Interprofessional Palliative Care: Implementation Of What Matters Most, Nicole Moran, Madeleine A. Keppel, Madison E. Markey, Alicia Naccarato, Kristen Cumming, Lori Boright

Oncology Rehabilitation in Practice

Palliative care (PC) is defined as specialized care plans for people with serious, life-limiting illnesses, emphasizing comfort care and management of complex symptoms. Rehabilitation professionals such as physical and occupational therapists have unique skills and perspectives towards managing and contributing to this population though are often under-represented on interprofessional palliative care teams. The Guide to What Matters (The Guide) was created upon recognition of the need for an increased presence of rehabilitation services in PC.

Extrapulmonary Small Cell Carcinoma Presenting As Bilateral Papilledema, Hyponatremia, Encephalitis, Seizures, Crmp5-Igg Reactivity, And Prominent Anterior Tubular Perivascular Spaces, Ramsis Benjamin, Drew Thomas, Nina Mourao, J. Judd Fite, Brianna Woodliff, Shubhank Goyal

School of Medicine Publications

Background: Paraneoplastic syndromes that affect both the optic disc and the brain parenchyma typically harbor antibodies directed toward CV2/collapsin response-mediator protein 5 (anti-CRMP5), amphiphysin, Ma antigen 2 (Ma2/Ta), and Yo. The most common cancers linked to anti-CRMP5 antibodies include small-cell lung carcinoma (SCLC), followed by thymoma, renal cell carcinoma, and thyroid papillary carcinoma. A long-held belief explains papilledema as related to increased pressure within the subarachnoid space or the microvascular capillaries, but intracranial pressures within the normal standard range may exist in a person with a paraneoplastic syndrome and papilledema. The glymphatic system, a central waste-clearance conduit, may play a …

Radical Hospitality, Da'sha Gray, Jacob Hadjiyanis, Valerie Partida, Ava Rech

Celebrating Scholarship and Creativity Day (2018-)

As part of the community-engaged learning component of our Community Psychology course, our group partnered with the Benedictine Institute at CSB+SJU and St. Scholastica Convent in St. Cloud, Minnesota to explore the theme of radical hospitality. Across both sites, we examined how the Benedictine values including hospitality, respect for persons, listening, community living, and stability are lived out in everyday interactions. At the Benedictine Institute, we supported ‘Building Community’ events on Fridays that fostered connections among faculty and staff across roles and departments. We engaged in meaningful conversations with staff and monastic members about sustaining strong communities. At St. Scholastica, …

Greeting Death “Sitting Up:” How Children’S Literature Provides Modern Death Education, Reilly Kendrick

Honors Theses

Western culture places a lot of importance on legacy and friendship as important lessons to learn from death. However, children do not have as much experience with death due to changing cultural customs, and our society lacks a formal death education system that can promote these values and teach children how to respond to death in their lives. Literature, though, can fill this gap in children’s knowledge by teaching the basic physical components of death and philosophical understandings of death. These ideas are learned through vicarious reading, in which children experience the character’s emotions and reactions as they read. The …

Optimizing The Charge Nurse Role To Improve Workflow And Communication In A Community Living Center, Ndidi Kalu Ibe

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project evaluated the impact of optimizing the charge nurse role on workflow efficiency and communication within a Community Living Center. Identified practice gaps included role ambiguity, inconsistent delegation, and communication breakdowns, which contributed to delays in care and decreased staff satisfaction. An evidence-based approach was used to standardize charge nurse responsibilities, strengthen leadership practices, and introduce structured communication processes. The project demonstrated that improving role clarity and leadership consistency supports more effective delegation, enhances team communication, and improves care coordination. Outcome included increased staff engagement, improved workflow efficiency, and enhanced patient safety. This initiative …

Investigating The Effectiveness Of Different Modalities In Interprofessional Training, Rose Ann Mathai, Sean Lopez, Maureen Emlund, Jim Scherrer, Elisa Buzinski, Julia Sonnichsen, Myra Carew

Patient Experience Journal

Background: Interprofessional education (IPE) highlights the importance of values and ethics, teamwork, communication, and roles and responsibilities for healthcare professionals. Different modalities have been used to teach these skills. The most effective teaching modality must be determined to enhance the collaborative learning experience. Purpose: This study evaluated the changes in student perceptions on each interprofessional competency with respect to the teaching modality. Two groups were evaluated for this study. One was taught using a hybrid curriculum and the other in-person. Methods: This study utilized the Students' Perceptions of Interprofessional Clinical Education (SPICE-R2) survey to determine the changes in student …

