Digital Commons Network^™

Increasing Postpartum Appointment Attendance Rates, Tanya Lister

Doctor of Nursing Practice Scholarly Projects

Background: Postpartum visits provide an opportunity to detect and address potential complications, monitor healing and recovery, and offer guidance and support during the transition into motherhood. Current research shows that appointment reminders increase healthcare appointment attendance rates, whether delivered via text messages or phone calls.

Purpose: The purpose of this academic project was to plan, implement, and evaluate a process change within a single health facility to increase postpartum visit attendance rates.

Methods: This evidence-based scholarly project used telephone calls to remind patients scheduled for postpartum visits of their appointment dates and times. Appointment reminder phone calls were completed the …

Unm Health Sciences Center Data Book 2024-25

Health Sciences Center Databook (1990-ongoing)

No abstract provided.

Unm Health Sciences Center Data Book 2023-24, University Of New Mexico - Health Sciences Center

Health Sciences Center Databook (1990-ongoing)

No abstract provided.

Volume 16, Issue 2

Medical Muse

No abstract provided.

Volume 9, Issue 1

Medical Muse

No abstract provided.

Preliminary Incidence And Trends Of Infections Caused By Pathogens Transmitted Commonly Through Food - Foodborne Diseases Active Surveillance Network, 10 U.S. Sites, 2022, Miranda J. Delahoy, Hazel J. Shah, Daniel Lowell Weller, Logan C. Ray, Kirk Smith, Suzanne Mcguire, Rosalie T. Trevejo, Elaine Scallan Walter, Katie Wymore, Tamara Rissman, Marcy Mcmillian, Sarah Lathrop, Bethany Laclair, Michelle M. Boyle, Stic Harris, Joanna Zablotsky-Kufel, Kennedy Houck, Carey J. Devine, Carey E. Lau, Robert V. Tauxe, Beau B. Bruce, Patricia M. Griffin, Daniel C. Payne

Pathology Research and Scholarship

Each year, infections from major foodborne pathogens are responsible for an estimated 9.4 million illnesses, 56,000 hospitalizations, and 1,350 deaths in the United States (1). To evaluate progress toward prevention of enteric infections in the United States, the Foodborne Diseases Active Surveillance Network (FoodNet) conducts surveillance for laboratory-diagnosed infections caused by eight pathogens transmitted commonly through food at 10 U.S. sites. During 2020-2021, FoodNet detected decreases in many infections that were due to behavioral modifications, public health interventions, and changes in health care-seeking and testing practices during the COVID-19 pandemic. This report presents preliminary estimates of pathogen-specific annual incidences during …

It Is What It Is... Enduring The Never-Ending: The Lived Experiences Of Parenting Adult Children With Developmental/Intellectual Disabilities, Siri Gurunam Kaur Khalsa

Nursing ETDs

The parental home is the principal place of residence for adults with developmental disabilities/ intellectual disabilities (DD/ID) (Heller et al., 2007). More than 75% of the adult population with DD/ID living in the U.S. continue to have their basic needs provided by their parents (Williamson & Perkins, 2014). This is based on the estimated statistic that 1.0 to 1.58% of the U.S. adult population has a developmental disability (Anderson et al., 2019; Fox et al., 2015). About 2.9 million adults with DD/ID live with a parent of 55 years (Byun et al., 2006), with more than 25% of these parents …

Differences In Length Of Stay (Los) For The Adult General Medicine Population Compared To Patients With Social Determinants Of Health For The University Of New Mexico Hospital (Unmh), Vanessa Krajeck, Joshua M. Garcia

Quality Improvement/Patient Safety Symposium

Introduction:

The University of New Mexico Department of Internal Medicine Office of Quality & Safety evaluated the differences in length of stay (LOS) for the adult general medicine population compared to patients with social determinants of health (specific ICD-10 z-codes) for the University of New Mexico Hospital (UNMH). The hypothesis was patients with documented social determinants of health had a longer LOS index compared to patients that did not have social determinants of health. A LOS >1 index indicates a higher than expected LOS based on risk models. A LOS >1 indicates an opportunity for documentation or system process changes. …

Do-Not-Hospitalize Orders In Assisted Living Facilities: Perspectives From Direct Care Workers, Alanna Kates Dancis Dr.

Doctor of Nursing Practice Scholarly Projects

Context: Do-not-hospitalize (DNH) orders in assisted living facilities (ALFs) are often misunderstood, ignored, or countermanded by direct care workers (DCWs), potentially leading to residents being sent to the hospital against their wishes.

