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Guiding Post-Hospital Recovery By 'What Matters:' Implementation Of Patient Priorities Identification In A Va Community Living Center, Katherine C Ritchey, Laurence M Solberg, Sandra Wolfe Citty, Lea Kiefer, Erica Martinez, Caroline Gray, Aanand D Naik

Faculty, Staff and Student Publications

BACKGROUND: Patient priorities care (PPC) is an effective age-friendly health systems (AFHS) approach to aligning care with goals derived from 'what matters'. The purpose of this quality improvement program was to evaluate the fidelity and feasibility of the health priorities identification (HPI) process in VA Community Living Centers (CLC).

METHODS: PPC experts worked with local CLC staff to guide the integration of HPI into the CLC and utilized a Plan-Do-Study-Act (PDSA) model for this quality improvement project. PPC experts reviewed health priorities identification (HPI) encounters and interdisciplinary team (IDT) meetings for fidelity to the HPI process of PPC. Qualitative interviews …

Early Rehabilitation During Hospitalization Might Decrease The Risk Of 3-Month Mortality In Older Patients: A Retrospective Cohort Study, Ru-Huang Chiu, Kang-Ting Tsai, Yu-Lin Wang, Hsin-Han Cheng

Rehabilitation Practice and Science

Purpose: The prevalence of hospital-associated disability is high among older individuals; early rehabilitation may mitigate subsequent physical function decline. However, information regarding the short-term survival of hospitalized older individuals receiving inpatient rehabilitation is limited. We evaluated the relationship of early rehabilitation on the post-discharge 3-month mortality of older patients. Moreover, the association between various age groups and 3-month mortality with or without early rehabilitation was explored. Methods: A retrospective cohort study, patients aged ≥65 years admitted to the geriatrics ward for acute medical illness were recruited. Differences in age, sex, Barthel index and comorbidities between patients with and without early …

Ms 225 Guide To Thomas R. Cole, Phd Papers (1973-2002), Thomas R. Cole

Manuscript Finding Aids

The Thomas R. Cole, PhD papers consists of scholarly projects and history of the McGovern Center for Humanities and Ethics in the University of Texas' McGovern Medical School. The papers include articles, journals, monographs, correspondence, notes, transcripts, books, syllabi, DVDs/CDs, Betacam tapes, cassettes, realia, and research primarily chronicling Dr. Cole’s professional career. See more at MS 225.

Ensuring A Knowledgeable Geriatric Workforce: Interdisciplinary Education In Long-Term Services And Supports, Gina Tucker-Roghi

Occupational Therapy | Faculty Scholarship

In this symposium, we describe five interdisciplinary educational programs to enhance the geriatric workforce in long-term services and supports (LTSS): Skilled nursing facilities (SNFs), assisted living, and home health and hospice. The interdisciplinary teams that came together to offer the programs leveraged technology to maximize access to experts in both the curriculum development process and the delivery of the educational programs for a wide range of target learners. The first program, an interdisciplinary telementoring series on dementia care for therapists in SNFs, was developed by a team of experts from occupational, physical and speech therapy. The program included asynchronous online …

Interdisciplinary Telementoring For Therapists In Snfs To Improve Dementia Care Knowledge And Skills, Gina Tucker-Roghi

Occupational Therapy | Faculty Scholarship

Occupational, physical, and speech therapists possess knowledge and skills that have the potential to reduce the burden of care and improve the quality of life of skilled nursing facility (SNF) residents living with dementia. Despite this opportunity to impact the well-being of residents with dementia, many therapy practitioners lack specialized training on the management of dementia. Therapy practitioners (n=31) from 22 SNFs participated in eight weekly interdisciplinary educational sessions using the Project ECHO (Extension for Community Health Outcomes) tele-mentoring model. An interdisciplinary team of therapy experts collaborated on the development of the curriculum, which included didactic content on dementia-care best …

Attitudes Of Graduating Health Practitioners Toward Older Persons In Ghana, Grace Karikari, David K. Lohrmann, Lesa Huber, Margaret Adamek, Oghenekaro Omodior

Indigenous Health Faculty Publications

Purpose: This study examined attitudes of graduating medical and nursing students toward older persons in Ghana. The association between the overall quality of students’ experiences with older persons and their attitudes was also examined to identify educational interventions to increase interest in geriatrics.

