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Mitigating The Impact Of The Covid-19 Outbreak: A Review Of International Measures To Support Community-Based Care, Walter D. Dawson, Elizabeth C. Ashcroft, Klara Lorenz-Dant, Adelina Comas-Herrera

Institute on Aging Publications

Key findings

• Community-based care faces unique challenges during the COVID-19 pandemic compared to other parts of the long-term care continuum.
• Several countries have taken steps to prevent the spread of COVID-19 infections in community-based care including the closure of adult day centres and other service providers.
• Continuity of care is of upmost importance. A disruption of care and support could have serious negative impacts on individual health and well-being due to increased risk of loneliness and social isolation.
• The dispersed nature of community based care suggests that direct governmental action and oversight may be more difficult to provide than for …

Barriers To Patient-Centered Care For Dementia Clients In The Long-Term Living Setting, Shaina Gaba

Nursing | Senior Theses

When caring for people with severe dementia, the concept of the person being central is increasingly advocated in clinical practice. Person-centered care acknowledges autonomy in all facets of care. Recent studies examine behavioral changes in individuals with dementia and how health care teams address these alterations. Health care providers are vital for effective holistic management. Therefore, this review focuses on the current knowledge regarding care goals, practices, and perceptions of the client battling with cognitive decline. A literature review ascertains that clients with dementia respond to interventions and have decreased negative health outcomes, when providers ensure values and needs are …

Let's Get Physical: The Dual-Task Costs Of Multiple Motor Responses, Taylor Nicole Hutson

Masters Theses and Doctoral Dissertations

Dual-task costs occur when attention is divided among two or more concurrent tasks. Most dual-task studies involve paradigms where participants complete two, concurrent cognitive tasks; in these studies, performance on one or both tasks are slower and/or less accurate. The goal of this study was to examine whether dual-task costs would exist when participants completed a cognitive task while walking and whether those costs would be greater when the cognitive task required a motor-based response or when the task was more difficult. Twenty-two college students completed four blocks of a visual search task while walking. The difficult and the manual …

Screening For Fibromyalgia In Patients With Chronic Widespread Pain, Justus Ongaga

Nursing Capstones

Background: Fibromyalgia has an estimated prevalence of 2% of the United States population, with a greater estimated prevalence among women (3.4%) than with men (0.5%). In addition to widespread pain, fibromyalgia symptoms include fatigue, headache, sleep disturbance, anxiety, depression, memory problems, and numbness/tingling sensations. If the condition remains untreated or is poorly managed, then fibromyalgia can present problems among individuals, families, and communities. The lack in fibromyalgia screening processes at a Midwest Pain Clinic presented opportunity for the project.

Objectives: The purpose of this clinical project was to increase fibromyalgia screening by using the Fibromyalgia Rapid Screening Tool (FiRST) in …

Temporal Mindset : Retrofitting Senior Living, Christine Vu

Bachelor of Architecture Theses - 5th Year

This thesis started by looking at malls that were no longer being used and the issued that developed with the decline of these places. I thought of how architecture could benefit and improve the quality of these spaces and the site.

The total population of the United States is approximately 325 million people. Out of the 325 million, approximately 53 million people will be over the age of 65. Between 1946 and 1964, the Baby Boomer generation increased more than any other generation. That generation is now reaching an age where the need for senior living options are more in …

Barriers To The Implementation Of Telehealth In Rural Communities And Potential Solutions, Mariana Barreiro, Ashley Coles, Caris Conradt, Emma Hales, Elizabeth Zellmer

Anna Vaughn School of Nursing Undergraduate Work

Telehealth is an ever-growing health care system, providing health services from a distance. Telehealth provides medical care through teletechnologies and two-way video and audio communication to connect doctors to patients. A detailed review was created to show the barriers and interventions of implementing a telehealth program in a rural area. The overall purpose of the systematic review was to find and explore relevant research and answer the question, “What are commonly encountered barriers to implementing telehealth in rural areas and what interventions can nurses implement to overcome these barriers?” The approach used to obtain quality data and research was convenience …

The Effects Of Disease Contamination On Memory For Touched Objects In Older Adults, Jessica M. Runnels

Honors Theses

Recently it has been shown that individuals have better memory for objects that have been touched by an individual with a contagious disease relative to an individual with a non-contagious disease or who is healthy (Gretz & Huff, 2019). This pattern has been suggested to occur due to the activation of the Behavioral Immune System (BIS)—an avoidance-based system designed to thwart sources of potential pathogens. The BIS has been suggested to operate through an evolutionary-based mechanism in which avoidance of pathogens increases the likelihood of survival, increasing reproductive success. Given this approach, an important question is how the activation of …

An Experimental Test Of The Effects Of Sleep Deprivation On Approach Behavior, Rebecca L. Campbell

