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Policy And Practice Recommendations For Nurse Practitioner-Led Medicare Annualwellness Visits, Vicki Simpson

School of Nursing Faculty Publications

Reasons for underutilization are related to personal, organizational, structural, and system barriers and challenges for beneficiaries and providers. Beneficiaries are often unaware of the availability of this visit (or the fact that it is free). They may not understand the value of nor attach strong importance to a visit solely focused upon prevention. Providers report being confused and overwhelmed regarding AWV requirements and guidelines, leading to ambivalence concerning visit implementation (Bluestein, Diduk-Smith, Jordan, Persaud, & Hughes, 2017, Cuenca, Lozoya-Flores, et al., 2012, Simpson, Edwards et al., 2018). Most practices lack an efficient and effective workflow to support implementation of AWVs, …

Perception Of Risk For Older Adults: Differences In Evaluations For Self Vs. Others And Across Risk Domains, J Rolison, Y Hanoch, A Freund

School of Psychology

Background and Objectives: Proxy decision-making may be flawed by inaccurate perceptions of risk. This may be particularly true when older adults are the targets of the decisions, given the pervasive negative stereotypes about older adults. Methods: In study 1, individuals aged 18- to 87 years (as target persons) as well as one of their close social partners (as informants) reported on the risks they perceived for the target person in various life domains. Study 2 additionally explored potential differences in how people make risky decisions on behalf of younger and older adult targets. Younger (age 18–35 years) and older (age …

An Evaluation Of The Impact Of Medication On Behavioral Intervention Effectiveness For Adults With Traumatic Brain Injury, Sulay Martinez

Capstone Projects

A systematic search of the literature was conducted to identify articles implementing both pharmacological and behavioral interventions with subjects with traumatic brain injury (TBI). Limitations of pharmacological interventions were evaluated and compared to the implications for behavioral interventions for adults with TBI. Results of this study indicate further research is necessary to adequately evaluate the effects of medication on behavioral intervention effectiveness for adults with TBI.

Reducing Polypharmacy, Gladys A. Ndege

Nursing Capstones

No abstract provided.

Proteomic Profile Of Carbonylated Proteins Screen Regulation Of Apoptosis Via Camk Signaling In Response To Regular Aerobic Exercise, Wenfeng Liu, Li Li, Heyu Kuang, Yan Xia, Zhiyuan Wang, Shaopeng Liu, Dazhong Yin

Health Sciences & Kinesiology: Faculty Publications

To research carbonylated proteins and screen molecular targets in the rat striatum on regular aerobic exercise, male SpragueDawley rats (13 months old, n = 24) were randomly divided into middle-aged sedentary control (M-SED) and aerobic exercise (M-EX) groups (n = 12 each). Maximum oxygen consumption (VO2max) gradually increased from 50%–55% to 65%–70% for a total of 10 weeks. A total of 36 carbonylated proteins with modifed oxidative sites were identifed by Electrospray IonizationQuadrupole-Time of Flight-Mass Spectrometer (ESI-Q-TOF-MS), including 17 carbonylated proteins unique to the M-SED group, calcium/calmodulin-dependent protein kinase type II subunit beta (CaMKII�), and heterogeneous nuclear ribonucleoprotein A2/B1 (Hnrnpa2b1), …

Up Against The Wall, Carole Garrison

Hail We Akron!

No abstract provided.

Support For Family Caregiver Burden In Home Care On Providing Urination Care, Sachiko Teraoka, Hiroko Iba, Chiaki Otsuka

International Nursing Research Congress (INRC)

The care burden of family care providers who provide care to the elderly at home is high. Therefore, focusing on "urination care", which is said to have a large nursing-care burden, identifying the type of burden and proposing improvement of the burden on care providers.

The Life Experiences Of Community Older Adults With Mental Illness In Taiwan, Jiin-Ru Rong, Su-Jung Jr. Liao, Wen Kuei Sr. Liao, Chiahan Wu

International Nursing Research Congress (INRC)

This study was to explore the subjective living experiences of elderly people with mental illness in Taiwan community. The continuation enhances strength to survive for coping with the aging and mental health problem was identified as the core category of the life experiences in the older adults in this study.

