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Anterior Cruciate Ligament Reconstruction Of A College Student With A Prosthetic Limb: A Disablement Model Case Study, Sara A. Zilvetti, Amanda Y. Young, Jeff Stein, Scott E. Lawrance Jan 2023

Anterior Cruciate Ligament Reconstruction Of A College Student With A Prosthetic Limb: A Disablement Model Case Study, Sara A. Zilvetti, Amanda Y. Young, Jeff Stein, Scott E. Lawrance

Clinical Practice in Athletic Training

This case examines a 19-year-old male college student with a left anterior cruciate ligament reconstruction (ACLR) secondary to a motor vehicle accident (MVA). The accident caused numerous severe injuries to both lower limbs including untreatable right lower leg injuries, leading to a right below knee amputation, and a left ACL tear. Before the accident, the patient was a varsity cross country and track athlete expecting to continue in college. Six weeks following surgical reconstruction, the patient reported to the rehabilitation clinic for standard ACLR rehabilitation practices including lower leg and proximal hip strengthening, attaining full knee ROM, and balance exercises. …


Superficial Peroneal Nerve Entrapment In Female Collegiate Tennis Athlete: A Disablement Model Case Study, Sarah Branning, Neeru Jayanthi, Zachary K. Winkelmann Jan 2023

Superficial Peroneal Nerve Entrapment In Female Collegiate Tennis Athlete: A Disablement Model Case Study, Sarah Branning, Neeru Jayanthi, Zachary K. Winkelmann

Clinical Practice in Athletic Training

A 19-year-old female, NCAA Division I collegiate tennis player presented with a burning and aching sensation halfway up the lateral portion of her right calf following an extensive period spent in a squatting position. This discomfort began distal to the fibular head, then ran along her lateral calf, reached into her ankle, and wrapped behind the lateral malleolus. Initially, the patient only noticed this discomfort during long durations of physical activity. However, she began to report symptoms with activities of daily living (ADLs) and following workouts. The patient first received a working diagnosis of a stress reaction along the mid …


Concussion Clinical Pathway: Headache And Cervical Assessment Framework, Nicholas Hattrup, Nicholas Pfeifer, Tamara Valovich Mcleod Jan 2023

Concussion Clinical Pathway: Headache And Cervical Assessment Framework, Nicholas Hattrup, Nicholas Pfeifer, Tamara Valovich Mcleod

Clinical Practice in Athletic Training

The prevalence of sport specialization is a common concern in contemporary youth sports and has been linked to potential negative physical and psychological effects for developing athletes. While the evidence regarding negative physical effects, such as overuse injury, are consistent in the literature, the psychosocial outcomes are unclear due to the lack of published studies on the topic. Specialization is thought to lead to added stress, which may affect an athlete’s mental health, whereas athletes who sample multiple sports are believed to have a healthier psychosocial experience. Burnout is characterized as physical and emotional exhaustion, sport devaluation and a reduced …


The Impact Of Bracing On Kinesiophobia And Recovery In Acl Reconstruction Patients: A Case Study, N Valdecanas, K Neelon, K Braunreiter Jan 2023

The Impact Of Bracing On Kinesiophobia And Recovery In Acl Reconstruction Patients: A Case Study, N Valdecanas, K Neelon, K Braunreiter

Clinical Practice in Athletic Training

Introduction: With 100,000 to 200,000 cases reported in the U.S. yearly, the anterior cruciate ligament (ACL) is a commonly torn structure in the knee among contact and non-contact sports. As medical research on ACL injuries grows, ACL reconstruction (ACLR) continues to be the preferred surgical intervention. Due to extensive rehabilitation timeline requirements, ACLR patients may face physical and psychosocial circumstances affecting their overall recovery. At any point in rehabilitation the patient may experience kinesiophobia, or an irrational fear relating to further injury from participation in physical movement, especially with return to running, jumping, and sports-specific programs. Functional bracing has been …


Qualitative Analysis Of Anti-Abortion Discourse Used In Arguments For A 6-Week Abortion Ban In South Carolina, Victoria C. Lambert, Emily E. Hackworth, Deborah Lynn Billings Phd Jan 2023

Qualitative Analysis Of Anti-Abortion Discourse Used In Arguments For A 6-Week Abortion Ban In South Carolina, Victoria C. Lambert, Emily E. Hackworth, Deborah Lynn Billings Phd

