Digital Commons Network^™

Prevention Of Falls In Adults Older Than 60 Years Through Therapeutic Riding: A Critically Appraised Topic, Isabella Johannes, Dominique Menard, Alicia Young

Critically Appraised Topics

This critically appraised topic paper will address the focus question relating to the intervention of therapeutic riding. A critically appraised topic (CAT) is an overview of scientific literature about an intervention or practical issue and how it relates to practice (Barends et al., 2017). The use of the Ecological Human Performance (EHP) model is to guide this CAT research with a theoretical basis. EHP was chosen for its emphasis on the person, environment, and tasks. The person is described in EHP as including their experiences, sensorimotor, cognition, and psychosocial abilities (Dunn et al., 1994). The use of EHP provides a …

Integrating Assistive Technology Into Outpatient Rehabilitation Programs To Increase Independent Living In Older Adults: A Critically Appraised Topic (Cat), Josie Anhorn, Kenadee Eyre, Tiana Griffith

Critically Appraised Topics

In the United States, older adults account for about “16% of the population” (Administration on Aging, 2020, p.5). Older adults are defined as anyone aged 60 and older. There has been a steady increase in the number of older adults living in the United States, and that number is expected to continue growing at a rapid rate as it is predicted that by 2040, older adults will make up approximately “21.6% of the population” (Administration on Aging, 2020, p. 5-6). The majority of this population does not reside in assisted living facilities or nursing homes but instead lives in the …

Invasive Needling Therapy For Myofascial Pain Syndrome, Katelyn Krueger

Physician Assistant Scholarly Project Posters

Myofascial pain syndrome (MPS) is one of the most common musculoskeletal conditions characterized by tight bands of fascia and muscle fibers known as myofascial trigger points (MTrP’s). Empirical evidence suggests that deactivation of MTrP’s is best accomplished with invasive needling therapy such as dry needling, trigger point injections (TPI’s), and botulinum toxin (BTX-A) injections. The objective of this systemic review is to compare the efficacy of various needling therapies on pain intensity and additionally determine if ultrasound guidance and obtaining an LTR improves clinical outcomes. A comprehensive search of five databases including PubMed, Science Direct, Google Scholar, Cochran, and CINHAL …

Cholinergic Antagonist Use And The Risk Of Developing Dementia In Persons Aged 65 Years And Olders, Heidi N. Artz Schmaltz

Physician Assistant Scholarly Project Posters

Anticholinergic medications cause a therapeutic or negative effect in the human body by blocking neuronal cholinergic receptors, thereby inhibiting the binding of acetylcholine in the central nervous system and the peripheral nervous system. These medications have short-term side effects including dry mouth, constipation, visual impairments, or delirium; however, research regarding the long-term side effects is limited. The purpose of this systemic literature review is to determine the correlation between prolonged exposure to anticholinergic medications and the development of dementia. The literature databases PubMed, Cochrane Review, Science Direct (Elsevier), and DynaMed were utilized in this review. Journal articles published within the …

Identifying Occupational Therapy’S Role In The Interprofessional Team For Combating Barriers To Correct Medication Adherence For Older Adults, Megan Berginski, Bryce Graves, Christopher Hernandez

Critically Appraised Topics

Occupational therapy is crucial to the interprofessional team, with a focus on client-centered interventions, a holistic approach to health promotion and prevention and a comprehensive overlook on quality of life. The focus of occupational therapy is to collaborate with clients to find meaningful engagement in occupations to promote participation. The occupational therapist’s perspective on the person holistically marks their contribution to the interprofessional team in order to meet the needs to provide for the client, their families, and their community (Doll & Earland, 2020). Other than occupational therapists, the interdisciplinary team may consist of nurses, pharmacists and caregivers. Nurses are …

The Relationship Between Digit Ratio (2d:4d) And Muscular Fitness: A Systematic Review And Meta-Analysis, Brooke Pasanen

