Digital Commons Network^™

Making Lifestyle Choices To Reduce Late-Life Depression Risk, Maria C. Norton, Elizabeth B. Fauth, Jessica Weyerman

All Current Publications

Depression is a complex condition involving insufficient levels of brain chemicals, life stressors, thought processes, behaviors, and coping mechanisms. Medications and counseling therapy are effective in treating depression, and research suggests that several lifestyle practices also help to protect us from depression, and speed up our recovery if we do experience it. These behaviors, such as being socially connected, eating healthy and exercising, cost little to nothing but can have profound benefits on our overall quality of life and help us to stay depression-free.

A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a …

De-Prescribing, A Solution To The Issue Of Polypharmacy, Megan R. Kampa

Nursing Capstones

No abstract provided.

Adverse Events And Treatment Discontinuations Of Antimuscarinics For The Treatment Of Overactive Bladder In Older Adults: A Systematic Review And Meta-Analysis, Scott Martin Vouri, Clark D. Kebodeaux, Paul M. Stranges, Besu F. Teshome

Pharmacy Practice and Science Faculty Publications

Introduction

Antimuscarinics should be used with caution in older adults with overactive bladder (OAB) due to anticholinergic adverse events (AEs). Systematic reviews and meta-analyses (SRMAs) have analyzed safety-related outcomes but have not specified risk in the elderly, the population at highest risk for AEs. The aim of this review is to explore and evaluate AEs and treatment discontinuations in adults 65 or older taking antimuscarinics for OAB.

Methods

Keywords were searched in MEDLINE, EMBASE, SCOPUS, and Cochrane Central Register for Controlled Trials. Randomized controlled trials (RCTs) along with sub-analyses and pooled analyses that compared antimuscarinics to placebo or another antimuscarinic …

A Review Of Animal-Assisted Interventions In Long-Term Care Facilities, Jenna Ebener, Hunhui Oh

Faculty Publications - College of Social Work

Past research fails to make connections comparing appropriate settings for the benefits of different species of therapy and resident animals in long-term care facilities specifically for the elderly. Two types of animal-assisted interactions (therapy and resident) and four animal species (birds, cats, dogs, and fish) were compared. The findings were sorted into five categories of benefits (behavioral, mental, physical, physiological, and social) and three additional structural variables (affordability, accessibility, and cons). Appropriate activities for each species were also suggested. The review revealed it is important for the facility to consider its budget, number and ailments of residents, type of preferred …

Using A Social Ecological Model To Explore Upstream And Downstream Solutions To Rural Food Access For The Elderly, Lauri Andress

Faculty & Staff Scholarship

A social ecological model is applied to the secondary analysis of qualitative data to study the impact of place on rural food access for older adults in West Virginia. The use of a social-ecological model to review the senior’s coded narratives provided a clearer picture of higher impact, upstream levers to address food security for older adults in a rural region. The elderly have restricted access to food in rural West Virginia because of an indirect relationship with place that acts through the social ecological domains of the built environment, macrosocial factors, stressors, the natural environment, and social support. The …

Can Coloring Reduce Stress And Increase Working Memory In The Elderly?, Alexus Lepere

UNF Graduate Theses and Dissertations

This study explores whether the observed effects of coloring on anxiety and stress apply to the elderly. Two coloring activities were administered to elderly participants to evaluate the effects on stress, anxiety, and working memory. The Mini Mental State Examination was used to establish cognitive level. The Perceived Stress Scale and Brief State Trait Anxiety Inventory were administered to obtain pretest and posttest scores on stress and anxiety levels. Working memory was measured using the Backward Digit Recall to test if the potential calming effects improve working memory. A near significant increase in stress scores was demonstrated in the mandala …

Co-Constructing Food Access Issues: Older Adults In A Rural Food Environment In West Virginia Develop A Photonarrative, Lauri Andress, Sunah Hallie

Faculty & Staff Scholarship

This photovoice study examined the hypothesis that photos and narratives produced by older adults would facilitate the co-construction of a shared narrative about the food access issues in a rural county in West Virginia. For older adults, living in rural areas, several factors decrease access to healthy, nutritious food relative to the general population of older adults. Methods: Qualitative data from interviews, written narratives, dialogues, and photos from older adults living in a rural county of West Virginia. Was collected. Using directed content analysis, transcripts of written data were broken down into meaningful quote segments. All written data and …

Evaluation Of Oral Nutritional Supplement Use In Elderly Patients Admitted With Heart Failure, Geri L. Sipe

DNP Projects

PURPOSE: The purpose of this study is to evaluate the effects of enhanced ordering privileges among registered dieticians (RD) on oral nutritional supplement (ONS) ordering frequency and prevalence of oral nutritional supplement use among elderly patients admitted with heart failure (HF).