The Relationship Of Caregiver's Stress And Satisfaction Of The Care Needs Among Icu Family Caregiver, Pei-Shan Hung, Nai-Wen Chang

International Nursing Research Congress (INRC)

The results of 107 primary caregivers collected from May, 27. to June, 27, 2014 showed that the biggest stress perceived by caregiver was the patients' disease characteristics. If the clinical staff provided the information of the disease and treatment timely, the caregivers were satisfied with the domain of care needs.

An Exploration Of Spiritual Care Of Home Visiting Nurses For Patients With Advanced Cancer, Chizuru Nagata, Aiko Tanaka, Rosanna Mcmaster

International Nursing Research Congress (INRC)

The spiritual care process of home visiting nurses for patients with terminal phase of advanced cancer was explored and it was revealed that home visiting nurses provided spiritual care by clinical reasoning based on end-of-life total care.

Do Community Clinic Patients Have Needed Internet Access And Experience To Use The Patient Portal?, Ruth A. Bush, Halsey Barlow, Alexa Perez, Bianca Vazquez, Jonathan Mack, Cynthia D. Connelly

International Nursing Research Congress (INRC)

This study quantified whether patients attending a community clinic in southern California had the technology and internet experience to access the patient portal. There was no association between income and portal use. Computer portal access was associated with likely future use. Computers may permit better internet access and record viewing.

Awareness Of Supporting Elderly Parents By Family Caregivers In Households With Home-Bound Elderly With Dementia, Keiko Matsumoto, Misae Ito, Claudia Kam Yuk Lai, Daphne Cheung, Siok Bee Tan, Yasuyo Kametaka, Yoshimi Tsunekuni, Sadao Katayama, Masafumi Kirino

International Nursing Research Congress (INRC)

This research aims to investigate the relevancy between the attributes of caregivers and their awareness of supporting their elderly parents. This research investigated the relevancy between caregivers' attributes and their awareness of supporting their elderly parents.

Development Of Protocol Of Urinary Catheter Bundle Care In Hospitalized Elderly Using Modified Delphi Method, Jin-Hua Pan, Chun-Yin Yeh, Fang-Wen Hu

International Nursing Research Congress (INRC)

The aim of this study is to establish clinical consensus for the protocol of urinary catheter bundle care in hospitalized elderly patient by using the modified Delphi method. It will help to standardize the urinary catheter bundle care in hospitalized elderly patient, and assist in clinical decision-making for all healthcare professionals.

Shining Light On Hibernator Genomes: Using Radiation To Reveal Dna Damage And Repair Dynamics In Arctic Ground Squirrels, Krysta L. Yancey

Biological Sciences

Mammalian hibernation is characterized by dynamic changes in metabolism and body temperature; it may be sustained for up to nine months in some species. The majority of hibernation is spent in torpor, a dormant state, which is regularly interrupted by brief periods of activity referred to as interbout arousal. Upon arousal thermogenesis begins in vascularized fat and ends with whole-body shivering until the animal reaches a body temperature around 36-37 °C. Interbout arousal is usually less than a day long and is commonly thought to be necessary for maintenance and repair of tissues, in addition to the cycling and replenishment …

Mismatch Between Older Adults’ Expectation And Smartphone User Interface, Chui Yin Wong, Rahimah Ibrahim, Tengku Aizan Hamid, Evi Indriasari Mansor

Malaysian Journal of Computing (MJoC)

Smartphones have become ubiquitous communication tools for everybody, including older adults to stay connected with their family and access to information. However, mobile operators and developers mainly target the youngster cohort in mobile industry. With the rising ageing population, smartphone user interface and some mobile apps are not designed to cater the needs of older adults. This could hinder them from fully utilizing the smartphone functions and its services. A mobile-user interaction study using mixed-methods (questionnaire, interview and observation) was conducted to examine usability and user interface design issues of smartphone and mobile apps among 80 older adults in Malaysia. …

Evaluating The Legality Of Age-Based Criteria In Health Care: From Nondiscrimination And Discretion To Distributive Justice, Govind Persad

