Digital Commons Network^™

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, …

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 …

Occupational Therapy Intervention To Promote Rest And Its Role In Inpatient Rehabilitation Recovery, Kjerstin Drugan

Occupational Therapy Capstones

Background: Insufficient sleep is a public health epidemic that affects 10-30% of the population, impacts brain functioning, mood, attention, memory, and healing (CDC, 2015) and increases the likelihood of serious medical conditions such as diabetes, high blood pressure, and heart disease (Ho & Sui, 2018). The rate of sleep difficulties increases to 47-67% in the hospitalized population (Miller et al., 2019). According to Poole et al. (2022), 98% of occupational therapists reported believing that sleep assessment and intervention are important in rehabilitation, but less than 25% implemented any intervention. The physical effects and stress of illness and the inpatient rehabilitation …

Nature-Based Therapy Supporting Veterans With Mental Health Difficulties, Kaitlyne Dittberner

Occupational Therapy Capstones

Background: Using nature has been linked to improvements in well-being for individuals with depression, anxiety, and post-traumatic stress disorder (Bettmann et al., 2019). Combining nature with physical activity can increase feelings of revitalization, positive engagement, and energy with decreased feelings of tension, confusion, anger, and depression (Coon et al., 2011). Group-based activities for veterans can assist with the reintegration process back into the community as combat veterans value connections with like peers (Hawkins et al., 2016). Occupational therapy practitioners have the skills to analyze activities to make accommodations to allow veterans to be successful in the occupations in the nature-based …

Supporting Clients And Caregivers Of Full-Time Wheelchair Users At Risk For Pressure Injuries, Jessica Lynn Wetzel

Occupational Therapy Capstones

Title: Supporting Clients and Caregivers of Full-Time Wheelchair Users at Risk for Pressure Injuries

Purpose: Wheelchair users are classified as a population at a great risk for developing pressure injuries due to their decreased sensation and extensive time seated on bony prominences (Mervis & Phillips, 2023). Affecting around three million adults each year in the United States alone, the number of pressure injuries is a cause for concern (Mervis & Phillips, 2023). More severe pressure injuries can cause sedentary lifestyles, further leading to occupational deprivation of the individual experiencing them. Although there are many strategies to prevent pressure injury formation, …

An Occupational Therapy Approach To Chronic Condition Self-Management, Makayla Marie Tucker

Occupational Therapy Capstones

Background Chronic health conditions often lead to decreased engagement in valued occupations, habits, roles, and routines secondary to the effects of the diagnosis (Lorig et al., 2020). This community project aims to explore occupation-based intervention approaches to assist adults in self-managing their chronic conditions. Additionally, the project aims to fill the gap in healthcare to improve healthcare professionals’ collaboration to improve clients’ health outcomes. Occupational therapy’s role in health management may include developing habits and management strategies for nutrition, physical activity, medications, stress and coping, and improving social skills for problem solving and communication. A literature review and informal interviews …

Enhancing The Service Delivery For Adolescents Using The Mental Health Continuum Through Occupational Therapy, Jadalyn Lane Wagner

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to understand how occupational therapy services can enhance the quality of mental health services for adolescents and across the life span. The materials developed provide occupational therapy practitioners resources to demonstrate their unique value and role within the interdisciplinary teams and settings within the mental health continuum of care.

Methodology: The Model of Human Occupation was utilized to organize the literature review that led to the creation of the materials (O’Brien, 2017). Reviewing the literature with the model allowed for a thorough understanding of the needs of adolescents with mental illness, the …

Improving Occupational Performance For Survivors Of Sex Trafficking: An Executive Functioning Program, Riley P. Thomas

Occupational Therapy Capstones

Purpose: In 2021, the U.S. reported 10,360 human trafficking cases, of which 7,499 or 72% were explicitly identified as instances of sex trafficking (National Human Trafficking Hotline, 2021). Sex trafficking is “a form of modern-day slavery in which individuals perform commercial sex through the use of force, fraud, or coercion” (National Human Trafficking Hotline, n.d., para. 1). Due to survivors of sex trafficking being exposed to dehumanizing and traumatic events, this may impact the ability to participate and engage in daily activities related to an individual's executive functioning and life skills. The purpose of this scholarly project was to analyze …

