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Articles 5551 - 5580 of 14365
Full-Text Articles in Entire DC Network
Using Advanced Practice Nurses As Care Managers For Community Dwelling Elders With Chronic Disease, Andrea J. Athmann-Luksik
Using Advanced Practice Nurses As Care Managers For Community Dwelling Elders With Chronic Disease, Andrea J. Athmann-Luksik
Theses and Dissertations
This study looks at the evidence for using Advanced Practice Nurses (APN) as care managers for community-dwelling older adults with chronic disease. A literature review was conducted and twelve articles were reviewed to look at the potential for care management to (a) decrease resource utilization, (b) improve health outcomes, (c) improve quality of care, and ( d) decrease costs. It then summarizes the best practices of transitional and primary care management programs and how these best-practices could be implemented into a policy and procedure with protocols between a tribal IHS service unit and the associated Tribal Health Depart
Culturally Relevant Educational Systems: Their Relationship To Native American Student Achievement, Michelle K. Greseth
Culturally Relevant Educational Systems: Their Relationship To Native American Student Achievement, Michelle K. Greseth
Theses and Dissertations
The purpose of this study was twofold. The first purpose was to analyze the level of culturally responsive practices of South Dakota elementary schools with significant populations of Native American students. A survey was given to 34 elementary school counselors, each of whom served public elementary schools in South Dakota with a significant number of Native American students, to cD'ermine the cultural responsiveness of each participating school. Scores weie determined in each of five domains to show the level of cultural responsiveness in each domain. Weighted risk ratios were calculated from demographic da to determine the participafion rate of Native …
Coping In Parents Of Children Diagnosed With Autism Spectrum Disorders, Gloria A. Ayuck
Coping In Parents Of Children Diagnosed With Autism Spectrum Disorders, Gloria A. Ayuck
Theses and Dissertations
Coping in parents of autistic children has been studied extensively with emphasis on the effect oflong-term disability on families. The increase in the prevalence of autism in the United States increases the likelihood that many families will be managed by midlevel providers including advanced practice nurses (APNs). Parents and siblings of children with ASDs suffer from more stress and mental health issues than families with typically developing children or other disabilities such as Attention Deficit Hyperactivity Disorder (ADHD) and Down syndrome. The purpose of this independent study was to review the literature and practice guidelines examinjng coping in parents of …
Vitamin D And Malignant Melanoma Outcomes, Jenna L. Green
Vitamin D And Malignant Melanoma Outcomes, Jenna L. Green
Theses and Dissertations
Ultraviolet exposure from sunlight and other sources is the major risk factor for the development of malignant melanoma of the skin. Exposure to sunlight is also the main pathway the human body obtains vitamin D. Cell proliferation, differentiation and inhibition is mediated in part by vitamin D, leading researchers to suspect vitamin D has a protective role in various cancers, including melanoma. The purpose of the project was to review the current available literature focusing on the relationship between vitamin D levels and melanoma outcomes. The review of the literature was designed to address the clinical question: What is the …
Resources For Assisting Elderly Individuals With Insomnia: An Occupational Therapy Perspective, Michelle Linn Anderson
Resources For Assisting Elderly Individuals With Insomnia: An Occupational Therapy Perspective, Michelle Linn Anderson
Occupational Therapy Capstones
The purpose of this scholarly project is to provide a resource manual for elderly individuals, and those providing care to elderly people, to assist the individual in relieving symptoms of insomnia. Insomnia affects elderly individuals worldwide. Studies document that approximately 50% of individuals in the United States over the age of 65 are noted to have either clinically diagnosed or self-diagnosed insomnia (National Institute of Neurological Disorders and Stroke, 2007). As the population worldwide continues to age, it is important that occupational therapists, elderly individuals, family members and care providers be aware of the impact that symptoms of insomnia may …
Barriers And Facilitators Of Adolescent Breastfeeding, Darci L. Pelland
Barriers And Facilitators Of Adolescent Breastfeeding, Darci L. Pelland
Theses and Dissertations
Human breast milk is the healthiest form of milk for human babies, which makes breastfeeding beneficial in so many ways. Breastfeeding promotes health for both the mother and infant, helps prevent disease, and reduces health care and feeding costs. With the superior qualities of breast milk becoming better-established in medical literature, breastfeeding rates have increased; however, many adolescents remain unaware of the role of breastfeeding in health promotion and disease prevention. This independent study identifies the barriers to breastfeeding in which adolescents face as well as strategies to facilitate breastfeeding among this population. The methodology includes a comprehensive review of …
Connecting Air Pollution Exposure To Cardiovascular Disease, Alison G. Kaneshiro
Connecting Air Pollution Exposure To Cardiovascular Disease, Alison G. Kaneshiro
Theses and Dissertations
Diseases of the heart are ranked as the number one cause of death for all ages in 2006. Recent evidence supports the co1Telation between the quality of air that is breathed and exacerbation of existing cardiovascular disease. Urban dwellers have higher exposure to pollution. Although the United States Environmental Protection Agency has been updating emissions standards, there are still areas where air quality standards have not been met. These non-attainment areas tend to be located around urban areas. Education related to the importance of decreasing exposure to air pollution and understanding the relationship between exposure and heart disease can impact …
Parental Refusal Of Childhood Immunizations: Strategies From An Anp Perspective, Jaime Mattson
Parental Refusal Of Childhood Immunizations: Strategies From An Anp Perspective, Jaime Mattson
Theses and Dissertations
No abstract provided.
