Digital Commons Network^™

Not A Drop To Drink, Beth A. Monsebroten

Theses and Dissertations

Fluid restrictions for the management of lower extremity edema in patients with heart failure has long been a treatment standard. However, the use of evidence based medicine has found this treatment option does not have the research to support the continued use with patients. An extensive literature review was conducted to find the most appropriate treatment options for these patients. It was determined fluid restrictions are not effective in reducing lower extremity edema in patients with heart failure. The discontinuation of this practice and the use of weight based diuretic therapy are suggested. Further research should be conducted into the …

A Review Of The Benefit Of Pre-Operative Education Prior To Coronary Artery Bypass Grafting, Patrick C. Jahn

Theses and Dissertations

Coronary Artery Bypass Graft surgery is the most common type of heart surgery performed each year in the United States (U.S. Department of HHS, 2010). If your healthcare provider were to tell you that you needed heart surgery what would be the first thing to come to mind, would it be fear, pain, anxiety, denial? Do you have any idea what this procedure entails or what to expect before, during, or after your hospitalization?

Preparation is most often a prerequisite for success. Multiple research studies have shown that proper patient preparation can lead to better patient outcomes, including pain and …

Can Breastfeeding Greater Than 6 Months Reduce The Risk Of Childhood Obesity? A Literature Review, Jessica M. Kotrba

Theses and Dissertations

Breastfeeding has many benefits for infants. It provides nutrients and antibodies that protect them from getting ill. Breastfeeding also has benefits for children as they grow older such as decreasing their risk of becoming obese. This paper will look at current research about how breastfeeding especially for at least six months can reduce a child's risk of becoming obese later in life.

Demand For Sanitation And Hygiene In Rural Households In Cameroon: Case Of And Njinikom Village, Irin A. Njuakom

Theses and Dissertations

Inadequate sanitation and hygiene remain a major health concern in the world today with ill effects that are particularly debilitating in developing nations. Preventable diseases related to poor sanitation (inadequate human waste disposal) and lack of hygiene are estimated to kill some 3900 children daily and are the leading causes of increasing morbidity and mo1iality among the poor in the world. The issue of inadequate sanitation and hygiene has been construed as a problem of the poor. ln the impoverished village of Njinikom in Cameroon, the lack of access to basic sanitation and hygiene is apparent in the practice of …

Ssri Safety During Pregnancy, Julie N. Johnson

Theses and Dissertations

Depression is one of the most common disorders in our country today. The most frequently used treatment for depression is the antidepressant drug class, selective serotonin reuptake inhibitors (SSRis). Due to a higher incidence of depression during pregnancy, researchers have been meticulously trying to detennine the risks and benefits of SSRI use and risks of depression to the mother and her fetus. The purpose of this project is to provide healthcare providers with current evidence about SSRI use during pregnancy. A brochure was presented to healthcare providers which addressed the risks and benefits of SSRI use and the risks of …

Volume 49, Number 31: March 21, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 49, Number 29: March 07, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Addressing Functional Decline And Psychosocial Needs In Hospitalized Elderly, Rebecca A. Porier

Theses and Dissertations

Do hospitalized geriatric patients have better outcomes such as increased patient satisfaction, decreased length of stay, and decreased readmission rates with specialized interdisciplinary care, as on Acute Care of Elders (ACE) units, versus usual care? This is one question that this paper will address. The goal in this type of care is to achieve medical stability while preserving maximum functioning. Collaboration with all health care specialties is crucial to geriatric care . Secondarily, the gap in nursing knowledge of the elderly patient's care needs has to be addressed. Thirdly, patient's psychosocial needs should be addressed in order to promote their …

Volume 49, Number 27: February 22, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 49, Number 25: February 08, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 49, Number 24: February 01, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Ending Homeiessness In The U.S.: Lessons Learned From The Veterans Affairs Five-Year Campaign, Amanda Higginbotham

Theses and Dissertations

No abstract provided.

Volume 49, Number 23: January 25, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Volume 49, Number 21: January 11, 2012, University Of North Dakota

University Letter Archive

No abstract provided.

Charcot Foot Ulceration, Katelin Sievert

Physical Therapy Scholarly Projects

This case report follows the treatment of a 64 year old male with a Charcot foot ulceration of the right foot. The study was conducted to assess the outcome of wound care to the stage three pressure ulcer and the use of a Total Contact Cast (TCC) in the treatment of the Charcot foot ulceration, as well as to present more awareness to the medical field on Charcot foot pathology and diagnosis. The study was conducted over a 16 week time period. After 15 sessions with the patient, the results showed that wound care, the use of a TCC, and …

Effect Of Frontal Plane Foot Position On Lower Extremity Muscle Activation And Limb Positioning In A Single Leg Squat, Elizabeth J. Kornkven

Physical Therapy Scholarly Projects

Purpose/Background: Foot positioning during a single leg landing may affect the muscles above the ankle joint and promote positions of increased vulnerability to ACL injury. The purpose of the study was to analyze muscle activity of six muscles in the lower extremity during completion of a single leg squat on the subject’s dominant leg with the subtalar joint in 5 different positions.

