Digital Commons Network^™

Cultural Considerations For Education Strategies Regarding Native American Adults With Type 2 Diabetes Mellitus, Alissa Hoban

Theses and Dissertations

The management of type 2 diabetes mellitus in Native American adults can pose challenges for both the provider and the patient. This issue is one that has been long-standing and requires extensive education and investigation into the best management techniques for appropriate care to enhance self-management. Many Native American adults with type 2 diabetes mellitus have difficulties related to self-management of their disease, and effective education and teachings for this population have yet to be solidified within clinical practice. This project entailed an extensive review of literature, which demonstrated a need for culturally congruent diabetes education to be used within …

A Review Of The Impact Of Obesity On Prostate Cancer Progression And Epigenetic Regulation, Colleen Bratney

Theses and Dissertations

No abstract provided.

Class Is Out: Mental Health Professionals' Social Class Identification And Classist Attitudes Toward Low-Income Clients, Kipp Ryan Pietrantonio

Theses and Dissertations

Social class as a variable of culturally competent psychology remains a misunderstood and understudied phenomenon. This study was designed to explore how mental health providers’ social class of origin and classist attitudes impact their beliefs and treatment of clients from different economic backgrounds. This was accomplished by exploring five domains across two vignettes that varied in SES indicators (Low-­‐Income vs. Middle Class Vignette). The domains of study included classist beliefs, GAF scores with or without treatment over time, positive and negative stereotype endorsement, perceptions of the therapeutic relationship, and potential treatment modalities. Clinicians did not rate the vignettes differently in …

Evaluating The Need For Diabetes Continuing Education In Rural Practicing Nurses, Corey J. Robinson

Theses and Dissertations

No abstract provided.

Volume 50, Number 35: April 17, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 50, Number 34: April 10, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 50, Number 33: April 03, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Factors That Affect Adolescents' Physical Activity, Jennifer Verkuehlen

Theses and Dissertations

Description

Decline in physical activity levels of adolescents play a role in overall energy balance and can lead to overweight and obesity. Determining the factors that affect physical activity can help tailor specific obesity prevention and intervention and long-term management .

Method

Published studies were reviewed over a ten year period from 2003-2013 for factors that have an effect on physical activity of adolescents ages 10-21. Databases used for the search included: PubMed, SportDiscus, PsyclNFO, Scopus and ClNAHL. Articles were limited to the English language. Articles that did not have a research focus or that were not looking specifically at …

Therapeutic Horticulture In Depression And Mental Health, Jody A. Carlson

Theses and Dissertations

The purpose of this review is to examine available evidence for the use of Therapeutic Horticulture (TH) as a supplemental treatment of depression. For this paper, TH is defined as active or passive use of plants to achieve wellness (Sempik, Aldridge, & Becker, 2003) as applied to depression. A review of the available literature was performed using academic databases and the internet. Terms used in the search were horticultural therapy, depression, gardening, horticulture, and therapeutic horticulture. Few studies were devoted specifically to depression; applications for other mental health conditions are also discussed. Results support the use of TH as supplemental …

Diet Options For Cardiovascular Risk Reduction, Ruth Eckstrom

Theses and Dissertations

Cardiovascular disease is a leading killer in the United States and worldwide. Diet as a modifiable risk factor can have a beneficial impact on the reduction of cardiovascular risk. The purpose of this document is to determine the evidence that supports the most effective cardioprotective dietary interventions which can be recommended to patients to reduce the cardiovascular risk factors of elevated low density lipoprotein cholesterol (LDL-C) and hypertension. An extensive review of the literature was conducted to detinning the evidence that supports the most effective cardio-protective dietary interventions using Pub Med, CINAHL, and the World Wide Web. Based on the …

Self Management In Heart Failure Education, Michelle Brown

Theses and Dissertations

Heart failure is a growing health problem in the United States, costing the healthcare system billions of dollars and having a significant impact on patients' quality of life. To improve heart failure outcomes and reduce associated costs, we must educate patients to properly manage their disease condition. Traditionally, this patient education takes place during a standard office visit with a provider. However, in a self-management program, the provider, through individualized education, empowers the patient to become an active participant in their care. The purpose of this literature review was to explore the effect of self management programs, in comparison to …

Streamlining Patient's Wishes: Analyzing Improvements For The Implementation Of Advance Directives, William A. Wallington

Theses and Dissertations

The purpose of this study was to complete a review of literature and determine methods providers can use to increase the implementation rates of advance directives (ADs). A growing elderly population coupled with an increase in chronic disease is making the implementation of advance directives more important than ever, yet the percentage of completed advance directives continues to be poor. Utilizing a review of evidence-based research, barriers to implementation were identified. This includes communication, timing and setting, appropriate end-of-life care and utilization of Provider Order for Life Sustaining Treatment (POLST) to provide a detailed format therefore lessening miscommunication. A pamphlet …

Volume 50, Number 32: March 27, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Educational Intervention To Promote And Facilitate Smoking Cessation In Pregnant Women, Jessica Stadick

Theses and Dissertations

Smoking during pregnancy is the single most preventable and modifiable risk factor that is responsible for poor maternal and fetal outcomes, yet it remains a major public health problem. Despite the abundance of well-known risk factors and adverse health outcomes associated with maternal smoking, many women continue to smoke during pregnancy. Maternal smoking is responsible for low birth weight babies, preterm deliveries, and sudden infant death syndrome and long term chronic health conditions of the child. During pregnancy women have an increased desire to quit smoking and health care providers need to take advantage of this opportune time and help …

The Impact Of Diet And Exercise On Depression., Lindsey M. Peterson

Theses and Dissertations

Multiple treatment options are available for mood disorders like depression. Controversy surrounds utilizing healthy living interventions such as diet modification and physical activity as a possibility. A literature review was conducted with an aim to decipher if healthy lifestyle interventions and modifications are beneficial in the treatment of depressive disorders. The Transtheoretical Model was the conceptual framework followed. Results were inconclusive calling for more research regarding diet modification while exercise revealed to be a possible protective factor against developing a depressive disorder. Further research is necessary to close the gap regarding the possibility there is a link between depressive symptoms …

Volume 50, Number 28: February 27, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 50, Number 27: February 20, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 50, Number 25: February 06, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 50, Number 23: January 23, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 50, Number 21: January 09, 2013, University Of North Dakota

University Letter Archive

No abstract provided.