METHODS: This study was a single facility, retrospective pre-post implementation evaluation of the impact of expanded ONS ordering privileges among elderly patients (age ≥ 65 years old) hospitalized with heart failure at Frankfort Regional Medical Center (FRMC). The sample consisted of 105 patients for the pre-evaluation period and 259 for the post-evaluation period.

RESULTS: There were …

Graduate Students And Geropsychology: Growing Need And Lacking Interest, Samantha Marie Hague

Antioch University Dissertations & Theses

As the population of older adults continues to grow with time, the need for geropsychology clinicians also grows. Many barriers exist that contribute to why elderly individuals are not receiving adequate psychological treatment. This study explores why graduate psychology students are often disinterested in working with older adults and whether it is possible that student interest could increase with more geropsychology graduate coursework and practicum training opportunities. This study also explores the possible connection between quality of elderly relationships and interest in working with the elderly. The results of this study support that Clinical and Counseling Psychology graduate programs lack …

Factors Related To Diagnosis Of Community-Acquired Pneumonia In The Elderly, Elza Febria Sari, C. Martin Rumende, Kuntjoro Harimurti

Jurnal Penyakit Dalam Indonesia

Introduction. Diagnosing community-acquired pneumonia (CAP) in the elderly remains a clinical challenge for various reasons. The clinical manifestation in the elderly is not frank and atypical manifestations, e.g. falls, decrease of functional status and food intake or urinary incontinence, may be present. These reasons may be associated with under or over diagnosis, which consequently contribute to the higher observed mortality rate in the elderly population with CAP. Study about factors related to diagnosis of CAP in the elderly was ra rely performed.

Methods. From January to October 2010, 158 elderly patients suspected of having pneumonia at RSCM were registered. Relationship …

Theory On Meaningful Retirement Through Volunteerism: An Application Among The Elderly, Johnny Yao Jr.

CNU Journal of Higher Education

Retirement is a phase in an individual’s life wherein there is withdrawal from employment and for most of the elderly, regular remuneration ceases. In spite of this, there is a growing number of retirees who continues to render work through volunteering even after retirement. This correlational study enlisted a multi-stage and purposive sample of 102 volunteer retirees in Cebu City. A 5-part instrument package was utilized to (1) describe the respondents’ demographic characteristics and (2) the nature of their volunteer work. Their reported (3) psychological well-being, (4) life satisfaction and (5) physical health were also determined using the Ryff Scales …

Traditional Chinese Mind And Body Exercises For Promoting Balance Ability Of Old Adults: A Systematic Review And Meta-Analysis, Shihui Chen, Yanjie Zhang, Yongtai Wang, Xiao L. Liu

Nursing Faculty Publications and Presentations

The purpose of this study was to provide a quantitative evaluation of the effectiveness of traditional Chinese mind and body exercises in promoting balance ability for old adults. The eligible studies were extensively searched from electronic databases (Medline, CINAHL, SportDicus, and Web of Science) until 10 May 2016. Reference lists of relevant publications were screened for future hits. The trials used randomized controlled approaches to compare the effects of traditional Chinese mind and body exercise (TCMBE) on balance ability of old adults that were included. The synthesized results of Berg Balance Scale (BBS), Timed Up and Go Test (TUG), and …

Psychological Stress Among Risks For Alzheimer's Disease, Maria C. Norton, Elizabeth B. Fauth

All Current Publications

This fact sheet defines stress, stressors and reaction to them, what stress does to our brain and body, and how stress effects can accumulate over time. It also includes tips on reducing the effects of stress on the brain.

Lansia Anggota Kelompok Bina Keluarga Lansia (Bkl) Adalah Sebuah Aset (Potensi) Bagi Pembangunan Di Masyarakat Rw 04 Pancoran, Jakarta Selatan, Juli Yanto, Wisni Bantarti

Jurnal Ilmu Kesejahteraan Sosial

This research depict a new paradigm of elderly. All this time, the elderly have been thouht as an unproductive age group, dependent to the family, consumptive, used up of the health budget, and useless jugment in the community. However, the existing of the BKL IMPALA group in the community indicates that the elderly in the BKL IMPALA group as an asset or potential human resources to participate in the development of RW 04 Pancoran, and they are not family’s or development’s burden. The result of this research that the elderly have been health, and active in every BKL IMPALA’s or …

Reinventing Social Work Education And Service Delivery In Rural Areas: An Interdisciplinary Model For Serving Vulnerable Populations, Wayne R. Moore, Fran Pearson, John C. Rife, K. Jay Poole, Lelia S. Moore, Antonia M. Reaves

Contemporary Rural Social Work Journal

This article presents an interprofessional case study approach to serving the social service and health needs of vulnerable persons living rural communities. This project, the Congregational Social Work Education Initiative (CSWEI), is funded by a health care foundation. Persons in rural areas are often at risk for poverty, homelessness and lack of access to needed health and social services. The case study demonstrates the opportunities for collaboration between professional social work, religiously affiliated organizations (RAOs) and nursing in order to reduce health and mental health disparities among residents in rural areas.