Methods: Seventeen healthy males and females (ages 18‐30) performed five single leg squats in five foot positions: neutral, five degrees and ten degrees of declination, and five degrees and ten degrees of inclination. Electromyography data was collected from …

Fiber Type And Cross-Sectional Area Characteristics In Hindlimb Muscles Of The Long-Lived Ames Dwarf Mouse, Kristine Dahlheimer

Physical Therapy Scholarly Projects

Background: Ageing is associated with sarcopenia and a change of composition in muscle fibers. Ames dwarf mice have been found to have a decreased susceptibility to the deleterious effects of the ageing process, when compared to a normal mouse counterpart. This study looks at the muscle composition of the Ames dwarf mouse compared to the normal mouse by analyzing two muscles, ELD and Sol.

Methods: Researchers harvested hind limb muscles from Ames dwarf mice and normal mice. The fours muscles were EDL, Sol, Gastrocnemius/Plantaris, and TA. EDL and Sol were sliced and stained with fast and slow twitch and H&E …

Role Transitioning For Athletes Coping With Injury And Occupational Loss, Steven L. Huft, Izaak P. Schafer

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to develop an occupational therapy based intervention program for persons who are experiencing changes in their role as athletes. These transitions may include return to sport following an injury, unanticipated retirement from sport, or anticipated retirement from sport.

Methods: A thorough literature search and review was conducted using the following research databases: CINAHL, Google Scholar, PubMed, and PsycINFO. Evidence from the occupational therapy, physical therapy, athletic training and psychology professions was reviewed regarding the prevalence of injury in varying sports contexts, athletes’ ability to transition during role changes or interruption, injury rehabilitation, …

Illness Management And Recovery: The Role Of Occupational Therapy, Crystal Brecht, Jenna Mcgregor

Occupational Therapy Capstones

Purpose: The Illness Management and Recovery (IMR) model is a collaborative program that focuses on living with a chronic mental illness by educating the client on management techniques that will facilitate goal setting toward recovery (Mueser et al., 2006).The purpose of this scholarly project was to review the occupational therapy (OT) literature and determine the role of OT in IMR programs.

Method: A comprehensive review was conducted on occupational therapy interventions appropriate for inclusion in the IMR modules. Sources utilized for the review included: United States and international OT journals, OT textbooks, and other publications authored by OTs from the …

Caring For Individuals With Fibrodysplasia Ossificans Progressiva (Fop): A Treatment Manual For Occupational Therapists, Amanda Rositas, Kathryn Zavoral

Occupational Therapy Capstones

Fibrodysplasia Ossificans Progressiva is a rare and disabling genetic disorder that results in ossification of the soft tissues (Kaplan, Xu, et al., 2008; Kocyigit, Hizil, Hemis, Sabah, & Memis, 2001). There is a lack of research and literature on therapeutic intervention for those with a diagnosis of FOP. However, occupational therapists (OTs) can help those with FOP increase their quality of life through enhancement of activities of daily living (Kaplan, Le Merrer, et al., 2008). Overall, this product will serve as a guide for occupational therapists working with individuals diagnosed with FOP. The benefits of this product will be determined …

Embracing Life With Als: The Role Of Occupational Therapy From Diagnosis To End Of Life Care, Chelsey Edwards, Amy Ferguson

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to develop a comprehensive document that describes the role of the occupational therapist in working with clients and families affected by Amyotrophic Lateral Sclerosis CALS) from diagnosis to end-of-life care.

Method: A literature review was conducted using the AJOT, PubMed, CINAHL, and OT SEARCH databases. Information was gathered regarding current literature of ALS, the disease process, occupational therapy's role in ALS treatment, caregiver's role in end-of-life care, assistive technology, palliative care options, and additional support strategies. Additional ALS material was gathered from the ALS Association's informational manuals.

