Digital Commons Network^™

Mood Stabilizers Vs Stimulants For The Management Of Attention-Deficit/Hyperactivity Disorder And Comorbidity Bipolar Disorder, Karina Van Slyke

Physician Assistant Scholarly Project Papers

BD and ADHD share a lot of similar symptoms such as comorbidities, age of onset, chronic, enduring course of illness with interference of vocational, educational, and developmental milestones. There is immense challenge when it comes to differentiating these disorders due to significant overlap and variable courses of psychopathology in children. Providers need to be aware of the medications that are beneficial for each condition separately and which medications can benefit both conditions. Mood stabilizers are commonly used in bipolar disorder while stimulants are a common treatment for ADHD. A literature review was performed using search databases such as PubMed to …

Monoclonal Antibodies Vs. Symptomatic Treatment Of Hospitalized Patients With Covid-19, Robert White

Physician Assistant Scholarly Project Papers

The SARS-CoV-2 virus, or COVID-19, was the virus responsible for the worldwide pandemic declared in March, 2020. Individuals can experience a wide variety of symptoms ranging from fever, fatigue, cough, and, in more severe cases, hypoxia requiring invasive mechanical ventilation (IMV). Until recently, symptomatic care was the protocol for patients infected with COVID-19. The use of oxygen for mild hypoxia and antipyretics for fevers was considered the standard of care (SOC). The use of antiviral medications, such as monoclonal antibodies, has been proposed in the treatment of acute COVID-19 infection. The purpose of this literature review is to determine if …

Comparing The Efficacy Of Heart-Conserving Measures And Retransplantation For Chronic Rejection In The Pediatric Population, Lacey Zeiszler

Physician Assistant Scholarly Project Papers

Coronary allograft vasculopathy (CAV) is the leading cause of morbidity and mortality among pediatric heart transplant recipients and faces unsuccessful treatment for prevention and management. Post-transplant immunosuppressive therapy has been modified over the years to determine the most effective regimen for rejection. Tacrolimus has been the superior immunosuppressant used for rejection since the early 2000s. It has been shown to have substantial immunosuppressive effects, least number of adverse effects, and decreased comorbidities compared to other regimens. Despite these advantages, CAV is still prevalent. Heart retransplantation is currently the only curative treatment. Google Scholar, PubMed, ClinicalKey, ScienceDirect, Elsevier, Wiley Online Library, …

Statin Therapy Vs. Plant-Based Diet For Reduction Of Plaque Burden In Coronary Artery Disease, Molly Zak

Physician Assistant Scholarly Project Papers

Coronary artery disease is one of the most common chronic health conditions to affect adults in the United States, with heart disease being the leading cause of death. Contributing factors include high prevalence of processed foods containing saturated fats, low fiber diets and poor overall nutrition, and physical inactivity. These practices increase risk of low-density lipoprotein cholesterol (LDL-C) plaque buildup and calcification within arteries that supply the heart, leading to decreased blood flow and subsequent oxygen supply. Treatment for coronary artery disease has traditionally been dominated by HMG CoA-reductase inhibitors, or statins. These medications are more effective than the alternative …

Premenstrual Dysphoric Disorder/Premenstrual Syndrome Luteal Phase Treatment, Shelby Gawarecki

Physician Assistant Scholarly Project Papers

Many women suffer from PMS/PMDD symptoms that affect their emotional and physical wellbeing. This research aimed to compare luteal phase treatment options for PMS/PMDD, such as SSRIs, progesterone, and sepranolone. The research was conducted using electronic search databases PubMed, Embase, CINHAL, Access Medicine, Cochrane Library, and NaProTECHNOLOGY Creighton Model FertilityCare System. Studies used in this research were found using keyword and MESH search terms. Each reviewed study was peer-reviewed, including randomized control trials or a meta-analysis. Among the treatments analyzed, SSRIs emerged as a consistent primary treatment for symptom alleviation, particularly in addressing cognitive symptoms associated with PMS/PMDD. SSRIs, at …

Lifestyle Changes And Medication Vs. Medication Alone: Symptom Control Of Parkinson Disease, Rachel Duncan

