Digital Commons Network^™

The Effects Of Saido Learning On The Cognition Of Patients With Dementia: A Retrospective Study, Stephanie N. Laduke

Honors Projects

SAIDO Learning is a cognitive and social intervention developed by the Kumon Institute in 2004 to slow the progress of symptoms in patients diagnosed with dementia. Today, twenty-three nursing facilities nationwide utilize SAIDO Learning. The data in this retrospective study compare the baseline Mini-Mental State Exam (MMSE) scores to the MMSE scores obtained six months after SAIDO Learning is implemented from patients diagnosed with dementia at Waterford Place in Jenison, Michigan. These scores are reassessed every 6 months as a standard of care. The data was deidentified by the staff of Waterford Place before given to the research team. A …

Using Five Wishes To Improve Advance Care Planning In A Maryland Primary Care Practice, Amanda Bridges, Msn, Acnp-Bc

Doctor of Nursing Practice Projects

Background: Advance Care Planning (ACP) at this primary care practice was minimal and lacked a consistent process to document existing advance directives (AD) or educate patients about ADs.

Objectives: The purpose of this QI project was to improve ACP engagement, documentation of existing ADs and educate patients about Five Wishes.

Methodology: Adults, at each office encounter, were asked three kiosk questions: Do you have an AD, know what ADs are and want to discuss ACP? The responses were uploaded to the EHR to become an evidence backed, visual reminder. Affirmation of existing ADs were descriptively documented. ACP engagement was analyzed …

Using Multi-Faceted Validated Tools To Evaluate The Functional Outcomes And Quality Of Life In Patients Undergoing Elective Spine Surgery And Associated Referral Patterns For Post-Hospital Rehabilitation: A Quality Improvement Project, Mercy Oigbokie, Msn, Agnp-C, Aprn

Doctor of Nursing Practice Projects

Background/Significance: A lack of validated multi-facet assessment tools to assess postoperative patients’ functional ability and quality of life may result in untimely or no referrals to rehabilitation.

Objective: The objective of the DNP project was to introduce the use of validated multi-facet questionnaires in assessing patient-reported outcomes and to assess effect on the time in generating prescriptive rehabilitation therapies and the type of therapies following elective spine surgery evaluated in the outpatient neurosurgery clinics.

Methods: This was a quality improvement (QI) project comprising of 100 patients (50 pre and 50 post the intervention). After the introduction of baseline data, the …

Mitigating Delirium For The Elderly Post-Operatively Without Medication, Ann Lo Basso

Doctor of Nursing Practice Projects

Background: Often occurring after surgery, or hospitalization, the development of delirium in older adults, initiates a cascade of events culminating in loss of independence, increased morbidity and mortality, and high health care costs (Oh, et al., 2017).

Objective: The purpose of this quality improvement (QI) project was to adapt and implement best practices using HELP for managing older patients with postoperative delirium through the existing 1:1 observation structure and implementing cognitive care strategies. The 1:1 sitter roles and responsibilities were redesigned to include non-pharmacological, multicomponent interventions.

Methods: The QI project used a pre-test post-test intervention design comparing groups before and …

Utilization Of Patient Toolkit And Discharge Algorithm For Providers To Reduce Readmission Due To Repeat Ground Level Fall, Sara Karl

Doctoral Projects

Introduction. Falls are the leading cause of injury and injury death in adults over the age of 65. A retrospective examination at Level 1 trauma center in the Midwest found that 19.4% (118/605) of older adults admitted with a ground level fall were readmitted with a subsequent fall and injury. The aim of this quality improvement initiative is to determine if the implementation of an evidenced based patient toolkit and a discharge algorithm for providers will reduce outpatient falls. The objective was to reduce hospital readmission due to repeat fall.

Methods: The design of this project was mixed methods, observational, …

"Heartbreaking" Referrals, Professional "Disgrace": The Impact Of Medicare Ineligibility On The Counseling Profession, Matther C. Fullen, Jonathan D. Wiley, Justin Jordan, Jyotsana Sharma, Gerard Lawson

Adultspan Journal

No abstract provided.

A Study Of Generative Partnership, Kirk Zinck, Joanna Neel

Adultspan Journal

No abstract provided.

Friendships, Subjective Age, And Life Satisfaction Of Women In Midlife, Suzanne Degges-White, Marcela Kepic

Adultspan Journal

No abstract provided.