A Horticultural Therapy Program For The Elderly: Effects On Cognition, Quality Of Life, And Loneliness, Mariah Ruth Baird

Theses and Dissertations

Previous studies suggest there are numerous benefits of horticultural therapy programs. The current study explored the benefits of a horticultural therapy program with elderly populations at two facilities in Bowling Green, Kentucky. Fifteen participants attended a 2-hour session on horticulture techniques once a week for four weeks. Using a pretest to posttest study design, changes in participants’ cognition, quality of life, and loneliness were assessed. The pretest was administered verbally by the researcher before the first session and the posttest, including a series of questions about satisfaction with the program, was administered after the last session. Items on each assessment …

Smart Living For Elderly: Design And Human-Computer Interaction Considerations, Ranjana Sharma, Fiona Fui-Hoon Nah, Kavya Sharma, Teja S. Katta, Natalie Pang, Alvin Yong

Research Collection School Of Computing and Information Systems

To address aging challenges, we examine the concept of smart living and its applications for the elderly. Smart living refers to improving quality of life by transforming environments to become more intelligent and adaptable to users. In this paper, we discuss how smart living applications can help to address the needs of the elderly, as well as the design and human-computer interaction considerations for such applications.

Music Therapy Among The Elderly: What Social Workers Need To Know, Adriana Navarrete-Campos

Electronic Theses, Projects, and Dissertations

The purpose of this study was to gain a better understanding of music therapy among the elderly. This qualitative study utilized interviews as a means to extract themes from the experiences of music therapists who have provided music therapy to the elderly. Results were transcribed to written form. Qualitative analysis procedures were followed to identify themes and subthemes. Areas of particular interest to the social work profession were the emotional, social, physical, and mental benefits and challenges of music therapy among the elderly. Through the guidance of systems theory and the concept of holism, spiritual benefits and challenges were also …

Dance And Well-Being In Older Adult Communities: Exploring Efficacy As A Mediator, Beth M. Mcgowan

Honors Thesis

As the population of older adults expands, it becomes increasingly important to develop effective interventions to ensure high levels of well-being. Previous research in a variety of populations has shown that dance produces broad benefits including improving physical mobility, social relationships, autonomy, and self-image. Given this, the present study attempted to clarify the mechanisms through which dance might lead to these improvements. Specifically, this research examined the role of self-efficacy, or beliefs that one can accomplish certain tasks, have in explaining the psychological benefits of dance. I hypothesized that when dance is a social activity it instills a sense of …

Perceived Health Status Of Elders Treated With Opioids For Persistent Nonmalignant Pain, Leslie E. Simons

International Nursing Research Congress (INRC)

Purpose: To explore the relationship between opioid use and perceived health status in older adults aged 65-84 with persistent nonmalignant pain.

Methods: A purposive sample of 31 cognitively intact men and women aged 65-84 years receiving opioid therapy for 6 months to manage persistent nonmalignant pain. Data collection included a semi-structured interview that included an initial assessment of cognition using the Short Portable Mental Status Questionnaire. All consented participants met the cognitive screening criteria. The remaining interview collected social and demographic data and perceived health status, pain intensity and functionality, measured by the physical and mental component summary scores of …

Management Of Depression In The Elderly: A Scoping Study, Aleesa Kittrell

DNP and Student Works

Background: Depression affects more than 6.5 million Americans age 65 or older. Nonpharmacological treatments may be effective within this patient population.

Objective(s): This paper examines the evidence related to 22 nonpharmacological treatments for depression in elderly patients.

Design: A scoping study of the literature was performed, using the framework created by Arksey and O'Malley (2005). Search databases included CINAHL, ProQuest, Cochrane Libraries, Academic Search Premier, PyscINFO, PsycARTICLES, SocIndex, Ovid, PubMed, and Science Direct.