Publications

Background: On June 24, 2022, The U.S. Supreme Court overturned Roe v. Wade, leaving abortion legislation entirely up to states. However, anti-abortion activists and legislators have organized for decades to prevent abortion access through restrictive state-level legislation. In 2019, South Carolina legislators proposed a bill criminalizing abortion after 6 weeks gestation, before most people know they are pregnant. The current study examines the anti-abortion rhetoric used in legislative hearings for this extreme abortion restriction in South Carolina. By examining the arguments used by anti-abortion proponents, we aim to expose their misalignment with public opinion on abortion and demonstrate that their …


Right Hemispheric White Matter Hyperintensities Improve The Prediction Of Spatial Neglect Severity In Acute Stroke, Lisa Rohrig, Christoph Sperber, Leonardo Bonilha, Chris Rorden, Hans-Otto Karnath Dec 2022

Right Hemispheric White Matter Hyperintensities Improve The Prediction Of Spatial Neglect Severity In Acute Stroke, Lisa Rohrig, Christoph Sperber, Leonardo Bonilha, Chris Rorden, Hans-Otto Karnath

Faculty Publications

White matter hyperintensities (WMH) are frequently observed in brain scans of elderly people. They are asso-ciated with an increased risk of stroke, cognitive decline, and dementia. However, it is unknown yet if measures of WMH provide information that improve the understanding of poststroke outcome compared to only state-of-the-art stereotaxic structural lesion data.We implemented high-dimensional machine learning models, based on support vector regression, to predict the severity of spatial neglect in 103 acute right hemispheric stroke patients.We found that (1) the additional information of right hemispheric or bilateral voxel-based topographic WMH extent indeed yielded a significant improvement in predicting acute neglect …


Editorial: Sustainability Of Physical Activity Interventions And Public Health, Erica Y. Lau, Maureen C. Ashe, Sharon E. Taverno, Russell R. Pate Ph.D. Dec 2022

Editorial: Sustainability Of Physical Activity Interventions And Public Health, Erica Y. Lau, Maureen C. Ashe, Sharon E. Taverno, Russell R. Pate Ph.D.

Faculty Publications

No abstract provided.


Patient Trust In Physicians Matters-Understanding The Role Of A Mobile Patient Education System And Patient-Physician Communication In Improving Patient Adherence Behavior: Field Study, Dezhi Wu, Paul Benjamin Lowry, Dongsong Zhang, Youyou Tao Dec 2022

Patient Trust In Physicians Matters-Understanding The Role Of A Mobile Patient Education System And Patient-Physician Communication In Improving Patient Adherence Behavior: Field Study, Dezhi Wu, Paul Benjamin Lowry, Dongsong Zhang, Youyou Tao

Publications

BACKGROUND: The ultimate goal of any prescribed medical therapy is to achieve desired outcomes of patient care. However, patient nonadherence has long been a major problem detrimental to patient health and, thus, is a concern for all health care providers. Moreover, nonadherence is extremely costly for global medical systems because of unnecessary complications and expenses. Traditional patient education programs often serve as an intervention tool to increase patients' self-care awareness, disease knowledge, and motivation to change patient behaviors for better adherence. Patient trust in physicians, patient-physician relationships, and quality of communication have also been identified as critical factors influencing patient …


Topics And Sentiment Surrounding Vaping On Twitter And Reddit During The 2019 E-Cigarette And Vaping Use-Associated Lung Injury Outbreak: Comparative Study, Dezhi Wu, Erin Kasson, Avineet Kumar Singh, Yang Ren, Nina Kaiser, Ming Huang, Patricia A. Cavazos-Rehg Dec 2022

Topics And Sentiment Surrounding Vaping On Twitter And Reddit During The 2019 E-Cigarette And Vaping Use-Associated Lung Injury Outbreak: Comparative Study, Dezhi Wu, Erin Kasson, Avineet Kumar Singh, Yang Ren, Nina Kaiser, Ming Huang, Patricia A. Cavazos-Rehg

Publications

BACKGROUND: Vaping or e-cigarette use has become dramatically more popular in the United States in recent years. e-Cigarette and vaping use-associated lung injury (EVALI) cases caused an increase in hospitalizations and deaths in 2019, and many instances were later linked to unregulated products. Previous literature has leveraged social media data for surveillance of health topics. Individuals are willing to share mental health experiences and other personal stories on social media platforms where they feel a sense of community, reduced stigma, and empowerment. OBJECTIVE: This study aimed to compare vaping-related content on 2 popular social media platforms (ie, Twitter and Reddit) …