Relationship Quality In Kin And Chosen Kin Familial Networks, Eliza Thor

Department of Sociology: Dissertations, Theses, and Student Research

Family relationships are sources of both stress and support for most individuals. They are also among the most resilient, offering support through long periods of conflict. Growing scholarly research on LGB families demonstrates that LGB individuals face greater levels of conflict, which stems from a lack of acceptance of their identities. As of yet, little work has directly compared LGB familial relationships to heterosexual family relationships. This study seeks to fill this gap by comparing the relationship characteristics of LGB and heterosexual individuals using network data drawn from the Nebraska Annual Social Indicators Survey (2018 and 2019). I employed multilevel …

Effect Of Provider Education On Urinary Incontinence Knowledge And Assessment, Kendra L. Roloff

Nursing Capstones

Nearly 50% of women in the United States will experience urinary incontinence at some point during their lives. Urinary incontinence impacts multiple aspects of a woman’s life, yet remains underdiagnosed by primary care providers. The purpose of this project is to implement education and reminders for primary care providers, in order to improve urinary incontinence knowledge and assessment of women 18 years of age or older. The project was carried out in a primary care clinic with primary care providers serving as the participants.

A quasi-experimental one-group pretest-posttest design was utilized. Data from a five question pre- and posttest were …

Continuing Education Newsletter, Continuing Education, Georgia Southern University

Division of Continuing & Professional Education

• Professional Development
• Call for Submissions
• Personal Enrichment
• The Division's Mission

Improving Palliative Care Utilization Process: An Effort To Enhance Providers` Contribution, Orina Machoka

Nursing Capstones

Worldwide, an estimated 20 million people require palliative care. The Worldwide Palliative Care Alliance has identified the need for palliative care has never been higher and is increasing at a rapid rate due to the world`s aging population, increase in cancer, and noncommunicable disease. Despite the increased need, the palliative care establishment has not been efficient in identifying patients who need palliative care. The use of a standardized screening process to assist in the timely identification of patients with palliative care needs is lacking, or in some cases, non-existent. At a Midwestern pain clinic lack of screening is causing a …

A Literature Review On Intermittent Fasting, Kylie Carrero

Senior Honors Theses

Intermittent fasting has been instructed in the Bible as an implied part of daily living. This paper has reviewed the physical benefits of intermittent fasting. In healthy test subjects, it has led to higher levels of autophagy, gut health, and lifespan. In non-healthy test subjects, it has proven beneficial in cancer treatment, as well as in protection against and/or attenuation of the effects of neurodegeneration, metabolic disorders, and cardiovascular diseases. The possible mechanisms underlying these benefits have been discussed in this review.

Peran Yayasan Kehati Dalam Program Prakarsa Lintasanhijau Halimun Salak, Marisca Wulansari, Indra Lestari Fawzi

Jurnal Ilmu Kesejahteraan Sosial

This study describes a Corporate Social Responsibility (CSR) program conducted by Star Energy Geothermal Salak, Ltd. in collaboration with the KEHATI Foundation in a program entitled Green Coridor Initatives Halimun Salak. This study aims to look at type of CSR governance, the role of the KEHATI in CSR activities as well as opportunities, obstacle and challenges in the Green Coridor Initiaves Halimun Salak. This is a qualitative research with a case study design using purposive sampling techniques. Data mining was carried out with a semi-structured in-depth interview with representatives of the Star Energy Geothermal Salak, Ltd., representatives of the KEHATI …

Regulating Care Robots, Valarie K. Blake

Law Faculty Scholarship

Care robots already assist the elderly in some nursing homes around the globe and could be in widespread use in hospitals and private homes sooner than we think. These robots promise great hope for patients: robots can provide increased independence, assistance with daily living, comfort and distraction during procedures, education, and companionship during vulnerable and lonely times in patients' lives. Despite these promising features, there are a number of concerns; care robots, designed with the aim of winning patient trust and affection, have unprecedented access to personal lives as well as recording and sensory capabilities beyond any human. They pose …

Designated Turn Teams For Q2 Turns In The Icu, Abigail Bauer Rn, Emily Clowes Rn

Patient Care Services / Nursing

No abstract provided.

Identifying And Characterizing Transgenic Lines That Drive Gene Expression In The Adult Fat Body Of The Drosophila Melanogaster, Michael Edward Meyerink

Theses and Dissertations

Adult Drosophila Melanogaster is a powerful model organism in genetic studies and has high tissue and gene homology to humans. Like humans, Drosophila tissues communicate in order to respond to physiological stimuli, such as diet, aging, and disease. The fat body, homologous to human adipocytes and hepatocytes, functions as both an endocrine and energy storage organ; and has been shown to play a critical role in many metabolic processes. The aim of this study is to characterize differences in fat body gene expression to ultimately identify if there are subpopulations of adipocytes with different functions related to fat body communication …

Underlying Racism Within The Opioid Epidemic, Hannah L.A.S. Wilson

Brigham Young University Prelaw Review

Within the past century, the United States attempted different legal

avenues to address drug abuse. Some of these efforts made access

to drugs punishable and illegal. Others encouraged research to look

at underlying issues of drug abuse and implement those findings.

