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Self-Reported Professional Competencies Of Rn-To-Bsn Students, Nicole Thompson

Honors Theses

Groundbreaking research by Aiken et al. (2003) and subsequent researchers has determined increased educational preparation and Bachelor of Science in Nursing (BSN) degree obtainment of Registered Nurses (RNs) to be associated with improved patient safety and outcomes. Other organizations, such as the World Health Organization (WHO), have demonstrated professional competency to be an important indicator of quality nursing care. The purpose of this study was to evaluate self-reported professional competency of RN-to-BSN students at the point of graduation in order to investigate the added value of baccalaureate degree obtainment to the actual nursing practice of RN-to-BSN program graduates. The Nurse …

Interviewers’ Ratings Of Respondents’ Health: Predictors And Association With Mortality, Dana Garbarski, Nora Cate Schaeffer, Jennifer Dykema, Deborah Carr

Sociology: Faculty Publications and Other Works

Objectives

Recent research indicates that survey interviewers’ ratings of respondents’ health (IRH) may provide supplementary health information about respondents in surveys of older adults. Although IRH is a potentially promising measure of health to include in surveys, our understanding of the factors contributing to IRH remains incomplete. Methods

We use data from the 2011 face-to-face wave of the Wisconsin Longitudinal Study, a longitudinal study of older adults from the Wisconsin high school class of 1957 and their selected siblings. We first examine whether a range of factors predict IRH: respondents’ characteristics that interviewers learn about and observe as respondents answer …

Improving Transitions In Care For People With Dementia: The Cared Tool, Yuwen Deng, Jamie Bisset, Silk Lim, Maryssa Edwards

Community Engaged Learning Final Projects

Transitions in Care are challenging for people with dementia due to impairments in communication and disorientation from being in a foreign environment. Transitions in care have lead to incidents of unnecessary physical and chemical restraints of this vulnerable population. To investigate how to optimize care transitions, qualitative descriptive information was collected through three personal interviews to gain a broader understanding of mechanisms of care transitions in London, ON. After conducting interviews and literature review, the CARED Tool was developed. The CARED Tool promotes social inclusion of patients with dementia through recognizing that people with dementia have complex needs, thereby allowing …

Individualized Glycemic Targets For The Elderly Residing In Long Term Care Facilities, Abegail Hubberd

Doctor of Nursing Practice

Of people age 65 and older residing in a long-term care facility, 1 in 4 has Type 2 diabetes (Smide & Nygren, 2013). Care and management of this population is a challenge for nurses and other providers. Results of a needs assessment in a local long-term care facility identified deficiencies in the provision of evidence-based Type 2 diabetes care for this target population. American Diabetes Association Guidelines (2017) recommend application of individualized HbA1c targets for the elderly residing in long-term care facilities, especially for those with compromises in clinical and functional status. This two prong quality improvement project strove to …

Improving Vaccination Rates In Adults With Type Ii Diabetes In A Family Practice Setting: An Evidence-Based Quality Improvement Project, Ronda Gottlieb

Doctor of Nursing Practice

The purpose of this evidenced-based quality improvement project is to implement processes to facilitate providers’ adherence to the American Diabetes Association (2017), American Association of Clinical Endocrinologist (2015), and American College of Endocrinology (2015) immunization guidelines for adults with type II diabetes. Presently, diabetes is the 7th leading cause of death in the United States contributing to serious complications throughout the body as a result of poor glucose control. Adults with diabetes are at increased susceptibility to infectious disease because of hyperglycemia, poor glucose control, and decreased immunity. A protocol was created using The Four Pillars Transformation Program ™ to …

Outpatient Vestibular Rehabilitation For A Patient Three Months Post Acoustic Neuroma Resection: A Case Report, Joel Harrison

Case Report Papers

An acoustic neuroma, also known as a vestibular schwannoma, is a benign and slow growing primary intracranial tumor that originates from Schwann cells of the vestibular nerve within the inner ear. It is estimated that acoustic neuromas occur in 10-20 individuals per 1,000,000 annually in the United States. The tumor itself is often treated through surgical removal; however, the tumor and subsequent surgery frequently lead to vestibular nerve impairment. The vestibular nerve transmits sensory information to the brain from the peripheral vestibular system of the inner ear. Damage to one of the vestibular nerves may lead to vestibular dysfunction on …

Identifying Problems And Solutions In Changing State Legislation Regarding Licensed Clinical Social Workers Providing Private Independent Mental Health Services, Dianna Cooper-Bolinskey