Religious Practices And Spiritual Support In Palliative Medicine, Camille C. Yancey

Butler Journal of Undergraduate Research

Palliative care is a form of healthcare focused on providing pain relief and support to patients facing serious illness. This practice is conducted by a team of healthcare professionals and aims to improve patients’ quality of life in the context of long-term, serious illness. Palliative medicine supports patients with a wide range of diseases, including but not limited to cancer, dementia, stroke, and Parkinson’s disease. It focuses on managing symptoms associated with severe conditions, such as pain, nausea, anxiety, depression, fatigue, and stress (Mayo Clinic, 2024). Catering palliative care to include the patient’s religious and spiritual beliefs would benefit symptom …

An Atypical Presentation Of Metastatic Gastric Adenocarcinoma Due To Pulmonary Lymphangitic Carcinomatosis, Matthew Moritz, Omar Pandhair

Books, Presentations, Posters, Etc.

Pulmonary lymphangitic carcinomatosis (PLC) accounts for approximately 8% of pulmonary metastases and is primarily associated with breast, lung, and gastric cancers. Chest radiographs are often nonspecific and normal in approximately 50% of cases. We present a case of PLC as an initial presentation of metastatic gastric adenocarcinoma. A 57-year-old White woman with prior tobacco use, asthma, and multiple sclerosis on Natalizumab presented with three months of progressive dyspnea and cough. She was evaluated multiple times and treated with various antibiotics and inhalers for presumed bronchitis. Despite this, her symptoms worsened, prompting hospital evaluation. She was tachycardic and markedly hypoxemic on …

Acute Pancreatitis Outcomes In Native Americans In Northern Arizona, Jin Yun Do1, Afsheen Moshtaghi Do2, Hamza Khan, Md2, Hady Shahbaz Bs2, Yoshinobu Koguchi, Tarsem L. Moudgil, Noah D. Simons, Venkatesh Rajamanickam

Books, Presentations, Posters, Etc.

Background and Aims: Prior studies have shown the impact of racial and ethnic disparities in outcomes of acute pancreatitis (AP). Data remains sparse for Native American populations, who may be uniquely affected by socioeconomic and geographic factors. This retrospective study aimed to evaluate the disproportionate outcomes of AP in Native Americans compared to the general population in Northern Arizona. Methods: A retrospective cohort study of hospitalized patients with AP at two community hospitals in Northern Arizona. A total of 1,113 patients between Jan and Aug 2024 were included, comprising 413 Native American patients and 700 patients of other racial backgrounds. …

Dementia Caregiver Support: Offering Spiritual And Emotional Guidance To Loved Ones Filling The Gap, William Reid Bishop

Doctoral Dissertations and Projects

The problem at Tremont Church of God is that members offering caregiver support to their loved ones with dementia are unaware of the coping skills needed for support. The purpose of this DMIN action research project is to provide an 8-week training program to teach caregivers techniques for managing their emotional and spiritual needs. The sample population for this project is church members over the age of 18 who are actively caregiving for a spouse or close relative with dementia. The sample size is between 10 and 15 participants. The training is located at Tremont COG. The training is in …

A Phenomenological Study Describing The Lived Experiences Of Fire Chaplains With Clinical Pastoral Education (Cpe) Training Within The Federation Of Fire Chaplains’ Organization, Chaplain Cooper

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the lived experiences of fire chaplains with CPE training who used CPE competencies when caring for firefighters. The foundation of spiritual care was based on the ten identified competencies used in CPE. The gap addressed in this research was the lack of spiritual care training for fire chaplains. Dr. Alan Wolfelt’s model of companioning served as the theoretical foundation guiding this research. This model of care emphasized a human-centered, heart-based approach, including active listening, empathy, and the practice of presence, which were essential components for fire chaplains providing spiritual care. This …

Implementation Of A Nurse-Led Discharge Protocol To Impact Nurse Confidence And Optimize Transitional Care Management, Jessi-Ann Elrod