Within the past fifty years, these laws tended to treat drug addicts

as criminals instead of as persons suffering from a health crisis.

According to the FBI and Uniform Crime Reports, from the 1980’s

to the 2000’s, drug arrests rose by 1.5 million per year, while drug

usage rates stayed the same.3 The severe increase in the criminalization

and …

Comparison Of Comprehensive Health Score In North American Housed Giraffe And Free-Ranging Giraffe From South Africa, Haley Beer

Department of Animal Science: Dissertations, Theses, and Student Research

Stress is evident in many animal species and has been correlated to disease prevalence. During stressful events, allostasis is initiated by physiologic systems to maintain or reestablish homeostasis to protect an organism’s viability. Over time, the acclimation to frequent stress causes systematic dysregulation, leading to the phenomena of increased allostatic load. Allostatic load has been assessed in animal species via serum through selection of representative, multi-system biomarker indices. Perception and number of stress events may impact dysregulation severity, yielding allostatic load as a predictive tool. However, the allostatic load methodology poses application limitations to individuals without historical data and those …

How Relevant Is The Hippocratic Oath In Guiding Physicians' Views On Physician-Assisted Suicide, Megan Neal

Honors Program: Senior Projects (Public)

The Hippocratic Oath is an ancient vow that most doctors, especially within the last century in the United States, take upon their graduation from medical school. The importance of this oath, however, is up for debate as medical advances and cultural beliefs in the rights of the patient evolve. The Hippocratic Oath has been adapted many times over the past few centuries to reflect the beliefs of the period, but the original Oath still survives. One of the most recent movements in the medicine has been the legalization of physician-assisted suicide (PAS) in select states. Using a qualitative, thematic approach, …

Racial-Ethnic Differences In Social Networks And Perceived Support: Measurement Considerations And Implications For Disparities Research, Melissa Flores, John M. Ruiz, Christian Goans, Bert N. Uchino, Michiyo Hirai, Ruben Tinajero, Timothy W. Smith

Psychological Science Faculty Publications

Objectives: Racial-ethnic differences in physical/mental health are well documented as being associated with disparities; however, emerging conceptual models increasingly suggest that group differences in social functioning and organization contribute to these relationships. There is little work examining whether racial-ethnic groups respond similarly to classic measures of social networks and perceived support and whether there are significant between-groups differences on these measures.

Method: A multisite, cross-sectional study of 2,793 non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanic participants was conducted using common measures of social networks and perceived support. A confirmatory factor analytic model was used to test for the invariance …

Gray For A Day: Exploring The Impact Of A Sensory Aging Experience, Erin Yelland, Jessie Piper

Journal of Extension

Gray for a Day is an interactive educational curriculum that centers on use of an empathic model to improve knowledge, skills, and attitudes related to sensory and functional aging, empathy toward older adults, and one's own health behaviors. The program has been disseminated by Extension educators with varied audiences and evaluated with 2,440 respondents. Participants reported positive changes in knowledge, skills, attitudes, and intended behaviors. Cooperative Extension and community-based partners are uniquely positioned to use the curriculum to provide sensory experiences that can improve understanding of and empathy toward older adults.

An Investigation Of The Effect Of Chewing On Rhythmic Motor Tasks, Brittany S. Samulski

Rehabilitation Sciences Theses & Dissertations

Chewing gum and walking has traditionally been cited as the quintessentially difficult dual task, but little is known regarding chewing effects on motor control. The aims of this dissertation include describing chewing patterns across adulthood, describing chewing’s influence on secondary motor tasks, and investigate entrainment patterns of chewing and gait per established patterns of coupled oscillators. Three experiments were conducted to describe chewing patterns and to examine the effect chewing has on other motor tasks, particularly walking, in young and old adults. The first experiment used a metronome to manipulate chewing rates and measured associated gait parameters. This experiment established …

Effectiveness Of Otago Exercise On Health Status And Risk Of Fall Among Elderly With Chronic Illness, Stefanus Mendes Kiik, Antonius Rino Vachapo, Maria Fitrya Elfrida, Muhammad Saleh Nuwa, Siti Sakinah

Jurnal Keperawatan Indonesia

Falls are a serious consequence of declining physical function. Otago exercise is a strength and balance training program designed to prevent falls and enhance health status among the elderly. This study aimed to investigate the effect of a 12-week Otago exercise intended to reduce the risk of falls and health status among the elderly with chronic illness in the social elderly institution. This quasi-experimental study employed a pre-and post-test design using a control group. The study involved an intervention group (21 respondents) and a control group (21 respondents). The sample used in this study were elderly living in a social …