All-Inclusive List of Electronic Theses and Dissertations

State regulated social work practice began in the 1960s; by the mid-1990s, all of the states within the United States regulated the profession through licensure. The purpose of licensure was ostensibly to protect the public and the profession; however, legislation defining social work practice varied vastly from state to state. The variation existed not only between states, but also within licensure categories with regard to the scope of practice of the social work profession. Licensed clinical social workers in some states could practice relatively independently, as they had the ability to diagnose, provide psychotherapy, and bill Medicaid, Medicare, and third …

College Of Health And Human Services Research And Fy17 Awards, Ann A. Tyler

College of Health and Human Services Newsletter

• FY17 Awards
• Awards ($) by College FY 17
• CHHS Awards as % of WMU Awards by Year
• Number of Awards and Awardees Summary
• Value of Awards and Submissions by Yea
• Funding Sources
• Types of Projects
• CHHS Award Dollars by Department FY 17
• OVPR Updates
• CHHS Research Support
• Research Clusters
• Initiatives and Opportunities
• FY18 Awards as of 10/31/17
• Conclusions

Connections, 12/2017, College Of Health And Human Services

College of Health and Human Services Newsletter

• 2017 State of the College of Health and Human Services
• 2017 Faculty and Staff Awards
• Ph.D. student's grant to fund mental health services for homeless
• Communication training simulation for nursing, PA students
• Student Nurses Association collects winter gear for local children

Health Science 4711a: Apps For Disability, Rachel J. Gorjup Ms.

Community Engaged Learning Final Projects

No abstract provided.

A Review Of Occupation And Impairment Based Assessments Used In Occupational Therapy, Mariana D'Amico

OCCUPATION: A Medium of Inquiry about Health through Occupation

Objective: The objective of this paper was to analyze the psychometrics, efficacy, and usefulness of assessments to measure occupational performance and occupation-based outcomes.

Methodology: Eight Doctor of Occupational Therapy Students at Nova Southeastern University, along with their professor, analyzed and appraised 46 commonly used assessments to discover and explore the assessments’ purposes, theory-bases, psychometric properties, and usefulness as outcome measures.

Results: We found that many high quality assessments exist and meet the standards for validity and reliability. Although some assessments are client-centered and useful, some still require additional research to strengthen their psychometric properties.

Conclusion: Some widely used assessments …

Understanding Attitudes Toward Pregnancy In The Workforce: A Focus On Personality, Arianna Gomez

McNair Scholars Research Journal

No abstract provided.

Biopsychosocial Measures Related To Postural Control In Older Adults, Ryan Paul Hulla

Psychology Theses - Archive

This study examined the biopsychosocial measure related to postural control in the growing population of older adults (i.e., 60 years and older). The sample of the study consisted of 129 older adults (M = 74.45, SD = 6.95), with 34 males and 95 females, and 36 classified with chronic low-back pain (CLBP) and 93 without chronic low-back pain (NCLBP). Physical and psychosocial constructs were analyzed as predictors for postural control measures. Also gender and classification of low-back pain were examined as moderators for all physical and psychosocial measures. Results supported that physical and psychosocial measures were able to significantly predict …

Cognitive Trajectory Changes Over 20 Years Before Dementia Diagnosis: A Large Cohort Study., Ge Li, Eric B Larson, Jane B Shofer, Paul K Crane, Laura E Gibbons, Wayne Mccormick, J D Bowen, Mary Lou Thompson

Articles, Abstracts, and Reports

BACKGROUND/OBJECTIVES: Longitudinal studies have shown an increase in cognitive decline many years before clinical diagnosis of dementia. We sought to estimate changes, relative to "normal" aging, in the trajectory of scores on a global cognitive function test-the Cognitive Abilities Screening Instrument (CASI).

DESIGN: A prospective cohort study.

SETTING: Community-dwelling members of a U.S. health maintenance organization.

PARTICIPANTS: Individuals aged 65 and older who had no dementia diagnosis at baseline and had at least two visits with valid CASI test score (N = 4,315).