Doctor of Nursing Practice Projects

Heart failure (HF) remains a leading cause of hospitalization and readmission, with the transition from hospital to home representing a vulnerable period for patients. Variability in discharge education and follow-up scheduling contributes to poor self-management and adverse outcomes. This quality improvement (QI) project evaluated whether implementing a standardized nurse-led HF discharge protocol impacted nurses' confidence and the rate of 7–14-day transitional care management (TCM) follow-up appointments. Guided by Meleis’ Transitions Theory and Lewin’s Change Theory, a one–group pretest–posttest QI design was implemented on a cardiac step-down unit. Twelve discharge nurses participated. The intervention included a structured education session and the …

An Alignment Of Absences: The Medicalization Of Death And Its Implications On Archaeological Methodology, Makayla J. Bowman

Departmental Honors & Graduate Capstone Projects

Absence describes something that is "expected, wanted, or looked for [but] is not present or does not exist," (Merriam-Webster Dictionary 2026). The archaeological discipline interacts with absence in many profound ways, largely in its study of the past dead. This paper focuses on the ways in which the medicalization of death has influenced, limited, and misaligned archaeological methodology, and how the result of those methodologies produces archaeological analysis that is absent of or misrepresents our understanding of life, personhood, and our position within a greater, interconnected biosphere. Thus, I present an anthropological critique of the ways in which death and …

The Effect Of Burnout On Intention To Resign Among Adult Protective Services Investigators, Derek Frank Wachter

Walden Dissertations and Doctoral Studies

Adult Protective Services (APS) workers play a crucial role in providing care, support, and services to older and adult clients with special needs. There was a lack of empirical data on the long-term retention of APS investigators and on how burnout affects their intentions to resign. Departments consistently rely on a cycle of using newer, less experienced investigators who may not know about community and state services or department policies and procedures to connect clients. The purpose of this quantitative correlational study was to examine the relationship between personal, work-related, and client-related burnout and APS investigators’ intention to resign. Data …

‘Sprung From The Land Itself’: Rooted Human Rights Education As Critical Global Citizenship Praxis, Monisha Bajaj, David A. Tow

International Journal of Human Rights Education

This article discusses the field of Human Rights Education (HRE) and its intersections with the field of Global Citizenship Education (GCE), both now more than 60 years into their existence as discourse and practice communities. We trace the emergence of transformative, critical, and decolonial forms of HRE and offer a new conceptual framework for Rooted HRE. Rooted HRE offers a transformative approach to fostering critical global citizenship (CGC) by embedding global frameworks within the immediacy of local struggles. It draws on critical perspectives of global citizenship (Andreotti, 2011; Gaudelli, 2016), Transformative Human Rights Education (THRED) (Bajaj et al., 2016), and …

Volume 10, Monisha Bajaj, Jazzmin C. Gota, David A. Tow

International Journal of Human Rights Education

No abstract provided.

Navigating Life And Death: A Moral Critique Of Euthanasia Practices Worldwide, Brooke Fuzie, Rachel Joseph

Wisdom & Compassion: The LUSON Journal

Euthanasia and physician-assisted death remain deeply debated ethical issues shaped by history, law, and cultural values. This narrative review explores how diverse ethical frameworks, shifting global legislation, and cultural perspectives inform current discourse, with special attention to the role of nurses guided by the American Nurses Association (ANA) Code of Ethics. Drawing on peer-reviewed studies, legal documents, and recent case analyses published between 2013 and 2025, the review identifies three key insights. Ethical frameworks influence whether society accepts or opposes euthanasia; robust legal safeguards are needed to protect autonomy and prevent misuse; and palliative care and advance care planning, including …

Volume 3, Issue 2 - Complete Issue

Wisdom & Compassion: The LUSON Journal

No abstract provided.

