Digital Commons Network^™

Assessment Of Depression Among Older Adults Staying In Old Home Care In Klang, Malaysia, Muhammad Qamar, Nurul Zahirah, Sohail Ahmad

Pharmaceutical Sciences and Research

Mental disorders such as depression are widespread, often underdiagnosed, and usually inappropriately treated. The early recognition of factors that may promote depression with the help of depression screening aid can help to plan better care for the patient. Therefore, this study aimed to determine the depression prevalence among the older adults staying in old home care, to explore any association and differences of depression across various socio-demographic variables, and to study the predictors of depression among study subjects. A cross-sectional study was conducted with a convenience sample of 141 elderly by using the validated tool. The study instrument was divided …

Evaluating Outcomes Of Medication-Related Interventions From The “Seniors At Risk For Falls After Emergency Room Visit” (Safer) Pilot Project, Ling J. Zhan, Sharon Leigh, Mary E. Kuebrich, Clara Mikhaeil, Kevin Hom, Colleen M. Casey

Providence Pharmacy PGY1 Program at Providence Portland and Providence St. Vincent Medical Centers 2020

Primary Author: Ling J. Zhan, PharmD

Co-Authors: Sharon Leigh, PharmD BCPS, Mary Beth Kuebrich, MS, AGPCNP-BC, Clara Mikhaeil, PharmD, BCPS, Colleen M. Casey, PhD, ANP-BC

Location: Providence Health & Services, Portland, Oregon

Title: Evaluating outcomes of medication-related interventions from the “Seniors At risk for Falls after Emergency Room visit” (SAFER) pilot project

Purpose: Falls are the leading cause of injury in older adults, resulting in decreased mobility, loss of independence, and increased health care costs. Even a single fall puts an older adult at higher risk for future falls. Despite numerous studies showing evidence that multifactorial fall risk interventions are …

Rapamycin Rejuvenates Oral Health In Aging Mice., Jonathan Y An, Kristopher A Kerns, Andrew R Ouellette, Laura Robinson, H Douglas Morris, Catherine Kaczorowski, So-Il Park, Title Mekvanich, Alex Kang, Jeffrey S Mclean, Timothy C Cox, Matt Kaeberlein

Faculty Research 2020

Periodontal disease is an age-associated disorder clinically defined by periodontal bone loss, inflammation of the specialized tissues that surround and support the tooth, and microbiome dysbiosis. Currently, there is no therapy for reversing periodontal disease, and treatment is generally restricted to preventive measures or tooth extraction. The FDA-approved drug rapamycin slows aging and extends lifespan in multiple organisms, including mice. Here, we demonstrate that short-term treatment with rapamycin rejuvenates the aged oral cavity of elderly mice, including regeneration of periodontal bone, attenuation of gingival and periodontal bone inflammation, and revertive shift of the oral microbiome toward a more youthful composition. …

Ucc Minutes 4-27-20, Angela Brock

UCC Agendas/Minutes

No abstract provided.

Assets And Unmet Needs Of Diverse Older Adults: Perspectives Of Community-Based Service Providers In Minnesota, Hayley R. Mccarron, Alana Wright, Rajean P. Moone, Traci Toomey, Theresa L. Osypuk, Tetyana Shippee

Journal of Health Disparities Research and Practice

This paper examines assets and unmet needs of diverse older adults and highlights the need for programs and policies that address the social determinants of health. The United States is undergoing an unprecedented demographic shift, becoming increasingly diverse and aging rapidly. Given these changing demographics, it is important to understand the strengths and needs of our diverse population of older adults. This study captures perspectives of diverse service providers who work with older adults in communities, to identify existing assets as well as unmet needs and challenges facing diverse older adults in Minnesota. Qualitative data were collected using key informant …

Effects Of Brain Training On Brain Function, Jeanae Williams

Showcase of Undergraduate Research and Creative Endeavors (SOURCE)

Over one million Americans are diagnosed with brain diseases or disorders each year. This means brain disease is very common, and because most brain diseases are incurable, it is vital that more information on prevention is provided. Brain training is a program of regular activities that claims to maintain or improve one’s cognitive abilities. Cognitive abilities are brain-based skills required to perform various mental tasks, from the simplest to the most complex. This presentation will discuss the effects that brain training activities have on cognition and brain function.