Graduate Theses and Dissertations

Emotion regulation and sleep have been identified as mechanisms that may be involved in the development and maintenance of many mental health disorders. However, there has been little research into the relation between sleep and emotion regulation. To address this gap in knowledge, a novel study was conducted. We hypothesized that sleep deprived individuals would demonstrate less approach behavior toward a negatively valenced stimulus, as well as increased self-reported avoidance, compared to a control group. To test this, a randomized controlled experiment using a behavioral measure of approach and a self-report measure of avoidance was conducted. Fifty-two healthy individuals ages …

The Effects Of Auditory And Olfactory Cues On Visual Attention Toward Food Images Under Acute Stress, Reza Moltaji

Graduate Theses and Dissertations

Psychological stress has been shown to increase preference for high calorie foods containing high levels of sugar and fat. Since excessive intake of high calorie foods may increase potential risk of obesity and other relevant health issues, relieving psychological stress may help in maintaining a balanced diet and good health status. Although a variety of strategies for relieving psychological stress has been suggested, little attention has been paid to regarding whether such strategies can result in balanced diets. Since music therapy and aromatherapy have proven popular approaches to relieving psychological stress, this thesis aimed at determining whether listening to music …

Efficacy Of Multivitaim-Mineral Supplementation On Health-Related Quality Of Life And Physical Activity In Young Adults, Sarah Pendergraft

Graduate Theses and Dissertations

Micronutrients are essential for both physical and mental health. There is a correlation between poor health and mood and micronutrient deficiencies. Young adults age 18-24 are an at-risk, understudied population likely to benefit from multivitamin mineral supplementation. Multivitamin mineral supplementation is a potential way to bridge gaps in micronutrient levels, thus influencing health-related outcomes. Here, we provide the first attempt at influencing health-related quality of life and physical activity with a multivitamin mineral supplement in young adults. Using a supplement formulated without herbal extracts and caffeine, this double-blind study examined the efficacy of a daily multivitamin mineral supplement for 30 …

A Qualitative Analysis Of The Barriers Faced By Nursing Assistants And Medication Aides In The Care Of Dysphagia Residents, Lauren Kreuzberg

Honors Program: Senior Projects (Public)

Dysphagia refers to the symptom of difficulty in swallowing that accompanies several prevalent conditions in the older adult population, including amyotrophic lateral sclerosis (ALS, Lou Gehrig’s Disease), stroke, Parkinson’s Disease, Multiple Sclerosis, dementia, various cancers, and brain tumors (Allari, 2014). Many older adults who suffer from these conditions reside in nursing facilities, where most of their care is provided by certified nursing assistants (CNAs) and medication aides (MAs). However, the extent of these workers’ knowledge and competence in providing care to nursing home residents with dysphagia is vastly under-researched. The qualitative analysis investigates themes among interviews with fifteen CNAs and …

Caregivers Of Medically Fragile Children With Technology Needs, Vuong Prieto

Dissertations and Theses (Open Access)

Background: Medically fragile children (MFC) with technology needs have complex and challenging health care needs in the home setting. Providing care can have both negative and positive psychological and social impacts on the caregivers’ health related quality of life (HRQOL).

Aims: a) To examine the relationship between caregiver burden, caregiving satisfaction, and HRQOL in caregivers of MFC with technology needs. b) To identify caregiver and child related variables of caregiver burden and caregiving satisfaction.

Methods: A cross sectional study was conducted over four months at a children’s hospital and outpatient clinics. Caregivers completed three one-time surveys (Zarit Burden Interview, Caregiving …

Take A Shot: The Effect Of A Multicomponent Strategy To Increase Meningitis B Vaccination Rates, Valerie Cline

Evidence-Based Practice Project Reports

Neisseria meningitidis is the major cause of invasive meningococcal disease (IMD) (Peterson et al, 2018). Approximately 10-15 percent of IMD cases result in debility including neurological impairment, amputation, and death (Peterson et al, 2018). Outbreaks of IMD are sporadic and unpredictable. The incidence of IMD varies geographically, but serogroup B has become more prevalent in recent years. Meningitis-B (Men-B) has been the cause of several university outbreaks on different US college campuses since 2013.The purpose of this project was to implement an intervention at a midwestern university student health center to help students understand the risk of the disease and …

Effectiveness Of A Multi-Component Intervention Program For Treating Childhood Obesity, Suzy Free

Evidence-Based Practice Project Reports

Childhood obesity is one of the most chronic childhood illness worldwide (Centers for Disease Control and Prevention [CDC], 2019; World Health Organization [WHO], 2019). The prevalence of childhood obesity has been described as one of the most common chronic childhood conditions (CDC). The purpose of this evidence-based practice (EBP) project was to reduce the BMI scores of obese children using a multi-component intervention program that incorporates healthy eating, physical activity, and family involvement. The Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model was used to facilitate the implementation of this EBP project. The synthesis of the appraised literature established that utilizing …