Childhood Feeding And Eating Evaluation And Home Programming, Alexis Paige Lehmann

Occupational Therapy Capstones

Background: Up to 20% of typically developing and about 80% of atypically developing infants and children suffer from feeding difficulties (Chatoor & Macaoay, 2008; Nichols et al., 2018). These feeding difficulties may lead to delays in growth and development, refusal to eat, behavioral issues, and medical complications (Chatoor & Macaoay, 2008). Occupational therapists address these feeding difficulties through the therapeutic process, which includes initial evaluation, intervention, re-evaluation, and discharge planning (American Occupational Therapy Association [AOTA], 2020). When completing a feeding evaluation, practitioners often rely on skilled observation and their clinical judgment to determine what is developmentally appropriate. Practitioners also may …

Specialized Knowledge Of Feeding And Eating Best Practices, Katie Anne Deboer

Occupational Therapy Capstones

Purpose: The process of gradually developing from complete dependence to independent self-feeding for a child is critical in social, emotional, physical, and cultural maturation (Korth & Maune, 2020). Of all developing children in America, 25-50% have feeding, eating and/or swallowing difficulties, with the percentage even higher for children that are autistic, premature, and/or have other developmental delays (Gronski & Doherty, 2020). The purpose of this Doctoral Experiential Capstone is to complete a thorough needs assessment to find the current gaps in the literature, frequently used and effective evaluation methods, and research-based interventions in the area of feeding, eating, and swallowing …

Supporting Interoceptive Learning Across Environments: A Guide For Educators And Caregivers, Jamie M. Steinhoff

Occupational Therapy Capstones

Introduction: Children aged four to six experience rapid brain development, advancing language skills, and understanding of the human body (Schaan et al., 2019). This developmental stage highlights the importance of educators and caregivers teaching interoception to improve preschool-aged children's occupational engagement and emotional regulation. Children lacking developed interoceptive skills may encounter difficulties regulating their emotions, impacting activities such as play, social participation, education, and health management (Arnold et al., 2019). This product was developed to offer caregivers and educators a comprehensive understanding of interoception through a handbook and training sessions containing strategies, exercises, tools, and activities to facilitate interoceptive development …

The Role Of Occupational Therapy To Support Engagement In Activities For Adults Throughout The Cancer Continuum, Alexis Brolsma

Occupational Therapy Capstones

Purpose: More than 18 million people currently living in the United States have received a cancer diagnosis sometime throughout their lives. Advancements in treatment for cancer are increasing the livelihood of those surviving cancer, but there are lasting challenges. More than 40% of individuals within the cancer continuum continue to experience performance challenges with their daily tasks. Occupational therapy can target these challenges, but this profession is underutilized within cancer care. The purpose of this project was to increase awareness of occupational therapy’s role in cancer care, educate providers, and create a resource to address the needs of the cancer …

Developing Students’ Post-Pandemic Global Competencies Through Sustainable Humanities, Thyra E. Knapp, Rebecca Weaver-Hightower, Melissa Gjellstad

Languages & Global Studies Faculty Publications

No abstract provided.

Effectiveness Of Education-Based Programs And Preventative Strategies On Oral Health Outcomes For Older Adults In Rural Communities: A Critically Appraised Topic, Meagan Barnes Pearson, Abby Ellenberger, Becca Valdez

Critically Appraised Topics

Elderly adults in rural populations are facing difficulties with oral health due to accessibility difficulties, lower socioeconomic status, and decreased OHL. Limited research has been conducted on occupational therapy interventions within this specific occupational domain, or with this particular population. This CAT investigates the positive impacts oral health education programs that incorporate preventative strategies have on the oral health outcomes of the aging population living in rural locations when implemented by occupational therapists alongside an interdisciplinary team.

The Role Of Occupational Therapists Working With Adults With Substance Use Disorder In Rural Areas, Kyra M. Jessen, Jackie M. Middendorf

Critically Appraised Topics

This critically appraised topic paper focused on the availability of occupation-based interventions for adults (18 years and older) faced with substance use disorders in rural areas. The main factors to consider in this scenario were the population of rural areas, substance use services in rural areas, and the role of occupational therapy. The U.S. Census Bureau did not directly define rural but instead considered rural to be any area that is not urban, while urban areas were considered to have more than 50,000 people and urban clusters were stated to have between 2,500 and 50,000 people (U.S. Department of Agriculture, …

Winter Commencement: December 14-15, 2023, University Of North Dakota

UND Commencement Programs

UND Winter Commencement program from December 14 and 15, 2023.