Aromatherapy As An Intervention To Manage Chronic Pain In A Long-Term Care Facility: A Quality Improvement Study, Jay Friedrichs, Katie Long, Abby Jansen

Celebrating Scholarship and Creativity Day (2018-)

Managing pain effectively is a widespread issue in healthcare, particularly in the elderly population. Good Shepherd Lutheran Community in Sauk Rapids, Minnesota reports high levels of chronic pain in their long-term care patients when compared to the nationwide average. This could be due to an inaccurate pain scale, inappropriate medication management, or the lack of non-pharmacological intervention. Students from the College of Saint Benedict and Saint John’s University investigated this issue. Current nonpharmacological strategies in the facility include heat or cold application, mindfulness, and range of motion exercises. Pain medication, particularly opioids are used to maximize comfort. A review of …

Decreasing Falls In The Elderly Population Living In Long Term Care Facilities, Brianna Griffin, Anna Kessler, Katie Luckraft, Hailey Monroe, Amelia Richardson, Anna Smisek, Hannah Wohletz

Celebrating Scholarship and Creativity Day (2018-)

No abstract provided.

Promotion Of Quiet Hours To Decrease Fatigue Induced Falls In A Long-Term Care Facility, Moira Kelly, Megan Novak, Aubrey Shephard

Celebrating Scholarship and Creativity Day (2018-)

No abstract provided.

Exploring The Concurrent Validity Of The Indoor Mobility Pre-Driving Screen (Imps): A Comparison Of The Imps And Ef-Car Motion Driving Simulator., Nicholas T. Bolen

Student Capstone Papers

This paper details the results of a non-experimental assessment comparison study of concurrent validity in which the Indoor Mobility Pre-driving Screen (IMPS) is compared to an EF-Car Motion Driving Simulator. 36 participants completed both assessments concurrently. Collected data was analyzed using descriptive statistics and Pearson's r correlations. Results show low to moderate correlations between the compared assessments.

Decreasing Falls Through Music Therapy In A Long-Term Care Facility, Natalie Rannells, Kayla Thorsten, Riley Leblanc, Kalli Kuhlmann, Casey O'Hern, Jessica Marolt

Celebrating Scholarship and Creativity Day (2018-)

Falls are a continuous problem in long-term care facilities. Elderly people are at an increased risk of falling because of age related deterioration, changes in mental health status, neurological problems, polypharmacy, changes in vision and hearing, musculoskeletal problems or environmental factors. Although many facilities advocate for fall prevention, falls are still the number one cause of accidental death in older people. Over the past several months, a long-term care facility has noticed that a majority of falls happen on the dementia unit around the time of shift change (1900-2100). The goal of this quality improvement project was to decrease the …

Examining The Role Of Social Support In The Relationship Between Intimate Partner Violence And Depression, Breanna Lynn Free

Electronic Theses and Dissertations Archive

The purpose of the current study was to assess perceived social support as a moderator of the association between intimate partner violence (IPV) and depression. An additional facet of the current study included examination of how IPV measurement might impact results. Participants included 151 racially diverse female survivors of IPV. Two separate path analyses were conducted to assess social support as a moderator of the association between IPV measured both as a unitary construct and as three subtypes (physical IPV, sexual IPV, and psychological IPV) and depression. We expected that differences in findings would emerge based on how IPV was …