Theses and Dissertations

Background: Digit ratio (2D:4D), a marker of prenatal testosterone exposure, is a weak negative correlate of sports/athletic/fitness performance. While numerous studies have examined the relationship between 2D:4D and physical fitness, there has never been a comprehensive study that has synthesized studies examining relationships between 2D:4D and muscular fitness. Objectives: To systematically review and meta-analyze the relationship between 2D:4D and muscular fitness measured as handgrip strength (HGS). Methods: This study systematically searched five electronic databases, reference lists, topical systematic reviews/meta-analyses, and personal libraries in November 2020. Peer-reviewed, cross-sectional studies that reported Pearson’s correlation coefficients between objectively measured 2D:4D and HGS were …

Charge Nurse Orientation, Angela Zafke

Nursing Capstones

Traditional undergraduate training focuses heavily on clinical skills with minimal emphasis on leadership. In practice, a nurse with clinical prowess is often promoted to the charge nurse position. Taking on the leadership role of a charge nurse can be a stressful experience without proper training and preparation that leads to burnout and turnover. With more experienced nurses facing retirement, now is the time to prepare future nursing leaders. This starts with adequately preparing a nurse to lead within the unit in the charge nurse role. A comprehensive literature review was conducted regarding charge nurse orientation. Charge nurse competencies were not …

The Effects Of Anticholinergics On Mental Health, Michael D. Wagner

Nursing Capstones

No abstract provided.

Screening For Fibromyalgia In Patients With Chronic Widespread Pain, Justus Ongaga

Nursing Capstones

Background: Fibromyalgia has an estimated prevalence of 2% of the United States population, with a greater estimated prevalence among women (3.4%) than with men (0.5%). In addition to widespread pain, fibromyalgia symptoms include fatigue, headache, sleep disturbance, anxiety, depression, memory problems, and numbness/tingling sensations. If the condition remains untreated or is poorly managed, then fibromyalgia can present problems among individuals, families, and communities. The lack in fibromyalgia screening processes at a Midwest Pain Clinic presented opportunity for the project.

Objectives: The purpose of this clinical project was to increase fibromyalgia screening by using the Fibromyalgia Rapid Screening Tool (FiRST) in …

Not A Magic Pill: An Educational Model On Antibiotic Prescribing, Christina Rose Leonard

Nursing Capstones

Background: Inappropriate antibiotic prescribing is common in outpatient settings across the United States. The Centers for Disease Control and Prevention has found in studies that nearly 1 in 3 antibiotics prescribed at outpatient facilities is unnecessary. The misuse and overuse of antibiotics is accelerating the process of antibiotic resistance, as well as causing an increase in adverse events, including death. The literature indicates that knowledge plays a major factor in overprescribing, as well as provider attitude and patient expectations.

Objective: Present clinical practice guidelines to providers within a rural family practice clinic setting aimed at improving antibiotic prescribing. Gather information …

Effect Of Provider Education On Urinary Incontinence Knowledge And Assessment, Kendra L. Roloff

Nursing Capstones

Nearly 50% of women in the United States will experience urinary incontinence at some point during their lives. Urinary incontinence impacts multiple aspects of a woman’s life, yet remains underdiagnosed by primary care providers. The purpose of this project is to implement education and reminders for primary care providers, in order to improve urinary incontinence knowledge and assessment of women 18 years of age or older. The project was carried out in a primary care clinic with primary care providers serving as the participants.

A quasi-experimental one-group pretest-posttest design was utilized. Data from a five question pre- and posttest were …

Improving Palliative Care Utilization Process: An Effort To Enhance Providers` Contribution, Orina Machoka

Nursing Capstones

Worldwide, an estimated 20 million people require palliative care. The Worldwide Palliative Care Alliance has identified the need for palliative care has never been higher and is increasing at a rapid rate due to the world`s aging population, increase in cancer, and noncommunicable disease. Despite the increased need, the palliative care establishment has not been efficient in identifying patients who need palliative care. The use of a standardized screening process to assist in the timely identification of patients with palliative care needs is lacking, or in some cases, non-existent. At a Midwestern pain clinic lack of screening is causing a …

Volume 57, Number 27: February 26, 2020, University Of North Dakota

University Letter Archive

No abstract provided.

