Digital Commons Network^™

What Works In Managing Complex Conditions In Older People In Primary And Community Care? A State‐Of‐The‐Art Review, R Frost, G Rait, A Wheatley, J Wilcock, Et Al

Peninsula Medical School

The number of older people living with complex health conditions is increasing, with the majority of these managed in primary and community settings. Many models of care have been developed to support them, however, there is mixed evidence on their value and they include multiple overlapping components. We aimed to synthesise the evidence to learn what works for managing complex conditions in older people in primary and community care. We carried out a state-of-the-art review of systematic reviews. We searched three databases (January 2009 to July 2019) for models of primary and community care for long-term conditions, frailty, multimorbidity and …

The Association Between Physiological Sources Of Pain And Sleep Quality In Older Adults With And Without Dementia, Crystal-Rae Waltons, Christine R. Kovach

College of Nursing Faculty Research and Publications

The association of musculoskeletal pain, respiratory distress, gastrointestinal discomfort, and genitourinary pain to sleep quality in 89 persons with and without dementia was examined in the current exploratory, cross-sectional, observational quantitative design. Sources of pain were recorded, with 37.1% of the sample reporting urinary retention, 30.3% reporting genitourinary discomfort, and 53.9% reporting gastrointestinal discomfort. Mild scores of musculoskeletal pain and respiratory discomfort were elicited in >75% of the sample. An actigraph was used to measure sleep variables. Findings from this research illustrated dementia, gender, pillow use, respiratory distress, and urinary retention were statistically significantly associated with nighttime sleep quality. Results …

Tough Decisions During The Covid 19 Pandemic: A Frail Latino Patient, Irma Huayanay, Stephanie Luu

School of Medicine Publications

The pandemic of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had overwhelmed the healthcare system worldwide with multiple ethical dilemmas. Several tools have been used to assess risk factors in these patients. One of them, the Clinical Frailty scale, has shown good correlation between the patient functional status and hospital stay with overall mortality. We present a case were the Clinical Frailty Scale was used to assess patient management and goals of care.

The Relationship Between Sense Of Community And Self-Efficacy Among Senior Citizen Students, Matthew Joseph Pranger

Doctoral Dissertations and Projects

Older adult students are at risk academically. The senior citizen population and average life expectancy are increasing globally, which results in an increased number of adults returning to school later in life. Sense of community is related to academic engagement, achievement, interactivity, and retention. Self-efficacy is related to motivation, learning, and academic performance. One gap in the literature is the relationship between sense of community and self-efficacy for senior citizen students. The purpose of this quantitative, correlational study is to determine if there is a relationship between sense of community and self-efficacy among senior citizens recently enrolled in a college-level …

Raps Sheet, November 2020, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

The Perspective Of Indonesian Teachers On The Google Classroom Usage In Blended Teaching, Fatimatus Suhroh, Bambang Yudi Cahyono

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Google Classroom is a kind of platform that teachers and students have come to know about. One of the learning processes achieved with google classroom is to blend the style of learning. Blended teaching is one of the teaching processes which is done not only inside the class (offline) but also outside the class (online). The study aims to impose the perspective of Indonesian teachers on the usage of Google Classroom. The study is performed through a qualitative research design. The sample of the study, which uses a survey method through a google form, consisting of forty teachers throughout Indonesia …

Adipose Tissue As Pain Generator In The Lower Back And Lower Extremity: Application In Musculoskeletal Medicine, Se Won Lee, Craig Van Dien, Sun Jae Won

HCA Healthcare Journal of Medicine

Adipose tissue (AT) has diverse and important functions in body insulation, mechanical protection, energy metabolism and the endocrine system. Despite its relative abundance in the human body, the clinical significance of AT in musculoskeletal (MSK) medicine, particularly its role in painful MSK conditions, is under-recognized. Pain associated with AT can be divided into intrinsic (AT as a primary pain generator), extrinsic (AT as a secondary pain generator) or mixed origin. Understanding AT as an MSK pain generator, both by mechanism and its specific role in pain generation by body region, enhances the clinical decision-making process and guides therapeutic strategies in …

Diversity In Mental Health Among Generations In The Lgbtqi Community, Jennifer L. Stone, Tara S. Harris