2020-04-23 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Lori D. Sloane, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Rachel D. King, Jenny Situ, Lauren Tagliaferro Epler, Cleoshia Williams, Ariel Hurwitz, Ryen Ormesher, Kathryn Foos, Alexandra Yingling, Elly Munde, Evans Raballah, Cristian Bologa, Kristine Tollestrup, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM health order extension. NM and Navajo nation numbers. Pueblo relief. NM curve flattens. Economic recovery council. Businesses push to reopen. Police enforcement tough. Out-of-network healthcare billing. 3700 NM medical volunteers. Rising US deaths. Meat processor shortages. WHO malaria deaths warning. Europe: ½ of deaths nursing homes. British household testing. EU rescue package. Cybercrime 5X. NM PPE spending. PPE waste. Nylon + cloth masks. H2O2 PPE sterilization. NY 13.9% antibodies. NY risk factors. Children clinical features. Italian town infection “census”. Monitoring excess deaths. COVID-NET summary. Exit strategies. Outpatient screening. Hospital stress management. Practice guidance on: home anaphylaxis management, …

Increasing Advanced Directives In Primary Care, Jenny Niblock, Christine Hober

SACAD: Scholarly Activities

Most patients want to maintain complete control of their choice in their healthcare decisions to the very end of life. However, according to Bern-Klug and Byram’s (2017) study, less than 25% of Americans complete advanced directives. Despite legislation that mandates healthcare providers ask patients if they have an advanced directive, most healthcare providers do not have advanced directive discussions with their patients (Spoelhof & Elliott, 2012). The purpose of this project was to develop multifocal interventions that would increase the number of conversations healthcare providers have with their patients over the age of 18 in the primary care setting and …

Diverse Aging And Health Inequality By Race And Ethnicity, Kenneth F. Ferraro, Blakelee R. Kemp, Monica M. Williams

Department of Sociology: Faculty Publications

Although gerontologists have long embraced the concept of heterogeneity in theories and models of aging, recent research reveals the importance of racial and ethnic diversity on life course processes leading to health inequality. This article examines research on health inequality by race and ethnicity and identifies theoretical and methodological innovations that are transforming the study of health disparities. Drawing from cumulative inequality theory, we propose greater use of life course analysis, more attention to variability within racial and ethnic groups, and better integration of environmental context into the study of accumulation processes leading to health disparities.

The Effect Of Volunteering On Stress Hormone Levels Of Graduate Student Volunteers, Kyra Valovick, Kelsey Swegle

Virtual 2020 Spring Student Showcase for Research and Creative Inquiry

The purpose of this presentation is to set up methods for a long-term study using graduate students in the Speech Pathology graduate program at Longwood University. Previous studies have shown that levels of stress hormones, cortisol and alpha-amylase, decrease after a volunteering activity. In this study, we aim to replicate those results by taking saliva samples from graduate students who are volunteering with disabled children at a local therapeutic barn, Heartland Horse Heroes. From those samples, we will measure levels of cortisol, alpha-amylase, and DHEA, a hormone measuring resistance. We expect to see a decrease in cortisol and alpha-amylase and …

Measuring The ‘Dose’ Of Person-Centred Care In Aged Care: Development Of Staff And Family Questionnaires, Davina Porock, Junxin Li, Yu-Ping Chang

Research outputs 2014 to 2021

Aims: To develop a theoretically and psychometrically sound instrument to measure the ‘dose’ of person-centred care practice in long-term care.

Background: Although person-centred care has been adopted for long-term care across the world, there is a lack of theory-based instruments to measure its impact. Two questionnaires were developed to measure person-centred care from the perspectives of staff and family based on current person-centred care frameworks: Kitwood, Nolan, and Eden Alternative.

Methods: Phase I: literature review and focus groups identified potential items for the questionnaires. Phase II: academic experts, local staff, and family members of residents assessed content validity. Phase III: …

Amending California Law To Incentivize Preceptors, Marina Nguyen

Culminating Project Papers (DNP)

Clinical preceptorship training is a unique component in medical doctors, physician assistant, and nurse practitioner's academic curriculum. Preceptors are licensed clinicians, mentor student(s) during their regular hours of employment without additional compensation. California is currently experiencing a primary care shortage crisis, and with the push to train more health care professionals to meet these shortages, there has been an increase in schools, but not enough preceptors to train new students. This shortage in preceptors is widespread throughout the United States, with many programs having difficulty securing a preceptor site to educate students (Association of American Medical Colleges, 2018).