Improving Type 2 Diabetes Mellitus In The Older Adult Population Utilizing Shared Medical Appointments In Primary Care Setting, Mailo Brantner

UNLV Theses, Dissertations, Professional Papers, and Capstones

The overall management of Type 2 diabetes mellitus (T2DM) and its comorbidities is complex and costly. The American Diabetes Association (ADA, 2019c) recommends the use of team-based care and self-management tools to optimize the management of T2DM. Unfortunately, there is a national shortage of endocrinologists and certified diabetes educators (Stewart, 2008) along with a primary care provider shortage (Simmons & Kapustin, 2011). Thus, it is essential to implement a care model to increase efficiency while also promoting patient knowledge and self-management of T2DM to improve health outcomes. An example of an innovative care model is the shared medical appointment (SMA), …

The Role Of Culture In Engaging The Senior Population In Omaha, Ne, Jamie Bish

Theses/Capstones/Creative Projects

In recent years, the senior care industry has become the focus of many public health initiatives as we have come to better understand the significance of our aging population (Olivari et al., 2020). Between the years 2010 and 2050, the population of the United States over 65 years is expected to more than double, from 40.5 to 89 million (Dall et al., 2013). While this data provides a national outlook, further research is needed to determine local impacts. This project centers on developing a better understanding of the demographics of seniors in the Omaha-Council Bluffs Metropolitan Statistical Area and how …

Perspective Driven Behavior: The Effects Of Classroom Climate On A Student's Personality And Willingness To Communicate, Nicholas Weber

Theses/Capstones/Creative Projects

Modern students are experiencing problems novel to the college environment. Much emphasis has been placed on learning in the classroom and the interactions with other students and professors, but this research has neglected features intrinsic to the student in question. The current study evaluates the student’s communication climate (or Connected Communication Climate Inventory (CCCI) score) within their classrooms as it relates to the relationship between key personality traits (i.e. Extraversion, Intellect/ Imagination, and Neuroticism) and their willingness to communicate (WTC) in those settings. College students have been given assessments to evaluate the prevalence of distinct personality traits and their relationships …

The Effect Of Family Structure And Mental Health On Childhood Bullying Behaviors, Kierstynn Hunter

Honors Theses

No abstract provided.

Grandmothers At Work During Coronavirus, Madonna Harrington Meyer

Population Health Research Brief Series

COVID-19 is reshaping the lives of working grandmothers in the U.S. This brief draws on in-depth interviews and grandmothers’ stories to show how the coronavirus is redefining the lives of working grandmothers.

Nurse Practitioners’ Perceptions Of Telehealth Behaviors, Michelle Austin

Doctoral Projects

Problem: NP’s must be proficient in the behaviors that are required for a successful patient encounter to provide the full benefit of nurse practitioner (NP) telehealth. Consequently, it is imperative for NPs to understand telehealth etiquette behaviors which include the technical and non-technical skills that are necessary for an effective NP-patient patient telehealth encounter (Haney, Kott & Fowler, 2015). Telehealth has been incorporated into healthcare delivery and its use is expanding. In the United States, it is predicted to be used by seven million patients in 2020 (US Department of Health and Human Services, 2018). Appropriate access to health care …

Challenges Associated With Occupational Therapy In Nebraska, Delaney Simmonds

Theses/Capstones/Creative Projects

As part of a fast-growing field, occupational therapists (OTs) in Nebraska face many challenges. This project utilizes interviews with local OTs, analysis of scholarly articles, and online databases in order to understand the challenges faced by OTs and how they may be improved upon at both an individual and a state level. The three most common settings for occupational therapists to be placed for fieldwork assignments and for work post-graduation are hospitals, schools, and skilled nursing facilities (AOTA State Affairs Group 2017). Interviews were carried out with occupational therapists working in these three settings in order to examine the similarities …

Improving The Process Of Making Preoperative Home-Medication Recommendations, Andrew Standefer

Doctor of Nursing Practice Projects

Improving the Process of Making Preoperative Home-Medication Recommendations

Many patients presenting for surgery have a list of prescribed medications they take daily to treat various comorbidities. Even though prescription drugs may offer patients therapeutic benefits during the perioperative period, they may also cause adverse effects when used in conjunction with anesthesia during surgery (Marley, Calabrese, & Thompson, 2014). Therefore, identification of medications for the preoperative patient to take or withhold is necessary.