Physician Assistant Scholarly Project Papers

Parkinson disease is multifactorial, and predominantly affects the geriatric population. The mainstay of treatment for patients diagnosed with Parkinson disease is currently symptomatic treatment with dopamine replacement. The goal of this literature review is to identify possible lifestyle modifications that can delay progression of the disease or help prolong OFF time of symptoms. Lifestyle modification predominantly considered during this review included diet and physical activity. Included in the study were MIND, Mediterranean, and DASH diets. Considering the role of medication in this disease levodopa, dopamine agonists, monoamine oxidase B inhibitors and the addition of ropinirole to levodopa and their efficacy …

Comparison Of Platelet-Rich Plasma Injections And Hyaluronic Acid Injections In The Treatment Of Knee Osteoarthritis, Isaac Knutson

Physician Assistant Scholarly Project Papers

Osteoarthritis is one of the most common diseases that people can suffer from in today’s society. This degenerative disease can affect any of the body’s joints, but is most common in the knees, hands and spine. Osteoarthritis occurs when the protective cartilage that covers the ends of bones in joints wears down. This lack of protective cartilage leads to the bones grinding on each other causing loss of range of motion, pain, and limited function. This review studied the effects of two specific treatments for knee osteoarthritis: platelet-rich plasma injections and hyaluronic acid injections. Both of these treatments can be …

The Efficacy Of Probiotic Use In Patients With Anxiety And Depression, Joanna Mcclelland

Physician Assistant Scholarly Project Papers

Given the impact of mental health disorders such as anxiety and depression, it is helpful to know the available resources and treatment options to offer patients to aid in the modulation of symptoms. The gut-brain connection has become more widely researched for its impacts on anxiety and depression. This bodes the question that if the gut microbiome can be altered, would there be a decrease in symptoms of anxiety and depression as a result? One way to alter gut microbiome is to implement a probiotic. To determine if this is an effective treatment option for anxiety and depression, a literature …

Patient Outcomes With Tele-Emergency Medicine Services In Rural Areas, Andrea Rieder

Physician Assistant Scholarly Project Papers

The purpose of this literature review was to examine patient outcomes with the use of teleemergency medicine. Tele-emergency medicine serves as a tool to expand the healthcare team in rural facilities by connecting them with specialized providers, typically via video conference call, for assistance in surge or low-staff situations, or for guidance in more complicated cases that rural providers might typically transfer to a larger hospital. A benefit of adopting a teleemergency medicine service is that it can shorten time to care and reduce the need for transfers, thereby reducing associated costs. The question arises as to whether patient outcomes …

The Effect Of Exercise On Gestational Weight Gain And Diabetes Risk In Women Of Elevated Bmi, Lauren Staton

Physician Assistant Scholarly Project Papers

Maternal obesity is a risk factor that may increase the likelihood of adverse outcomes during pregnancy such as excessive weight gain, gestational diabetes, macrosomia, and cesarean delivery. As obesity has become a more prevalent diagnosis, the healthcare field is begining to see its effects on an abundance of patient profiles, including pregnant women. In the primary care setting, providers are the source of information for patients as to what healthy weight gain during pregnancy looks like. By implementing recommendations for exercise throughout gestation, excessive weight gain and its associated adverse outcomes may decrease in frequency. This literature review examines the …

Effects Of Probiotic Supplementation On Pcos Outcomes, Allison Stoeffler

Physician Assistant Scholarly Project Papers

Polycystic ovarian syndrome (PCOS) is a multifactorial metabolic, endocrinologic, and gynecologic condition affecting up to 5 million women in the United States. It is a disease characterized by oligo- or anovulation, hyperandrogenism, and/or polycystic ovaries. Phenotypic presentation can include irregular menstrual cycles, obesity, hirsutism, insulin resistance, or difficulty conceiving. If untreated, PCOS can result in a sequelae of chronic disease burden. Current standard of care consists of metformin for blood sugar control, oral contraceptives for menstrual regularity, and spironolactone for androgen imbalance, but newer research is identifying gut dysbiosis as a possible contributing etiology to disease development and symptomology. This …

Efficacy Of Complimentary Manual Therapies For Labor Pain Management, Emily Yenter

