Digital Commons Network^™

Depression In Older Adults In Nursing Homes: A Review Of The Literature, Isabella Mccarthy-Zelaya

University Honors Theses

The rates of depression are high in nursing homes and often is not treated. A systematic literature review was conducted searching for research studies on depression interventions in nursing homes. Nineteen studies met selection criteria, which included being published in a peer-reviewed journal, being set in a nursing home and utilizing an experimental design. The sample sizes of the studies ranged from 21 participants to as many as 595; the lengths of the studies varied as well from 4 weeks to 24 weeks, with six studies also including follow-ups up to one year post-intervention. Studies showed that interventions involving reminiscing …

Building A State For All Ages: Tapping The Potential Of Older Oregonians, Stephen Percy, Judith A. Ramaley, John Tapogna, Margaret B. Neal, Jay Bloom, Alexandra Reece

Institute on Aging Publications

This report explores how the aging population—including native Oregonians and senior adults moving to the state—represent an asset to Oregon. Aging in America has often been viewed from a perspective of deficit and decline. We wholeheartedly challenge this perspective. This report identifies how older adults can play vital roles in the workforce, entrepreneurship and innovation, and supporting community revitalization through volunteering of time and talent.

Raps Sheet, November 2015, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Raps Sheet, September 2015, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Role Of Metabolic Shifts In Protection From Mutation Damage: Characterizing Mitochondrial Membrane Potential In C. Elegans Gas-1 Mutants, Lauren S. Muñoz-Tremblay

PSU McNair Scholars Online Journal

Many terminal human diseases are caused by mutations affecting mitochondrial functioning. Mitochondria are essential organelles responsible for producing cellular energy, adenosine triphosphate (ATP) via oxidative phosphorylation (OXPHOS) at mitochondrial electron transport chains (ETC). Proper ETC functioning relies on maintenance of the electrochemical gradient essential for energy production, known as mitochondrial membrane potential (ΔψM). The inner mitochondrial membrane is the site of the ETC and is most closely in contact with the enzymatic processes occurring within the mitochondrial matrix. Mutations affecting protein components of the ETC are especially troublesome for organelle health. ETC mutants commonly express altered ΔψM, as well as …

Challenges, Experiences, And Future Directions Of Senior Centers Serving The Portland Metropolitan Area, Melissa Lynn Cannon

Dissertations and Theses

A growing body of research emphasizes the development of an understanding of the relationship between older adults and their physical and social environments (Wahl & Weisman, 2003). Researchers, planners, policymakers, and community residents have been increasingly interested in shaping urban environments as places that foster active aging and independence among older adults. Senior centers have served a critical role in their communities as focal points for older adults, as individuals or in groups, to participate in services and activities that support their independence and encourage their involvement in and with the community (NCOA, 1979). The aging of the population and …

The Impact Of Communication Impairments On The Social Relationships Of Older Adults, Andrew Demetrius Palmer

Dissertations and Theses

Communication forms the foundation of social interaction. For older adults, however, there is known to be an increased risk of developing conditions that interfere with the ability to communicate. These conditions may occur for a variety of reasons, including age-related changes in physical or sensory functioning, injury, and disease. It is estimated that 55% of all Medicare beneficiaries have a communication impairment of some kind. Social contact is known to be vital for older adults' mental and physical health but, because communication impairments often co-occur with other types of disability, it is difficult to generalize about the relative impact of …

Digital Badges: A Tool For Embedded Library Instruction, Emily Ford, Betty Izumi, Jost Lottes, Dawn M. Richardson

Online Northwest

Digital badges, much like embroidered scouting badges, signify an earner’s skills. In higher education educators are using badges to certify student achievements. Badges communicate to students, faculty, and the public what skills students earn during their course of study much better than can a letter grade, certificate, or diploma. This session will begin with a theoretical background informing badging including: gamification, motivation, neoliberalization of education, technological innovation, and competency-based curriculum. Next we will discuss how our team --three Community Health professors and one librarian from Portland State University -- embedded badges for information literacy into three undergraduate Community Health courses …

Evaluating Your Age-Friendly Community Program: A Step-By-Step Guide, Margaret B. Neal, Iris Wernher

Institute on Aging Publications

This guidebook was developed to help you document and evaluate your community’s progress in becoming more age friendly. Although this task may sound intimidating, with a small dose of courage and by understanding a few key terms, the building blocks of evaluation can come alive and help guide your work.