Preventing The Spread Of Infections In Patients' Homes: What Is The Best Evidence?, Julie Ferry
Preventing The Spread Of Infections In Patients' Homes: What Is The Best Evidence?, Julie Ferry
Theses and Dissertations
Nurses need evidence-based practices to prevent the spread of infections in patients' homes. Nursing equipment must be cleaned and disinfected properly between patients and proper hand hygiene should be done to decrease health-care associated infections in the home and community setting. A review and synthesis of the most current literature was done by searching the Cumulative Index to Nursing and Allied Health literature (CINAHL), Cochrane Database, Google Scholar™ and Google™ databases. Key words include infection control, home visits, public health, cleaning, home health, equipment, disinfectants and combinations of those words. Tools were created for dissemination to nurses providing care in …
Communication Barriers Between Providers And Parents Of Adhd Adolescent Patients Who Use Complementary And Alternative Medicine, Angela Sietz
Theses and Dissertations
There is increased use of complementary and alternative medicine (CAM) to treat attention deficit hyperactivity disorder (ADHD) symptoms in children and adolescents. Some of the most common types of CAM used in ADHD include: modified diet, vitamins/and or minerals, dietary supplements, aromatherapy and chiropractic care. Many parents/patients do not share their use of CAM with their provider. This inadequate communication between parents and health care providers can be dangerous. This paper addresses the prevalence of ADHD, the types of CAM being used and discusses evidence in support of these therapies. Communication between patients and providers regarding the use of CAM …
Reducing Obstetrical Nurse Liability Related To Documentation, Brenda Henriksen
Reducing Obstetrical Nurse Liability Related To Documentation, Brenda Henriksen
Theses and Dissertations
No abstract provided.
The Benefits Of Vitamin D Supplementation In Postmenopausal Women With Osteoporosis, Kelly Leiphon
The Benefits Of Vitamin D Supplementation In Postmenopausal Women With Osteoporosis, Kelly Leiphon
Theses and Dissertations
No abstract provided.
Journaling As Grief Support For Parents Who Have Experienced A Stillbirth, Michelle K. Millam
Journaling As Grief Support For Parents Who Have Experienced A Stillbirth, Michelle K. Millam
Theses and Dissertations
No abstract provided.
Evidence-Base Practice: Screening For Depression And Suicidality In High Functioning Autistic Spectrum Disorder Adolescents, Jennifer A. Durward
Evidence-Base Practice: Screening For Depression And Suicidality In High Functioning Autistic Spectrum Disorder Adolescents, Jennifer A. Durward
Theses and Dissertations
Research regarding assessing for suicide and depression in high-functioning autistic spectrum disorders (HFASDs) is very limited. An extensive literature review focusing on HFASDs was conducted, which resulted in adolescents with HFASDs are likely to experience depression and suicidality compared to those who are neurotypical or those not diagnosed with an autistic spectrum disorder (ASD) because of limited social and communication skills. These deficits put these individuals at risk for depression, therefore, suicidality. PubMed, SCOPUS, PsychiatryOnline. and Cumulative Index to Nursing and Allied Health Literature (C1NAHL) were used to research information for this independent study. Implications for psychiatric nurse practitioners and …
Theory-Derived Approaches To Behavioral And Psychological Symptoms Of Dementia, Bethany Speece
Theory-Derived Approaches To Behavioral And Psychological Symptoms Of Dementia, Bethany Speece
Theses and Dissertations
As the world's population ages, the prevalence of Alzheimer's disease and other conditions that cause dementia is expected to increase. Although there is some awareness of the dangers of psychotropic drugs used to address behavioral and psychological symptoms of dementia, all too often these agents continue to be used as first-line treatment. Nurses need to be cognizant of safer, efficacious, holistic nonpharmacological approaches and utilize these in an individualized, systematic manner. Two mid-range nursing theories, the Need-Driven Dementia-Compromised Behavior model and the Progressively Lowered Stress Threshold model, provide conceptual frameworks for nonpharmacological interventions. This paper examines these models and describes …
The Effectiveness Of Using Non-Pharmacological Interventions In Managing Behavioral And Psychological Symptoms Of Dementia (Bpsd) In Long Term Care Facilities, Sandra J. Holmgren
The Effectiveness Of Using Non-Pharmacological Interventions In Managing Behavioral And Psychological Symptoms Of Dementia (Bpsd) In Long Term Care Facilities, Sandra J. Holmgren
Theses and Dissertations