Materials and Methods: A sample of 135 final year medical and nursing students from a public institution in Ghana participated in a cross-sectional study by completing a web-based self-administered questionnaire consisting of the 14-item University of California at

Los Angeles Geriatric Attitudes (UCLA-GA) scale and demographic questions. Data analysis involved a two-sample t-test and a one-way ANOVA. …

Utilization Of Remap Conversation Tool To Improve Advance Care Completion In The Home-Based Palliative Care Community Setting, Gwendolyn Starkey

Doctor of Nursing Practice Projects

Background: The World Health Organization and the American Society of Clinical Oncology guidelines endorses mandatory communication skills training in care goals for seriously ill patients (Back et al., 2019). In one survey of primary care providers (PCP), 68% reported no formal training to discuss advance care planning (Comer et al., 2020). Advance care planning is essential to manage chronic conditions in our growing aging population to provide the best patient care. This manuscript aimed to discuss best practices and techniques in advance care planning and optimize skills to provide patient-centered care conversations that honor patient wishes, reduce unwanted hospitalizations, and …

Physician Orders For Life-Sustaining Treatment (Polst) Forms In A Primary Care Setting, Elena Johns

Doctor of Nursing Practice Final Manuscripts

Purpose: To increase completed POLST forms among elderly patients aged seventy-seven and older with chronic/debilitating illnesses, by at least 50% in a Primary Care clinic setting, from September 2021 to January 2022. Background: The government pays for over two-thirds of healthcare costs for the elderly aged sixty-five and older. Furthermore, by ages seventy to ninety, medical spending more than doubles. Many elderly and chronically ill patients report that they would prefer less aggressive treatment and more comfort care measures. However, patients also report a lack of knowledge about their end-of-life (EOL) wishes particularly when it comes to completing the Physicians …

Providing Culturally Competent Eldercare For Asian Americans, Britney Ngo

Honors Theses

As the Asian American elderly population continues to grow, it is important to acknowledge cultural factors that may impact their behavior, attitudes, preferences, and decisions in the context of eldercare. Cultural competency acknowledges and considers these factors while providing care that includes biophysical factors of healthcare as well as non-medical dimensions of care such as language and culture.

This thesis seeks to address the applications of providing culturally competent eldercare to Asian Americans and offer future recommendations to care settings that have limited resources by utilizing a multidisciplinary review of literature accompanied by interviews with representatives from On Lok, a …

Cohort Analysis Of Four Graduating Classes Of Occupational Therapy Students' Knowledge Of Aging, Lavona Traywick, Brittany N. Saviers, Terry Wayne Griffin, Teressa Brown

Journal of Occupational Therapy Education

At the same time that the number of senior adults in the United States is steadily rising, there is also a rising shortage of allied health care professionals, including occupational therapists, to meet the current and expected needs of the senior adult population. There are national standards that all occupational therapy programs must meet; however, there is not a set national curriculum. It is assumed that students will enter their respective occupational therapy programs with a base knowledge of aging due to prerequisite requirements. To test that assumption, with Institutional Review Board approval, over four consecutive years 192 first-year, first-semester …

Nurse Staffing And Adverse Events In Residential Aged Care: Retrospective Multi-Site Analysis, Dorika Nhongo, Annie Holt, Tracy Flenady, Amanda Rebar, Kasia Bail

Medical Papers and Journal Articles

Background: People living in residential aged care homes are entitled to a safe environment 24 hours a day, 7 days a week. Unfortunately, past evidence tells us this is not always the case and that our most vulnerable population experience high rates of adverse events.

Aim: To determine whether after-hours shifts are associated with number of adverse events, independent of registered nurse staffing levels and residential aged care home size.