The culminating …

Executive Function As A Mediating Factor Between Visual Acuity And Postural Stability In Cognitively Healthy Adults And Adults With Alzheimer's Dementia, Susan W. Hunter, Alison Divine, Edward Madou, Humberto Omana, Keith D Hill, Andrew M Johnson, Jeffrey D Holmes, Walter Wittich

Physical Therapy Publications

BACKGROUND: Falls in older adults, notably those with Alzheimer's dementia (AD), are prevalent. Vision and balance impairments are prominent falls risk factors in older adults. However, recent literature in the cognitively impaired suggests that executive function (EF) is important for falls risk assessments. The study objectives were to: 1) to compare balance among people with AD, healthy older adults (OA), and healthy young adults (YA) and 2) to quantify the interaction of visual acuity and EF on postural stability.

METHODS: We recruited 165 individuals (51 YA, 48 OA, and 66 AD). Trail Making Tests (A and B) quantified EF and …

Hourly Rounding: The Effects On Fall Rates In Adult Population In Acute Care Setting, Sheyla J. Pellicier Mercucci

MSN Capstone Projects

Falls are one of fourteen categories of hospital-acquired conditions (HACs) listed by the Centers for Medicare and Medicaid Services (2020). Falls are costly and stressful for everyone involved; patients, families, nursing staff and physicians. According to the United States Department of Health and Human Services (2019), about seven hundred thousand to one million hospital admitted patients fall every year. The estimated cost of a fall is about fourteen thousand fifty-six dollars if an injury occurs and can extend patient’s hospital length of stay (LOS) to up to 6.3 more days (Joint Commission Center for Transforming Healthcare, 2019).

When a patient …

Examining The Impact Of A Positive Psychology Intervention With Latina Survivors Of Intimate Partner Violence, Eunice Lerma, Autumn Wright, James Ikonomopoulos, Yvette Hinojosa, Javier Cavazos

Journal of Counseling Research and Practice

We implemented a small series (N = 3) single-case research design to assess the effectiveness of a nine-session positive psychology treatment program for Latina survivors of intimate partner violence. Analysis of participants’ scores on life satisfaction and depression scales using the percentage of non-overlapping data point’s procedure yielded treatment effects indicating that a positive psychology treatment program may be effective for improving life satisfaction for Latina survivors of intimate partner violence. Implications for counselors and researchers are provided.

Natural Disasters: Implications For Counselors And Counselor Educators, Michael Bobbitt

Journal of Counseling Research and Practice

Natural disasters often strike with little to no warning and have devastating effects. The impact of natural disasters can include loss of property, loss of a job, or impairment of psychological functioning for survivors of natural disasters. Counselors are called to understand natural disasters, the impact of natural disasters, and interventions for working with natural disaster survivors. Therefore, the purpose of this paper is to examine the impact of natural disasters on clients, counseling practices for working with survivors of natural disaster, and the impact of natural disasters on counselors. Additionally, implications for counselors and counselor education are discussed.

Canine Cognitive Dysfunction (Ccd), Alzheimer’S Disease (Ad), And Β-Amyloid Accumulation: Using Ccd As A Reference For The Development Of Ad Treatments And Therapies, Isabel Gibbs

Virginias Collegiate Honors Council Conference

I researched the similarities and differences between Canine Cognitive Dysfunction (CCD)—a disease with symptoms and progression pattern that parallels Alzheimer’s Disease (AD)—and AD. I studied how β-amyloid accumulates in various brain regions—such as the prefrontal, occipital, entorhinal and parietal cortices—in canines to determine how β-amyloid accumulation is associated with the development of behaviors signifying cognitive decline observed in CCD and AD—such as changes in the sleep-wake cycle, social interaction, housetraining, and general orientation—in order to understand how neuroscientists may be able to derive new understandings from a canine model with CCD, and apply them to humans with AD to develop …