Stress And Anxiety In College Students, Meaghan Macho

Psychology Student Publications

No abstract provided.

Pick Your Poison: How Aspartame Causes Anxiety, Abby J. Kersey, Baylee R. Kram, Blessing O. Okosun, Diane C. Darland

Arts & Sciences Undergraduate Showcase

BLUF: Limit your aspartame consumption!

Studies have shown that consecutive aspartame consumption at as little as 7% of the FDA recommended daily intake can cause anxiety symptoms in ~8 days. Not only that, but after 12 weeks of consumption, it was proven that the anxiety symptoms are passed to the offspring two generations later. That means if you have roughly one to two 32 oz Diet Cokes per day, your children and grandchildren will show symptoms of anxiety even if they never consume aspartame themselves. It is important to note that aspartame is in many foods and products labeled as …

Scope Of Open Education: A New Framework For Research, Virginia Clinton-Lisell, Jasmine Roberts-Crews, Lindsey Gwozdz

Education, Health & Behavior Studies Faculty Publications

The field of open education and research on the topic has notably expanded since the introduction of the term 20 years ago. Given these developments, a framework to structure research inquiry is necessary to ground and organize findings in open education. We propose the SCOPE framework for open education research: social justice, cost, outcomes, perceptions, and engagement. In this article, we explain how this framework emphasizes the need for social justice at the forefront of open education research. In addition, we incorporate existing theories in social justice, motivation, cognition, pedagogy, and engagement into each of the components to propose theoretical …

Report: Oral Health In North Dakota: Opportunities And Need To Promote Oral Health Equity, Tonya Connor, Shawnda Schroeder, Anastasia Stepanov, Olivia Persinger

Indigenous Health Faculty Publications

THIS BOOKLET DESCRIBES THE CURRENT OPPORTUNITIES TO ADDRESS AND PROMOTE GOOD ORAL HEALTH IN NORTH DAKOTA Research and funding agencies stress the importance of using data to guide, develop, and implement effective and targeted activities to promote health equity. The data presented in this resource can aid decision makers, program developers, health professionals, dental teams, state agencies, and others when responding to the needs of North Dakota communities. USING THIS BOOKLET Countless providers, dental teams, local public health units, clinicians, agencies, and programs in the state are doing amazing work to ensure a healthy North Dakota. However, there are still …

Sex-Dependent Effects Of Intestinal Microbiome Manipulation In A Mouse Model Of Alzheimer’S Disease, Harpreet Kaur, Suba Nookala, Surjeet Singh, Santhosh Mukundan, Kumi Nagamoto-Combs, Colin K. Combs

Biomedical Sciences Faculty Publications

Mechanisms linking intestinal bacteria and neurodegenerative diseases such as Alzheimer’s disease (AD) are still unclear. We hypothesized that intestinal dysbiosis might potentiate AD, and manipulating the microbiome to promote intestinal eubiosis and immune homeostasis may improve AD-related brain changes. This study assessed sex differences in the effects of oral probiotic, antibiotics, and synbiotic treatments in the AppNL-G-F mouse model of AD. The fecal microbiome demonstrated significant correlations between bacterial genera in AppNL-G-F mice and Aβ plaque load, gliosis, and memory performance. Female and not male AppNL-G-F mice fed probiotic but not synbiotic exhibited a decrease in Aβ plaques, microgliosis, brain …

Hla-Ii Alleles Influence Physical And Behavioral Responses To A Whey Allergen In A Transgenic Mouse Model Of Cow's Milk Allergy, Danielle L. Germundson, Suba Nookala, Nicholas A. Smith, Yassmine Warda, Kumi Nagamoto-Combs