Methods: Retrospective cohort design with multilevel modelling. Adverse events, registered nurse staffing and facility size were collected via routine reporting from ten homes (1020 beds) in one Australian state for …

Social Workers Perspective On The Challenges And Rewards Of Working With The Aging Population, Ana Milena Genece

Electronic Theses, Projects, and Dissertations

This study explored social worker’s perspectives on the challenges and rewards of working with the aging population. The study used 23 social worker participants completed a questionnaire focused on the work of gerontological social work. The participants gave their perspective on the need for more social workers to work with this population, and how to promote that need. The entire study was completed using Survey Monkey online, via a link that was provided to a major Southern California hospital through flyers and emails. This study was a descriptive study to gain an understanding of the major concerns and views of …

Faculty Honored At 2021 Argus Awards Ceremony, Kendra Carter

Browse All News

No abstract provided.

Description, Reliability And Validation Of A Novel Ground-Reaction-Force-Triggered Protocol For Simulation Of Tripping Perturbations During Gait, James Anderson, Samuel Hadley, Denise Ng, Catrina Fabian

UNLV Theses, Dissertations, Professional Papers, and Capstones

Tripping is a common cause of falls across different age populations particularly in older adults. Concerns regarding the validity of simulated-fall research protocols reside in the current literature. The purpose of this study was to develop a novel treadmill-based tripping protocol that allowed researchers to deliver unanticipated tripping perturbations during walking with a high level of timing precision. The protocol utilized a side-by-side split-belt treadmill instrumented with force platforms. Treadmill belt acceleration profiles (two levels of perturbation severity: small perturbation vs large perturbation) were delivered unilaterally when the tripped leg bore 20% of the body weight during early stance. Peak …

Compliance In Fall Prevention In Dementia Vs Non-Dementia Nursing Home Units, Garima Shrestha

Merge

The student nurse researcher performed a research study to determine if there was a difference in the compliance of fall prevention interventions between dementia and non-dementia nursing home units. The student nurse researcher hypothesized the dementia nursing home units would be more compliant with fall prevention interventions than the non-dementia nursing home units. In contrast, the null hypothesis stated there would be no statistically significant difference in the compliance of fall prevention interventions between the dementia and the non-dementia nursing home units. The Fall Prevention Intervention Checklist was used to assess environmental fall hazards in occupied resident rooms. Of the …

Light At The End Of A Pandemic Tunnel: Experts Offer Wellness Tips For Spring, Aubrey Joyner

Browse All News

No abstract provided.

Benefits Of Dance For Geriatrics, Eve Robinson

Dance Department Best Student Papers

Drawing from recent related research, this paper analyzes the cognitive, physical, and social benefits of dance for geriatrics. By comparing studies involving both dance and geriatrics from around the world, as well as collecting original data, this work suggests significant positive effects when people age 65 and older participate in regular dance activity. Given the U.S. Census Bureau’s estimate that the number of people age 65 and older will outnumber children under 18 for the first time in U.S. history by 2034, the need for dance for older people is reaching an all-time high. As more long-term care facilities, community …

Evaluation Of Ambulance Calls For Patients Over 65 Years Of Age In İzmir, Turkey: A Twoyear Retrospective Analysis, Ahu Pakdemi̇rli̇, Başak Bayram, Erkan Güvenç, Hülya Elli̇dokuz

Turkish Journal of Medical Sciences

Background/aim: Analysis of interventions for special patient groups is important for the planning of health services, especially emergency medical services. In this study, we aimed to evaluate emergency medical service (EMS) interventions for the elderly and determine the decisive factors affecting transfer to the hospital of EMS team over 2 years (2017 and 2018) in İzmir. Materials and methods: Records of 112 emergency calls that were made between 2017 and 2018 followed up with interventions for patients aged 65 years and older were obtained from the 112 system. The reasons for the calls, outcomes, possible diagnoses of the patients, differences …

Improving Health Care Accessibility Among Geriatric Patients In Rural Communities, Capriana Calvachi

Honors Projects

The following literature review and analysis compiles information regarding ways to improve rural geriatric healthcare accessibility through the use of interprofessional care and outreach. I also wish to bring to light the various deficiencies often seen in this realm of care, and the reasons behind the inadequate rural physician retention rates. Using this background information, I compiled various collaborative approaches which seek to ease the strain faced by the healthcare system and its elderly patients.

