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The Use Of Operant Conditioning In Stroke Patients To Facilitate Relearning Dressing Skills, Opal Ward Lebo

Loma Linda University Electronic Theses, Dissertations & Projects

Medical rehabilitation consists of learning appropriate behaviors related to specific disabilities. Lack of motivation on the part of the patient is frequently identified by health personnel as being a principle obstacle to the patient’s relearning basic skills necessary for his re- habilitation. This study was undertaken to explore the use of operant conditioning in teaching stabilized stroke patients to dress themselves and thus, increase their self-care independence. Social rewards (praise and attention) coupled with a dressing chart to provide feedback of progress, were the reinforcers.

A case study approach was used to study six participants who ranged in ages from …

The Use Of E.M.G. Biofeedback To Promote Relaxation And Relief Of Chronic Low Back Pain, Esther Fashina, Dorothy Holm

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this exploratory study was to determine if relaxation instruction and electromyographic (E.M.G.) feedback would reduce chronic low back pain. A secondary aim was to determine if the locus of control variable as defined by Rotter would influence the results obtained.

Fourteen non-hospitalized subjects with chronic low back pain, meeting the criteria of this study became the sample group. The training program consisted of six 30-minute sessions during which the subjects were taught relaxation with the use of a feedback electromyograph and relaxation instructions. After an interval of two weeks, a seventh session was conducted to evaluate if …

The Effect Of Preadmission Orientation On Post Hospital Behavior In Children, Alice Loo

Loma Linda University Electronic Theses, Dissertations & Projects

Hospitalization was assessed as imposing stress on a child which may result in negative behavior. The purpose of this study was to evaluate the effect of a planned preadmission orientation in decreasing negative behavior after hospitalization.

An experimental randomized group design was used.

There were fifteen subjects ages 3.8 to 10.6 years who had a planned admission to Loma Linda University Medical Center for a minor surgery and brief hospital stay. The children were randomly assigned to two experimental groups and a control group. It was hypothesized that those receiving an orientation would have less negative post hospital behaviors than …

Preparation Of Childbirth As A Behavior Modifier In Relation To The Viewing Of A Film Of Natural Childbirth, Susan B. Mccullough

Honors Projects

The psychological state of a pregnant woman has been related to her labor and delivery. Pregnancy is a time of inoreased anxiety in many women. The level of anxiety tends to increase in the last trimester of pregnanoy when the time for labor and delivery is drawing near.

Depression In Elderly Men Following Transurethral Prostatectom, Brenda Leach Allocco

Loma Linda University Electronic Theses, Dissertations & Projects

This study was concerned with the problem of depression among elderly patients following surgery. The purpose of the study was to find out if older men following transurethral prostatectomy experienced a higher level of depression than normal elderly people in the general population. An attempt was made in the study to suggest factors in the patients' illness or environment which may have influenced the amount of depression they experienced.

Thirty patients, sixty-five years or older, were included in the study sample. Depression was measured by a self-rating depression scale (Zung) three weeks following their operations. Other facts about the patients …

Commencement Program 1973, Loma Linda University

Commencement Programs

CONTENTS

3 | The Academic Procession

4 | Conferring of Degrees

6 | Presentation of Diplomas

7 | Candidates for Degrees

26 | Awards

29 | Academic Costume

31 | Waymarks

A Descriptive Study Of Saline Abortion Patients, Judith L. Brown

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this descriptive study was to describe the psychological responses of saline abortion patients and the nurses who provided for their care. The study utilized a sample composed of five unmarried women between the ages of fifteen and twenty-one years who were seeking their first abortion, and of seventeen nurses who provided for their nursing care. The data were gathered during the hospitalization of the abortion patients. The raw data were obtained through the use of a nursing process recording and an information gathering interview with each patient and with each nurse. The tools used to analyze the …

The Effect Of A Repressive-Inspirational Discussion Group On The Self-Esteem Of Selected Elderly Individuals, Rebecca Hollesca Gucilatar

Loma Linda University Electronic Theses, Dissertations & Projects

This study was conducted to determine if the use of a repressive-inspirational discussion group has significance in changing the level of self-esteem of institutionalized essentially normal elderly individuals.