Results: Designed from the perspective …

Literacy Coaching In The United States: Implications For Taiwan, Mei-Lan Lo

Theses and Dissertations

Literacy coaching has become a popular professional development approach in the United States over the last decade. To date, there has been little research on the different lived experiences and challenges of literacy coaches working in different contexts. Furthermore, research findings regarding the effectiveness of literacy coaching are inconclusive. To fill the gaps in the literature, this study was designed to explore the nature of literacy coaching in the United States and examine the relationship between literacy coaching and student literacy achievement, both from the perspective of literacy coaches and that of classroom teachers. An embedded mixed methods research design, …

Low Back Pain With Psoas Tightness, Trevor Northagen

Physical Therapy Scholarly Projects

Background and Purpose

Low back pain is a prevalent healthcare issue which has a number of causes. There are many types of treatment with varying levels of success. The psoas is a back muscle which may undergo changes in a patient with back pain. Treatment may have to be modified if changes are seen in the psoas.

Case Description

A 66 year-old woman reported low back and right hip pain, as well as right-sided abdominal pain around a surgical incision. The physical therapy examination revealed adhered scar tissue around the incision, psoas muscle tightness, as well as low back and …

Educating And Communicating Through Sociolinguistic Registers: Adolescent Client, Chanaé Jones, Brittany Mayer

Occupational Therapy Capstones

PROBLEM: Currently tests such as the SAT (Scholastic Assessment Test) and ACT (American College Testing), as well as employment use what is identified as formal sociolinguistic register (Joos, 1967 & Payne, 2005). Payne (2005) built upon Joos’ (1967) definition and presented five registers: frozen, formal, consultative, casual, and intimates. Formal register is defined as; one-way participation, no interruption such as is seen with introductions between stangers. Technical vocabulary; “fuzzy semantics" or exact definitions are important. Montano-Harmon (1991) found that many minority and poor students do not have access to formal register at home but rather tend to rely primarily in …

Narrowing The Achievement Gap: A Case Study On How St. Cloud School District 742 Improved Academic Growth For Black Students In Three Years, George Earl Nolan

Theses and Dissertations

The purpose of this case study was to identify gradual growth and improvement in test scores of black students compared to white students for St. Cloud School District 742 as showed in NWEA and MCA testing. The achievement gap in the state of Minnesota has been a pervasive issue that has long been discussed and analyzed. School districts the size of St. Cloud have seen dramatic shifts in demographics that have caused administrators and teachers to change their instructional approaches.

This study looked at specific programs, practices, and instructional strategies that recognized growth and improvement in state testing and assessment …

An Occupation-Based Protocol Designed For Women With Cardiac Conditions, Erika Swirzcki, Andrea Young

Occupational Therapy Capstones

Coronary heart disease is the leading cause of death in women worldwide as well as the number one cause of death in the United States (American Heart Association [AHA], 2010). Women are not adequately represented when entering phase II of cardiac rehabilitation due to the numerous barriers that they may experience. The purpose of this scholarly project is to help meet women’s unique needs and facilitate their return to meaningful life roles and occupations after experiencing a cardiac event. This protocol provides guidelines for occupational therapists to use during phase II of cardiac rehabilitation and addresses the implementation of occupation-based …

Theoretical Studies Of The Ground And Low-Lying Excited States Of [3,3']Bidiazirinylidene(C2n4), Tetramethyleneethane Diradical, And Arsenic And Selenium Oxides, Rashel Makane Mokambe Sumpter

Theses and Dissertations

₂ and ₄ and ₅ and ₃

_n and _m

An Occupational Therapy-Based Education Program For Caregivers Of Individuals With Cerebral Palsy: A Culturally Conscious Perspective, Allison L. Kalb, Diana L. Huettl

Occupational Therapy Capstones

Introduction: Individuals with cerebral palsy (CP) are able to lead functional, productive, and fulfilling lives when provided the opportunity. In the country of Ghana, the prevalence of CP is estimated to be one out of every 300 births (Purple Field Productions [PFP], 2011), however, a lack of education about CP and other disabilities, limited access to healthcare services, and scarce resources hamper the Ghanaian people’s opportunities for habilitation (Reynolds, 2010; Tinney, Chiodo, Haig, & Wiredu, 2007). In addition, cultural beliefs and societal attitudes toward people with disabilities in Ghana pose a barrier for those individuals to fully participate in occupation. …

Resistance On The Great Plains: The Bismarck Indian School, 1916-1921, Amber A. Annis

Theses and Dissertations

The Bismarck Indian School was one of twenty-eight off-reservation boarding schools erected by the Bureau of Indian Affairs to assimilate Native children into the dominant White society. The school, located in Bismarck, North Dakota, opened in 1908 and briefly closed in 1918. The school started back up in the same year and became an all-female boarding school in 1922 until finally closing down in 1937. When beginning the research I was confronted with a problem; no one had previously written about the school. No other scholars had offered their analysis, or interpretations, on the institution or its pupils. The work …

An In Depth Analysis Of Aphasia, Recovery Management, And Therapy Approaches, Andrea Marie Bremer

Undergraduate Theses and Senior Projects

No abstract provided.