Supporting Older Adults Through Aging In Place And Capable Programs, Laura Compton

OTD Capstone Projects

This experiential component or doctoral capstone project involved a partnership with Habitat for Humanity of Greater Memphis. Through this agency, projects were completed based on identified needs of the Aging in Place and CAPABLE programs. The Aging in Place (AIP) program provides critical home repairs to low-income adults aged 60 years and older. The CAPABLE program provides the same critical home repairs along with a select number of visits from a registered nurse and an occupational therapist to help the older adults age in place safely.

Social Media As Occupation: Implications For Occupational Therapy Practice, Sheryl Eckberg Zylstra, Kimberly Erler, Wendell Nakamura, Brenda Kennell

The Open Journal of Occupational Therapy

No abstract provided.

Assessing Unmet Needs Of Caregivers After Stroke: Occupational Therapist Practices And Perspectives, Deborah R. Clymer, Hadley A. Fields, Kathy Kniepmann

The Open Journal of Occupational Therapy

Background: Family caregivers of stroke survivors often feel unprepared and overwhelmed post discharge with numerous unmet needs. Occupational therapists can play an integral role in addressing family caregivers’ needs. Limited research exists on assessment practices of occupational therapists in identifying caregivers’ needs poststroke. This study explores the practices and perspectives of occupational therapists in assessing unmet caregivers’ needs.

Method: A cross-sectional, mixed methods research design was used to electronically survey 15 occupational therapists. Part 1 of the survey explored participant methods for identifying caregivers’ needs and their views on using formal caregiver assessment tools. Part 2 gathered participant perspectives on …

Exploring How Older People Living At Home Alone Occupy Their Time – A Time-Geographic Study, Alison Wicks, Megan Blanchard, Ingeborg Nilsson

The Open Journal of Occupational Therapy

Background: Knowing what older people choose to do with their time informs occupational therapists in their everyday practice. This study explored how sixteen older Australians living at home alone without support occupied their time.

Method: People aged 70 years and older living alone in one’s home and receiving no support services were voluntary recruited. The participants completed time-use diaries for 5 days and recorded how, with whom, and where they spent time. Data were coded and analyzed using the software program Vardagen.

Results: The participants reported 217 different daily activities. While patterns of daily participation varied, all …

Mental Health Inpatient Hospitalization: What Nursing Can Learn From "Sensory Rooms.", Haley Wilson

Honors Theses

The purpose of this undergraduate thesis is to explore the use of sensory rooms in the psychiatric inpatient care setting. Mental illness is a serious issue, affecting millions each year. In 2018 the Substance Abuse and Mental Health Services Administration (SAMHSA) reported that one in five, or 19.6% of U.S. adults experienced some form of mental illness. Inpatient hospitalization is limited to those individuals posing a risk for serious harm to themselves or others. A census conducted by SAMHSA on April 30th, 2018, indicated 129,115 patients in the U.S. were receiving mental health care treatment in the inpatient setting. An …

Hypochondria And Interpersonal Relationships, Cynthia Kmety

2020 Awards for Excellence in Student Research and Creative Activity

Interpersonal relationships are important parts of our everyday lives, that can affect how we interact with others and can affect health status. This view on interpersonal relationships is often overlooked, however. This study was conducted with the goal of analyzing how the presence of hypochondria affects interpersonal relationships. It was hypothesized that those who have hypochondria will experience more negative interpersonal relationships. The researcher conducted a study using a survey that was administered to sixty-nine people. Results of the research and survey found that there were strained interpersonal relationship between people who have connections to hypochondria. Further research needs to …

"With Age Comes Wisdom:" A Qualitative Review Of Elder Perspectives On Healthy Aging In The Circumpolar North., Britteny M. Howell, Jennifer R. Peterson

Articles

No abstract provided.