A review of literature indicates the need for a group method that can help in developing and maintaining self-esteem in the elderly. Different studies reveal the need for self-esteem in the aged. The development of self-esteem is necessary so that elderly individuals can cope with situations in daily living and maintain physical and mental health.

An experimental method was utilized in conducting this study. A sample of twenty elderly individuals was selected …

Selected Physiological Responses To A Back Rub, Norma (Ewing) Anderson

Loma Linda University Electronic Theses, Dissertations & Projects

The back rub, which has been an established part of evening patient care for many years, is given to promote relaxation and sleep as well as to promote skin care. Yet its place in modern nursing seems questionable. Today's nurse is less willing to practice using empirically established procedures.

There have been few investigations showing the effect of massage to the back and no studies have shown that a brief back rub, as given by nurses, promotes relaxation. In cardiovascular nursing there is some controversy as to whether or not the back rub causes stimulation to the cardiovascular system that …

The Effect Of Group Art Therapy On The Self-Esteem And Locus Of Control Of Delinquent Adolescent Boys, Brenda L. Bryant, Gail Y. Zirkle

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to evaluate the effect of twelve, fifty-five-minute sessions of group art therapy on the self-esteem and locus of control (LOC) of delinquent adolescent boys.

A review of the literature revealed that the development of self-esteem and an internal LOC orientation plays an important part in the total psychological development of the adolescent. Several descriptive studies have associated delinquent behavior with feelings of low self-esteem and external LOC beliefs.

Previous research suggests that group art therapy can increase the low self-esteem and internal LOC of delinquent adolescents. Although a few descriptive studies have been conducted …

Leadership Techniques In Groups With Chronic Schizophrenics, Judith L. Jensen, Leona W. Mcgrew

Loma Linda University Electronic Theses, Dissertations & Projects

The study was designed to assess the level of anxiety experienced by chronic schizophrenic patients when two different methods of leadership were used in group therapy. A search of literature revealed suggestions for modification of leadership approach due to the tenuous anxiety tolerance of chronic schizophrenics but no studies were found directly related to the amount of anxiety resulting from different leadership approaches.

A structured group in which the leader maintained a directive role was compared with a nonstructured group in which the leader maintained a nondirective role in the group process. The randomized sample included five male and five …

Yale University School Of Nursing Alumnae Association Newsletter, Winter 1973, Yale University School Nursing

Yale School of Nursing Alumni Newsletters and Magazines

Cover art is a cartoon created by Robert Osborn for the SChools of Art and Architecture to use for their alumni fund drive. Subsequently, the cartoon was presented to the School of Nursing as a fiftieth anniversary birthday present and displayed at the School.

Please contact the Medical Historical Library if you need a higher resolution version.

Alumnae Association Bulletin Of The School Of Nursing, 1973, Margaret Summers, Doris E. Bowman, Elizabeth J. Sweeney, Charlotte E. Voss, Elizabeth Stone Miller, Norman Lasker, Simon Kramer, Janet Hindson, Lenora Schwartz, Martha E. Riland, Betty Piersol

Nursing Alumni Bulletins

Alumnae Calendar

The President's Message

Officers and Chairmen of Committees

Financial Report

Annual Reports

Named to Academy of Nursing

Alumnae Association Relief Fund Benefits

Sesquicentennial - A Celebration and a Challenge

Progress of the Thomas Jefferson University Hospital 1972-1973

Report of the Patient Services Department

Changes in the Department of Radiation Therapy

Annual Luncheon

Committee Reports

Administration

Missing Alumnae Members

Salute to Life Members

The Class of 1973

Ways and Means Committee Report

Resume of Minutes of Alumnae Association Meetings

Class Notes

Marriages

Births

In Memoriam

Notices

Pre-Operative Teaching: Does It Make A Difference?, Susan Jane Wykle

Honors Projects

In brief this study proposes to test the hypothesis that pre-operative teaching will actually decrease the post-operative respiratory complications.

Preoperative Teaching And Its Relationship To Postoperative Recovery, Eleanor Wiese

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of the study was to find out whether an organized, preoperative teaching program would make a difference in patient recovery from intra-abdominal surgery.

A review of literature served as a guide in defining the needs of patients and in developing class content. An outline, which included deep breathing, coughing, turning, bed exercises and what to expect, was made for the class. Nine slides were developed specifically for the teaching sessions. To reinforce the teaching, a handout was given to each patient.