Improving healthcare accessibility through the use of interprofessional care and outreach is an essential facet in geriatric medicine. By exploring the deficiencies of geriactric healthcare …

Investigating The Impact Of The Nursing Practice Environment (Npe) On Central Line-Associated Bloodstream Infections (Clabsi) Among Older Adults In The Intensive Care Unit (Icu), Kristen A. Cribbs

Dissertations and Theses

Background: Health care–associated infections, resulting from treatment received for medical or surgical conditions in a health care setting, represent a critical public health and patient safety issue, exacting substantial medical, social, and economic costs. The costliest among the leading causes of preventable health care-associated infections is central-line associated bloodstream infections (CLABSI), to which older adults (age 65 years and older) are particularly susceptible, especially during intensive care unit (ICU) stays. A rich body of research has empirically linked the quality of the nursing practice environment (NPE) in hospitals to both positive and negative patient outcomes; yet, surprisingly few studies have …

Creating Covid-19 Work-Arounds For Vulnerable Older Adults, Edward F. Ansello

Director's Editorials from Age in Action

In response to disruptions in care due to the COVID-19 pandemic, the Geriatrics Workforce Enhancement Program (GWEP) has decided to focus energies on vulnerable populations, specifically: low income older adults in the Richmond Health and Wellness Program (RHWP), which delivers healthcare coordination at rental assistance housing complexes in Richmond, who had been receiving regular in-person help from interprofessional teams of faculty and students; residents with dementia and staffs of long-term care facilities who’d been intended to participate on-site in a non-pharmacological dementia care intervention called TimeSlips, as well as family caregivers of individuals in the community with dementia; and older …

The Agony Of Da Feet: Reexamining The Foundation To Fitness, Amanda M. Lutter, Christopher B. Stewart

Case Studies from Age in Action

Educational Objectives

1. Explain the role of podiatry in helping older adults maintain wellbeing.

2. Provide an overview of common foot and ankle conditions that older adults should be concerned about.

3. Discuss newer services and techniques provided by podiatrists.

4. Review several cases in which podiatry supported patients’ health through early interventions.

Academic Service-Learning Experience Embraces The Vincentian Mission In Physician Assistant Education, Alyssa Quinlan, Pamela Gregory-Fernandez, Corinne Alois, Carla Hernandez Goodman

Journal of Vincentian Social Action

Motivated by the belief that health care is a basic human right and driven by a Vincentian mission, St. John’s University Physician Assistant Program incorporates service minded educational experiences created to expose students to the necessity to reach those most in need—“the poor, alienated and the aged.” In Spring 2018, in conjunction with the SJU Academic Service-Learning program, a geriatric service assignment was integrated into the geriatric course curriculum. Working with Selfhelp Virtual Senior Center, local senior centers and nursing homes, students participated in an outreach project to serve senior citizens. Students shared their experiences through reflection and pre- …

The Benefits And Accessibility Of Integrative Exercise In Geriatric Populations, Elizabeth Nisper

Honors Projects

There are many physical and mental benefits of conventional exercise and they have been well-studied. However, integrative exercise practices aim to encompass more than physical fitness. There is also a spiritual/ethical component when taking into account aspects such as meditation and mindfulness. By examining a number of different health domains, we can study whether the benefits of yoga and tai chi extend beyond the benefits of exercise more broadly. While the short-term physical fitness benefits of other cardio and strength training may exceed those of integrative practices, yoga and tai chi appear to be equally as beneficial in the long …

Correlation Between Myostatin And Lean Muscle Mass In Older Adults, Mishann Luedders

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Correlation Between Myostatin and Lean Muscle Mass in Older Adults.