Temporal Trends In The Standing Broad Jump Performance Of United States Children And Adolescents, Bridget K. Pinoniemi, Grant R. Tomkinson, Tanis J. Walch, James N. Roemmich, John S. Fitzgerald

Education, Health & Behavior Studies Faculty Publications

Purpose: To estimate temporal trends in broad jump performance for United States youth, a marker of muscular fitness and health.

Method: Electronic databases, topical systematic reviews, and personal libraries were systematically searched for studies reporting descriptive standing broad jump data for apparently healthy United States youth (age 10–17 years). Temporal trends at the sex-age level were estimated using sample-weighted regression models associating the year of testing to mean jump performance, with national trends standardized to the year 1985 using a post-stratified population-weighting procedure.

Results: Collectively, there was a small increase of 12.6 cm (95%CI: 12.5 to 12.7) or 7.9% (95%CI: …

Occupation-Based Education For Fall Prevention In Community-Dwelling Older Adults: A Critically Appraised Topic Paper, Mckenzie Dye, Samantha Hudson, Therese Pettersen

Critically Appraised Topics

Community-dwelling older adults are at a higher risk of falls due to many factors; including their environment and nutritional state. Falls have been described as “unintentionally coming to rest on the ground, floor, or other lower-level” (Buchner et al., 1993 as cited in Chase, Mann, Wasek, & Arbesman, 2012, p. 284). Community-dwelling older adults have been described in this research as individuals who are 65 years or older and who live independently. A rural community, according to the United States Census Bureau (2019) “encompasses all population, housing, and territory not included within an urban area” (para. 3) …

Critically Appraised Topic: Evidence For The Effectiveness Of Implementing Home Modifications To Age In Place, Feyi Adewoye, Michaela Gerving, Ashley Osbjornson

Critically Appraised Topics

Older adults are at an increased risk of falling due to several factors. This is an important topic for occupational therapy practitioners. The purpose of the CAT is to provide evidence to build occupation-based interventions such as home modifications that support the improvement of community-dwelling older adults’ quality of life through engagement in activities of daily living.

Aging In Place: Causes And Importance Of Fall Prevention Education, Molly Banks, Danielle Halstead, Mariah Leroux

Critically Appraised Topics

Falls are a significant concern for older community-dwelling adults’ ability to age in place, specifically those who aged 60 and older. Many factors contribute to the risk of falls in older adults that need to be addressed by health care facilities, home health providers, and caretakers. Occupational therapy has a role to educate older adults, as well as health care providers on how to prevent the risk factors of older adults and falls. The purpose of this CAT is to take a deeper look at why this population has so many falls and examine the research addressing education and risk …

An Allen's Cognitive Levels Training Program For More Comprehensive Interprofessional Care, Ashton Hudspeth, Colton Peltier

Occupational Therapy Capstones

Purpose: The purpose of this product was to create a quick reference guide with a corresponding in-service training to be used by the treatment team within the physical rehabilitative settings in order to address comorbid cognitive diagnoses in a consistent manner.

• 10-30% of all new hospital admissions have been estimated to experience delirium, or a disruption in the person's cognitive abilities (Ahmed, Leurent, & Sampson, 2014)
• Individuals diagnosed with mild cognitive impairment had a 17-39% increase in the rate of hospitalizations (Callahan et al., 2015)
• 20-60% of clients who receive anesthesia for surgery experience delirium or some residual cognitive deficit …

Preoperative Smoking Cessation Education Plan For Patients And Health Care Professionals, Amy Anderson

Nursing Capstones

Surgical site infections are an undesired consequence of surgery. Smoking has been identified as a risk factor for developing a postoperative infection (Anderson, 2019). Patients undergoing elective colorectal surgery should be required to be tobacco-free for at least four weeks before surgery. Health care organizations can implement a preoperative smoking cessation program within their facility to assist patients in achieving this requirement. To do so, an education plan is needed to effectively disseminate the main components of the program to both patients and health care professionals. The efficacy of the education plan can be exponentially increased by selecting learning strategies …

Volume 57, Number 19: December 18, 2019, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 56, Number 47: July 10, 2019, University Of North Dakota

University Letter Archive

No abstract provided.

