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Pengaruh Durasi Pengobatan Dan Preferensi Pasien Kanker Stadium Akhir Terhadap Layanan Homecare Di Rumah Sakit Medistra Pada Tahun 2021-2023, Peter Brian Sutanto Putra Dr, Erfen Gustiawan Suwangto Dr, Tena Djuartina Dr, Iskandar Rahardjo Budianto Dr, C. Rinaldi A. Lesmana

Jurnal Penyakit Dalam Indonesia

Introduction. Cancer is still an enormous health problem in the world and rank second as the most common cause of mortality. End-stage cancer requires end-of-life or palliative care to improve the patient’s quality of life before death. Homecare services have become an option for providing palliative care to avoid long-term hospital stays. The study aimed to provide an overview of the treatment duration and other factors in end-stage cancer patients regarding the selection of homecare services at Medistra Hospital during the period of 2021-2023.

Methods. This study with a cross-sectional design analyzed medical records of end-stage cancer patients …

Advanced Elder Law, Indiana Continuing Legal Education Forum (Iclef)

Indiana Continuing Legal Education Forum 2024

Meeting proceedings of a seminar by the same name, held August 9-10, 2024.

Neurofilament Light Chain In Serum Of Cancer Patients With Acute Neurological Complications, Amulya Gottiparthy, Keng Lam, Suprateek Kundu, Zixi Yang, Ivo Tremont-Lukats, Sudhakar Tummala

Faculty, Staff and Student Publications

Aim: Neurofilament light chain (NfL) is a nonspecific sensitive biomarker of axonal damage.

Methods: This case series identified cancer patients with neurological complications who had serum NfL measurements and paired these results to outcomes.

Results: NfL serum levels were available in 15 patients with hematological malignancies or solid tumors. The neurological complications studied were immune effector cell-associated neurotoxicity syndrome, immune checkpoint inhibitor-related encephalopathy, anoxic brain injury, Guillain-Barre syndrome, hemophagocytic lymphohistiocytosis, transverse myelitis, paraneoplastic syndrome, central nervous system demyelinating disorder and chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids. All patients but one with serum NfL >900 pg/ml died …

Biological Aging Pathways That Underlie Life Course Socioeconomic Disparities In Physical Function And Longevity, Tara Gruenewald, Naomi Podber

Psychology Faculty Articles and Research

The poorer functioning and greater morbidity and mortality risk in those with greater life course socioeconomic disadvantage has led to the search for the biological processes that underlie these associations, including accelerated cellular and system aging. Our study examines whether a DNA methylation profile of the pace of biological aging (DunedinPACE) and a multi-system index of physiological dysregulation (allostatic load (AL)) mediate associations between life course socioeconomic disadvantage (SESDIS) and both physical function (gait speed, chair stand time) and survival. Data are from the Midlife in the U.S. Study (N=1,295, age 26–86, 55.4% female, 69.0% white). Measures included a multi-indicator …

Interview With Co-Founder Mary Mcfarland, Shann Ray Ferch

International Journal of Servant-Leadership

Dr. McFarland is co-founder of McFarland Consulting where she is engaged in a number of projects serving higher education at the margins, and teaching graduate courses for Georgetown University. She served as the first International Director (President) for Jesuit Worldwide Learning (JWL) Higher Education at the Margins from 2010 to 2016. Prior to that she was Dean of the School of Professional Studies at Gonzaga University in Spokane, WA, and she has held a number of leadership positions in higher education including department chair, chair of faculty senate, and full professor.

Evaluating The Impact Of A Novel Program To Address Acute Food Insecurity Among Cancer Patients, Elliott M. Sina, Michael Rowe, Gina Mancuso, Gregory Garber, W. Kevin Kelly, Amy E. Leader

Kimmel Cancer Center Faculty Papers

INTRODUCTION: Acute food insecurity (FI) significantly impacts cancer patients' health, exacerbating physical and psychological burdens. While current interventions address chronic FI, acute cases remain undermanaged. Legacy of Hope, a Philadelphia-based non-profit, addresses this gap through its Emergency Patient Support Network (EPSN), offering free bi-weekly groceries to patients facing acute FI.