Sites 2c @ Und, University Of North Dakota

UND Publications

A 2013 brochure for a walking tour of buildings and landmarks on the University of North Dakota campus.

A Guide To Seasonal Migration: Increasing Snowbirds' Longevity, Stephanie Haselkamp, Jenny Styles

Occupational Therapy Capstones

With the demographic shift of the aging population within the United States, and the push for preventative healthcare measures, occupational therapy (OT) practitioners need to adjust the way they are delivering their services to best meet this growing population's needs. Falls prevention is a method for occupational therapists to get involved in preventative care. The need for preventing falls is further supported by the concept of aging-in-place. Aging-in-place is popular amongst the older population, as older adults often wish to remain in their homes and natural contexts for as long as possible. Homes can come in many different forms; and …

The Effect Of Health Expenditure And Other Determinants On Health Outcomes, Yi Liu

Theses and Dissertations

A major question in determining health policy is to what extent the additional health care expenditure yields benefits in the form of improved health outcomes. However, establishing relationships between them is very complex, because there are numerous factors besides health expenditure that could contribute to health outcomes, and some data especially individual level nutrition and exercise data, are nearly impossible to gather. Another difficulty involves which indicator we should choose to measure health outcomes.

This study examines life expectancy, all-cause age adjusted mortality rates and infant mortality as the "output" of the health care system, and health expenditure, various life-style, …

The Impact Of Continuous Prenatal And Early Postpartum Maternal Vitamin D Supplementation On The Vitamin D Status Of Exclusively Breastfed Infants, Doria K. Thiele

Theses and Dissertations

In the United States, at least 50% of breastfeeding mothers are vitamin D deficient, increasing risk for vitamin D deficiency in exclusively breastfed infants. A gap in knowledge exists regarding best practices in maternal vitamin D supplementation during pregnancy and lactation that will yield adequate infant vitamin D levels. The objective of this study was to identify the combined effect of maternal prenatal and postnatal vitamin D supplementation on vitamin D transfer to exclusively breastfed infants. Additionally, due to the immune modulating effects of vitamin D, maternal pro- and anti-inflammatory cytokines were measured across pregnancy and the postpartum. A double-blind, …

A Reference Manual For Caregivers Of Individuals With Als, Jessica Pastir, Brianna Woodard

Occupational Therapy Capstones

No abstract provided.

Putting The Cart Before The Horse: Understanding The Family Assessment Process In Early Intervention, Kristen Michelle Votava

Theses and Dissertations

The purpose of this study was to gain an understanding of six state-wide policies and procedures used in the family assessment process within early intervention services. This study looked at the administrative understanding of the family assessment federal regulations, state policies and procedures, and local implementation from the perspective of the Part C coordinator in his or her state.

This qualitative study utilized methodologies associated with a grounded theory approach through in-depth interviews. The participants in this study included six state Part C coordinators. Based on the findings of this study, two broad conclusions are offered:

1. There was a …

The Role Of Occupational Therapy In Skilled Dementia Care: Improving Quality Of Life, Kelly Bainbridge, April Benoit

Occupational Therapy Capstones

The occurrence of dementia has been increasing over the years. It is estimated that the number of people with dementia will increase to more than 45 million within the next 20 years (Ferri et al., 2005). This increase will lead to an increased demand for occupational therapists to work with individuals with dementia within skilled care units to meet the vast needs of this population and promote quality of life. Occupational therapists are skilled in working with people with dementia; yet, most occupational therapists do not feel confident in their role with skilled dementia care. This has been found to …

Occupational Therapy In The Intensive Care Unit: A Quick Reference Guide, Susie Bonn, Megan Keidel

Occupational Therapy Capstones

Purpose: The purpose of this project was to create a quick reference guide for occupational therapists treating clients in the intensive care unit (ICU) in order to increase quality of care, decrease medical errors, and improve confidence.

Methods: A literature review was conducted to determine the needs of occupational therapists and other health professionals working in the ICU environment. It was discovered that occupational therapists do not receive specific education on treating clients in the ICU and that there are no specific resources for occupational therapists currently available. Rehabilitation is beginning sooner within the ICU in order to decrease client …

An Occupational Therapy Veteran Resource Guide, Paige Thiele, Miranda Vastag

Occupational Therapy Capstones

Currently, there are limited resources available to occupational therapists working with the veteran population. The Department of Veterans Affairs (VA) is often confusing and complex for many health care workers to understand. An extensive literature review was conducted and the research indicated there is a need for an occupational therapy resource guide which includes a working knowledge of military culture, The Department of Veterans Affairs eligibility requirements and access, military priority conditions as well as military specific assessments. Therefore, the purpose of this project is to develop a guide that allows occupational therapists working with the veteran population to gain …

Vol. 38, No. 4: Holiday 2013, School Of Medicine & Health Sciences

North Dakota Medicine Archive

No abstract provided.