Neuropsychiatric symptoms such as aggression, agitation, anxiety, mood disorders, and psychosis are frequently associated with the diagnosis of dementia (Schneder, Dagennan, & lnsel, 2005; Wand et al., 2005; Zee & Burkett, 2008). These tenns have been grouped together under the term 'behavioral and psychological symptoms of dementia' (BPSD) by the International Psychogeriatiic Association (Douglas, James, & Ballard, 2004). Neuropsychiatric symptoms are often reasons for institutionalization in nursing homes due to increased burden and stress on the caregiver (Douglas, James & Clive, 2004; Murman et al, 2002). As the elderly population continues to grow, dementia and its related symptoms will remain …
Understanding The Effects Hemoglobin And Its Optimal Range In Chronic Kidney Disease Patients, Huyen Buegel
Understanding The Effects Hemoglobin And Its Optimal Range In Chronic Kidney Disease Patients, Huyen Buegel
Theses and Dissertations
Chronic Kidney Disease (CKD) patients are prone to having many health complications as a consequence of kidney failure. Anemia (low hemoglobin) is one of the most common complications occurring to chronic kidney disease patients. Anemia can cause fatigue, cardiovascular disease, reduced physical capacity and energy level, worsen quality of life, and even death (Singh, 2008). On the other hand, high Hgb level or over correction of Hgb may be harmful and can lead to arteriovenous access thrombosis, stroke, hypertension, and cardiovascular risk factors (Singh et al., 2007). The effects of Hgb vary and the debate over its optimal level in …
Assessment Of Pain In The Older Adult With Dementia, Helen Laferriere
Assessment Of Pain In The Older Adult With Dementia, Helen Laferriere
Theses and Dissertations
Pain is common in the older adult as they continue to age regardless of their cognitive ability. Whether the older adult resides in the community, in a nursing facility or is hospitalized, pain is prevalent in this population. The assessment and management of pain in the older adult with cognitive impairment is a challenge for those in healthcare. Based on the severity of the dementia, the older adult may not be able to verbalize or describe their pain. Therefore, it is vital that healthcare providers are able to identify pain in this population. Observational assessment scales, such as the Abbey …
When The Arts Peoples Left: Causes And Consequences Of The Elimination Of A Music Degree, Beth G. Klingenstein
When The Arts Peoples Left: Causes And Consequences Of The Elimination Of A Music Degree, Beth G. Klingenstein
Theses and Dissertations
In economically challenging times, institutions of higher education are often forced to make cuts that would not be considered during times of prosperity. If one such decision is to eliminate the music degree, what factors might contribute to such a decision and what repercussions might be felt after it? How do faculty, administrators, alumni, and members of the campus's host community view the decision? What are the town and gown consequences after the degree is gone? What impact will such retrenchment have on campus and community culture? This case study researches a small, Midwestern university and its host community before, …
The Essential Characteristics Of Academic Advisors, Mary L. Ward
The Essential Characteristics Of Academic Advisors, Mary L. Ward
Theses and Dissertations
What started as an activity valued for its oversight, the work of academic advisors have become a means leading to other ends, such as retention, student engagement, student satisfaction, persistence, and time to degree. The purpose of this research was to identify the essential characteristics of academic advisors; this was achieved by asking a Delphic panel of academic advising experts to identify these characteristics. Academic advisor primary responsibilities include but are not limited to academic advising on general education requirements, serving as a liaison between academic units, and maintaining academic records (Tuttle, 2000). In the process of doing these things …
Modern Airline Pilots Quandary : Standard Operating Procedures -- To Comply Or Not To Comply, Carrie Giles
Modern Airline Pilots Quandary : Standard Operating Procedures -- To Comply Or Not To Comply, Carrie Giles
Theses and Dissertations
Modern airline pilots are tasked every flight with the safe and efficient operation of highly automated airliners in today’s complicated global and economic environments. Airlines have developed standard operating procedures (SOP) for normal, abnormal, and emergency operations. These procedures serve as a script for crews to follow. These procedures are designed by airlines to ensure that aircraft are operated in the (1) most safe, (2) most efficient, and (3) most on-time manner. For the most part pilots will comply with SOP, but when they (1) don’t agree with SOP, (2) don’t understand SOP or the risks associated with not complying …
Implementation Of An Exercise Program In Assisted Living, Cherise A. Norby
Implementation Of An Exercise Program In Assisted Living, Cherise A. Norby
Theses and Dissertations