Objectives: The primary purpose of this study was to gather sufficient qualitative data to create an intervention that would help prevent DCWs from sending residents with DNH orders to the hospital against their wishes. To accomplish this goal, the study centered on three research objectives: 1) to understand more fully how DCWs interpret DNH orders; 2) to determine if carrying out DNH orders causes moral distress for DCWs; …

Escalating Costs Of Self-Injury Mortality In The 21st Century United States: An Interstate Observational Study., Ian Rh Rockett, Bina Ali, Eric D. Caine, Donald S. Shepard, Aniruddha Banerjee, Kurt B. Nolte, Hilary S. Connery, G Luke Larkin, Steven Stack, Franklin M M White, Haomiao Jia, Jeralynn S. Cossman, Judith Feinberg, Amanda N. Stover, Ted R. Miller

Pathology Research and Scholarship

BACKGROUND: Estimating the economic costs of self-injury mortality (SIM) can inform health planning and clinical and public health interventions, serve as a basis for their evaluation, and provide the foundation for broadly disseminating evidence-based policies and practices. SIM is operationalized as a composite of all registered suicides at any age, and 80% of drug overdose (intoxication) deaths medicolegally classified as 'accidents,' and 90% of corresponding undetermined (intent) deaths in the age group 15 years and older. It is the long-term practice of the United States (US) Centers for Disease Control and Prevention (CDC) to subsume poisoning (drug and nondrug) deaths …

Unm Health Sciences Center Data Book 2022-23, University Of New Mexico - Health Sciences Center

Health Sciences Center Databook (1990-ongoing)

No abstract provided.

Human Herpesvirus 8-Negative Effusion-Based Large B-Cell Lymphoma: A Distinct Entity With Unique Clinicopathologic Characteristics, Savanah D. Gisriel, Ji Yuan, Ryan C. Braunberger, Danielle L V Maracaja, Xueyan Chen, Xiaojun Wu, Jenna Mccracken, Mingyi Chen, Yi Xie, Laura E. Brown, Peng Li, Yi Zhou, Tarsheen Sethi, Austin Mchenry, Ronald G. Hauser, Nathan Paulson, Haiming Tang, Eric D. Hsi, Endi Wang, Qian-Yun Zhang, Ken H. Young, Mina L. Xu, Zenggang Pan

Pathology Research and Scholarship

Rare cases of human herpesvirus 8 (HHV8)-negative effusion-based large B-cell lymphoma (EB-LBCL) occur in body cavities without antecedent or concurrent solid mass formation. In contrast to HHV8 + primary effusion lymphoma (PEL), EB-LBCL has no known association with HIV or HHV8 infection. However, the small sample sizes of case reports and series worldwide, especially from non-Japanese regions, have precluded diagnostic uniformity. Therefore, we conducted a retrospective, multi-institutional study of 55 cases of EB-LBCL and performed a comprehensive review of an additional 147 cases from the literature to identify distinct clinicopathologic characteristics. In our study, EB-LBCL primarily affected elderly (median age …

Helping Hand For Health Equity In Nabwendo, Uganda, Dana Allsop

Theoretical Foundation in Advanced Practice Nursing

No abstract provided.

Stroke Recovery During The Covid-19 Pandemic: A Position Paper On Recommendations For Rehabilitation, Suzanne Perea Burns, Talya K. Fleming, Sam S. Webb, Alice Sau Han Kam, Jaimee D P Fielder, Grace J. Kim, Xiaolei Hu, Mary Thelander Hill, Emily A. Kringle

Pediatrics Research and Scholarship

Health care delivery shifted and adapted with the COVID-19 pandemic caused by the novel severe acute respiratory syndrome coronavirus 2. Stroke care was negatively affected across the care continuum and may lead to poor community living outcomes in those who survived a stroke during the ongoing pandemic. For instance, delays in seeking care, changes in length of stays, and shifts in discharge patterns were observed during the pandemic. Those seeking care were younger and had more severe neurologic effects from stroke. Increased strain was placed on caregivers and public health efforts, and community-wide lockdowns, albeit necessary to reduce the spread …

Unm Hsc Education Day Agenda 2022, Gary A. Smith

HSC Education Days

No abstract provided.

Limiting Potentially Inappropriate Medications In Long-Term Care, Clare M. Ironside

Doctor of Nursing Practice Scholarly Projects

Aim: This project aimed to assess the effectiveness of the STOPP/START tool in identifying and reducing potentially inappropriate medications among multi-morbid, older, long-term care residents in a metropolitan area of a Southwestern state.

