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Articles 1 - 30 of 49
Full-Text Articles in Medicine and Health Sciences
Enhancing Resident Engagement: Optimizing Meaningful Occupations In Skilled Nursing Facilities, Drew J. Couch
Enhancing Resident Engagement: Optimizing Meaningful Occupations In Skilled Nursing Facilities, Drew J. Couch
Occupational Therapy Capstone Presentations
Older adults residing in skilled nursing facilities (SNFs) face a multitude of challenges in engaging in meaningful occupations. They are at risk of occupational deprivation due to the regulations of the facility, physical limitations, and restricted choices of activities (Keane et al., 2023). Though the occupational therapy profession acknowledges the impacts this has on older adults little has been done to combat these issues. The purpose of the 14-week capstone project was to promote meaningful occupational engagement for residents residing in an SNF. Additionally, this project advocated for occupational therapy’s distinct role in identifying and promoting meaningful occupations. Multiple goals …
Effects Of Chronic Diabetes And Attentional Focus On Performance And Learning Of A Novel Stabilometer Balance Task, Rebeca Carolina Armagnac Gonzalez, Yinny H. Lee, Alicia Marie Letkiewicz, Meiko Nagano Mamauag
Effects Of Chronic Diabetes And Attentional Focus On Performance And Learning Of A Novel Stabilometer Balance Task, Rebeca Carolina Armagnac Gonzalez, Yinny H. Lee, Alicia Marie Letkiewicz, Meiko Nagano Mamauag
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background and Purpose: Chronic diabetes is a prevalent systemic disease that impairs physical functioning and often leads to increased risk of falls. Adopting an external focus of attention during motor skill practice has been shown to improve learning outcomes, however, it has not been examined in this population. We examined how attentional focus instructions (internal vs. external) affect balance performance and learning in older adults with and without diabetes.
Methods: Fifty-three older adults (27 with diabetes, 63.7±7.0 years) participated in the randomized, pre-post intervention study. The balance training involved 50 practice trials of a stabilometer task that was novel to …
Step Squad Bundle In Older Adults With Multiple Myeloma Hospitalized For An Autologous Stem Cell Transplant, Nadya Panjwani, Deborah Behan
Step Squad Bundle In Older Adults With Multiple Myeloma Hospitalized For An Autologous Stem Cell Transplant, Nadya Panjwani, Deborah Behan
Doctor of Nursing Practice (DNP) Scholarly Projects
Background: Multiple Myeloma (MM) is a hematological malignancy with demographic disparities. MM is a debilitating cancer mainly affecting older adults, with 66% over the age of 70. Additionally, 33% of older patients with MM are frail with weakness, fatigue, slow gait, weight loss, and malnutrition.
PICOTS: The purpose of this Doctor of Nursing (DNP) scholarly project is to implement an evidence-based practice (EBP) change consisting of a Step Squad Bundle that will identify frailty in older patients with MM hospitalized for an Autologous Stem Cell Transplant (ASCT) to reduce morbidity and mortality and increase the chances of a quality of …
Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White
Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White
Doctor of Nursing Practice (DNP) Scholarly Projects
Abstract
Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).
Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. …
Association Of Fall-Related Injuries And Different Diagnoses In Older Adults Of Ontario: A Machine Learning Approach, Sorour Rostampour
Association Of Fall-Related Injuries And Different Diagnoses In Older Adults Of Ontario: A Machine Learning Approach, Sorour Rostampour
Electronic Thesis and Dissertation Repository
Falls are the leading cause of injury-related hospitalizations among older adults in Canada. This study aimed to identify the most informative diagnostic categories associated with fall-related injuries (FRIs) using three machine learning algorithms: decision tree, random forest, and extreme gradient boosting tree (XGBoost). Secondary data from two Ontario health administrative databases (NACRS, DAD) covering the period 2006-2015 were analyzed. Older adults (aged ≥ 65 years) who sought treatment for FRIs in emergency departments (ED) or hospitals, as indicated by Canadian version of the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10-CA) codes for falls …
Therapeutic Gardening For Older Adults At A Community-Based Day Center: A Doctoral Capstone Experience, Anna Serbantez
Therapeutic Gardening For Older Adults At A Community-Based Day Center: A Doctoral Capstone Experience, Anna Serbantez
Capstone Projects
As we age, it is common for individuals to participate in less meaningful and purposeful occupations due to cognitive and physical declines. Research has shown that gardening is a popular leisure activity that offers many therapeutic benefits. This capstone project involved creating an evidence-based therapeutic gardening program for older adults at Care Resources. This community-based day center offers many activities and opportunities for participants to get involved with; however, after completing a needs assessment, it was clear that participants could benefit from more hands on and productive activities that help encourage regular attendance to the day center. The objectives of …
The Coping Strategies Of Older Adults With Age Related Vision Loss (Arvl) – A Narrative Account, Zakara J. Stampp
The Coping Strategies Of Older Adults With Age Related Vision Loss (Arvl) – A Narrative Account, Zakara J. Stampp
Electronic Thesis and Dissertation Repository
The goal of this study was to share the stories of older adults with age-related vision loss (ARVL) and how they have coped to maintain meaningful occupational engagement. Grounded in a constructivist paradigm, data collection and analysis were guided by the narrative inquiry methodology. The participants consisted of six older adults aged 60 or older, diagnosed with one of the following ARVL conditions: macular degeneration, diabetic retinopathy, and/or glaucoma. Participants were recruited from vision loss non-profit organizations such as the Canadian National Institute for the Blind (CNIB) and the Alliance for Equity of Blind Canadians (AEBC). One older adult was …
Multifactorial Fall Prevention Program Development And Implementation Within An Assisted Living Facility, Makenzie King
Multifactorial Fall Prevention Program Development And Implementation Within An Assisted Living Facility, Makenzie King
Department of Occupational Therapy Entry-Level Capstone Projects
No abstract provided.
Wellness And Longevity Program For Adults And Older Adults, Oliver D. Fay
Wellness And Longevity Program For Adults And Older Adults, Oliver D. Fay
Department of Occupational Therapy Entry-Level Capstone Projects
There are many areas of practice to choose from in the field of Occupational therapy (OT). OT has an incredibly diverse career path, with new opportunities being created every day. I completed my doctoral capstone experience at Iridium Enterprises with Dr. Aaron Green, who has a wealth of experience in business and entrepreneurship. My ACOTE focus areas were administration and program development. I wanted to learn how a business was properly developed and managed from the ground up.
Through this experience, I learned how to methodically approach market research and how to narrow in on a business idea. Our goal …
Lived Experience Of Having Difficult Conversations Among Care Partners Of Individuals With Parkinson's: An Occupational Science Perspective, Helen A. Reid
Electronic Thesis and Dissertation Repository
Difficult conversations, which can be challenging co-occupations, play an important role in the lives of care partners of individuals living with Parkinson’s disease. In our first study for this integrated-article thesis, we used a critical interpretive synthesis to explore how informal caregiving had been conceptualized in occupation-focused research. We found that an occupational perspective illuminated otherwise overlooked aspects of caregiving. In our second study, we used an occupational science lens to explore how seven care partners of individuals with PD experienced having difficult conversations within the caring role. We conducted two rounds of in-depth semi-structured interviews and used an American …
The Development Of An Exercise-Based Fall Prevention Program Tailored To Incorporate Caregivers Caring For Older Adults At Risk For Falls, Emma Heldt
OT Student Capstones
Older adults are living longer than ever. The global proportion of individuals 65 years or older was 526 million in 2010 and is estimated to reach 1.5 billion in 2050 (Duarte et al., 2020). The growing aging population comes with various challenges, such as chronic health conditions, which are the leading cause of mortality and disability worldwide. Chronic health conditions can lead to other difficulties, such as declines in physical function or mobility. Duarte et al. (2020) found that around 10 million American older adults have serious difficulty walking or climbing stairs, presenting a risk for falls.