Extended Post-Discharge Venous Thromboembolism Prophylaxis After Colorectal Resection: A Marketscan Analysis Of 2017–2021 Surgical Outcomes, Bright Agbotui, Chelsea Mazonde, Grace Sibert, Great Onyedika Okereke, Ifeoluwanimi Shobayo, Maame Yaa Okrah, Michael Ago Tetteh, Miebaka Favour Roberts, Nfn Dangpa Wandji Nana, Prince Osei Sarpong, Rebecca Martha Nantale, Raymond Suonyir

Liberty University Research Week

Background: Venous thromboembolism (VTE) remains a major cause of preventable postoperative morbidity following colorectal surgery, with a substantial proportion of events occurring after discharge. Although professional guidelines recommend considering extended post-discharge prophylaxis (EPPx) for high-risk patients particularly those with malignancy, substantial comorbidity, or prolonged hospitalization national adoption remains inconsistent. Emerging real-world studies suggest that EPPx utilization is low; however, these investigations have largely focused on cancer-only cohorts or earlier time periods and may not reflect contemporary surgical practice, including increasing use of minimally invasive approaches and wider availability of direct oral anticoagulants (DOACs). As a result, there is limited understanding …

The Impact Of Social Interaction On Patient Well-Being With Transition Into Long-Term Care Settings: A Review Of Interventions For Improved Patient Outcomes, Helen Whitney Harmon

Epsilon Sigma at-Large Research Conference

Abstract

Purpose: When individual patients are transitioned from home or acute care settings to more long-term care environments such as skilled nursing units or assisted living facilities, the residents are at an increased risk of experiencing loneliness, which is linked to depression, anxiety, and increasing cognitive decline, and other detrimental outcomes.

Aims: Combinations of peer-reviewed qualitative and quantitative research studies were analyzed to determine what factors contributed to changes in patient well-being, mental health and overall quality of life during these transitions.

Methods: One article focusing on preventable healthcare transitions in patient population was able to link higher medical acuity …

Caring For Dying Patients: Implications For Wellbeing Of Registered Nurses, Danna Leigh Curcio

Creating Healthy Work Environments (CHWE)

Of the 4.7 million registered nurses working in the United States, 55% work in acute care hospitals, and one-quarter will leave the profession within five years (Smiley et al., 2023). To fill these vacancies novice nurses will be hired, caring for the sick and dying. This can be a challenge affecting wellbeing and creating diminished quality patient and family centered care (Akpinar et al., 2025). Domains, guidelines, and criteria were created addressing the emotional impact of caring for the dying while sustaining resilience, self-care, support, and adaptation (NCPQPC, 2018). Additionally, ten domains were developed (AACN, 2021), one aimed at commitment …

Short Time, Lasting Impact: Teaching Pediatric End-Of-Life Care In One Day, Mckenzie Taliaferro

GS4 Student Scholars Symposium

Background: Pediatric nurses working in specialities that experience end-of-life, death, and post-mortem care, often feel unprepared for the emotional toll and lack adequate support systems (Camera et al., 2024). Nurses report feeling under prepared due to a lack of hands-on opportunities before graduation (Richoux, et al., 2022).  Pediatric death is a traumatic experience for families and nurses. Previous studies have shown that hands-on education increases nurses' confidence in caring for patients at the end of their lives (Cole & Foito, 2019; Noyes et al., 2023).

Method: A one-day, hands-on workshop on pediatric end-of-life was created and offered to nursing students …

Critical Decisions Regarding Retirement, Philip Zettlemoyer

Senior Honors Theses

Many retirees in America do not understand the variables and important decisions that go into a retirement plan. These variables, however, have a significant effect on any retiree’s financial wellbeing. This case study explains such variables and decisions, as well as the various rules and regulations from the United States Government around the decisions. It then applies this knowledge of variables and regulations in a practical manner by analyzing a specific case study of a middle-class couple nearing retirement. This analysis includes in-depth projections for the couple’s specific situation which would traditionally be created with the expertise of a financial …

Hypovolemic Shock In The Setting Of Third Spacing With Concentric Left Ventricular Hypertrophy: A Physiology-Guided Management Of Fluid Resuscitation—Case Report And Literature Review, Akram M. Eraky, Yasser Mokhtar, Guy Grabau, Adnan Khan, Mark Jarosz, Alisha Wright, Matthew Grounds, Kyle Kennedy

GME Publications

Patients with preload-dependent conditions are at high risk of hemodynamic instability from both hypovolemia and hypervolemia. In hypovolemic states, the presence of third spacing may be misleading and obscure true intravascular volume status. Therefore, management of critically ill patients should be guided by a thorough understanding of physiology and pathophysiology to appropriately address hemodynamic derangements. Overreliance on rigid protocols and protocol-driven care without adequate clinical judgment may, in some cases, adversely affect patient outcomes. Herein, we present a case of hypovolemia-induced hypotension in the setting of third spacing and concentric left ventricular hypertrophy.