Walden University Research Conference

This study captured the various mental health impacts among youth, younger adults, and older adults in the LGBTQI community. The LGBTQI community embodies a diverse set of subgroups that includes youth, younger adults, and older adults. Many in the LGBTQI community face prejudice, discrimination, harassment, and even rejection from family members. Youth and younger adults in LGBTQI communities are often victims of school violence, as well as intimate partner violence, and typically show signs of psychosocial adjustment disorder and psychological distress. LGBTQI older adults, although have a high incidence of social isolation and depression, are shown to be more resilient …

Federal Sentencing Disparities And Marginalized Offenders: Revisiting Cumulative Disadvantage Theory Through Individual-Level Variables, April Terry, Ashley Lockwood

Academic Leadership Journal in Student Research

Over the past several decades, sentencing reforms have claimed to establish guidelines to reduce sentencing disparity; yet, recent studies continue to find discrepancies in sentencing outcomes. The current study explored individual factors using data from the U.S. Sentencing Commission (FY 2010) to further analyze these variables through the lens of cumulative disadvantage theory. The factors included the influence of age, race, sex (gender), offense type, instant offense score, and overall criminal history score on sentencing length (in months). Hierarchical regression revealed being identified as Black, committing fraud/white collar crime or a property offense, and overall criminal history were able to …

Association Between Dietary Inflammatory Index And Type 2 Diabetes Mellitus In Xinjiang Uyghur Autonomous Region, China, Wenhui Fu, Hualian Pei, Nitin Shivaooa, James R. Hébert, Tao Luo, Tian Tian, Dilibaier Alimu, Zewen Zhang, Jianghong Dai

Faculty Publications

Background Diet and inflammation have both been studied in relation to type 2 diabetes mellitus (T2DM). The aim of this cross-sectional study was to examine the association between the Dietary Inflammatory Index (DII®) and T2DM. Methods Subjects were adults enrolled in the baseline study of the Xinjiang multi-ethnic natural population cohort and health follow-up study from January to May 2019. The study involved 5,105 subjects (58.7% men) between 35 and 74 years of age. The DII score was calculated from a data obtained via a food frequency questionnaire consisting of 127 food items. Results Logistic regression analyses were used to …

Student-Faculty Research Continues Through Pandemic, University Communications

News and Events (Discontinued Series)

No abstract provided.

Effectiveness Of The Care Of Persons With Dementia In Their Environments Intervention When Embedded In A Publicly Funded Home- And Community-Based Service Program., Richard H Fortinsky, Laura N Gitlin, Laura T Pizzi, Catherine V. Piersol, James Grady, Julie T Robison, Sheila Molony, Dorothy Wakefield

College of Health Professions Faculty Papers

Background and Objectives: In the absence of effective pharmacotherapy, there is an urgent need to test evidence-based dementia care interventions using pragmatic trial approaches. We present results from a study in which an evidence-based, nonpharmacologic intervention for persons living with Alzheimer's disease and related dementia (ADRD) and their informal caregivers, Care of Persons with Dementia in their Environments (COPE), was tested in a Medicaid and state revenue-funded home and community-based service (HCBS) program.

Research Design and Methods: Using pragmatic trial design strategies, persons living with ADRD and their caregivers were randomly assigned as dyads to receive COPE plus usual HCBS …

Riluzole Attenuates Glutamatergic Tone And Cognitive Decline In Aβpp/Ps1 Mice., Kevin N Hascup, Caleigh A Findley, Jesse Britz, Nahayo Esperant-Hilaire, Sarah O Broderick, Kristin Delfino, Shelley Tischkau, Andrzej Bartke, Erin R Hascup

Articles

We have previously demonstrated hippocampal hyperglutamatergic signaling occurs prior to plaque accumulation in AβPP/PS1 mice. Here, we evaluate 2-Amino-6-(trifluoromethoxy) benzothiazole (riluzole) as an early intervention strategy for Alzheimer's disease (AD), aimed at restoring glutamate neurotransmission prior to substantial Beta amyloid (Aβ) plaque accumulation and cognitive decline. Male AβPP/PS1 mice, a model of progressive cerebral amyloidosis, were treated with riluzole from 2-6 months of age. Morris water maze, in vivo electrochemistry, and immunofluorescence were performed to assess cognition, glutamatergic neurotransmission, and pathology, respectively, at 12 months. Four months of prodromal riluzole treatment in AβPP/PS1 mice resulted in long-lasting procognitive effects and …