Und Today: June 2019, University Of North Dakota

UND Today Archive

No abstract provided.

School Of Law Commencement: May 4, 2019, University Of North Dakota

UND Commencement Programs

UND School of Law Commencement program from May 4, 2019.

Long-Term Use Of Metformin And Vitamin B12 Deficiency, Josalyn Joy Grueneich

Nursing Capstones

No abstract provided.

March 7, 2019: Agenda, University Of North Dakota

University Senate Meeting Minutes

Agenda for the March 7, 2019, meeting of the University Senate. 49 pages

Caregiving Study Questionnaires, Nicole Haverstock, Joelle Ruthig, Judith Chipperfield

Psychology Student Publications

This brief survey assessed primary and secondary control strategy use among caregivers of a family member with dementia. Psychological well-being was also measured, including perceived stress, sense of control, life satisfaction, and recent emotions. Finally, sociodemographic information relevant to caregiving was collected.

A Website Designed To Equip Occupational Therapists With Information And Strategies For Holistically Addressing Sexual Activity With The Geriatric Population, Amber Fernandez, Ashleigh Mora

Occupational Therapy Capstones

As individuals age, they are likely to experience occupational deprivation. Occupational deprivation occurs in many forms. Many older adults experience occupational deprivation relating to the activity of daily living, sexual activity. Older adults experience many age-related changes, which impacts their ability to engage in sexual activity. Health care professionals have a responsibility to ensure older adults are able to engage in safe sexual practices. Yet, healthcare professionals, including occupational therapists, are not addressing this need with their clients in a routine manner. A literature review was conducted in order to gain a comprehensive understanding of all the barriers older adults …

Evolution Of Occupational Therapy Practice: Life History Of Joan Rogers, Phd, Otr/L, Faota, Michelle Arnhalt, Ivy Steiger

Oral History Posters

Objective: This qualitative study was to examine the evolution of occupational therapy practice throughout the life history and career of Joan Rogers. The purpose of the study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond.

Method: The Kawa Model guided Semi-structured interview questions. Throughout the interview process, the researchers gained information regarding Joan Roger’s experiences related to gaining her occupational therapy …

Collaborative Physical And Music Therapy Interventions For Impairments Of Chronic Stroke: A Case Study, Jake Leverington, Kelsey Bell

Physical Therapy Scholarly Projects

[Background and Purpose] In the United States, the annual prevalence of stroke is estimated to be 800,000. 1 Following a stroke, physical therapy (PT) interventions aim to help individuals recover from impairments such as muscle weakness and overall functional limitation. Current research supports both physical and music therapy (MT) interventions on an individual basis. The purpose of this case study was to evaluate the effectiveness of combined PT and MT interventions for strength, balance, gait, and functional activity for person following stroke.

[Case Description] The patient is a 50- year-old caucasian female post right cerebral vascular accident (CVA) with left …

Wellness Programming For Men In Long-Term Care, Katie Hautman, Ashley Heinze

Occupational Therapy Capstones

Introduction: The purpose of this project was to develop a wellness guide for staff to implement in long-term care (LTC), to increase participation of meaningful activities and well-being for male residents of all abilities, both physically and psychosocially.

Methodology: A literature review was conducted to understand the need for activities of male residents in LTC. Sources included: online databases, textbooks, and government websites. The Canadian Model of Occupational Performance and Engagement (CMOPE) was selected to direct the development of the program guide. The CMOP-E promotes engagement in occupations and enablement of occupational performance, both of which are important for male …