MATERIALS AND METHODS: The pilot study evaluated EPSN's impact utilizing the Legacy of Hope Acute Food Insecurity (LOHAFI) survey, which was performed at baseline and two weeks post-intervention. The survey combines the Functional Assessment of Cancer Therapy-General (FACT-G7) and questions on food and financial security. Mean scores and frequencies were …

Shapiro, Sandra "Sandy", Theodora Omotayo

Bronx Jewish History Project

Sandy discusses her experiences during World War II as a young girl and how those experiences shaped her life. Also, Sandy recounts her childhood memories of blackouts and brownouts during the war and her later discovery of the Holocaust's devastation, including the betrayal of Jewish residents in Amsterdam. She emphasized that her experience was more historical than personal memory. She also shares personal stories of friends and family affected by the Holocaust. Sandy reflects on how the influence of her parents' honesty, kindness, and activism, the idealism of post-WWII democracy, and the importance of seeking evidence over belief shaped her …

The Ethical Contributions Of Nudges To Healthcare, Ian Doherty

Electronic Theses and Dissertations

“The Ethical Contributions of Nudges to Healthcare” examines the ethical use, implications, and rationale for using nudges in healthcare. The use of nudges in healthcare are being empirically examined. This leaves much to be examined from the ethical perspective. To examine the ethical perspective, the dissertation lays out how nudges interact with and enhance the biomedical principles of autonomy and beneficence. The dissertation then turns to clinical ethics. Nudges, more specifically the framing effect, are paired with trust in the patient-physician relationship to discern how best to aid a patient in his or her medical decision-making. The dissertation then investigates …

Leave The Kids Alone: The Constitutional Battleground Of Gender-Affirming Health Care Bans For Transgender Youth, Tyler Callagy

Seton Hall Law Review

No abstract provided.

From Policymaking To Legislation, The Need For A Secular Turn In Bioethics Discourse To Uphold, As A Function Of The Greater Good, Policy For Legislation Of Medically Aided Dying In The United States Of America, Scott Dyer

Electronic Theses and Dissertations

A person’s right to self-determination is a central aspect of living in a democratic nation. Similarly, decisions regarding medical care are generally left up to the patient to determine what treatment is or is not appropriate. The same should apply to end-of-life care as well, especially when a patient desires to hasten his or her death via medically aided dying. However, due to the illegality of medically assisted dying in most of the United States, the right to a self-determined death is not possible for the majority of American citizens. One of the main reasons for this is due to …

Telling The Stories Of Airwomen In The ‘Forgotten Decade’: 1952-62, Rebecca Hartley, Allan English

Canadian Military History

The Royal Canadian Air Force’s centennial represents a time for reflection. While thousands of young women served in the RCAF during the 1950s, many of their stories have since been overlooked or forgotten. Joining the air force meant access to international travel, new social connections, and valuable vocational training — all of which were relatively unattainable for many women at this time. By studying the photographs, memoirs and collected paraphernalia of Leading Aircraftwoman Ruth Doreen Wright (née Tower), this paper reconstructs an airwoman’s typical RCAF career and her perceived value of her RCAF experience on the rest of her life.

A Personal, Literary, And Geographic History Of New England Poetry, Emma Elizabeth Paulhus

Master’s Theses and Projects

No abstract provided.

Succession Of Otillio: Strict Compliance Versus Substantial Compliance Of Testament Formalities, Etinosa Igbinenikaro

Journal of Civil Law Studies

No abstract provided.

Planning In Advance (Pia): Teaching London Seventh-Day-Adventist Church Leaders In Providing Spiritual Care For Dying And Mourning Parishioners, Walace Saint Louis

Doctoral Dissertations and Projects

The London Seventh-Day Adventist Church (LSDAC), Maybee, Michigan, grapples with the lack of trained leaders in EoL to provide pastoral care for dying and mourning African American parishioners. The purpose of this DMIN action research project is to educate LSDAC leaders in providing spiritual care for their congregants as lay chaplains. The city of Maybee contains 612 people, with 95 % Caucasians and 5% other racial groups. The LSDAC membership is 99% African Americans and 1% Caucasians. It has around 30 members.