Design: In this quality improvement project, seven prescribers working within four long-term care facilities were trained to assess for potentially inappropriate medications using the STOPP/START tool. The medication lists for long-term care residents (n =45) over age 65 were collected at baseline and again at three months post-intervention and assessed for overall medication use, psychotropics, and proton pump inhibitors. The project also assessed prescribers’ comfort and …

Unm Health Sciences Center Data Book 2021-22, University Of New Mexico - Health Sciences Center

Health Sciences Center Databook (1990-ongoing)

No abstract provided.

Telehealth During The Covid-19 Pandemic: A Cross-Sectional Survey Of Registered Dietitian Nutritionists, Mary Rozga, Deepa Handu, Kathryn Kelley, Elizabeth Yakes Jimenez, Hannah Martin, Marsha Schofield, Alison Steiber

Pediatrics Research and Scholarship

During the current coronavirus disease 2019 (COVID-19) pandemic, health care practices have shifted to minimize virus transmission, with unprecedented expansion of telehealth. This study describes self-reported changes in registered dietitian nutritionist (RDN) practice related to delivery of nutrition care via telehealth shortly after the onset of the COVID-19 pandemic in the United States. This cross-sectional, anonymous online survey was administered from mid-April to mid-May 2020 to RDNs in the United States providing face-to-face nutrition care prior to the COVID-19 pandemic. This survey included 54 questions about practitioner demographics and experience and current practices providing nutrition care via telehealth, including billing …

Financial Hardship And Health Related Quality Of Life Among Older Latinos With Chronic Diseases, Frances R Nedjat-Haiem, Tamara Cadet, Humberto Parada, Tessa Jones, Elvira E Jimenez, Beti Thompson, Kristen J Wells, Shiraz I Mishra

Pediatrics Research and Scholarship

BACKGROUND: Financial hardship influences health-related quality of life (HRQoL) of older adults. However, little is known about the relationship between financial hardship and HRQoL among vulnerable populations.

OBJECTIVE: We examined the associations between financial hardship and HRQoL among older Latinos living with chronic disease, including cancer.

METHODS: This cross-sectional study included 68 Latinos (age range 50-87) with one or more chronic health conditions who participated in a pilot randomized clinical trial. Participants responded to 11 financial hardship questions. We used factor analysis to explore constructs of financial hardship. HRQoL was assessed using the 27-item Functional Assessment of Cancer Therapy-General (FACT-G). …

Role Of Molecular Signature To Differentiate Second Primary Lung Cancer From Metastasis In A Patient With Squamous Cell Carcinoma Of Oral Cavity, Emrullah Yilmaz, Gregory N. Gan, Thomas M. Schroeder, Andrew Cowan, Nancy Joste

Pathology Research and Scholarship

BACKGROUND: Lung is the most common site of distant metastasis for patients with head and neck squamous cell carcinoma (HNSCC). However, differentiating second primary lung cancers from metastasis may be difficult for p16 negative HNSCC.

CASE: We describe a case of oral cavity squamous cell carcinoma (SCC) who was found to have lung nodule and hilar lymphadenopathy (LAD) after surgery and radiation therapy. Hilar node was consistent with SCC however, it was difficult to differentiate second primary lung cancer and metastasis from oral cavity SCC. Next-generation sequencing was done for the primary oral cavity and the hilar node. Both samples …

Critical Communication: Improving Care Transitions For Incarcerated Patients Requiring Palliative And End-Of-Life Care, L. Emily Cotter Md, Mph, Gina Lutz Md, Sara Combs Md, Ao Ferguson Mdiv, Ma, Suzanne Stern-Brant Lmsw, Esme Finlay Md, Erin Fitzgerald Do

Quality Improvement/Patient Safety Symposium

Background:

Incarcerated persons are often sicker than the general population, with high levels of medical comorbidities [1]. Among those incarcerated, the elderly population is increasing at much higher rates than younger inmates, and with it rates of age-related chronic illnesses [2-3]. Care transitions, or movement from patients between healthcare settings, increase risk for adverse events due to potential miscommunication during transfers [4-5]. When hospitalized with life-limiting diagnoses, interdisciplinary palliative medicine teams advocate for appropriate patient care for persons who are incarcerated. However, limited resources and communication challenges often lead to inadequate care transitions upon discharge to correctional facilities.