Assisted living facilities are increasingly becoming a popular option for aging individuals. One thing found lacking in these facilities is a structured exercise program. In a review of literature, it was found that strength training programs have resulted in an improvement in elders' functional performance. It has been shown that an older adult can successfully perform strength training exercises. Strength training exercises can add muscle, increase strength, and enhance the elders' flexibility. This improved functional performance plays a significant role in the elders' ability to maintain their independence with ADLs (activities of daily living), which may result in a better …
Benefits Of Integrating Interdisciplinary High Fidelity Simulation Into Nurse Practitioner Graduate Programs And Continuing Education Courses: Patient Safety, Ann L. Mason
Theses and Dissertations
Today's health care environment is changing quickly with advancement in teclmology and complexity of patient care management. As a result, many universities and health care facilities are integrating the use of high fidelity simulation into their curriculum to increase patient safety with the evidence of 35 years of success from other disciplines such as the military and aviation. Evidence of positive outcomes with use of high fidelity simulation is emerging and includes improved interdisciplinary interaction, enhanced critical thinking, self efficacy and overall increased patient safety in a nonthreatening enviro1m1ent. These findings are innovative and should be disseminated to nurse practitioners …
Distance Delivered Mental Health: Diagnostic Accuracy, User Satisfaction, Cost Effectiveness And Barriers To Implementation, Jessica K. Graham Steinhauer
Distance Delivered Mental Health: Diagnostic Accuracy, User Satisfaction, Cost Effectiveness And Barriers To Implementation, Jessica K. Graham Steinhauer
Theses and Dissertations
No abstract provided.
Volume 48, Number 36: April 27, 2011, University Of North Dakota
Volume 48, Number 36: April 27, 2011, University Of North Dakota
University Letter Archive
No abstract provided.
Volume 48, Number 35: April 20, 2011, University Of North Dakota
Volume 48, Number 35: April 20, 2011, University Of North Dakota
University Letter Archive
No abstract provided.
Volume 48, Number 34: April 13, 2011, University Of North Dakota
Volume 48, Number 34: April 13, 2011, University Of North Dakota
University Letter Archive
No abstract provided.
Necessary But Not Sufficient: The North Dakota School Counselor Designate Credential, Carolyn Schwenke Delorme
Necessary But Not Sufficient: The North Dakota School Counselor Designate Credential, Carolyn Schwenke Delorme
Theses and Dissertations
More than two dozen North Dakota K-12 schools begin each academic year with a school counselor designate because of state mandates for services in each building and a lack of qualified applicants to provide these services. School counselor designates are individuals who hold a North Dakota professional educator's license, have completed a minimum of sixteen graduate credits in school counseling from a state-approved program, and who have obtained a favorable letter of recommendation from the counselor designee's program of study advisor to begin practice in their respective building. Designates have traditionally come from the ranks of classroom teachers already working …
Translocation Effects Of Lcrv Extracellular Surface Residues And Regulation Of Lcrg Binding To The T3ss Of Yersinia Pestis, Thomas A. Henderson
Translocation Effects Of Lcrv Extracellular Surface Residues And Regulation Of Lcrg Binding To The T3ss Of Yersinia Pestis, Thomas A. Henderson
Theses and Dissertations
Yersinia pestis, the etiological agent of the plague, immobilizes the host's innate immune response by translocating proteins called Yops (Yersinia outer proteins) into the eukaryotic cytoplasm using a type III secretion system (T3SS) injectisome known as the Yersinia secretion complex (Ysc). The T3SS injectisome, in many ways, resembles a hypodermic needle, composed of oligomeric rings with distinct areas responsible for different functions and many of these areas share homology to the flagellar T3SS basal body inner and outer membrane rings. Starting with the cytoplasmic region of the inner membrane known as the C-ring, this is an area where secretion is …
Predictors Of Communication Delay In Children In The North Dakota Right Track Program, Carol A. Johnson
Predictors Of Communication Delay In Children In The North Dakota Right Track Program, Carol A. Johnson
Theses and Dissertations
Communication delays in infants and toddlers are significantly under- identified, prohibiting early intervention for many children and their families who might benefit from services. Recognizing communication delays early in life is critical for appropriate brain development to allow children to reach their potential. Researchers have sought to identify earlier and more accurate predictors of delays in communication development. Current approaches to the early identification of young children at risk for communication delay are not sufficiently sensitive to detect early stages of communication delay in all cases. There is a need to develop more sensitive methods for the early detection of …