Digital Commons Network^™

The Emotional And Spiritual Wellbeing Of Hospice Patients In Botswana And Sources Of Distress For Their Caregivers, Psyche Linnea Philips

Yale School of Nursing Digital Theses

Background: Little regional data exists on the distress of people nearing the end of their lives and their caregivers. Objective: The purpose of this study was to describe the quality of life and the emotional and spiritual wellbeing of people at the end of life and the sources of distress for their primary caregivers in Gaborone, Botswana, in order to inform current and limited hospice resources and services. Design: This study employed a qualitative design. Setting/Subjects: Twenty-eight primary caregivers who cared for an adult who passed away fewer than 14 months prior to the interview date and were in the …

Disparity Implications Of The Medicare Medication Therapy Management Eligibility Criteria: A Literature Review, Kiraat D. Munshi, Ya-Chen Tina Shih, Lawrence M. Brown, Samuel Dagogo-Jack, Jim Y. Wan, Junling Wang

Pharmacy Faculty Articles and Research

The emphasis on eliminating racial and ethnic disparities in healthcare has received national attention, with various policy initiatives addressing this problem and proposing solutions. However, in the current economic era requiring tight monetary constraints, emphasis is increasingly being placed on economic efficiency, which often conflicts with the equality doctrine upon which many policies have been framed. The authors’ review aims to highlight the disparity implications of one such policy provision – the predominantly utilization-based eligibility criteria for medication therapy management services under Medicare Part D – by identifying studies that have documented racial and ethnic disparities in health status and …

2012 Trademark Law Decisions Of The Federal Circuit, Molly R. Silfen, Jason W. Melvin, Andrew E. Renison

American University Law Review

No abstract provided.

Worship As Playground: Living The Song-Story Of God, H. Colleen. Butcher

Doctor of Ministry

No abstract provided.

Incorporating Patient And Family Preferences Into Evidence-Based Medicine, Laura A. Siminoff

Social and Behavioral Sciences Publications

Background Clinicians are encouraged to practice evidence-based medicine (EBM) as well as patient-centered medicine. At times, these paradigms seem to be mutually exclusive and difficult to reconcile. It can become even more challenging when trying to include the preferences of the patient’s family members. This paper discusses the basis for this quandary, providing examples of the real-world impact it has on diagnosis-seeking and treatment decision-making behaviors and how it might inform implementation of EBM practices.

Analysis To further explore the role of friends and family in health-care decision making and to understand how patients and families introduce other considerations that …

Elder Mediation In Theory And Practice: Study Results From A National Caregiver Mediation Demonstration Project, Alexandra Crampton

Social and Cultural Sciences Faculty Research and Publications

Mediation is a process through which a third party facilitates discussion among disputing parties to help them identify interests and ideally reach an amicable solution. Elder mediation is a growing subspecialty to address conflicts involving older adults, primarily involving caregiving or finances. Mediation is theorized to empower participants but critics argue that it can exacerbate power imbalances among parties and coerce consensus. These contested claims are examined through study of a national caregiver mediation demonstration project. Study implications underscore the importance of gerontological social work expertise to ensure the empowerment of vulnerable older adults in mediation sessions.

A Historical Review Of Music Therapy And The Department Of Veterans Affairs, Jenna Spencer

Theses & Dissertations

The purpose of this thesis is to explore the history and development of music therapy within the veteran population, specifically in regards to the Department of Veterans Affairs (VA). This research will be conducted qualitatively utilizing narrative inquiry and historical review. Using numerous sources of literature, the researcher will conduct a thorough historical review in order to fully portray the development of music therapy practice within the veteran population. The researcher will explore various sources of relevant literature in order to discover when and how music therapy was first used to treat the veteran population and how music therapy programs …

A Qualitative Research On Patient Care Management In Malaysian Hospitals; Patients And Doctors Experiences Of Bedside Care / Susan Thomas, Thomas Susan

Student Works (2010-2019)

Over the past decade there has been an exponential increase of tertiary level specialized care to meet the needs of the population in Malaysia. The organisation structure of MOH which encompasses the three levels of the health care delivery system, which are Federal, State and District levels, demonstrates decentralization and efficiency. This system is changing towards wellness service that emphasizes a lifetime health plan in keeping the child and family well. For centuries the traditional practice demonstrated by doctors has been a system of inquiry which consists of close-ended questions that fulfil the doctors’ need in collecting information. This process …

Gerontology And The Law: A Selected Annotated Bibliography: 2009-2011 Update, Karen Skinner

Publications

No abstract provided.

Cpa’S Guide To Financing Retirement Healthcare, American Institute Of Certified Public Accountants. Personal Financial Planning Section

Guides, Handbooks and Manuals

No abstract provided.

On Wings Of Hope, Volume 17, No. 1, 2013, Phadp, Esther Brown, Jeff Rieber, Brandon Fountain, Carey Grayson, Lil Twuan, Brent Martin

On Wings of Hope

January–March 2013 edition. Includes A Christian Perspective, whose authors are listed elsewhere in this archive.