The Hypertension Cascade Of Care In The Midst Of Conflict: The Case Of The Gaza Strip, Bassam A. Abu Hamad, Zeina Jamaluddine, Gloria Safadi, Marie Elizabeth Ragi, Raeda El Sayed Ahmad, Eszter P. Vamos, Sanjay Basu, John S. Yudkin, Mohammed Jawad, Christopher Millett, Hala Ghattas Ph.D. Dec 2022

The Hypertension Cascade Of Care In The Midst Of Conflict: The Case Of The Gaza Strip, Bassam A. Abu Hamad, Zeina Jamaluddine, Gloria Safadi, Marie Elizabeth Ragi, Raeda El Sayed Ahmad, Eszter P. Vamos, Sanjay Basu, John S. Yudkin, Mohammed Jawad, Christopher Millett, Hala Ghattas Ph.D.

Faculty Publications

Although hypertension constitutes a substantial burden in conflict-affected areas, little is known about its prevalence, control, and management in Gaza. This study aims to estimate the prevalence and correlates of hypertension, its diagnosis and control among adults in Gaza. We conducted a representative, cross-sectional, anonymous, household survey of 4576 persons older than 40 years in Gaza in mid-2020. Data were collected through face-to-face interviews, anthropometric, and blood pressure measurements. Hypertension was defined in anyone with an average systolic blood pressure ≥140 mmHg or average diastolic blood pressure ≥90 mmHg from two consecutive readings or a hypertension diagnosis. The mean age …


December 7, 2022 Faculty Senate Minutes, University Of South Carolina Dec 2022

December 7, 2022 Faculty Senate Minutes, University Of South Carolina

Faculty Senate

No abstract provided.


White Matter Hyperintensity Load Is Associated With Premature Brain Aging, Natalie Busby, Sarah Newman-Norlund, Sara Sayers, Roger Newman-Norlund, Sarah Wilson, Samaneh Nemati, Chris Rorden, Janina Wilmskoetter, Nicholas Riccardi, Rebecca Roth, Julius Fridriksson, Leonardo Bonilha Nov 2022

White Matter Hyperintensity Load Is Associated With Premature Brain Aging, Natalie Busby, Sarah Newman-Norlund, Sara Sayers, Roger Newman-Norlund, Sarah Wilson, Samaneh Nemati, Chris Rorden, Janina Wilmskoetter, Nicholas Riccardi, Rebecca Roth, Julius Fridriksson, Leonardo Bonilha

Faculty Publications

Background: Brain age is an MRI-derived estimate of brain tissue loss that has a similar pattern to aging-related atrophy. White matter hyperintensities (WMHs) are neuroimaging markers of small vessel disease and may represent subtle signs of brain compromise. We tested the hypothesis that WMHs are independently associated with premature brain age in an original aging cohort.

Methods: Brain age was calculated using machine-learning on whole-brain tissue estimates from T1-weighted images using the BrainAgeR analysis pipeline in 166 healthy adult participants. WMHs were manually delineated on FLAIR images. WMH load was defined as the cumulative volume of WMHs. A positive difference …


The Daily Gamecock, Switching Seasons, November 2022, University Of South Carolina, Office Of Student Media Nov 2022

The Daily Gamecock, Switching Seasons, November 2022, University Of South Carolina, Office Of Student Media

November

No abstract provided.


Resilience Resources And Coping Strategies Of Covid-19 Female Long Haulers: A Qualitative Study, Atefeh Aghaei, Abhishek Aggarwal, Ran Zhang, Xiaoming Li Ph.D., Shan Qiao Ph.D. Nov 2022

Resilience Resources And Coping Strategies Of Covid-19 Female Long Haulers: A Qualitative Study, Atefeh Aghaei, Abhishek Aggarwal, Ran Zhang, Xiaoming Li Ph.D., Shan Qiao Ph.D.