MEASUREMENTS: Average longitudinal trajectories, including changes in trajectory before clinical diagnosis in those who would be diagnosed …

Fall Risk In Sedentary, Recreationally Active, And Masters Athlete Older Adults, Felicia Elizabeth Squires

Graduate Theses and Dissertations

The purpose of this study was to examine whether different habitual activity levels may affect balance ability in older adults. Balance must be studied as poor balance increases likelihood of falls. This study examined activity levels in older adults and effect on balance ability. Fifty-nine older adults aged 66.5 ± 9.5 participated. Three groups were separated by physical activity level. First group had 13 masters athletes, older adults performing least 150 minutes of aerobic activity a week and competing in nationally sanctioned event within the last six months. Twenty-seven older adults comprised recreationally active group performing at least 150 minutes …

Life-Long Creativity: Changing The Narrative Of Aging And Retirement, Jennifer K. Gippel Dr

Creativity and Change Leadership Graduate Student Master's Projects

The current narratives and stereotypes around retirement and aging are both inaccurate and incomplete. The popular media regularly portrays retirees and older citizens as blissfully happy but bland; or physically feeble and forgetful. Rarely are they portrayed as achievers and vibrant problem solvers. Instead they are perceived by policy makers as a problem to be solved. This project offers a different narrative ― one that presents retirement and aging as a unique time of creative opportunity, possibility, and freedom to choose. The primary outcome of the project is two chapters of a book entitled: Retirement by design: How to discover …

2017 Winter Graduate & Undergraduate Commencement, Lindenwood University

Commencement Programs

Lindenwood University Commencement program.

Exercise, Cognition, And The Aging Process Among Active, Competitive, And Sedentary Middle-Aged And Older Adults, Katherine Adams

Health, Human Performance and Recreation Undergraduate Honors Theses

Purpose This study aimed to compare the cognitive measures of reaction time and dual-task performance among recreationally active, master athletes, and sedentary older adults aged 50 years or older. Methods 59 late middle-aged and older adults between the ages of 50 to 88 years old participated in reaction time and dual-task tests of which consisted of multiple trials on the same day. Subjects were placed either into the recreationally active, masters athlete, or sedentary activity level group based on the Rapid Assessment of Physical Activity (RAPA) form. For the gait speed with associated dual-task component, subjects walked 10-meters at two …

Hallucinations Are Real To Patients With Dementia, R. C. Hamdy, Amber E. Kinser, J. V. Lewis, Rebecca Copeland

ETSU Faculty Works

In this case study, we present a patient with preexistent posttraumatic stress disorder and psychosis who has been recently diagnosed with Dementia with Lewy Bodies. He is experiencing vivid hallucinations. What went wrong between him and his wife as a result of these hallucinations is presented. Alternative actions that could have been used are suggested.

Dementia Survey Among Attendees Of A Dementia Awareness Event In Karachi, Pakistan, Qurat Ul Ain Khan, Yusra Hanif Khan, Mohammad Zaman Khan, Shireen Najam

Pakistan Journal of Neurological Sciences (PJNS)

There is little information available about peoples'knowledgeregarding symptoms of dementia, dementia diagnosis, and care arrangementsfor dementia patients in Pakistan. Aims: We aimed to find out if patients with dementia and their caregivers were aware of diagnosis, the most common and most distressing symptoms, and care arrangement for these patients.

Too Many Choices Confuse Patients With Dementia, R. C. Hamdy, J. V. Lewis, Amber Kinser, A. Depelteau, Rebecca Copeland, T. Kendall-Wilson, K. Whalen

ETSU Faculty Works

Choices are often difficult to make by patients with Alzheimer Dementia. They often become acutely confused when faced with too many options because they are not able to retain in their working memory enough information about the various individual choices available. In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused.

Patients With Dementia Are Easy Victims To Predators, Ronald C. Hamdy, J. V. Lewis, Rebecca Copeland, Audrey Depelteau, Amber E. Kinser, T. Kendall-Wilson, Kathleen Whalen

ETSU Faculty Works

Patients with dementia, especially Alzheimer’s disease and particularly those in early stages, are susceptible to become victims of predators: Their agnosia (see Case 1) prevents them from detecting and accurately interpreting subtle signals that otherwise would have alerted them that they are about to fall for a scam. Furthermore, their judgment is impaired very early in the disease process, often before other symptoms manifest themselves and usually before a diagnosis is made. Patients with early stages of dementia are therefore prime targets for unscrupulous predators, and it behooves caregivers and health care professionals to ensure the integrity of these patients. …

A Neuroprotective Role For Mir-1017, A Non-Canonical Mirna, Matthew De Cruz

Master's Theses

miRNAs are post-transcriptional regulators of gene expression, with numerous being involved in neurobiology. Within the human genome a quarter of the identified miRNA loci derive from a class of miRNAs termed tailed mirtrons. Despite the identification of this large population of miRNA, no functional studies have been conducted to identify their role. In this study we examined the highly expressed and deeply conserved Drosophila 3’ tail mirtron, miR-1017, as a candidate to elucidate tailed mirtron functionality. We identified acetylcholine receptor transcripts, Da5 and Da2, as bona fide targets for miR-1017. Interestingly, Da2 is also the host transcript for miR-1017. We …