In Denial: The Role Of Law In Preparing For Death, Barbara A. Noah

Faculty Scholarship

Only approximately 20% of Americans have engaged in any form of advance care planning and, even among older Americans, the process frequently is delayed until an acute illness provides sufficient pressure to act. End of life law, though flawed, offers some opportunity to express individual values and preferences via advance directives of various kinds in order to prepare for death before it is imminent. Yet many people avoid making these preparations because the thought of death is uncomfortable to confront. This Article considers the utility of existing law in preventing and resolving end of life disputes and avoiding over-utilization of …

Two Conflicts In Context: Lessons From The Schiavo And Bland Cases And The Role Of Best Interests Analysis In The United Kingdom, Barbara A. Noah

Faculty Scholarship

This Essay considers the different approaches to end of life decision making for incapacitated patients in the United States and in the United Kingdom. In the United States, individual patient autonomy is the primary guidepost for making end of life decisions for incapacitated patients. In the United Kingdom, patient preference is openly and deliberately supplemented with a careful consideration of the patient’s best interest. To contrast the two approaches, the Essay focuses on two cases involving patients in permanent vegetative states (PVS) for whom little was known about their respective individual preferences, and it analyzes the differences in conceptualization and …

Nbc Peacock North Winter 2013, Peacock North Staff

NBC Peacock North Newsletter

Highlights include: Steve Capus Guest Speaker at Spring Luncheon -- NBC's Richard Engel and Crew are Freed in Syria -- Sandy Destroys Peacock North Members' House -- Peacock Apples: Frank & Cort Snell -- A Today Show Memoir

Health Care Industry Developments - 2013/14; Audit Risk Alerts, American Institute Of Certified Public Accountants (Aicpa)

Industry Guides (AAGs), Risk Alerts, and Checklists

No abstract provided.

How To Die: The Limits Of Modern Medical Technology, Katrina Lettang

The Synapse: Intercollegiate science magazine

No abstract provided.

Conflicts Of Interest In Medicine, Research, And Law: A Comparison, Stacey A. Tovino

Faculty Articles

Several of the remarks and articles presented in this symposium have addressed conflicts of interest arising during the provision of legal counsel to individuals who are elderly, including specific conflicts of interest implicated by estate planning, retirement planning, and long-term care planning. Topics examined thus far include conflicts of interest with respect to the application of rules of confidentiality within state rules of professional conduct to elderly clients with impaired decision-making capacity; conflicts of interest involving representative payees for Social Security benefits; conflicts of interest in distributions when parents enter into marriages that are unprotected by law; and conflicts of …

The Graying Of People With Intellectual And Developmental Disabilities: Organizational Efforts Of Community Service Providers In Adapting Facilities And Programming To Meet The Needs Of Older Adults, Donna M. Corrado

Dissertations, Theses, and Capstone Projects

Persons with intellectual and developmental disabilities are living longer, thereby creating unique challenges for the aging and disabilities networks. This qualitative multicase study explored the ways in which six community service organizations serving people with intellectual and developmental disabilities have adapted their facilities and programming in response to the growing cohort of older persons in their care. The study focused on the following adaptations: physical plant, financial models, workforce, medical care and programming. Twenty-two in-depth interviews were conducted with executive-level staff of the six participating organizations. Data was triangulated through examination of archival data, organizational documents, agency web sites, and …

Physician Assisted Suicide: Debunking The Myths Surrounding The Elderly, Poor And Disabled, Anne Marie Su

UC Law Journal of Race and Economic Justice

In most states, patients with terminal, painful, and debilitating conditions have no means of ending their suffering except by waiting to die. As interest in physician assisted suicide began to grow in this country, the Supreme Court in a series of decisions expressed fear that recognition of a right to die would lead to abuses. For example, disability rights activists in particular argue that it would encourage burdened family members to pressure disabled persons to end their lives. Evidence from the two states that have legalized physician assisted suicide, however, should lay these fears to rest.

This note opens with …

Breast Cancer, Genetic Testing And Attribution Of Responsibility, Lona Parsons Smith

Theses and Dissertations

In this study I research how the refusal of genetic testing shapes people's perceptions of responsibility or attribution for a friend's breast cancer diagnosis, emotions, and willingness to help. Bernard Weiner's theory of attribution and emotion is useful for understanding how blame and causation shape one's willingness to help. Weiner's theory suggests that perceived attributions influence one's emotional state, which in turn shapes their willingness to help others. Most studies using Weiner's attribution theory examine highly stigmatized illnesses, such as HIV/AIDS, drug abuse and mental illness, but few analyses consider breast cancer and even fewer have assessed how the availability …

Unm Health Sciences Center Data Book 2012-13, University Of New Mexico - Health Sciences Center

Health Sciences Center Databook (1990-ongoing)

No abstract provided.