The philosophical concept of this research lies in the presuppositions that African Americans prefer spiritual EoL care from …

Solution-Focused Pastoral Counseling For Bereavement, Wayne A. Benner

Doctoral Dissertations and Projects

The topic of this action research is Solution-Focused Pastoral Counseling for grief and bereavement. The need for the research completed is for hospice chaplains to have a workable tool to use for grief and bereavement. The problem is that many hospice chaplains do not have a framework to use for counseling in grief. The action researcher worked on the thesis of if chaplains use Solution-Focused Pastoral Counseling for grief they will be more effective. The research was completed using Solution-Focused Pastoral Counseling to counsel six participants in grief. Each participant completed a pre-counseling questionnaire and a post-counseling questionnaire to assess …

Novel Approach To Advance Directive Training: Hospice And Palliative Care Fellow Led Workshop Feasible And Effective In Increasing Confidence In End Of Life Conversations, Chelsea Chang, Jose Cano, Juan Lopez-Alvarenga, Josenny Rodriguez Paez, Sonya R. Montes, Rosa White, Meghana Rao

School of Medicine Publications

Despite the benefits of Advance directives, approximately only 1 in 3 U.S adults have documented advance directives. In medical school and residency, learners are often not taught or given very brief information on conducting end-of-life planning conversations with patients. Due to this deficiency, some institutions have conducted advance directive workshops but not many have been both palliative fellow and resident led, though some have been led by a geriatric fellow. Therefore, we approached advance directives with a resident and palliative fellow-led workshop. We aimed to develop and conduct a workshop on advance directives to assess feasibility and effectiveness in raising …

Co-Regulation: Easy Neuroscience And Connection Strategies For The Classroom And Beyond, Ginger Healy

Georgia Association for Positive Behavior Support Conference

This presentation will discuss the "why?"' behind the need for educational environments that are nervous system-focused and brain-based. This session is rooted in the principles that behavior is communication and safe, positive, attuned relationships are the antidote! We will dive into the keys to bringing emotional stability in the classroom through regulation and co-regulation. Early adversity and stress can re-wire a child's brain and nervous system leading to BIG BEHAVIORS and lagging skills, but we can re-wire those patterns and reactions so that students can thrive and educators can avoid burnout. This session will build resilience in both educators and …

Effectiveness Of Music On Comfort And Adherence To Continuous Positive Airway Pressure Therapy In An Adult Population With Obstructive Sleep Apnea, Tina Barber

DNP and Student Works

The aim of this quality improvement (QI) project was to implement a nurse-led program to include an education session about CPAP adherence and music intervention for adults treated for obstructive sleep apnea, followed by 12 weeks of patient use of the Respiratory Relief CD prior to CPAP therapy in the home to improve comfort and CPAP adherence.

The Revised Cdc Chronic Pain Guidelines And Payer Opioid Analgesic Policies In Michigan, Victoria Tutag Lehr, Cynthia L. Arfken

Michigan Journal of Public Health

Abstract

The 2016 publication of A Guideline for Prescribing Opioids for Chronic Pain by the Centers for Disease Control and Prevention motivated commercial and Medicaid payers to restrict their opioid prescribing policies including the imposition of hard limits on opioid daily dosages and duration. One result of these policies was an increase in abrupt opioid discontinuation and rapid tapering events for patients receiving long-term opioid therapy. Responding to this misapplication of the 2016 guideline, the 2022 revised guidelines emphasized individualized opioid therapy and exclusion of certain chronic diseases. However, it is not known if the payers changed their policies to …

Transcend, Anne Gregg

A Midwestern Review: A Magazine of the Arts and Issues at DePauw University

Anne Gregg is a junior English writing major, Honor Scholar, and Media Fellow at DePauw. She is also the Editor-In-Chief of A Midwestern Review. Recently she’s developed an interest in liminality, Pinterest mood boards, and cryptozoology. Contrary to popular belief, she is not young; she is ancient and rotting.

