with pediatric-specific equipment or utilities.

Case Description: This paper describes the four-day inpatient physical therapy management of a six-year-old female who fell from a horse and sustained a left open depressed frontal skull fracture with an underlying subdural …

Outpatient Physical Therapy Management Of A Patient With Chronic Iliotibial Band Friction Syndrome, Kaley Schultz

Physical Therapy Scholarly Projects

Background and Purpose. Iliotibial band friction syndrome (ITBFS) is one of the most common repetitive injuries treated in outpatient physical therapy and if left untreated, can lead to debilitating consequences for an individual. The purpose of this report is to describe the progression of conservative interventions that were used during outpatient physical therapy for a patient with the diagnosis of ITBFS in order for the patient to return to pain free activities of daily living.

Case Description. The patient was a 29 year old male who experienced pain over his c right greater trochanter and pain and snapping over …

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, …

Addressing Underage Alcohol Use Through Primary Health Care Settings In Rural Alabama & Iowa, Kristy Goodman, James A. Hall, Mark Thomas, Michael Taylor, John Bolland, Ying Zhang, Mary Larew, John Knutson, Douglas C. Smith

Posters

No abstract provided.

Outlook Magazine, Winter 2009

Outlook Magazine

No abstract provided.

Outlook Magazine, Fall 2009

Outlook Magazine

No abstract provided.

Psychiatric Illness In The Next-Of-Kin Of Intensive Care Unit Patients, Janelle Katie Moulder

Yale Medicine Thesis Digital Library

The prevalence of psychiatric symptoms in next-of-kin (NOK) of intensive care unit (ICU) patients has been reported at higher than 70% when screening is performed using the Hospital Anxiety and Depression Scale (HADS). The primary purpose of this study was to assess the ability of the HADS to predict psychiatric illness, diagnosed with the aide of a validated tool, the Structured Clinical Interview for DSM-IV (SCID). In addition, we asked NOK to rate aspects of the ICU experience to determine possible associations with psychiatric diagnosis. Thirty-four NOK were enrolled in this study from July 2006 to November 2006. Subjects were …

Developing Evidenced Based Practice For Social Emotional Screenings In Schools, Kim Anderson

All Graduate Theses, Dissertations, and Other Capstone Projects

The social problem being addressed through this project includes several challenges faced by our nation's schools, namely increasing numbers of disciplinary referrals, suspensions, and expulsions (Marchant, Anderson, Caldarella, Fisher, Young,Young, 2009). Further research states that "more and more children entering school are unprepared to learn, unable to cope with the social tasks involved in making friends and getting along with others, and unaware of their negative social effect on others," (Marchant et al., 2009, p.131). Only about 20% of children and adolescents with a psychiatric disorder in the United States receive any kind of mental health services (Fritz, 2007). Yet …

School Improvement Programs, Kimberly Barry

All Graduate Theses, Dissertations, and Other Capstone Projects

Teachers face a growing number behavior challenges that effect the delivery of classroom instruction (Center for Effective Collaboration and Practice , n.d). This affects how the teacher teaches and how the other students learn. Disruptions in the classroom force teachers to direct their attention to that student resulting in less time teaching. School wide programs help school staff develop expectations for behavior and allows for a common language amongst all staff and students. There are many school wide programs that claim to make behaviors decrease. It can be very cumbersome and time consuming for schools to go through all of …

Acute Psychiatric Group Therapy For Hospitalized Individuals With Serious And Persistent Mental Illness, Lindsey Bednar

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to identify group therapy interventions to be provided during a time limited acute psychiatric hospitalization for individuals with serious and persistent mental illness (SPMI) derived from evidenced-based research.

Research Question: What skills deficits and theory of practice are most efficacious with individuals with SPMI diagnosis served by ISJ Behavioral Health Unit?

Mental Health Relapse Prevention: What Does The Research Say?, Robin Bode

All Graduate Theses, Dissertations, and Other Capstone Projects

This Capstone Project researches evidenced-based literature in the area of mental health relapse prevention planning. The literature review explored best practices in providing mental health relapse prevention interventions and identified research study outcomes. The South Central Crisis Center of Mankato provides residential sub-acute care, crisis assessment, intervention, education and psychiatric urgent care to individuals that identify mental health issues as their primary concern (South Central Crisis Center, 2003). Within the 10 bed facility, clients participate in psycho-social educational groups and receive individual clinical services. Prior to discharge clients meet with the mental health professional to complete an In Home Treatment …

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.

Social Work Involvement In Supporting Survivors Of An Unexpected Death In An Emergency Department, Jennifer E. Buchanan

All Graduate Theses, Dissertations, and Other Capstone Projects

People occasionally present to a hospital’s emergency department (ED) after an event such as a heart attack or a motor vehicle accident that results in their sudden and unexpected death. Although members of the ED attempt to support the survivors as much as possible, due to the fast pace of the environment and responsibilities to other patients, the survivors may not always be provided with the necessary resources and support. This can leave survivors feeling isolated and confused about the appropriate course of action after this type of experience. A planned, organized approach delivered by educated and sensitive staff can …