Faculty Publications

Background: Female long haulers deal with persistent post-acute COVID-19 symptoms that have serious health implications. This study aimed to identify resilience resources at multiple socio-ecological levels for female long haulers and describe how resilience resources affect their responses to long COVID. Methods: Purposive sampling was adopted to recruit participants through social media from April to June 2021 followed by 15 semi-structured interviews. An inductive analytical approach was adopted to categorize themes by open and axial coding that were verified by peer review. Results: Female long haulers relied on resources at various socio-ecological levels to foster their resilience in response to …


Crafting Effective Regulatory Policies For Psychedelics: What Can Be Learned From The Case Of Cannabis?, Amanda J. Abraham, Christina M. Andrews Ph.D., Samantha J. Harris, Melissa M. Westlake, Colleen M. Grogan Nov 2022

Crafting Effective Regulatory Policies For Psychedelics: What Can Be Learned From The Case Of Cannabis?, Amanda J. Abraham, Christina M. Andrews Ph.D., Samantha J. Harris, Melissa M. Westlake, Colleen M. Grogan

Faculty Publications

Importance: Medicaid is a key policy lever to improve opioid use disorder treatment, covering approximately 40% of Americans with opioid use disorder. Although approximately 70% of Medicaid beneficiaries are enrolled in comprehensive managed care organization (MCO) plans, little is known about coverage and prior authorization (PA) policies for medications for opioid use disorder (MOUD) in these plans. Objective: To compare coverage and PA policies for buprenorphine, methadone, and injectable naltrexone across Medicaid MCO plans and fee-for-service (FFS) programs and across states. Design, Setting, and Participants: This cross-sectional study analyzed MOUD data from 266 Medicaid MCO plans and FFS programs in …


Online-Delivered Over Staff-Delivered Parenting Intervention For Young Children With Disruptive Behavior Problems: Cost-Minimization Analysis, Justin B. Ingels, Phaedra S. Corso, Ron Prinz, Carol W. Metzler, Matthew R. Sanders Nov 2022

Online-Delivered Over Staff-Delivered Parenting Intervention For Young Children With Disruptive Behavior Problems: Cost-Minimization Analysis, Justin B. Ingels, Phaedra S. Corso, Ron Prinz, Carol W. Metzler, Matthew R. Sanders

Faculty Publications

Background: High-prevalence childhood mental health problems like early-onset disruptive behavior problems (DBPs) pose a significant public health challenge and necessitate interventions with adequate population reach. The treatment approach of choice for childhood DBPs, namely evidence-based parenting intervention, has not been sufficiently disseminated when relying solely on staff-delivered services. Online-delivered parenting intervention is a promising strategy, but the cost minimization of this delivery model for reducing child DBPs is unknown compared with the more traditional staff-delivered modality.

Objective:This study aimed to examine the cost-minimization of an online parenting intervention for childhood disruptive behavior problems compared with the staff-delivered version of the …


Development Of The Mentalizing Network Structures And Theory Of Mind In Extremely Preterm Youth, Xiaoxue Fu Ph.D., Andy Hung, Aryanne D. De Silva, Tyler Busch, Whitney I. Mattson, Kristen R. Hoskinson, Hudson Gerry, Eric E. Nelson Nov 2022

Development Of The Mentalizing Network Structures And Theory Of Mind In Extremely Preterm Youth, Xiaoxue Fu Ph.D., Andy Hung, Aryanne D. De Silva, Tyler Busch, Whitney I. Mattson, Kristen R. Hoskinson, Hudson Gerry, Eric E. Nelson

Faculty Publications

Adolescents born preterm (<37 weeks of gestation) are at elevated risk for deficits in social cognition and peer relationships. Theory of Mind (ToM) is a complex form of social cognition important for regulating social interactions. ToM and the underlying mentalizing network continue to develop across adolescence. The present study recruited 48 adolescents (12–17 years old) who were either born extremely preterm (EPT; <28 weeks of gestation) or full-term (FT) at birth. Cortical thickness, gray matter volume and surface area were measured in four regions of the mentalizing network: the temporoparietal junction, anterior temporal cortex, posterior superior temporal sulcus and frontal pole (mBA10). We also assessed the adolescents’ performance on a ToM task. Findings revealed both group differences and group-by-age interaction effects in the gray matter indices within the temporal lobe regions of the mentalizing network. The EPT group also performed significantly worse than the FT group on the ToM task. The cortical structural measures that discriminated the EPT and FT groups were not related to ToM performance. These results highlight altered developmental changes in brain regions underlying mentalizing functions in EPT adolescents relative to FT controls.