Bedside Bureaucrats: Why Medicare Reform Hasn't Worked, Nicholas Bagley

Articles

Notwithstanding its obvious importance, Medicare is almost invisible in the legal literature. Part of the reason is that administrative law scholars typically train their attention on the sources of external control over agencies’ exercise of the vast discretion that Congress so often delegates to them. Medicare’s administrators, however, wield considerably less policy discretion than the agencies that feature prominently in the legal commentary. Traditional administrative law thus yields slim insight into Medicare’s operation. But questions about external control do not—or at least they should not—exhaust the field. An old and often disregarded tradition in administrative law focuses not on external …

Healthcare Quality And Expenditure Benchmarks Along The Continuum Of Care: The Role Of Primary Care Use And Community Healthcare Resources, Tricia Lee Wilkins

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objective: The current studies examined the relationship between lapses in quality (ambulatory care sensitive hospitalizations and all cause 30-day readmissions) and patient-level, provider-level, and county-level healthcare resources. Specific attention is paid to the association between patient-level primary care use and provider-level care coordination. One of the studies also evaluated the association between chronic complex illness and lapses in quality after adjusting for individual-level, provider-level, and county-level characteristics within a longitudinal and unified framework. Yet another study evaluated whether avoiding poor quality outcomes can be achieved below an expected expenditure benchmark.;Study Design: The study used a retrospective cross-sectional as well as …

I'M Still Standing: Five Strategies To Survive Going Back To School, Janice Hawkins

Ellmer School of Nursing Faculty Publications

[First paragraph] Making the decision to return to school for a PhD was difficult for me. I feared the unknown but inescapable lifestyle adjustments. I’m resistant to change. When facing life’s cold waters, I wade, rather than plunge. There’s no wading into a PhD program. In spite of my cautious nature, I took the plunge.

Cyberattacks On Medical Devices And Hospital Networks: Legal Gaps And Regulatory Solutions, Katherine Booth Wellington

Santa Clara High Technology Law Journal

Cyberattacks on medical devices and hospital networks are a real and growing threat. Malicious actors have the capability to hack pacemakers and insulin pumps, shut down hospital networks, and steal personal health information. This Article analyzes the laws and regulations that apply to cyberattacks on medical devices and hospital networks and argues that the existing legal structure is insufficient to prevent these attacks. While the Computer Fraud and Abuse Act and the Federal Anti-Tampering Act impose stiff penalties for cyberattacks, it is often impossible to identify the actor behind a cyberattack—greatly decreasing the deterrent power of these laws. Few laws …

What Keeps Us Well? Professional Quality Of Life And Career Sustaining Behaviors Of Music Therapy Professionals, Shane C. Swezey

Theses and Dissertations--Music

Self-care can be seen as not only critical for individual professionals, but also for the growth of the helping professions and the quality of care which clients receive. The purpose of this study was to investigate use of career-sustaining behaviors and the levels of professional quality of life in music therapy professionals. This study investigated research questions regarding use of career sustaining behaviors and levels of professional quality of life, the relationship between these variables, the differences in the use of career sustaining behavior by demographics, and the use of music as a self-care strategy.

An online survey was sent …

Assessing Depression In Cancer Patients : A Longitudinal Comparison Of Three Questionnaires., Patrick Possel, Kerstin Knopf

Faculty and Staff Scholarship

The article by Johns et al. (1) compares the Hopkins Symptom Checklist 20-item depression scale (HSCL-20) (2), the Short-Form 36 Mental Health Inventory five-item distress scale (MHI-5) (3), and the Patient Health Questionnaire nine-item depression scale (PHQ-9) (4) in 309 adults with cancer in a longitudinal study.

Discrimination Of Sexual Minorities And Plans To Relocate, Margaret H. Smith

LSU Master's Theses

LGBTQ individuals make relocation decisions with their sexual orientation and gender identity in mind (Gorman-Murray, 2007). The purpose of this study is to examine the relationship between non-violent discrimination faced by LGBTQ individuals and whether or not those individuals have future plans to relocate. A literature review of LGBTQ discrimination and LGBTQ relocation is discussed, and a secondary data analysis was conducted on a sample of LGBTQ individuals who participated in a quality-of-life survey. All hypotheses were supported except the hypothesis that analyzed anti-LGBTQ discrimination and its association with time until relocation. Results indicated that experiencing anti-LGBTQ nonviolent discrimination was …

Examining The Use Of Spirituality As A Form Of Social Support In Computer-Mediated Communication, Kristopher Micheal Paal

Wayne State University Dissertations

Social Information Processing Theory (Walther, 1992) suggests that individuals can develop and sustain relationships in online contexts even with limited cues present. With more individuals using computer-mediated communication (CMC) for relational processes, there is an increased need for examination of how communication is used with fewer cues present. Due to its contributions to holistic health, spirituality is a dimension of support which also necessitates increased examination as well. The present study examines how CMC can be used for the relational purposes of spiritual and social support in online communities. Messages from two separate online bereavement communities were analyzed to discover …

Complete Issue, Gla Glq

Georgia Library Quarterly

No abstract provided.