Physician Assistant Scholarly Project Papers

Labor and delivery pain is commonly considered to be the most pain a woman will ever experience. Options for pain control during labor include pharmacological and nonpharmacological. The purpose of this systematic literature is to determine if complementary manual therapies such as massage therapy, acupressure, and reflexology are effective nonpharmacologic management tools for labor pain. The electronic databases PubMed and ClinicalKey were searched, and the ten studies chosen for this review were randomized controlled trials published within the past ten years. Current research provides significant data supporting these three complementary modalities as effective nonpharmacologic management tools to control labor pain. …

Expecting Better When You’Re Expecting: Empowering Mothers Through Occupational Therapy, Ann K. Landreville

Occupational Therapy Capstones

The maternal health crisis of the United States presents an opportunity to improve the level of care provided to the maternal population. A new standard of care must be established, going beyond decreasing maternal mortality and morbidity rates, but instead working to promote the health and well-being of mothers. While many well-recognized health professionals currently play a role on the interdisciplinary care team for postpartum mothers, occupational therapists are emerging in this field, proving they have a vital role in providing services that addresses the current gap in care. Many professions largely address physical health; occupational therapists have a holistic …

Sensory Home Programming Handouts, Taylor Ann Koopmeiners

Occupational Therapy Capstones

Background: Sensory processing is the way the brain and nervous system receive sensory information (Star Institute, 2023). When there are difficulties with processing sensory information, it is called Sensory Processing Disorder (SPD). Consequently, the inability to process sensory input results in affected motor and behavioral responses (Star Institute, 2023. This creates difficulty in participating in necessary tasks such as activities of daily living (ADLs), social participation, and school (Lane et al., 2019; Star Institute, 2023). Occupational therapists address these challenges by providing sensory activities in therapeutic sessions and as part of home programming (Gabriele, 2020). The goal of this scholarly …

An Occupational Therapy Approach To The Cumulative Trauma Disorder Of Trigger Finger: A Case Report, Makenzie Lynn Kroupa

Occupational Therapy Capstones

Background: The purpose of this product is to focus on furthering exposure to cumulative trauma disorder (CTD) of the upper extremity (UE) through the development of a case report. This will further explore treatment methods, therapy progression, and management for diagnoses that are associated with repetition and the overuse of the UE. The client of focus possesses the UE CTD of trigger finger as the primary diagnosis but has several concurrent conditions. This increases the complexity of the case since the client must navigate the symptomatology of UE CTDs to engage in occupational performance.

Case Presentation: The client was selected …

Bridges To Bright Beginnings: A Resource Guide For Caregivers Of Infants Diagnosed With Neonatal Abstinence Syndrome (Nas), Makayla E. Murden

Occupational Therapy Capstones

Background Neonatal abstinence syndrome (NAS) is a condition that happens in newborn babies who were exposed to illicit substances or opiates while in the womb. The baby becomes dependent on the substances and will experience withdrawal symptoms after birth. Between 2010 and 2017, NAS births increased by 131%. Approximately 6.6% of pregnant women admitted to using prescription opioids, of which 21.2% acknowledged misuse. A significant portion (31.9%) of these women reported not receiving information on the potential effects of opioid use on their unborn baby. Infants exposed to opioids in utero are at higher risk of Neonatal Intensive Care Unit …

An Occupational Therapy Program For First Responders Facing Trauma Fatigue And Work-Related Stressors Using Equine Facilitated Approaches, Kady Locke

Occupational Therapy Capstones

The proposed program is a mental health program, targeting meaningful daily occupations for the population of first responders facing trauma fatigue and antecedents of posttraumatic stress disorder symptoms related to stress from work. For individuals who serve as first responders, there is significant prevalence for trauma exposure, leading to trauma fatigue due to events encountered on the job. Mazur and Collins (2023) found that 80% of police and first responders experience traumatic events on the job and that 25% have experienced suicidal ideation due to impacts of trauma exposure. There is a lack of professional mental health services supporting this …

Promoting Independence In An Existing Cancer Survivorship Program: Adaptive Equipment And Intimacy & Sexuality, Bailee Scheer

Occupational Therapy Capstones

Purpose: The purpose of this project was to create educational materials for cancer survivors and their caregivers/families on the topics of adaptive equipment and intimacy/sexuality. A person is considered a cancer survivor at any point after receiving a cancer diagnosis, regardless of what stage they are at in their course of treatment (American Cancer Society, 2024). The rate of cancer survivors within the United States has grown drastically over the past several years, due to advances in treatment and early detection (Cronin et al., 2022). Cancer survivors experience many changing side effects during and after treatment that influence the way …