Determinants Of Egg Consumption By Infants And Young Children In Ethiopia, Bezawit E. Kase, Edward A. Frongillo Jr. Ph.D., Sejla Isanovic, Wendy Gonzalez, Hana Yemane Wodajo, Eric W. Djmeu Nov 2022

Determinants Of Egg Consumption By Infants And Young Children In Ethiopia, Bezawit E. Kase, Edward A. Frongillo Jr. Ph.D., Sejla Isanovic, Wendy Gonzalez, Hana Yemane Wodajo, Eric W. Djmeu

Faculty Publications

Objective:

To identify determinants of egg consumption in infants and young children aged 6–23·9 months in Ethiopia. Design and setting:

Data used were from the cross-sectional baseline survey of an egg campaign in Ethiopia implemented by the Global Alliance for Improved Nutrition. Participants:

Children aged 6–23·9 months (n 453) were sampled. Data on socio-demographic characteristics, economic resources, caregiver’s behaviour, child health and feeding practices, and egg consumption in the last 7 d were collected using interviewer-administered questionnaires. Multivariable ordinal logistic regression was used to examine the association between explanatory variables and egg consumption in the last 7 d. Results:

About …


Use Of Equity-Informed Social Media Covid-19 Risk Communication Tools: A Scoping Review Protocol, Anita Kothari, Nedra Peter, Lorie Donelle Phd, Rn, Fcan Oct 2022

Use Of Equity-Informed Social Media Covid-19 Risk Communication Tools: A Scoping Review Protocol, Anita Kothari, Nedra Peter, Lorie Donelle Phd, Rn, Fcan

Publications

INTRODUCTION: Health agencies and community organisations play a crucial role in disseminating information to the public about COVID-19 risks and events, providing instructions on how to change behaviour to mitigate those risks, motivating compliance with health directives and addressing false information. Social media platforms are a critical tool in risk communication, providing a medium for rapid transmission of messages as well as providing the opportunity for engagement and immediate feedback. Access to health information, services and support are especially important for marginalised and underserved ('equity-deserving') populations who are disproportionately affected by COVID-19. This scoping review aims to review the breadth …


Role Of Dim Artificial Light At Night (Dalan) On Body Weight Percentage Increase Of Mus Musculus, Stephanie A. Babinec Oct 2022

Role Of Dim Artificial Light At Night (Dalan) On Body Weight Percentage Increase Of Mus Musculus, Stephanie A. Babinec

Journal of the South Carolina Academy of Science

Light pollution at night is a growing issue in many suburban and urban settings, commonly referred to as artificial light at night (ALAN). Many studies have been conducted as to how the intensity or wavelength of this lighting can disrupt the circadian rhythm but none have evaluated how the timing of this light could affect it. It is hypothesized that those that chronically experience dim artificial light at night (dALAN) after biological day will lead to a more pronounced disruption in the metabolic system and therefore will cause an increased level of weight gain. Mice were used as test subjects …


The Effect Of Intrinsic And Extrinsic Motivation On Student Success In A Magnet Program, Jisoo Lee Oct 2022

The Effect Of Intrinsic And Extrinsic Motivation On Student Success In A Magnet Program, Jisoo Lee

Journal of the South Carolina Academy of Science

No abstract provided.


The Effect Of Magnet Program Participation On The Academic Progress Of High School Students During Emergency Remote Learning Due To Coronavirus Sars-2 (Covid-19), Maegan Mcgriff Oct 2022

The Effect Of Magnet Program Participation On The Academic Progress Of High School Students During Emergency Remote Learning Due To Coronavirus Sars-2 (Covid-19), Maegan Mcgriff

Journal of the South Carolina Academy of Science

No abstract provided.


The Modification Of Jury Instructions To Improve Juror Verdicts And Confession Recognitions In A Criminal Trial, Meghan Pasala Oct 2022

The Modification Of Jury Instructions To Improve Juror Verdicts And Confession Recognitions In A Criminal Trial, Meghan Pasala

Journal of the South Carolina Academy of Science

No abstract provided.


The Effectiveness Of Lithium Chloride In Eliciting A Taste Aversion Response In Blaptica Dubia, Ava Phelps Oct 2022

The Effectiveness Of Lithium Chloride In Eliciting A Taste Aversion Response In Blaptica Dubia, Ava Phelps

Journal of the South Carolina Academy of Science

No abstract provided.