Results: There were 158 articles deemed appropriate for this study. The evidence supports the use of cognitive therapy, life review, and problem-solving therapy. Although exercise is represented …

How Can A Focus On The Ethical Notions Of Dignity And Respect For Autonomy Help To Improve Healthcare For Elderly People In Islamic Countries?, Abeer Alamri

Electronic Theses and Dissertations

The purpose of this dissertation is to identify how can a focus on the ethical notion of dignity and respect for autonomy help to improve health care for elderly people in Islamic countries. An ethic for aging relies on the principle that the losses of age do not detract from a person's essential autonomy. Thus, care should be provided without assuming that older people are different from those of other ages. It is possible to determine that ethical values are similar in Islamic cultures as well as, Western countries. But these values are often neglected when people face the need …

An Evidence Based Curriculum On Early Recognition And Prevention Of Delirium In Hospitalized Elderly, Albert Belaro

Yale School of Nursing Digital Theses

Abstract

Background: Delirium in older adults is common, but there is evidence that programs utilizing a set of non-pharmacologic interventions are effective in preventing it. Early recognition and delirium prevention programs may save lives and reduce healthcare costs.

Problem: Hospitalized older adults have special needs that can be addressed using evidence-based clinical practice. However, hospital nurses may lack the competency to care for patients at risk of developing delirium and can benefit from a delirium educational training program.

Design: The development of an Education program.

Methods: Critical content was identified, synthesized from the literature and developed into a curriculum outline. …

Beers Medication: Empowering The Elderly Through Education, Amanda J. Parker

DNP Projects

The elderly population (those aged 65 years and older) has an increased risk of experiencing adverse effects from their prescribed medications. These adverse effects are due to many reasons, one being changes that naturally occur in the aging body, such as diminished kidney function or decreased gastrointestinal motility. This project explores the prescribing practices of one primary care practice setting. Specifically, this project sought to determine the number of patients in a primary care practice who were prescribed medications on the Beers list and whether or not the patients received education on adverse effects. The results concluded the most frequently …

The Happy Boomer: Baby Boomer Life Satisfaction Through Affect And Feeling Of Belonging, Brooke Christina-Marie Massey

Antioch University Dissertations & Theses

The age cohort of 65 years and older is a growing population. It is part of the group referred to as Baby Boomers, the generation born between the years 1946-1964. It will be the largest population to reach late adulthood to date. In the United States alone, the Baby Boomer cohort is expected to reach 70 million by 2030. In response to this growing elderly population much research has been conducted on Baby Boomer quality of life issues. Such research uncovered the phenomenon known as the well-being paradox. The well-being paradox refers to the findings that older adults' life satisfaction …

The Utility Of The Perceived Environmental Barriers In Community For The Community-Dwelling Elderly In Taiwan, Weichih Lien, Tashen Kuan, Jerhao Chang, Naiwen Guo

Rehabilitation Practice and Science

Background and Purpose: The purpose of this study was to find out the cut-off point of the Perceived Environmental Barriers in Community according to basic activity of daily living (BADL) and instrumental activity of daily living (IADL) independence in community-dwelling elderly in Taiwan. Methods: In this study, 200 community-dwelling elderly were sampled and administered with the Perceived Environmental Barriers in Community and Hierarchy of the Care Required (HCR). Receiver operating characteristic curves were used to find out the cut-off points of the Perceived Environmental Barriers in Community. Results: We found that the Physical/Structural domain and total score of the Perceived …

Should Attorneys Have A Duty To Report Financial Abuse Of The Elderly?, Carolyn L. Dessin

Akron Law Review

This Article will therefore put the efficacy issue aside and focus on whether an attorney can and should report suspected abuse under a mandatory reporting statute. Part Two of this article will examine the various states’ approaches to mandatory reporting of abuse. Part Three will explore the various states’ rules governing attorney conduct. Part Four will analyze the interaction of the mandatory reporting provisions with the rules governing attorney conduct. Finally, Part Five will discuss whether requiring attorneys to report suspected elder abuse is desirable.

Substance Abuse Among The Elderly: What Works In Treatment, Sophia Morelli

Electronic Theses, Projects, and Dissertations

Social workers are trained during the course of their education to work with the elderly and to understand the various dynamics of aging. These professionals also receive education on substance abuse and how to assess clients as well as link them to appropriate supportive services. How can social workers be more inclined to effectively treat the elderly substance abuser? What are, if any, special considerations a social worker should be aware of when working with the geriatric population? What treatment modalities seem to be more effective with the elderly client? This study utilized a qualitative analysis consisting of interviews with …

Rising Food Insecurity And Conservative Policy In The Us: Impact On The Elderly, Peter S. Arno, Kenneth Knapp, Stephan Russo, Deborah Viola

NYMC Faculty Publications

Food insecurity, a critical problem in the developing world, has recently received increased attention among wealthy nations. Food insecurity, broadly defined, is when a lack of resources prevents household members from having enough food. In the US, food insecurity has been rising while social safety net programs to ameliorate hunger among at-risk households have been targeted for cuts by conservatives. Our main objective was to assess the prevalence and impact of food insecurity among the elderly. In a survey of 500 older, homebound meal clients in New York City, we found that nearly one in five (17%) is food insecure, …