Sturm College of Law: Faculty Scholarship

Recent disputes over whether older people should pay more for health insurance, or receive lower priority for transplantable organs, highlight broader disagreements regarding the legality of using age-based criteria in health care. These debates will likely intensify given the changing age structure of the American population and the turmoil surrounding the financing of American health care. This Article provides a comprehensive examination of the legality and normative desirability of age-based criteria. In the Article, I defend a distributive justice approach to age-based criteria. Rather than viewing age as a personal characteristic akin to race or religion, the distributive justice approach …

Improving Infection Management Of The Institutionalized Elderly, Jovel Angela Viloria Broqueza

Doctor of Nursing Practice Projects

Abstract

As the elderly population rapidly grows in the United States, the burden of managing infection in long-term care facilities (LTCF) escalates. The use of evidence-based infection identification algorithms for early recognition and treatment of pneumonia, urinary tract infections (UTI) and skin and soft tissue infections (SSTI) was evaluated at a Midwest suburban 110-bed long-term care facility. Focus group sessions were conducted at the facility with four nurse practitioners, the medical director, eight nurses and certified nursing assistants (CNAs) prior to an educational in-service which was provided to all staff at the facility. As criteria of infection were reported, nurses …

The Manzano Movement Method (M3): Development Of A Dance/Movement Therapy-Influenced Seated Ballroom Dance Program For Adult Day Services For Persons With Dementia, Joshua Reese "Zano" Manzano

Creative Arts Therapies Theses

The purpose of this thesis was to develop a dance/movement therapy (DMT)-influenced seated ballroom dance program for adult day services for persons with dementia. This program development project, named the Manzano Movement Method (M3), aims to support quality of life by encouraging creative expression, reminiscence and socialization. M3 explored how seated ballroom dance can support the quality of life for this population via six different lessons of the following dances: waltz, cha cha, rumba, tango, foxtrot and swing. It also explored how the program can be utilized by care providers that are not dance/movement therapists. With collaborator help—stakeholders at an …

Effects Of A Robotic Cat On Agitation And Quality Of Life In Individuals With Dementia In A Long-Term Care Facility, Jillian Nicole Marsilio, Samantha Virginia Mckittrick, Lisa Renee Umbell, Melissa Ann Garner, Sharon Maiewski, Jeanne Wenos

Physician Assistant Capstones, 2016 to 2019

Study Objective: The purpose of this study is to determine whether introducing a robotic companion cat into a long term care facility may improve affect and, subsequently, increase participation for residents with dementia, and to determine potential benefits for caregiver roles and relationships with individuals with dementia.

Background: The number of people with dementia is growing, and the behavioral and psychological side effects are negatively affecting the quality of life for these people as well as their caregivers. Additional research is needed to help develop and confirm the use of nonpharmacological treatment for dementia with therapeutic robots.

Study Subjects: Research …

Health-Related Perception And Responsibility Behavior Among Individuals With And Without Chronic Illness, Danielle Dohrmann

Theses & Dissertations

Few studies have examined perceptions of responsibility attribution and well-being, and health responsibility behaviors in individuals with none, one, and multiple chronic illnesses. Adults (N = 421) in medical clinics completed questionnaires for this cross-sectional descriptive study. The Revised Causal Dimensional Scale measured responsibility attribution whereas sub-sections of the Chronic Disease Self-Management Program evaluation measured well-being perception and the health responsibility behavior of communication associated with a clinic visit. Chi-square, Wilcoxon-Mann-Whitney U, and Kruskal-Wallace tests were used to examine demographic characteristics and group differences. Individuals with multiple morbidities and of advanced age perceived their illnesses as more stable and rated …

The Effect Of Disfluency On The Framing Effect, Jon P. Baldwin, Haley M. Newton, Matthew E. Davis

Journal of Counseling and Psychology

This study investigated the framing effect and examined whether disfluency reduces susceptibility to framing. Prior work has shown that when information is presented in a fluent manner individuals process the content quickly, however when it is presented in a disfluent hard-to-read manner more analytical processing systems are activated. The current study examined the impact of fluency and dual process theory on framing susceptibility. Participants completed three classic decision problems (Asian Disease Problem, School Dropout Prevention Problem, and Fatal Disease Problem) with answers written in a risk seeking or risk averse manner and the font manipulated. The framing effect was again …