Luedders, M., Gray, M., Patton, S., Washington, T., Binns, A. Exercise Science Research Center, University of Arkansas, Fayetteville, AR.

Background: Our older adult population is growing exponentially and with it, the number of falls and debilitating injuries that afflict their population grows as well. A fall brings with it many possible injuries, healthcare costs, fear and increased mortality. There seems to be a lack of preventative measures in our healthcare system to help protect our elders. One possible measure is a simple blood test that looks at the level of …

What Influences Nursing Students To Desire To Work In Geriatrics, Kim Alexander Decker

DNP and Student Works

The geriatric population is growing rapidly. Geriatric education in nursing school curriculum is vital. Undergraduate nursing students need to be educated about the multifaceted care of the older adult as well as experiencing positive clinical settings while taking care of the elderly population. The older adult perceives themselves as aging successfully and have much to teach nursing students about this perception.

Elder Communication In The Skilled Rehabilitation Setting: An Occupation-Based Alternative, Shanna M. Fisher

MOT Student Capstones

This research focuses on the certified nursing assistant (CNA) population within the skilled nursing setting and their related understanding and use of intergenerational communication, specifically elderspeak. Principles of Occupational Therapy (OT) were integrated into an educational module that provided alternative forms of communication to foster a change in the interdisciplinary relationship between OT professionals and nursing paraprofessionals and to improve the experience of geriatric patients during their stay at a skilled rehabilitation facility. A twenty-minute in-service was implemented to educate CNAs on elderspeak and incorporate new communication techniques. Pre- and post-surveys were administered to assess the baseline knowledge and beliefs …

The Association Of Reduced Bone Density With Paraspinal Muscle Atrophy And Adipose Tissue In Geriatric Patients: A Cross-Sectional Ct Study, Eli̇f Evri̇m Eki̇n, Muhi̇tti̇n Emre Altunrende

Turkish Journal of Medical Sciences

Background/aim: The aim of the study is to examine the relationship among bone density, adipose tissue, and muscle mass with abdominal CT in geriatric patients.Materials and methods: The study is a retrospective cohort study of patients 65 years and over who underwent abdominal CT for any reason between October 2017 and July 2018. Third lumbar vertebra density, fatty degeneration of the paraspinal muscle, subcutaneous adipose tissue, and mesenteric adipose tissue ratio were evaluated. Results: A total of 312 patients, 144 females and 168 males, were included in the study. Reduced bone density was found in 237 (76%) patients. Reduced bone …

National And Local Antibiotic Prescribing Trends And Prescribing Appropriateness In Older Adults, Fawaz M. Alotaibi

Theses and Dissertations

Background: Antibiotic overuse/misuse has been documented in several reports to increase the risk of Clostridioides difficile (C.diff) infection and antibiotic resistance. The older adult population is more prone to use antibiotic medications than any other age group due to decreased immune function, use of urinary catheters, ventilation during hospitalization and other factors. Antibiotic resistance and C.diff are major public health problems. However, studies examining the trends of antibiotic use and the association between the antibiotic use and negative health outcomes among older adults in the outpatient and emergency department settings are limited.

Objectives: The main objectives of this …

Correlation Between History Of Fall And Timed Up And Go Test In Geriatric, Mifta Nurmalasari, Novira Widajanti, Rwahita Satyawati Dharmanta

Jurnal Penyakit Dalam Indonesia

Introduction. Fall is the global major problem in geriatrics as it causes physical and physicological impairment, even leads to mortality. Timed up and go test (TUG) is the screening method which commonly used in medical practice as standard examination to assess mobility, balance, and fall risk.This study aimed to determine the correlation between TUG and history of falls in geriatric patients at General Hospital Dr. Soetomo Surabaya, Indonesia. Methods. A cross-sectional study was conducted among geriatric patients in Dr. Soetomo hospital with criteria ≥ 60 years old, mini mental state examination (MMSE) score ≥ 17, did not suffer from hemiplegic …