An Interdisciplinary Approach To Fall Prevention In Rural Health, Casidi Pullar

Occupational Therapy Capstones

Background: Hospital-acquired falls can lead to severe injuries and complications, posing significant challenges for patient safety and the healthcare facility (Agency for Healthcare Research and Quality, 2023). Healthcare workers in rural, Critical Access Hospitals often handle a wide range of responsibilities due to the smaller staff size, limited resources, and difficulty retaining or recruiting staff due to the remote location, typically resulting in fall prevention being less prioritized (Abelsen et al., 2020; Agency for Healthcare Research and Quality, 2023). Addressing patient safety and fall prevention strategies is an organizational and systemic challenge that requires evidence-based education and an interdisciplinary team …

Exploring Postpartum Care: A Guide For Mothers, Amber Joy Matlock

Occupational Therapy Capstones

Title: Exploring Postpartum Care: A Guide for Mothers

Background: Thousands of babies are born in hospitals each year. Before being discharged home from the hospital, mothers receive education from interprofessional team members about their infant’s care, but there is a lack of information and education provided to mothers about their care and postpartum recovery. Without having adequate information on a mother’s recovery, there is an increased risk for poor maternal outcomes to occur during the postpartum journey. Maternal health is an emerging practice area for occupational therapy practitioners; the population is within the scope of practice for the profession. Currently, …

Providing Occupation-Based Mental Health Care For Lgbtq+ Youth Through Telehealth Service Delivery, Hannah Leisenheimer

Occupational Therapy Capstones

Purpose A significant percentage of lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) youth in the United States report experiencing serious mental health concerns, yet they face major challenges when it comes to seeking out and receiving mental health care (The Trevor Project, 2022). As a result of the COVID-19 pandemic and rapidly expanding technologies, telehealth services have become a norm in the healthcare field (Centers for Disease Control and Prevention, 2022; Whaley & McBain, 2023). However, there is a lack of evidence on how to incorporate meaningful, occupation-based interventions to address these mental health needs into telehealth services …

The Distinct Role: A Toolkit To Promote Occupational Therapy Services For Palliative Care Patients In Acute Care Hospitals, Kailey Ann Squier

Occupational Therapy Capstones

Purpose: Each year, 56.8 million people receive palliative care services and experience significant impacts overall quality of life. Occupational therapy is well-equipped to maximize engagement in meaningful activities and improve overall quality of life for this population. Despite evidence supporting the unique value of OT, it has had many barriers limiting the ability to expand into palliative care effectively. There is a need to provide education and increase resources to occupational therapy practitioners (OTPs) in palliative care. The purpose of this scholarly project was to increase the understanding of OTs’ role in palliative care and promote increased OT services within …

Breaking The Barrier To Leisure Engagement In Long-Term Care Facilities To Enhance Residents’ Health, Well-Being, And Quality Of Life, Callie M. Kleindl

Occupational Therapy Capstones

Title: Breaking the Barrier to Leisure Engagement in Long-Term Care Facilities to Enhance Residents’ Health, Well-being, and Quality of Life

Purpose: The purpose of this scholarly project was to promote leisure engagement for residents with dementia in long-term care (LTC) facilities to enhance their overall health, well-being, and quality of life (QOL).

Methodology: A thorough literature review supported the need for increased leisure engagement in LTC facilities for residents with dementia. Chronic conditions, such as dementia, impact a resident’s ability to engage in meaningful occupations which leads to occupational deprivation. In addition, a decline in leisure engagement has been found …

Increasing Success For Children With Sensory Processing Difficulties: Education And Support For Individuals Working With Children In Community Settings, Alyssia D. Pucel

Occupational Therapy Capstones

Integration into community settings with limited ability to control one’s exposure to sensory stimuli is often challenging for children with sensory processing difficulties (Isamel et al., 2018). To self-regulate, children often exhibit behaviors that appear to others as abnormal or inappropriate to the expectations within the social environment but are out of the child’s control (Brown et al., 2019). Individuals who do not know about sensory processing may respond to the behavior in a way that is unsupportive to the child’s sensory needs and overall daily functioning. To advocate for children in natural community contexts, Success with Sensory provides individuals …