Enhancing Equity For An Aging Region, Alan Delatorre, Lee Girard, Bobby Weinstock, Richard Lycan

Institute on Aging Publications

Presentations on "Aging and Equity in the Region" from the Institute on Aging - Drs. Alan DeLaTorre and Richard Lycan - with community partners Bobby Weinstock (NW Pilot Project) and Lee Girard (Multnomah County Aging and Disability Services).

Housing With Services: Year 1 Evaluation, October 2014, Paula C. Carder

Institute on Aging Publications

This report describes the initial findings of an on-going evaluation of the Housing with Services project based in Portland, OR. Housing with Services was supported, in part, with funding from Oregon’s State Innovation Model (SIM) project grant from the Center for Medicare and Medicaid Innovations to Cedar Sinai Park.

Housing with Services, LLC is a collaborative model of supportive services delivered or made available to low-income residents of affordable housing. The SIM grant helped to establish the project and funded the evaluation of the program implementation and resident- and system-level outcomes.

The collaborative model includes partnerships between health plans, coordinated …

Collaborative Treatment Of Late-Life Depression In Primary Care (Germanimpact): Study Protocol Of A Cluster-Randomized Controlled Trial, Iris Wernher, Frederike Bjerregaard, Iris Tinsel, Christiane Bleich, Sigrid Boczor, Thomas Kloppe, Martin Scherer, Martin Härter, Wilhelm Niebling, Hans-Helmut König, Michael Hüll

Institute on Aging Publications

Background: Depression is not a normal side effect of aging, however it is one of the most prevalent mental health issues in later life, imposing a tremendous burden on patients, their families, and the healthcare system. We describe the experimental implementation of a collaborative, stepped-care model for the treatment of late-life depression (GermanIMPACT trial) in the German primary care context. GermanIMPACT was developed as an adaptation of a successful and widely used American model. The aim of the study is to evaluate the model’s applicability to the German primary care setting and its cost-effectiveness.

Methods/Design: The study will be conducted …

Senior Mental Health Specialist Investment, Diana L. White, Linda Dreyer, Julie Reynolds, Alice Updike Scannell, Serena Worthington

Institute on Aging Publications

Participants: Thirty-five informants were interviewed or completed a survey for this report. They represented the Budget Note Workgroup and others identified by workgroup members. Informants represented aging services, mental health, advocacy, and other sectors such as long-term care, quality improvement, and health/medical care. Both those with a statewide focus and those with a local agency or community focus participated, including people from rural areas of the state.

The Problem: According to informants, mental health needs of older adults are not being met because:

• Systems are fragmented. The organizations that could address these needs work in silos with different funding priorities, …

Raps Sheet, Summer 2014, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Badge It! Using Digital Badges To Certify Information Literacy Skills Within Disciplinary Curriculum, Emily Ford, Jost Lottes, Betty T. Izumi, Dawn Richardson

Library Instruction West 2014

As technology in higher education rapidly changes, new pedagogical tools are being tested, developed, and implemented. Digital badges systems are one such tool that can be used to certify student skills and competencies, including information literacy skills. Despite new teaching technologies and pedagogical approaches, it remains difficult for instruction librarians to lead experimentation. As a result, librarians depend on collaborative relationships with disciplinary faculty to experiment with pedagogies and tools like badging. At Portland State University, however, librarians are leading a collaborative digital badges project with Community Health Faculty to develop, deliver, assess, and track student achievements in information literacy. …

Badge It! Using Digital Badges To Certify Information Literacy Skills Within Disciplinary Curriculum, Emily Ford, Betty T. Izumi, Jost Lottes, Dawn Richardson

Library Instruction West 2014

Purpose – The purpose of this article is to discuss the collaborative learning outcomes-based approach taken by a librarian and disciplinary faculty members to improve information literacy (IL) curriculum within disciplinary courses. To this end, the team aimed to award badges to certify IL skills.