Testing A New Creighton Competency Evaluation Instrument For Pediatric Nursing, Elizabeth Anne Flasch

Dissertations (1934 -)

A descriptive multi-site correlational study design was used to test a modified instrument to determine its ability to assess students consistently across settings using a group of prelicensure pediatric students enrolled in two different pediatric clinical environments. Two participant groups were intentionally recruited including clinical instructors teaching in pediatric clinical environments and their corresponding students practicing in pediatric simulation and traditional clinical environments. Inter-rater reliability of the instrument was achieved. Prelicensure nursing students were deemed competent in the care of children across settings. No statistically significant correlations were found between environments. There was a relationship between student perception of confidence …

Tennessee State Plan On Aging, Oct. 1, 2025-Sept. 30, 2027

Department of Disability & Aging

This document includes plans to be conducted by the Tennessee Department of Disability and Aging under the provisions of the Older Americans Act from the period of October 1, 2025 through September 30, 2027.

International Consensus On The Evaluation And Management Of Hypothalamic Hamartomas: Results From A Modified Delphi Survey, Nathan T Cohen, Xiaotong Li, Madison M Berl, Chima O Oluigbo, Hiroshi Shirozu, Samuel F Berkovic, Margaret Zacharin, Wirginia Maixner, Andreas Schulze-Bonhage, Kerstin Klotz, Nicola Specchio, Sarah Ferrand-Sorbets, Christine Bulteau, Alexis A Arzimanoglou, Jean Regis, J Helen Cross, Martin M Tisdall, Hanna Richardson, Arthur Cukiert, Cristine Cukiert, Julia Jacobs, Elizabeth J Donner, Phillip L Pearl, John F Kerrigan, Angus A Wilfong, Kevin C J Yuen, Dennis J Dlugos, Daniel Curry, Irfan Ali, John Ragheb, Lisa Soeby, Erica Webster, William D Gaillard

Faculty, Staff and Students Publications

Background and objectives: Hypothalamic hamartomas (HH) are rare brain lesions associated with epilepsy and numerous comorbidities. Worldwide treatment is varied. There is a paucity of high-quality evidence to guide treatment. This study aimed to establish expert consensus on the evaluation and management of HH.

Methods: A modified Delphi survey was designed by the Medical Advisory Board of Hope for Hypothalamic Hamartomas and was conducted among 17 International League Against Epilepsy level II epilepsy surgery centers. The survey included 257 questions in round 1 and 81 refined questions in round 2, covering domains of diagnosis, imaging, medical and surgical treatment, neuropsychological …

Assessing Current Telehealth Mobile Applications In The United States: Accessibility, Privacy, And Care Delivery, Rosemary K. Frugé

Honors Theses

Telehealth has improved patient access by reducing barriers to convenient, cost-effective, and quality health care. Telehealth mobile applications allow individuals to remotely access services through smartphone-based platforms. The purpose of this study was to evaluate leading telehealth applications available in the United States, analyzing key factors that influence platform selection, including cost, prescribing and diagnostic capabilities, user feedback, and data privacy practices. Applications were identified through keyword-based searches of major app stores using the term “telehealth,” and each app was systematically evaluated using predefined criteria. Findings highlight variability across platforms in pricing transparency, service offerings, and privacy disclosures, despite generally …

Provider Admission Visit To Implement Medication Deprescribing In Hospice, Shaunda A. Bueno

SACAD: Scholarly Activities

A large portion of healthcare spending is focused on patients with multiple chronic illnesses, and most of these patients are on numerous medications, commonly referred to as polypharmacy or hyper-polypharmacy. Furthermore, hospice-eligible patients have at least one disease process that is considered life-limiting with a life expectancy of less than six months, and often have multiple medical conditions with complicated treatment regimens known as multimorbidity. The high incidence of multiple comorbidities for hospice patients, combined with advanced age and the incidence of polypharmacy and hyperpolypharmacy, has also caused an increased treatment burden for patients and caregivers. To address this issue, …

2026 North Texas Gme Research Forum Program, Hca Healthcare

North Texas GME Research Forum 2026

No abstract provided.