From Participants To Co-Researchers: Methodological Alterations To A Qualitative Case Study, Elizabeth M. Pope

The Qualitative Report

Researchers request a variety of levels of engagement from their participants in a research study. This can range from merely serving as a data generation opportunity to being actively involved in each stage of the project. The latter is a co-researcher. In this paper, I explore how nine participants in a qualitative case study became co-researchers by the study’s conclusion. The increase in their active participation required methodological alterations to the project while I conducted the study. This paper presents these alterations by examining: (1) my position as a researcher; (2) my relationship with the participants; (3) the trajectory of …

After Dinner Speaking: Problems, Causes, And Still No Solutions, Brandi Lawless

Proceedings of the National Developmental Conference on Individual Events

I was judging a round of After Dinner Speaking last weekend, hoping for a laugh. Some competitors were successful through their use of wit, others used cheesy lines, and the last student was probably supposed to be entered in Persuasion. It was extremely difficult and frustrating to fill out the ballots. Should I have voted for the funniest person, the funniest looking person, or the most significant topic with some jokes thrown in at the end like laws on a California proposition? This is a question facing many individual events judges today, while the students competing in this event are …

Effect Of Stress On The Health Of African American Women In Low-Income Neighborhoods, Jada C. Childs

McNair Scholars Research Journal

Health problems such as obesity are more prevalent in populations of African American women than any other population in the United States. Stress has been found to disproportionately affect the health of African American women when compared to European American women. Factors such as neighborhood environment, socioeconomic status, and familial relationships play a significant role in the stress experienced by these women. This project reviews the current literature on the relationship between various stressors and the health of African American women. The purpose of this research is to increase understanding of the unique stressors that African American women face and …

Problem To Product: Targeting Sars-Cov-2 Entry Into Cells, Matt Windsor

Browse All News

No abstract provided.

Responsive Management: Municipal Leadership For An Aging Population, Laura M. Keyes, Abraham David Benavides, Laura Keyes

Journal of Public Management & Social Policy

This article focuses on the responsive management of municipal leadership by identifying organizational and community values that affect age friendly policy making. The data comes from a sample of 1050 cities extracted from a national list of cities identified as place geography on the U.S. census list of geographies. The web-based questionnaire explored policy choices of 331 respondents in the areas of mobility, housing, the built environment, and public service delivery administered between May and August 2016. The institutionalization of the needs of an aging population in city management principles results in high levels of age friendly policy action by …

Uab Palliative Care Offers Virtual Summit, Alicia Rohan

Browse All News

No abstract provided.

Importance Of Palliative Care In End Of Life Planning, Debra Lynn Hagerty Dr.

Center for Social Gerontology Community Conference (2017-2022)

Palliative care is specialized medical care for people living with a serious illness. This type of care is focused on providing relief from the symptoms and stress of the illness. The goal is to improve the quality of life for both the patient and the family. When incorporated early, end of life care is improved. Additionally, there is a cost of care improvement, that palliative care has the capacity to substantially reduce healthcare expenditures among advanced cancer patients. Furthermore, the cost reduction depends on the timing of the palliative care consult.

Sexuality And Aging, Debra Lynn Hagerty Dr.

Center for Social Gerontology Community Conference (2017-2022)

Older adults have sexual needs and intimacy desires. This presentation will celebrate those opportunities for normal sexual contact and stress rights and dignity concerns.

