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Factors Affecting The Utilization And Quality Of Long-Term Care, April Temple

USF Tampa Graduate Theses and Dissertations

The aging of the nation in the coming decades will contribute to an increased demand for long-term care. Given this trend, it is becoming increasingly important to understand utilization of services along the continuum of care and to determine factors that influence the provision of quality care. These insights are needed to reduce national expenditures on long-term care and to maximize independence and well-being among older adults.

The purpose of the present dissertation was to explore factors that influence the utilization and quality of long-term care by conducting three separate studies. The first study examined risk of nursing home (NH) …

Communicating Spirituality, Dying And A “Good Death” At The End-Of-Life: The Role Of Hospice Interdisciplinary Team Members, Jillian A. Tullis Owen

USF Tampa Graduate Theses and Dissertations

Hospices use interdisciplinary teams to aid patients and families as they cope with the imminence of death while helping them achieve a death free of physical and spiritual pain, also known as a good death. This study investigated the communication between hospice team members and their patients regarding spirituality, dying, death and a good death. Through 300 hours of participant observation and interviews with hospice staff at one large not-for-profit hospice in the Southeastern United States this project shows that team members understand patient's spirituality through a religious frame potentially compromising spiritual care. Talk between patients and their care …

Ruffner Roots And Ramblings, Vol. 11, Issue 4, Ruffner Family Association

Ruffner Roots & Ramblings

No abstract provided.

Hospice Africa Uganda: End-Of-Project Evaluation Of Palliative Care Services, Annette Bongiovanni, Mary Alexis Greenan

HIV and AIDS

Hospice Africa Uganda (HAU) is a nongovernmental organization that provides palliative care services to people living with HIV/AIDS (PHA) and cancer. Based in Kampala, HAU aims to scale-up palliative care within and beyond the nation’s borders. From 2005–08, HAU sought to achieve the following objectives: 1) Increase coverage and scope of palliative care services available to PHA and their families; 2) Train health workers and other HIV/AIDS care providers to integrate pain management, symptom control, and end-of-life care into their existing HIV/AIDS support programs; 3) Build the capacity of families, communities, and community-based organizations in palliative care provision; 4) Integrate …

The Experience Of African American Hospice Patient/Family With Board Certified Music Therapy As A Component Of Their Plan Of Care, Elizabeth Joy Gifford

Doctor of Nursing Practice (DNP) Projects

No Abstract Available

Grief, Grieving And Death, E Elaine Andrews-Ahearn

Master's Theses and Capstones

Grief is a journey one can only take alone. There is no rehearsal for it, no primer courses, it cannot be measured or timed. No one can do it with you, or for you. There is never an end, completion, finish line. There is not one prescribed way to do it, nor is there a tidy process. Grief is messy. Most importantly, grief is something that no one ever escapes. It surrounds us all the time, it is layered in our lives, permeates the atmosphere. It is ubiquitous. There are many types and degrees of grief; there are deep pockets …

Occupational Therapy For Client Empowerment In End-Of-Life Care, Emily Johnson, Sarah Landsem

Occupational Therapy Capstones

Purpose: To enable clients in end-of-life care (EOLC ) the opportunity to continue engaging in meaningful activities throughout their remaining days to increase QoL and experience a "good death."

Methods: To complete our Scholarly Project we conducted a literature review using PubMed, CINAHL, OTsearch, and AOTA publications search engines. We also conducted an informal information session with local hospice staff and from this information we chose model/theory to guide product development.

Results: Upon completion of the literature review, we found the following problems existed in regard to utilization of Occupational Therapy in end-of-life care setting; 1) hospice care team members …

Loss In Translation: A Model For Therapeutic Engagement And Intervention With Grieving Clients, Shelley Cohen Konrad

Social Work Faculty Publications

Bearing witness to grief is about accepting and experiencing suffering as an unavoidable aspect of loss. It also entails listening to and responding with clients in a way that affirms that their experiences have been heard and understood. This article describes a model for therapeutic engagement and intervention with grieving clients. The model is informed by contemporary grief and practice theories characterized by such qualities as emotional presence, reciprocity, responsiveness, empathic expression, and meaning making. Case examples from the author’s research and practice experience illustrate how these qualities contribute to what she describes as translational relationships that lead to transformations …

Personal Growth In Couples Caring For A Child With A Life-Threatening Illness, Kimberly Kennedy

Theses and Dissertations (Comprehensive)

Little is known about the potential for positive outcomes in couples who have a child with a life-threatening illness. The current study was a secondary analysis of demographics and personal growth data of 34 couples actively caring for children with various life-threatening conditions. There were three overarching goals in this research: (a) to examine differences in Posttraumatic Growth Inventory scores (PTGI) of mothers and fathers, (b) to examine the relationship between demographic variables and PTGI scores of mothers and fathers, and (c) to measure level of congruency in couple-dyad scores and test if partners’ growth scores are predictive of one …

Predictors Of Cancer Caregiver Depression Symptomatology, Henry R. Rivera

USF Tampa Graduate Theses and Dissertations

While the duration of the cancer illness may be shorter than that of other serious diseases, such as Alzheimer's disease, cancer caregivers provide many more hours of care during a week. Research directed at the intensive experience of caregiving of hospice cancer patients is needed as there is limited research of predictors of hospice cancer caregiver depression symptomatology. The purpose of the study was to examine predictors of depression symptomatology in caregivers of hospice cancer patients. A secondary analysis was conducted using baseline assessment data of patients and caregivers from a larger study of patient/caregiver dyads from two large hospices …