Addressing Health Care Needs Of Farmers In Rural Areas Through The Lens Of Occupational Therapy, Josie Lynn Huot

Occupational Therapy Capstones

Title: Addressing Health Care Needs of Farmers in Rural Areas through the Lens of Occupational Therapy

Background: Over three million farmers and farm laborers across the United States (U.S.) perform one of the most essential careers to support human life (Hildebrand et al., 2019; USDA, 2020). Farming is considered a highly dangerous job, putting farmers at risk for numerous health concerns, with a high prevalence of musculoskeletal injuries (Fethke et al., 2015; Hildebrand et al., 2019). Low back pain is a leading source of musculoskeletal pain, closely followed by neck pain, both of which are associated with the spine (Davis …

Toolkit For Teachers Who Have Students Who Have Experiences Aces: An Occupational Therapy Guide, Abigail Kasper

Occupational Therapy Capstones

Background: Individuals who experience trauma are at a higher risk of experiencing decreased occupational performance, specifically in education. Students are more likely to have decreased emotional and sensory regulation, decreased attention, problem-solving, and social skills, and struggle to transition between activities (Bhsushan, 2021; Fraser et al., 2019; Goddard, 2021; Whiting, 2018). These difficulties can create barriers to participating and succeeding in education. In addition to experiencing barriers while engaging in school, trauma can also result in an increased risk of experiencing long-term health impacts, such as heart disease, obesity, depression, hypertension, and other chronic conditions (Bhushan, 2021; Centers for Disease …

An Intergenerational Program Approach To Support Successful Aging And Decrease Social Isolation In Nursing Home Residents, Mariah Herring

Occupational Therapy Capstones

Purpose As older adults transition to nursing facilities, their involvement in community activities diminishes, impacting their physical health, cognitive abilities, and social engagement (Lowry et al., 2012; Serrat-Graboleda et al., 2010). Evidence suggests that utilizing intergenerational programs in nursing facilities can effectively reduce social isolation, enhance quality of life for residents, and support academics and social skills in preschool students (Gustavsson, 2015; Lowry et al., 2012; Mondaca et al., 2018; Pillemer et al., 2022; Tak et al., 2015). This scholarly project aims to support successful aging and decrease social isolation in nursing facilities through the development of occupation-based psychomotor activities …

Primary Reflex Testing And Integration Guide For Parents And Providers, Abby Jessen

Occupational Therapy Capstones

Purpose: Parents are often unaware of the signs and characteristics of retained reflexes making it difficult to identify if there is a problem (Grigg et al., 2018). Once a problem is identified parents are frequently uninformed of the effects primary reflexes can have on a child’s development and how to foster integration (Grigg et al., 2018). Therefore, demonstrating a need for parent and provider education to support reflex integration amongst the pediatric population. The purpose of this project was to educate parents and providers on retained primary reflexes in children ages four to 11.

Methods: Prior to the start of …

Sensory Toolkit For Childcare Providers And Parents Of Children In The Daycare Setting, Cierra Marie Jacobson

Occupational Therapy Capstones

Title: Sensory Toolkit for Childcare Providers and Parents of Children in the Daycare Setting

Purpose: Around 62% of children in the United States receive care from care-based centers (U.S Department of Education, National Center for Education Statistic [NCES], (2021). Of the children in daycare, about 41% attend for 35 or more hours a week (Capizzano & Adams, 2000). The children’s environment within a daycare provides several sensory experiences that can both support and hinder their success in their daily occupations. When sensory needs are unmet, undesired behaviors can occur and impact their performance in daily occupations (Bodison & Parham, 2017). …

The Virtual Therapist: An Occupational Therapy Practitioner’S Guide To Telehealth Service Delivery In Pediatrics, Jossette Hannah M. Gianan

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to improve the telehealth competency and confidence of occupational therapy practitioners working in pediatrics through the use of a quick reference resource guide.

Methodology: The development of The Virtual Therapist: An Occupational Therapy Practitioner’s Guide to Telehealth Service Delivery in Pediatrics was guided by the concepts found in the Ecology of Human Performance model (Dunn, 2017). The concepts of person, context, and task were used in the overall creation of the guide, while the five intervention strategies outlined in the model were used in the creation of the intervention plan section. A …