Methods:

A …

Identifying Causes Of Readmission At Unm Hospital, Jewel Meyer-Hagen Ms3, Justine Yang Ms3, Christopher Bartlett Md, Avanika Mahajan Ms3, Susie Pham Ms3, Ishan Shah Do, Harsh Sharma Md, Jessie Rogers Md, Brianna Muller Md, Julia Howard Do, Radha Denmark Np, Gabriel Palley Md, Anthony Worsham Md

Quality Improvement/Patient Safety Symposium

Background/Introduction:

Inadequate coordination of care and poor transition of care quality are known contributors to hospital readmission. Patient readmission is a known risk factor for poor patient outcomes. Department of Internal Medicine (DOIM) readmission rate was 13.18% during fiscal year (FY) 2020, and is 13.58% to date during FY21. The objective of this study is to identify system-based drivers of readmission, understand why the readmission rate has increased from FY20 to FY21, and design interventions to address identified gaps.

Methods:

Developed a survey using RedCap. Retrospective chart review of 104 randomly selected patients discharged from UNMH during fiscal year 2020 …

Satisfaction And Willingness To Recommend: Patient Experience In A Southwestern Healthcare Organization, Judy A. Sanchez

Nursing ETDs

This descriptive study examined perceptions of hospital care in a minority majority state within adult Hispanic white, American Indian, and non-Hispanic white patients using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. This secondary analysis of de-identified 2016-2018 data involved 10,181 patients discharged from two urban and five rural hospitals. Demographic variables included: race/ethnicity, preferred language, and hospital location. HCAHPS variables included: overall satisfaction, willingness to recommend, nurse communication, physician communication, responsiveness of hospital staff, pain management, medication communication, cleanliness and quietness, discharge information, and transition of care. Chi-square and loglinear analyses demonstrated that Hispanic whites, and …

Death And Dying: Incorporating A Hospice Approach, Dominique Gomez

Theoretical Foundation in Advanced Practice Nursing

No abstract provided.

Grief Work With The Philly Death Doula Collective: An Oral History Project, Leo L. Williams

Oral Histories HIST300, Spring 2021

On March 25th, 2021 a Master’s student in American Studies (Leo Williams) at the University of New Mexico met with the Philly Death Doula Collective over Zoom. The current members of the collective are Lori Zaspel, Kai Wonder, and Nicki Cowan, social workers, and Death Doulas living in Philadelphia. In this oral history interview, the collective speaks to their vision of death care infrastructure, their goals and services as a collective, how COVID-19 has affected them, and their relationship to death positive activism.

Unm Health Sciences Center Data Book 2020-21, University Of New Mexico - Health Sciences Center

Health Sciences Center Databook (1990-ongoing)

No abstract provided.

Bystanders’ Perspectives On The Provision Of Informal, Hospital-Based Care To Bedridden Patients With Cancer In Sri Lanka, B. Sunil S. De Silva

Nursing ETDs

Due to the nursing shortage in Sri Lanka, patients need informal caregivers, known as bystanders, to help provide patient care. This study described bystanders’ perspectives on informal, hospital-based care to bedridden patients with cancer in Sri Lanka. In this qualitative descriptive study, 17 bystanders at Apeksa/Cancer Hospital, Sri Lanka, were recruited using snowballing sampling. Data were collected through telephone interviews and analyzed using content and thematic analyses. Findings showed that paid and unpaid bystanders cover all caregiving tasks with minimum interaction with nurses. Unpaid bystanders described the need for same-sex bystanders and additional help with patients’ mobilization and specialized care. …

Unm Global Health Covid-19 Therapeutic Evidence, Unm Global Health Covid-19 Briefing Team

HSC Covid 19 Briefings

No abstract provided.

Unm Global Health Covid-19 Practice Guidelines, Unm Global Health Covid-19 Briefing Team

HSC Covid 19 Briefings

No abstract provided.

Localized Breast Amyloidosis Associated With Sjörgren Syndrome, Edgar G. Fischer

Pathology Research and Scholarship

Sjörgren syndrome is a systemic autoimmune disease that is rarely associated with amyloid deposits, and in most reported cases, these deposits are localized to a single organ. Amyloidosis of the breast is a rare and unexpected finding, and only 5 case series with 63 patients have been published in the past 40 years. To date, only 6 cases have been reported in which Sjörgren syndrome is associated with amyloid deposits in the breast. A 61-year-old female diagnosed with Sjörgren syndrome underwent a breast needle core biopsy for calcifications. Microscopic examination revealed amyloid deposits in the periductular basement membranes, in the …