It was hypothesized that the experimental group of patients would require less pain medication, develop fewer complications …

Commencement Program 1972, Loma Linda University

Commencement Programs

CONTENTS

4 | The Vesper Service (La Sierra Campus)

6 | The Vesper Service (Loma Linda Campus)

8 | The Sermon (La Sierra Campus)

10 | The Sermon (Loma Linda Campus)

12 | Conferring of Degrees

14 | Presentation of Diplomas

15 | Candidates for Degrees

32 | Awards

35 | Academic Costume

37 | Waymarks

Patients' Reactions To Witnessing Cardio-Pulmonary Resuscitation, Lynn Andree Finch

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to describe the reactions to stress in patients witnessing a cardio-pulmonary resuscitation, in order to determine if the witnessing patients' needs are being met adequately, and to determine the effect of a specific psychological stressor on patients.

All resuscitations ("STATS") done over a two-month period at Loma Linda University Medical Center, with oriented patients in the room, were observed and recorded on an Observation Guide. A Questionnaire was also solicited from medical-surgical nursing personnel who had observed "STATS" with witnessing patients in the last three months. The Guide and the Questionnaire were developed from …

A Descriptive Analysis Of The Social Roles Of Nursing Home Residents, John A. Hermann

Loma Linda University Electronic Theses, Dissertations & Projects

In contemporary American society there has been a growing trend toward nursing home residency for the aged. Up until the present there has been almost no attempt on the part of Sociology to study the sociological aspects of the life within such institutions.

A major objective of this study was to descriptively analyze the social life of nursing home residents. In order to do this, role theory was used as a tool for analysis and applied to the methods of unstructured observation and informal interviewing. The points of analysis were: role enactment, role expectations, and self-role congruency.

The research was …

Post-Abortion Counseling And Anxiety Levels Of Unmarried Adolescents Having Therapeutic Abortions, Linda Levisen

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to evaluate the effectiveness of a post-abortion counseling program. It was hypothesized that unmarried adolescents who received counseling following a therapeutic abortion would exhibit significantly fewer negative affects than those who received no counseling. The affects measured were anxiety, depression, hostility, and guilt. Twenty clients were randomly selected for this study. Prior to the abortion, the twenty clients were-tested for negative responses to the unwanted pregnancy. Ten clients received post-abortion counseling twice following the abortion and were tested at each visit for negative affective responses to the abortion. The other ten clients received no …

The Effect Of Play On Self-Esteem During The Nurse-Patient Relationship, Abbie Lam Yuen Watt

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine the effectiveness of play activities upon the self-esteem level of the chronically ill "low" communicative patient during a therapeutic nurse-patient relationship.

A survey of the literature revealed that meaningful interpersonal relationships are an important aspect of mental health. For the emotionally disturbed person with distorted self concept, the use of nonverbal activities may be a way to establish a relationship which can help increase his feeling of personal worth and responsibility, A particularly important topic related to the study was the use of play activities in nursing.

The experimental method was used …

Two Emotional Factors And Weight Loss Among Females Attending A Weight Control Class, Karen Lynn Carrigg, Eileen Rae Wangerin

Loma Linda University Electronic Theses, Dissertations & Projects

A descriptive study was conducted on twenty-four females attending a weight control class to discover the effect of weight loss upon levels of self-esteem and anxiety, as an understanding of the relation of these factors to reduction and control of weight would prove helpful to community health nurses in counseling with overweight and obese persons in the community.

The entire sample was tested for self-esteem (TSCS) and A-State and A-Trait anxiety levels at the initial class of the weight control program sponsored by the Health Education Department of Loma Linda University Medical Center, and again after seven weeks of class …

Assisting Mothers To Successfully Breast Feed Their Babies, Annabelle Moore

Loma Linda University Electronic Theses, Dissertations & Projects

This experimental study tested the effect of a teaching program on success of a group of mothers desiring to breast feed their babies. It was hypothesized that mothers receiving specific instructions on the physiology of lactation and the proper sucking technique would have greater success than mothers not so instructed.

To be categorized as successful the mothers had to have an adequate supply of milk and had to express satisfaction with breast feeding. Criteria for adequacy of milk supply consisted of weight gain of the infant within accepted norms without use of supplementary formula.