Just Missed You Mom, Trista Keeton

A Midwestern Review: A Magazine of the Arts and Issues at DePauw University

Trista Keeton has always been a writer, ever since she held a pen she’s been writing little stories. The popular kids on the bus would pay her to write a survival plot line that included slight nudity. Now she’s writing at DePauw with no nudity :/ not as fun

Feasibility Of A Low-Intensity Intervention To Influence Antibiotic Prescribing Rates Use In Outpatient Settings: A Cluster Randomized Controlled Clinical Trial, Brigid M. Wilson, Sunah Song, Robin L.P. Jump, Federico Perez

Faculty Scholarship

Background. Primary care providers (PCPs) may modify their antibiotic prescription practices if aware of their potentially damaging impact. Methods. We conducted a cluster randomized controlled trial at 12 Veterans Affairs community-based outpatient clinics. PCPs at clinics randomized to the intervention group received quarterly antibiotic use reports with feedback about antibiotics prescribed for acute respiratory infections and adverse event letters alerting about Clostridioides difficile infection or antibiotic-resistant gram-negative bacteria among their patients. The main outcome, antibiotic prescriptions in primary care visits, was compared in the preintervention (April–September 2020), intervention (October 2020 to September 2021), and postintervention periods (September 2021 to September …

Improving Compliance In Missed Visits Documentation, Ma Rosalie Felix

Master's Projects and Capstones

Problem: Within the South Bay Hospice Agency, documentation compliance for missed visits was 68% in the first quarter of 2024, when the national standard should be 100% according to the Centers for Medicare & Medicaid Services.

Context: Inadequate nurse documentation and communication between health professionals can lead to medical errors, poor team communication and suboptimal patient outcomes (Tasew et al., 2019). Therefore, the importance of documentation compliance is imperative. Hospice staff perform scheduled visits for terminally ill patients 1-2 times a week; however, a missed visit can occur when a patient declines it for a variety of reasons.

Interventions: The …

Msw Portfolio, Andrea E. Anderson

Graduate Student Portfolios, Professional Papers, and Capstone Projects

The portfolio narrative includes a brief introduction to my academic journey including field related work. The ten social work competencies are used as a guide while I reflect on the required appendices, theoretical frameworks and orientation to practice throughout the narrative.

Where I’M Meant To Be: Reflections From My Msw Experience, Brittany Nicole Mathena

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Msw Portfolio, Nichole Nuehring

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

The Fundamentals Of Advocacy, Tiffany Borland

Graduate Student Portfolios, Professional Papers, and Capstone Projects

A portfolio on a compilation and a celebration of my work throughout my MSW program.

Enhancing Communication And Reducing Near Misses Through Comprehensive Handoff Tools At A Residential Nursing Facility, Sabrina Guralnik, Sophia Nguyen, Gabriela Benelyahu, Giselle Peyus

Master's Projects and Capstones

Our quality improvement project at Regina House addresses communication gaps during patient handoffs, which have led to missed or delayed care. The research underscores the critical role of effective communication in patient safety, particularly for vulnerable populations in nursing homes. Current handoff practices at Regina House are inconsistent, especially among Certified Nursing Assistants, resulting in frequent reporting errors and communication disparities.

To enhance patient safety and care continuity, this project introduces a standardized handoff tool and an incident reporting system, aligning with Regina House’s goal of improving care quality. Over three months, CNAs will receive training on the tool, with …

An Exploratory Study Of The Barriers Of Pediatric Palliative Care Programs And Their Relationships To Funding, Mary Maureen Kirkpatrick Mclaughlin

Dissertations

This study, a sequential mixed methods design, used quantitative techniques and a qualitative, phenomenological approach. The quantitative phase addressed the research question: Does the reimbursement of services for the delivery of pediatric palliative care differ between types of funding, and is funding related to directors' perceptions of obstacles to the delivery of care? The qualitative phase addressed the research question: What are the barriers that CHI PACC directors' experience in their roles and how do they overcome them?

Compassion Fatigue And Satisfaction Among Nurses At A State Psychiatric Hospital: An Opportunity To Educate, Santhi Avula

Dissertations

This Doctor of Nursing Practice (DNP) project aims to bring awareness to psychiatric nurses at NOPH about CF and burnout and educate them on ways to improve resiliency and compassion satisfaction as professional nurses.

PICOT: How do psychiatric nurses at NOPH (P) who are at increased risk for CF benefit from a webinar-based educational intervention (I) to identify and reduce symptoms of CF and improve compassion satisfaction (O) one month after intervention (T) compared to preintervention (C)?