Design/methodology/approach – This article considers relevant literature on competency-based curriculum, technological innovation in higher education, collaboration between library and disciplinary faculty and badges. This literature is used to frame the approach to plan a successful and sustainable project to embed IL in disciplinary curriculum using digital badges. The approach includes mapping learning outcomes and engaging …

Raps Sheet, May 2014, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Raps Sheet, April 2014, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Raps Sheet, March 2014, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

U-54 Building Infrastructure Leading To Diversity (Build) National Institutes Of Health: Enhancing Cross-Disciplinary Infrastructure Training At Oregon, Carlos J. Crespo

Community Health Faculty Publications and Presentations

This presentation focuses on the NIH Building Infrastructure Leading to Diversity (BUILD) Initiative (U54) that was awarded to Portland State University.

Impact Of Hiv On Cd8+ T Cell Cd57 Expression Is Distinct From That Of Cmv And Aging, Sulggi A. Lee, Elizabeth Sinclair, Hiroyu Hatano, Priscilla Y. Hsue, Lorrie Epling, Frederick M. Hecht, David Bangsberg, Jeffrey N. Martin, Joseph M. Mccune, Steven G. Deeks, Peter Hunt

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Chronic antigenic stimulation by cytomegalovirus (CMV) is thought to increase ‘‘immunosenesence’’ of aging, characterized by accumulation of terminally differentiated CD28- CD8+ T cells and increased CD57, a marker of proliferative history. Whether chronic HIV infection causes similar effects is currently unclear.

Methods: We compared markers of CD8+ T cell differentiation (e.g., CD28, CD27, CCR7, CD45RA) and CD57 expression on CD28- CD8+ T cells in healthy HIV-uninfected adults with and without CMV infection and in both untreated and antiretroviral therapy (ART)-suppressed HIV-infected adults with asymptomatic CMV infection.

Results: Compared to HIV-uninfected adults without CMV (n = 12), those with asymptomatic …

A Qualitative Study Of Rural Primary Care Clinician Views On Remote Monitoring Technologies, Melinda M. Davis, Jillian M. Currey, Sonya Howk, Molly R. Desordi, Linda Boise, Lyle J. Fagnan, Nancy Vuckovic

Community Health Faculty Publications and Presentations

Purpose: Remote monitoring technologies (RMTs) may improve the quality of care, reduce access barriers, and help control medical costs. Despite the role of primary care clinicians as potential key users of RMTs, few studies explore their views. This study explores rural primary care clinician interest and the resources necessary to incorporate RMTs into routine practice.

Methods: We conducted 15 in-depth interviews with rural primary care clinician members of the Oregon Rural Practice-based Research Network (ORPRN) from November 2011 to April 2012. Our multidisciplinary team used thematic analysis to identify emergent themes and a cross-case comparative analysis to explore variation by …

Region-Urbanicity Differences In Locus Of Control: Social Disadvantage, Structure, Or Cultural Exceptionalism?, Dara Shifrer, April Sutton

Sociology Faculty Publications and Presentations

People with internal rather than external locus of control experience better outcomes in multiple domains. Previous studies on spatial differences in control within America only focused on the South, relied on aggregate level data or historical evidence, or did not account for other confounding regional distinctions (such as variation in urbanicity). Using data from the National Education Longitudinal Study, we find differences in adolescents' loci of control depending on their region and urbanicity are largely attributable to differences in their social background, and only minimally to structural differences (i.e., differences in the qualities of adolescents' schools). Differences that persist net …

Medication Management Services Offered In U.S. Residential Care Communities, Lisa L. Dwyer, Paula C. Carder, Lauren D. Harris-Kojetin

Institute on Aging Publications

Using data from the 2010 National Survey of Residential Care Facilities, this study estimated the percentage of U.S. residential care communities (RCCs) offering selected medication management services (MMS) and examined differences in prevalence by community characteristics. The most common services were central storage for medications and cueing residents, while the least common were administering injections and intravenous medications. Medication reminders, helping residents take medications, and administering drops/topical ointments and injections varied by RCC characteristics. Characteristics most commonly associated with these differences are size, purposefully built status, nursing hours, and availability of a physician or pharmacist to review medication appropriateness. Understanding …

The Rise Of Non-Marital Cohabitation: Review And Analysis Of Existing Research, Natalia Mosailova