Twenty breast feeding mothers who delivered …

Yusn Alumnae Newsletter, Yale School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

No abstract provided.

Health Counseling For The Overweigh Adolescent Girl, Elizabeth J. Handley

Walden Dissertations and Doctoral Studies

This study was undertaken for the purpose of seeing how a health counseling program for overweight adolescent girls could be developed in a secondary high school setting. Initially, the study developed out of an awareness and concern for the problem of obesity among teenage girls, especially those in a secondary school. To provide a strong background for the use in both planning and executing a health counseling program, the study reviewed the health literature dealing especially with several topics:

a. The prevalence of obesity.

b. The relationship of obesity to mental and physical health.

c. The influence of food faddisms …

Yale University School Of Nursing Alumnae Association Newsletter, Winter 1973 [Headline: Coming Events], Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

"From the Dean.." includes "The Treasurer's Report for 1971 indicates that the School of Nursing is the first school in the University to be "self-supporting", that is, not running a deficit".

Please contact Medical Historical Library if you need a higher resolution version.

The Degree And Time-Course Of Stress In The Patient Undergoing Cardiac Surgery, Hulda Esther Serra, Patricia Jo Yvonne Tygret

Loma Linda University Electronic Theses, Dissertations & Projects

An important nursing objective is to assist patients through stressful experiences. It has been assumed that cardiac surgery constitutes such a stress situation. For this reason, twenty-two patients undergoing cardiac surgery at Loma Linda University Hospital studied for the purpose of exploring the degree and time-course of were psychological stress.

The methodology consisted of administration of psychological tests before and after surgery; determination of urine catecholamines (UCA) before, during and after surgery; administration of a coping assessment tool before surgery, and a recall interview on the fifth day after surgery. The Multiple Affect Adjective Check List (MAACL)-Today form, and the …

Commencement Program 1971, Loma Linda University

Commencement Programs

CONTENTS

4 | The Vesper Service (La Sierra Campus)

6 | The Vesper Service (Loma Linda Campus)

8 | The Sermon (La Sierra Campus)

10 | The Sermon (Loma Linda Campus)

12 | Conferring of Degrees (9 am)

14 | Conferring of Degrees (4 pm)

16 | Candidates for Degrees

35 | Awards

38 | Academic Costume

A Comparison Of Various Teaching Methods For Patients With Chronic Obstructive Pulmonary Diseases, B. Carol Altizer, Nancy S. Bailey

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out whether patients with chronic obstructive pulmonary disease (C.O.P.D.) learn more from auditory or from visual teaching. Of the 30 patients in the sample, 10 used a programmed instruction booklet, 10 used a taped recording of the same programmed material and 10 were in a control group which received no specific teaching.

A pre-test was given to each of the patients who met the criteria for the study. One researcher gave the pre-test through an oral interview with the patient. After the pre-test, the patient received the teaching device assigned to him …

Using A Participating Relationship To Improve Teen-Age Unwed Mother's Self-Esteem, Linda Gail Reeves

Loma Linda University Electronic Theses, Dissertations & Projects

The study was to provide an approach to help teen-age unwed mothers increase their feelings of self-esteem and thereby attain a conceptual buffer for better coping with life. Self-esteem was defined as individual perception of the worth of oneself relative to that of significant others. The hypothesis tested was that the participating relationship a community health nurse has with a teen-age unwed mother will significantly increase the mother's self-esteem as measured by statistical Q-Sort analysis.

A convenience sample of twenty teen-age unwed mothers was obtained from referrals from San Bernardino County Health, Welfare, and Probation Departments. The girls were between …

Effects Of A Series Of Nurse-Patient Interactions On Multiple Sclerosis Patients, Lynne Campbell

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of the study was to learn whether a series of nurse-patient interactions would result in changed psychophysiologic functioning in multiple sclerosis patients.

Psychophysiologic relationships were described in the theoretical framework. Literature, reviewed in the areas of disease description and psychotherapeutic approaches to treatment, indicated that there is a high incidence of multiple sclerosis in the United States; that symptoms often include psychological alterations; that there is an emotional component to the illness; that these patients have a need for a psychotherapeutic relationship; and that psychotherapeutic approaches may have beneficial psychophysiologic effects.

Two groups of multiple sclerosis subjects were …