Video-Based Gait Analysis For Health Monitoring, Xinyi Liu

Theses and Dissertations

Human gait is essential for long-term health monitoring as it reflects physical and neurological aspects of a person's health status. In this thesis, we proposed a non-invasive video-based gait analysis system to detect abnormal gait, and record gait and postural parameters on a day-to-day basis. The system does not require subjects to wear any sensors or attach markers on their body, therefore it is convenient to use in daily life. It takes videos captured from a single camera as input. OpenPose is used to localize skeleton and joints in each frame. Angles of body parts form multivariate time series. Then …

Music Listening, Music Recreation, And Music Therapy: Effective Implementation In Dementia Care, Laura Cribb Todd

Center for Social Gerontology Community Conference (2017-2022)

In recent years, music has increasingly been acknowledged as an effective nonpharmacological intervention in dementia care. However, there are often questions as to the evidence behind why music works, the tangible benefits, and the best ways to implement music in this setting. Research confirms that music, especially active engagement in music, can greatly improve the quality of life of people living with Alzheimer’s disease and other forms of dementia. This workshop will explore multiple approaches to using music with people with dementia, including music listening, music recreation, and music therapy. Each method will be explained and the benefits will be …

Conference Program 2020, Social Gerontology Community Conference

Center for Social Gerontology Community Conference (2017-2022)

Conference Program

Occupational Therapy In Integrated Primary Care: Addressing The Needs Of Individuals Experiencing Homelessness, Caitlin E. Synovec, Marybeth Merryman, Josh Brusca

The Open Journal of Occupational Therapy

Background: Current health care policy supports occupational therapy services with individuals experiencing homelessness in primary care settings. Research on the impact of interventions is needed to support this emerging practice area.

Method: A retrospective, descriptive study was completed following the initiation of full-time occupational therapy services in an integrated primary setting and Federally Qualified Health Center (FQHC) for clients experiencing homelessness. This study evaluated: (a) percentage of referred clients who engaged in ongoing intervention; (b) diagnostic demographics of those referred; (c) functional goal types and frequency; (d) a comparison of preintervention Canadian Occupational Performance Measure (COPM) scores with postintervention …

Gc Minutes Oct 15, 2020, Graduate Council

Graduate Council Minutes

No abstract provided.

Gait Complexity Is Acutely Restored In Older Adults When Walking To A Fractal-Like Visual Stimulus, Joao R. Vaz, Brian Knarr, Nicholas Stergiou

Journal Articles

Typically, gait rehabilitation uses an invariant stimulus paradigm to improve gait related deficiencies. However, this approach may not be optimal as it does not incorporate gait complexity, or in more precise words, the variable fractal-like nature found in the gait fluctuations commonly observed in healthy populations. Aging which also affects gait complexity, resulting in a loss of adaptability to the surrounding environment, could benefit from gait rehabilitation that incorporates a variable fractal-like stimulus paradigm. Therefore, the present study aimed to investigate the effect of a variable fractal-like visual stimulus on the stride-to-stride fluctuations of older adults during overground walking. Additionally, …

Physical Health Impacts Of Grandparenting Children With Disabilities, Ynesse Abdul-Malak, Madonna Harrington Meyer

Population Health Research Brief Series

Although caring for grandchildren with disabilities often brings substantial joy to grandparents, it can adversely impact grandparents' physical health. For many grandparents, caring for their grandchildren makes them feel younger, mostly because they are more physically active and maintain healthier diets.

Exploring The Impact Of Structural Empowerment In Long-Term Care, Andrea G. Reed

International Nursing Research Congress (INRC)

Ensuring workforce stability in long-term care (LTC) is a growing challenge for healthcare leaders. Nurses employed in LTC are more likely to leave their positions within a year compared to other healthcare workers. This project explores the role of empowerment and the impact it plays on retention of LTC staff.

Investigation Of Surrogate Biomarkers Associated With Macular Pigment Status In A Group Of Older Irish Adults, Grainne Scanlon, John S. Butler, Daniel Mccartney, Ekaterina Lostutova, Rose Anne Kenny, James Loughman

Articles

SIGNIFICANCE: Macular pigment (MP) confers potent antioxidant and anti-inflammatory effects at the macula; however, its optical density in the eye is not routinely measured in clinical practice.

PURPOSE: This study explored a range of surrogate biomarkers including anthropometric, clinical, and plasma measures that may be associated with lower MP optical density (MPOD).

METHODS: Two thousand five hundred ninety-four subjects completed a full MP assessment as part of wave 1 of The Irish Longitudinal Study of Aging. Macular pigment optical density was measured using customized heterochromatic flicker photometry. Clinical (blood pressure), plasma (lipoproteins, inflammatory markers), and anthropometric (waist, hip, height, weight) …