University Honors Theses

Beginning in the 1970's, young adults are more likely to announce that they are moving in with a partner rather than entering marriage. As rates of legal marriage between ages 16-26 are continuing to decline, the rates of cohabitation are rising two-fold. Compared to previous decades, individuals in our society are now more hesitant to enter marriage and are more likely to try out their relationships through cohabitation before making a commitment. Archival research on pre-engagement cohabitation suggests that, contrary to popular culture beliefs, pre-engagement cohabitation is a predictor of both marital divorce in marriages and relationship dissatisfaction. Despite the …

Resident And Community Characteristics Report 2014: Assisted Living, Residential Care, Memory Care, Paula C. Carder, Jacklyn Nicole Kohon, Aubrey Limburg, Maximilian West, Amanuel Zimam, Kenneth Gordon Neal

Institute on Aging Publications

This report provides an overview of community-based care settings in Oregon. The results presented here are derived from surveys completed by 243 facilities serving 9,485 residents. Key changes between the 2008 OOHPR survey and 2014 include:

• Compared to 2008, the number of facilities increased by 13%, with the largest growth in MCCs (41%).
• The proportion of for-profit facilities and facilities managed by a third party increased from 2008 by 8%.
• The acuity level of residents increased on most measures compared to 2008.
• Compared to 2008, residents across all three community types required more assistance with ADLs and used more health …

Characteristics Of Medicaid Clients In Assisted Living, Residential Care, Memory Care, And Adult Foster Homes 2013-2014, Paula C. Carder, Jacklyn Nicole Kohon, Sheryl Dejoy Elliott, Maximilian West, Amanuel Zimam, Margaret B. Neal

Institute on Aging Publications

In collaboration with the Aging and People with Disabilities (APD) program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging generated this report of Medicaid clients living in community-based care (CBC) settings in the state of Oregon. The Oregon legislature appropriated funds for DHS to collect information about these community-based care providers which will allow DHS, providers, and the public to better understand characteristics of Medicaid clients living in different CBC settings.

This report is based on an analysis of Medicaid data provided by DHS. The study goals were to:

• describe Medicaid clients’ health-related needs, service …

Continuous Monitoring Of Turning In Patients With Movement Disability, Mahmoud Ahmed El-Gohary, Sean Pearson, James Mcnames, Martina Mancini, Fay Horak, Sabato Mellone, Lorenzo Chiari

Electrical and Computer Engineering Faculty Publications and Presentations

Difficulty with turning is a major contributor to mobility disability and falls in people with movement disorders, such as Parkinson’s disease (PD). Turning often results in freezing and/or falling in patients with PD. However, asking a patient to execute a turn in the clinic often does not reveal their impairments. Continuous monitoring of turning with wearable sensors during spontaneous daily activities may help clinicians and patients determine who is at risk of falls and could benefit from preventative interventions. In this study, we show that continuous monitoring of natural turning with wearable sensors during daily activities inside and outside the …

Resident And Home Characteristics Report 2014: Adult Foster Homes, Paula C. Carder, Sheryl Dejoy Elliott, Aubrey Limburg, Jacklyn Nicole Kohon, Amanuel Zimam, Maximilian West, Margaret B. Neal

Institute on Aging Publications

In collaboration with the Aging and People with Disabilities program of Oregon’s Department of Human Services (DHS), Portland State University’s Institute on Aging conducted this research study of adult foster homes (AFH) throughout the state of Oregon. The Oregon legislature appropriated funds for DHS to collect information from these community-based care providers that will allow DHS, providers, and the public to better understand resident characteristics and adult foster home services.

This report summarizes findings from the first state-wide survey of licensed adult foster homes in Oregon. The survey goals were to:

• describe resident health-related needs, service use, and demographic characteristics; …

Life Near Death: The Impact Of Support Groups For People With Terminal Cancer On Preparatory Grief, Ariel Young

University Honors Theses

Growing evidence suggests that preparedness for death can lead to positive outcomes for the dying and for the bereaved. Preparatory grief, grieving one’s own death before it occurs, is grossly understudied. More research is necessary in order to understand the needs of the dying and to design more effective support systems to meet those needs. Within the next few decades a significant increase in the number of individual’s living with long-term terminal illness and in need of end-of-life care is virtually inevitable. Current support systems may be outdated and thus inappropriate for these individuals.

This thesis reviews relevant literature regarding …