An Exploration Of Dementia Friendly Communities From The Perspective Of Persons Living With Dementia, Catherine Hebert

Electronic Theses and Dissertations

The growing global prevalence of dementia coupled with a shift in public perception from a hopeless disease to the possibility of living well with dementia has led to the formation of dementia friendly communities (DFC). DFCs are a new phenomenon in the United States, with a gap in knowledge on input from people living with dementia (PLWD). This study investigated DFCs from the perspective of PLWD in Western North Carolina, with the following research questions:

1. How are interactions and relationships experienced by persons living with dementia in the community?
2. How is community engagement experienced by PLWD?
3. To what extent and …

Evaluation Of Current Emergency Department Fall Risk Assessment Tools: Is An Emergency Department Specific Fall Risk Assessment Tool Needed?, Carrie A. Brown

Nursing Masters

Problem: The ability to accurately and quickly identify patients at high risk for falls at the point of entry into the emergency department is the most important step in fall prevention and avoiding harm. Using an inpatient falls risk assessment tool is not adequately identifying patients at risk in the emergency department setting. Multiple factors contribute to falls and are not included in the risk assessment tool. The purpose of the study was to determine if the false risk assessment tool used in the Emergency Department (ED) adequately identifies a patient at risk for falling.

Methods: This study …

December 2017 Commencement Program, Bowling Green State University

Commencement Programs

No abstract provided.

Factors That Influence Self-Reported Health Changes With Caregiving, Margaret Danilovich, Xiaoling Xiang, Daniel Pinto

Physical Therapy Faculty Research and Publications

Objective: This study examined factors associated with the self-reported change in health status as a result of caregiving. Method: Multinomial logistic regression were performed to examine the sociodemographic characteristics, care recipients’ characteristics, and caregiving experiences that affect caregivers’ perceptions of health affected by caregiving using data from 1,087 caregiver respondents in the Caregiving in the U.S. 2015 data set. Data were collected through an online or telephone survey of randomly selected adults in 50 states. Results: Worsened self-reported health with caregiving occurred for caregivers aged 50 to 64, racial/ethnic minorities, those who lived within 20 min of the care recipient’s …

2017 Food, Friendship, And Health: Working Together To Serve Seniors In North County San Diego, Michelle Ahearne, Meghan Kelly, Mary Jo Schumann

Seniors

This report, prepared by the Caster Center, is a three-year evaluation of the North County Senior Connections Thyme Together Food Truck Lunch Program.

The Development Of A Specific Pathogen Free (Spf) Barrier Colony Of Marmosets (Callithrix Jacchus) For Aging Research, Corinna N. Ross, Steven Austad, Kathy Brasky, Celeste J. Brown, Larry J. Forney, Jonathan A. Gelfond, Robert Lanford, Arlan Richardson, Suzette D. Tardif

Biology Faculty Publications (Archived)

A specific pathogen free (SPF) barrier colony of breeding marmosets (Callithrix jacchus) was established at the Barshop Institute for Longevity and Aging Studies. Rodent and other animal models maintained as SPF barrier colonies have demonstrated improved health and lengthened lifespans enhancing the quality and repeatability of aging research. The marmosets were screened for two viruses and several bacterial pathogens prior to establishing the new SPF colony. Twelve founding animals successfully established a breeding colony with increased reproductive success, improved health parameters, and increased median lifespan when compared to a conventionally housed, open colony. The improved health and longevity of marmosets …

Macro-Level Diffusion Of A Methodological Knowledge Innovation: Research Synthesis Methods, 1972-2011, Laura Sheble

School of Information Sciences Faculty Research Publications

Use of research synthesis methods has contributed to changes in research practices. In disciplinary literatures, authors indicate motivations to use the methods include needs to (a) translate research-based knowledge to inform practice and policy decisions, and (b) integrate relatively large and diverse knowledge bases to increase the generality of results and yield novel insights or explanations. This review presents two histories of the diffusion of research synthesis methods: a narrative history based primarily in the health and social sciences; and a bibliometric overview across science broadly. Engagement with research synthesis was strongly correlated with evidence-based practice (EBP), and moderately with …