What Can The Protection And Advocacy Network Offer To Our Veterans?, David A. Boyer

University of the District of Columbia Law Review

The desire to compensate veterans predates the establishment of the United States (“U.S.”). In 1636, individuals with disabilities received pensions for defending the Plymouth colony against Native Americans.1 Throughout history, this practice continued, as documented by the U.S. Department of Veterans Affairs (“VA”).2 By 1930, President Herbert Hoover signed the Executive Order 5398, which created the Veterans Administration.3 Prior to President Hoover’s signing of that executive order, the available veteran services were divided by three separate governmental agencies: the Veterans’ Bureau, the Pensions Bureau, and the Soldiers’ Home.4 Consequently, that executive order combined all three agencies into one that concentrated …

The Effect Of Stem Project Based Learning On Self-Efficacy Among High-School Physics Students, Mohd Ali Samsudin, Seyedh Mahboobeh Jamali, Ahmad Nurulazam Md Zain, Nader Ale Ebrahim

Research Publications (2016 to 2020)

Science, Technology, Engineering and Mathematics (STEM) Project-Based Learning (PjBL) is increase effectiveness, create meaningful learning and influence student attitudes in future career pursuit. There are several studies in the literature reporting different aspects of STEM into a PjBL pedagogy. However, the effect of implementing STEM PjBL in terms of improving students’ skills in self-efficacy levels in physics mechanics at high school level has not been demonstrated as expected in the previous literature. This study followed a quasi-experimental research method. Bandura’s social cognitive theory is used to assess and compare the effect of STEM PjBL with conventional teaching method on students’ …

Preferences Of Nursing And Medical Students For Working With Older Adults And People With Dementia: A Systematic Review, M Hebditch, S Daley, J Wright, Et Al

Peninsula Medical School

Background: A current issue in workforce planning is ensuring healthcare professionals are both competent and willing to work with older adults with complex needs. This includes dementia care, which is widely recognised as a priority. Yet research suggests that working with older people is unattractive to undergraduate healthcare students. Methods: The aim of this systematic review and narrative synthesis is to explore the factors related to healthcare (medical and nursing) student preferences’ for working with older people and people with dementia. Searches were conducted in five databases: MEDLINE, PsycINFO, CINHAL, BNI, ERIC. Screening, data extraction and quality appraisal were conducted …

Thailand: Case Studies Of Filial Piety, Family Dynamics, And Family Finances - Unexpected Findings Of A Country-Wide Research Of The Evaluation Of Project Performance Supported By Older Persons Fund, Luechai Sringernyuang, Mark Stephan Felix, Buraskorn Torut, Saisuda Wongjinda, Ubonwan Chaimongkol, Thanita Wongjinda

Asia-Pacific Social Science Review

Asian values, the aging population, and financial assistance programs for the elderly form the backdrop for this manuscript. The rationale of this manuscript is to analyze the unexpected findings from the research project “The Evaluation of Project Performance Supported by Older Persons Fund,” which indicated a connection between filial piety, family dynamics, and how family finances were spent and managed. The objective is to study this phenomenon in more detail to elucidate changes in family structures that are traditionally held as the lynchpin of Asian society. The manuscript applied two separate methodologies: Part A is a mixed methods methodology that …

Recommendations For Secondary Analysis Of Qualitative Data, Sheryl L. Chatfield

The Qualitative Report

Publications and presentations resulting from secondary analysis of qualitative research are less common than similar efforts using quantitative secondary analysis, although online availability of high-quality qualitative data continues to increase. Advantages of secondary qualitative analysis include access to sometimes hard to reach participants; challenges include identifying data that are sufficient to respond to purposes beyond those the data were initially gathered to address. In this paper I offer an overview of secondary qualitative analysis processes and provide general recommendations for researchers to consider in planning and conducting qualitative secondary analysis. I also include a select list of data sources. Well-planned …

2020-March-27-College Of Nursing Ranked Nationally For Online Nursing Degree Programs, University Marketing And Communication, East Tennessee State University

ETSU News

JOHNSON CITY (March 27, 2020) – East Tennessee State University’s College of Nursing was ranked 11^th among the top accredited online nursing programs and schools in the country by Learn.org.

The list included the top 50 online nursing programs and schools according to Learn.org. ETSU was the only institution in Tennessee listed in in the top 20.

“This ranking is another affirmation of the high quality we provide our students through all of our programs – including our online programs,” said Dr. Wendy Nehring, dean of the ETSU College of Nursing. “Our online programs allow nurses to continue their …