Research indicates that clinicians often make inappropriate decisions regarding preoperative medication management in settings where no guideline exists (Renew, Bolton, Alvarado, & De Ruyter, 2015; Symons & McMurry, …

Relationships Between Auditory Brainstem Responses & Timed-Sentence Comprehension, Anneliese Lapides

Honors Scholar Theses

The goal of this project was to observe relationships between auditory brainstem response (ABR) and sentence comprehension in college students, answering the question: does complex sentence comprehension show a link with brainstem processing? This project addresses the need to study subcortical contributions to language comprehension in order to fully understand language processing, as most studies revolve around the cortex. Sentence comprehension was tested through completion of a task in which participants hear a sentence before being prompted to choose the correct match between two pictures. Twenty total sentences of four variously-complex types were randomly presented. Participants were monolingual English-speaking adults …

Adapting To Obstacles: Inhibition And Creative Potential In A Sample Of Successfully Aging Older Adults, Cassandra Dinius

Dissertations

Studying older adults who are aging ‘successfully’ (i.e., avoiding disease/disability; maintaining high cognitive and physical functioning; engaging in meaningful interpersonal/social engagement) may offer insight into variables that contribute to cognitive change throughout the lifespan. Successful aging is related to levels of engagement, which may be promoted by the problem solving and reevaluation encouraged by the creative process (Fisher & Specht, 1999). Creative thinking requires the consideration of diverse concepts and strategies (e.g., generating many solutions), as well as the regulated filtering of these possibilities (e.g., neither too permissive nor too narrow when eliminating ideas; Baas, De Dreu, & Nijstad, 2011). …

Examining The Relationships Between Body Motion Gaming Or Mind-Body Practice And Balance, Cognition, And Social Engagement In Community Dwelling Older Adults, Jessica Hackathorne

Masters Theses and Doctoral Dissertations

As the population ages, there exists a desire to stay active and in one’s own home. Institutionalization is required for some individuals, with the primary causes being falls, frailty, and cognitive decline. Body motion gaming systems and mind-body practices have been successfully utilized to address balance, cognition, and social engagement in different patient populations. This study was designed to investigate if similar benefits could be seen in healthy, community dwelling older adults. Eleven participants volunteered for the study. Pre, post, and one-month post assessments performed included the Berg Balance Scale, Functional Gait Assessment, 30-second Chair Stand Test, Montreal Cognitive Assessment, …

University Of Central Florida Graduate Catalog, 2020 - 2021, University Of Central Florida

UCF Catalogs

No abstract provided.

The Effects Of Increasing Degree Of Unreliable Automation On Older Adults’ Performance, Claire Textor

All Theses

High level automation has the ability to relieve operators from complex, working memory-intensive tasks. When the task is primarily perceptual or cognitive in nature, the amount taken over by the machine can be very high. However, as operators interact with technology that is more automated (i.e., automation is higher in stage and degree), they may become more subject to the negative effects when that technology fails. This concept of reaping greater benefits of higher degrees of automation that is reliable but suffering catastrophic performance consequences when it is unreliable has been termed the lumberjack effect and has been well documented …

The Influence Of Medicare Insurance Type – Traditional Fee-For-Service V. Medicare Advantage – On Rehospitalizations For Patients With Heart Failure In Skilled Nursing Facilities, Andrea Elizabeth Lane Daddato

Graduate Doctoral Dissertations

Heart failure (HF) is a leading cause of rehospitalizations for Medicare beneficiaries from skilled nursing facilities (SNFs). This research sought to determine if HF patients’ insurance type (Medicare Fee-for-Service (FFS) vs. Medicare Advantage (MA)) influences their risk for readmission within 30 days of hospital discharge to a SNF. This research is particularly timely in light of new penalties under the Protecting Access to Medicare Act SNF Value-Based Purchasing (SNF-VBP) program directed at SNFs for 30-day rehospitalizations. Previous literature finds FFS beneficiaries with HF in SNF at greater risk for rehospitalization compared to MA members. This research contributes to the literature …

Have Objects, Will Travel: Object-Based Outreach To Solstice Independent Living At Fairport, New York, Taylor Carpenter

Theses

This thesis details my process in designing and delivering a program, “The Evolution of the Erie Canal,” to residents of the Solstice Senior Living at Fairport, New York, utilizing objects from the Rochester Museum & Science Center’s teaching collection. Given the ever-increasing population of American adults aged 55 and older, it is more important than ever for museums to create engaging programs aimed at this sector of the population. The goal of this project was to create a meaningful object-based experience for participants through discussion and reminiscence. My sources include findings from similar projects, literature on working with adult audiences, …

Perceptions Of Dementia In Faith-Based Organizations, Megan Elizabeth Kooker

Honors Program Theses

Dementia is a public health concern. The number of people who will have some form of dementia is expected to rise in the coming years (Brookmeyer, 2011). Around 50 million people have dementia worldwide. Every year, this number increases by about 10 million (World Health Organization, 2019). Because this is such a prevalent issue, each part of the community should be educated about dementia as well as how to best interact with people living with dementia (PLWD). In order to educate these individual community sectors, it is important to first research the existing perceptions about dementia among the community. Faith …