Biomedical Sciences Faculty Publications

The symptoms of food allergies vary significantly between individuals, likely due to genetic determinants. In humans, allergy development is initiated by antigen-presenting cells via class II human leukocyte antigen (HLA-II). The HLA-II gene is highly polymorphic, and its allelic variance is thought to influence the susceptibility of individuals to a particular allergen. However, whether antigen presentation by different HLA-II variants contributes to symptom variation is not clear. We hypothesized that HLA-II allelic variance affects symptom phenotypes, including immediate physical reactions and delayed behavioral changes, in individuals with food hypersensitivity. To test our hypothesis, male and female mice of three transgenic …

Partner Discussion Using An Ehr And Chatgpt, Anne Bodensteiner

AI Assignment Library

This assignment requires students to complete a worksheet using a simulated EHR (which is a subscription software purchase) and meet with a partner to discuss AI in nutrition care and compare their results to the worksheet with answers they get from ChatGPT.

Summer Commencement: August 4, 2023, University Of North Dakota

UND Commencement Programs

UND Summer Commencement program from August 4, 2023.

Report: Evaluation Of Seal!Nd: School Year 2021-2022: North Dakota Department Of Health Oral Health Program’S School-Based Dental Sealant Program, Shawnda Schroeder, Tonya Connor

Indigenous Health Faculty Publications

The North Dakota Department of Health (DoH)a Oral Health Program (OHP)b has established a school-based dental sealant program, (SEAL!ND)c , which has been providing dental sealants, fluoride varnish applications, oral health education and dental screenings and referrals for students throughout North Dakota dating back to 2012. All services occur in the school during school hours. School-based sealant programs are a highly effective way to deliver preventive oral health services and dental sealants to children less likely to receive private dental care. The SEAL!ND program prioritizes providing preventive oral health care to low-income and underserved students by targeting schools with 45% …

The Relationship Between Diabetes And Oral Health Status, And Dental Visits Among American Indian, Alaska Native, And Native Hawaiian Elders, Shawnda Schroeder, Collette Adamsen, Robin Besse

Indigenous Health Faculty Publications

Background: American Indian (AI), Alaska Native (AN), and Native Hawaiian (NH) populations report higher rates of diabetes, poorer oral health, and fewer dental visits than their peers. The authors aimed to identify relationships between oral health and dental visits and diabetes diagnosis among AI, AN, and NH elders. Methods: Data were obtained from a national survey of AI, AN, and NH elders 55 years and older (April 2014-2017) and included 16,136 respondents. Frequencies and c2 tests were used to assess the relationship between oral health and dental visits, and diabetes. Results: Nearly one-half of the elders reported receiving a …

Spring Commencement: May 13, 2023, University Of North Dakota

UND Commencement Programs

UND Spring Commencement program from May 13, 2023.

The Day After, Autumn Thompson

Floodwall Magazine

No abstract provided.

The Effect Of Physical Therapy Intervention On Fatigue, Balance, Depression And Quality Of Life In Clients Following Medical Treatment For Cancer: A Pilot Study, Mckenna N. Johnson

Physical Therapy Scholarly Projects

People who are diagnosed with cancer and undergo radiation or chemotherapy treatment are at great risk for developing long-term side effects such as fatigue, balance deficits, depression, and decreased quality of life months and even years following treatment. With approximately 16.9 million people in the United States with a history of invasive cancer, and an expected steady increase in this number in the coming years, a better understanding of these side effects and how they can be treated would be instrumental for health care professionals. The purpose of this study was to test the effect of exercise intervention on fatigue, …

Report: North Dakota Alzheimer’S And Dementia State Plan: Current Status Of, And Recommendations For, Meeting The Needs Of Individuals And Families With Alzheimer’S Disease And Other Dementias, Shawnda Schroeder, Rebecca Quinn, Laura Hand, Gretchen Dobervich

Indigenous Health Faculty Publications

North Dakota reports the fourth highest mortality rate for Alzheimer’s disease in the United States (U.S.) at 52.9 per 100,000 North Dakota residents. The rate for the U.S. is 37 per 100,000 residents. Although leading in mortality, North Dakota is one of a few states with a State Plan for Alzheimer’s and Dementia over 12 years old. This plan was written in July of 2007 and is less than two pages. Although it does mention Alzheimer’s and other other dementias, it does not specifically outline a plan to address services for those living with, or supporting those living with, dementia …