One-Sentence, One-Word: An Innovative Data Collection Method To Enhance Exploration Of The Lived Experiences, Shannon L. Sibbald, Dylan Brennan, Aleksandra Zecevic

The Qualitative Report

Experienced-based methods are growing in popularity and are increasingly being utilized in a variety of research programs and investigations. They enable researchers and participants to co-design research strategies and outcomes and subsequently propose solutions to potential problems in the partnership. By applying an experience-based methods lens, we sought to augment traditional qualitative interviewing methodologies by using a novel method we named “one-sentence, one-word” (1S1W). To apply our 1S1W method, we used a phenomenological study that examined the relationship between the risk of falling and the desire of master athletes to engage in competitive sports. Participants reflected and recorded their subjective …

Resident And Facility Factors Associated With Rehospitalization From Skilled Nursing Facilities, Angelina M. Flores-Montoya, Mark B. Parshall, Marie L. Lobo, Stephen H.A. Hernandez, Christine A. Mueller

Nursing ETDs

ABSTRACT

Older adults often require short-term nursing home care after an acute hospital stay to receive skilled nursing or rehabilitation services. Rehospitalization after a skilled nursing facility (SNF) admission is a potential indicator of poor nursing home quality that is associated with substantial risks of complications and increased costs of care. This study examined resident and facility factors associated with 30-day rehospitalizations during a one-year study period from SNFs in New Mexico. The Minimum Data Set 3.0 was used to explore resident factors and Nursing Home Compare data was used for facility factors. Among residents admitted to the SNF from …

Icc Agenda, December 11, 2018, Individual Course Committee

Individual Course Committee (ICC)

No abstract provided.

College Voice Vol. 42 No. 6 [December 11, 2018], Connecticut College

2018-2019

No abstract provided.

Agenda, December 11, 2018, Programs Committee

Programs Committee (PC)

No abstract provided.

Approved Programs, December 11, 2018, Programs Committee

Programs Committee (PC)

No abstract provided.

Approved Courses, December 11, 2018, Individual Course Committee

Individual Course Committee (ICC)

No abstract provided.

Potentially Modifiable Determinants Of Malnutrition In Older Adults: A Systematic Review., M. O'Keeffe, M. Kelly, E. O'Herlihy, P. W. O'Toole, P. M. Kearney, S. Timmons, E. O'Shea, C. Stanton, M. Hickson, Y. Rolland, Rossé C Sulmont, S. Issanchou, I. Maitre, M. Stelmach-Mardas, G. Nagel, M. Flechtner-Mors, M. Wolters, A. Hebestreit, Groot Lcpgm De, De Rest O Van, R. Teh, M. A. Peyron, D. Dardevet, I. Papet, K. Schindler, M. Streicher, G. Torbahn, E. Kiesswetter, M. Visser, M. Visser, E. M. O'Connor, Manuel Consortium

School of Health Professions

BACKGROUND & AIMS: Malnutrition in older adults results in significant personal, social, and economic burden. To combat this complex, multifactorial issue, evidence-based knowledge is needed on the modifiable determinants of malnutrition. Systematic reviews of prospective studies are lacking in this area; therefore, the aim of this systematic review was to investigate the modifiable determinants of malnutrition in older adults. METHODS: A systematic approach was taken to conduct this review. Eight databases were searched. Prospective cohort studies with participants of a mean age of 65 years or over were included. Studies were required to measure at least one determinant at baseline …

Review Article: The Effect Of Exercise On Fat Browning Through Plasma Irisin Level Modulation To Overcome Obesity, Miftahul Nur Amaliyah, Purwo Sri Rejeki

Folia Medica Indonesiana

Overweight and obesity incidence continues to increase and becomes a global problem in recent decades. One of the pathophysiology is a low energy output, therefore energy homeostasis shifts positively. Exercise is considered as an effective method to increase energy output. Irisin is one of myokine type that is secreted to the bloodstream while exercising and causes changes in subcutaneous adipose tissue. In adipose cells, irisin will stimulate the browning process in White Adipose Tissue to increase thermogenesis and lipolysis.