Medicine and Health Sciences Commons^™

The Origins Of Manufactured Dissent And The Efficacy Of Climate Change Narratives, Emma Elisabeth Giering

Graduate College Dissertations and Theses

The year of 2020 revealed many things about the fragility of socially constructed institutions and the public trust which grants such entities legitimacy, which is perhaps what reinvigorated social discourse surrounding the existential threat posed by climate change. Amid a pandemic, Americans watched wildfires engulf much of the west coast, environmental regulations unravel in the hands of the Trump administration, and Wall Street begin trading futures contracts on the U.S.’s water supply. Given the ever-expanding record of environmental travesties, how are citizens to respond, and from where should they derive their inspiration for response?

This thesis answers the above question …

Uncovering The Lived Experience Of Community-Dwelling Jewish Women Over 80 Who Self-Identify As Aging Successfully: A Phenomenological Study, Rebecca Fredman

Graduate College Dissertations and Theses

Background: Although there is significant scholarly interest in defining the concept of successful aging, there are very few small-scale, in-depth qualitative studies examining the lived experience of women over 80 who self-identify as aging successfully.

Aim: The aim of this study is to explore the lived experience of a small group of community-dwelling Jewish women over 80 in a single county in Northwestern Vermont who self-identify as aging successfully.

Approach: This study has a phenomenological approach.

Method: Phenomenological interviews were conducted with five women over 80 years of age. Interview content was analyzed, and shared themes were synthesized.

Findings: Findings …

Nurse Practitioners' Discussion Of Sexual Identity, Attraction And Behavior, Sarah J. Mclaughlin

Graduate College Dissertations and Theses

ABSTRACT

Background: Sexual orientation is comprised of distinct components, including sexual identity, sexual attraction and sexual behavior. Lesbian, gay and bisexual adolescents are at an increased risk of experiencing poor health outcomes compared to non-sexual minority youth. Health care professional organizations recommend that health care providers discuss each component of sexual orientation at every adolescent health supervision visits in order to best assess the adolescent's health risks and needs for intervention and education.

Objective: This survey assessed the frequency with which nurse practitioners (NPs) in the state of Vermont discussed sexual identity, attraction and behavior with adolescents during annual health …

Walk A Mile In My Shoes: The Social Construction Of Mental Illness Among State Administrators And Consumer-Advocates, Paul Arthur Dragon

Graduate College Dissertations and Theses

From 19th century insane asylums to state sponsored eugenic programs in the 20th century, the state has been an incongruous leader and provider of mental health policy and practice. Current practices that include such treatments as confinement, restraints, forced medication and electro-convulsive therapy continue to raise issues of social justice and humane treatment.

Since the 1970s a diverse group of consumers of mental health services from political and radical emancipatory movements to consumer and family initiatives have emerged to question, inform and influence federal and state policies and services. Today state administrators and consumer-advocates meet in formal settings in which …

A Study To Investigate The Significance Of Knowing One's Prognosis In People Diagnosed With Life-Limiting Illnesses, Erika Currier

Graduate College Dissertations and Theses

ABSTRACT

Background: For patients with life-limiting illnesses, having adequate knowledge of prognosis can strongly impact the choice between curative and supportive treatment.

Objectives: The purpose of this research study is to explore patient understanding of prognosis and to illuminate the experience of having or not having prognostic information in people diagnosed with life-limiting illnesses. This study aims to investigate the patient's understanding of the term "prognosis", the significance of the term "prognosis" to the patient, and how prognosis may or may not affect future treatment choices. In addition, this study aims to further understand the experience of prognostic communication between …

Modifiable Risk Factors For Cardiovascular Disease As Perceived By Women In Kenya, Catherine Wanjiru Lawrence

Graduate College Dissertations and Theses

Cardiovascular disease (CVD) worldwide has grown exponentially in the last two decades and while sub-Saharan Africa (SSA) has been grappling with the crippling effects of epidemic infectious diseases such as HIV/AIDS and malaria, cardiovascular disease is now emerging as a grievous concern. Research and resources have largely been directed toward understanding and curtailing infectious diseases in the African continent. But as the risk of cardiovascular disease reaching endemic proportions in sub-Saharan Africa becomes more evident, research is critically needed in order to understand how to manage it and more importantly to direct the development and implementations of culturally relevant prevention …

Provision Of Reproductive Health Care Services By Nurse Practitioners And Certified Nurse Midwives: Unintended Pregnancy Prevention And Management In Vermont, Erica Lyons

Graduate College Dissertations and Theses

Background: In the United States, currently about half (49%) of the 6.7 million pregnancies are reported as mistimed or unplanned, and this rate of unintended pregnancy is significantly higher than the rate in most other developed countries. Abortion services are critical to the prevention and management of unintended pregnancies. Abortion in the United States has been legal since the 1973; however this right has little meaning without access to safe abortion care and access is declining. Medication abortion, the use of medications to induce abortion and terminate an early pregnancy, has been legal in the United States since 2000, is …