Bias In Measurement Of Autism Symptoms By Spoken Language Level And Non-Verbal Mental Age In Minimally Verbal Children With Neurodevelopmental Disorders (Vol 13, 927847, 2022), Shuting Zheng, Aaron Kaat, Cristan Farmer, Audrey Thurm, Catherine A. Burrows, Stephen Kanne, Stelios Georgiades, Amy Esler, Catherine Lord, Nicole Takashashi, Kerri P. Nowell, Elizabeth A. Will Ph.D., Bcba, Jane E. Roberts, Somer L. Bishop Oct 2022

Bias In Measurement Of Autism Symptoms By Spoken Language Level And Non-Verbal Mental Age In Minimally Verbal Children With Neurodevelopmental Disorders (Vol 13, 927847, 2022), Shuting Zheng, Aaron Kaat, Cristan Farmer, Audrey Thurm, Catherine A. Burrows, Stephen Kanne, Stelios Georgiades, Amy Esler, Catherine Lord, Nicole Takashashi, Kerri P. Nowell, Elizabeth A. Will Ph.D., Bcba, Jane E. Roberts, Somer L. Bishop

Faculty Publications

No abstract provided.


2022 Scas Annual Meeting Program And Bulletin Oct 2022

2022 Scas Annual Meeting Program And Bulletin

Journal of the South Carolina Academy of Science

No abstract provided.


Mindfulness-Based Interventions For Survivors Of Lung Cancer And Their Partners: A Systematic Review, Karen Kane Mcdonnell, Otis L. Owens, Fattona Umari Oct 2022

Mindfulness-Based Interventions For Survivors Of Lung Cancer And Their Partners: A Systematic Review, Karen Kane Mcdonnell, Otis L. Owens, Fattona Umari

Faculty Publications

Background

Survivors of lung cancer and their partners often have complex unresolved physical, psychosocial, and behavioral needs that can negatively affect the survivors’ and partners’ well-being. This systematic review aimed to (1) examine the content and delivery of mindfulness-based interventions (MBIs) and (2) summarize and synthesize the current evidence for effectiveness of MBIs targeting survivors of lung cancer and/or one selected partner (dyads).

Method

Six databases were searched for interventional studies published in English between 1980 and June 2020 using three terms (lung neoplasms, mindfulness, caregivers). For outcome measures, the interventions focused on behavioral change (meditation, yoga, stretching, breathing), symptom …


October 5, 2022 Faculty Senate Minutes, University Of South Carolina Oct 2022

October 5, 2022 Faculty Senate Minutes, University Of South Carolina

Faculty Senate

No abstract provided.


How To Survive College As An Acoa: The Effectiveness Of University Resources On Helping Acoas Socially And Psychologically Succeed During Their Academic Career, Kelly Buchan Oct 2022

How To Survive College As An Acoa: The Effectiveness Of University Resources On Helping Acoas Socially And Psychologically Succeed During Their Academic Career, Kelly Buchan

Senior Theses

In 2019, 14.5 million people ages 12 and older had Alcohol Use Disorder (AUD), but only 10% received treatment (National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2022). Parental drinking problems can directly affect children, or “Adult Children of Alcoholics.” Of the few studies targeting ACoAs, results show that ACoAs not only have higher risks of mental illness, but they also have lower GPAs and social health (Schroeder & Kelley, 2008). Thus, this study assessed the extent to which perceptions of the college drinking environment are related to higher depression rates in ACoAs, certain drinking motivations, and reluctance to use …


Integration Of The Respiratory Distress Observation Scale For Patients At The End Of Life, Alexandra Mackenzie Starnes Oct 2022

Integration Of The Respiratory Distress Observation Scale For Patients At The End Of Life, Alexandra Mackenzie Starnes

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Dyspnea is a distressing phenomenon experienced frequently in end-of-life patients. Nurses currently rely on their own experiences and observations of other nurses to guide their assessment and treatment of dyspnea. Lack of a standardized tool may lead to inconsistencies and inadequate care.

Purpose: Determine if the implementation of the RDOS will improve the nurses’ ability and self-reported comfort levels to assess and treat respiratory distress in patients at the end of life adequately and consistently.

Methods: A pre-test and post-test design evaluated nurses’ ability and self-reported comfort levels assessing and treating respiratory distress in end-of-life patients. Nurses rated …