Falling in older …
Implementing An Aging In Place Program With Emphasis On Home Safety And Accessibility For Community-Dwelling Older Adults, Erin K. Richardson
Implementing An Aging In Place Program With Emphasis On Home Safety And Accessibility For Community-Dwelling Older Adults, Erin K. Richardson
OT Student Capstones
The baby boomer generation is the largest and most diverse population to ever age in America’s history. By the year 2030, the baby boomer population will reach 65 and older (American Counts Staff, 2019). Meaning every 1 in 5 individuals in the United States will be over 65 within the next decade (Rural Health Information Hub, n.d.). The Census Bureau projects that older adults are expected to outnumber children under 18 for the first time in America’s history by the year 2034 (American Counts Staff, 2019). For this reason, the National Alliance for Caregiving (2020) advocates for more policies, funding, …
Maintaining Occupations For Long-Term Care Residents, Lara Albano
Maintaining Occupations For Long-Term Care Residents, Lara Albano
Occupational Therapy Doctorate Capstone Projects
This Capstone project focused on client-chosen occupations and the use of client-centered evaluations and interventions for long-term care residents. Client-chosen occupations keep our clients actively engaged in therapy, gives them a sense of control, and maintains their identity. The purpose was to prepare occupational therapists to address long-term care residents’ unique occupational needs and promote participation in their chosen and meaningful occupations. It aimed to examine how occupational therapists interpret and include client-chosen occupations and occupation-based assessments in evaluations and interventions for long-term care residents in skilled nursing facilities.
Effectiveness Of Electrical Stimulation In Treating Upper Extremity Pain For Older Adult Clients Residing In A Skilled Nursing Facility, Cody L. West
Occupational Therapy Doctorate Capstone Projects
Background: It is estimated that 55% of older adults who reside in skilled nursing facilities (SNFs) have chronic pain that affects their daily function. However, limited research has been conducted on the effectiveness of electrical stimulation (e-stim) in treating upper extremity (UE) pain for the older adult population specifically.
Purpose: The purpose of this study was to examine whether electrical stimulation can decrease UE pain in clients age 65+ residing in a SNF. A sub-question in the study was whether e-stim can improve UE functional performance in older adult clients.
Theoretical Framework: There are two guiding theoretical …
Exploring The Perspectives Of Older Adults And Health Care Providers On Patient Participation In Transitional Care From Hospital To Cardiac Rehabilitation During The Covid-19 Pandemic, Cecilia Flores Sandoval
Exploring The Perspectives Of Older Adults And Health Care Providers On Patient Participation In Transitional Care From Hospital To Cardiac Rehabilitation During The Covid-19 Pandemic, Cecilia Flores Sandoval
Electronic Thesis and Dissertation Repository
Older adults who transition from hospital to cardiac rehabilitation settings often are vulnerable and at risk of experiencing adverse health care outcomes. Given the complexities of transitional care, it is crucial to engage older adults in the clinical decision-making process and to promote their active participation in their medical care. Older adults have unique ways of understanding their participation in the transitional care process. Gaining an in-depth understanding of their specific needs during this process can help inform clinical practice and interventions aiming to improve care for older adults living with cardiovascular disease. Focused ethnography methodology was used to explore …
The Role Of Occupational Therapy Practitioners In Evaluation And Intervention Of Sleep With Older Adult Clients, Susan Cleghorn, Nicole Bell, Sauda Muhammad, Jordan Schneider, Laura Zeleznak
The Role Of Occupational Therapy Practitioners In Evaluation And Intervention Of Sleep With Older Adult Clients, Susan Cleghorn, Nicole Bell, Sauda Muhammad, Jordan Schneider, Laura Zeleznak
Older Adult
Objective: This study sought to explore occupational therapy practitioners’ perceptions of their role in working with older adults with sleep issues.
Methods: A mixed methods approach was used with data gathered from an online survey tool disseminated through social media platforms. Data from 17 participants was analyzed.
Results: Respondents reported not receiving entry-level knowledge of sleep evaluation in academic programs (70.6%). Additionally, 41.2% of respondents utilized continuing education opportunities. Respondents reported lack of occupational therapy specific evaluation tools as a significant barrier to addressing sleep in practice.
Discussion: Results indicate the need for additional research, coverage on sleep in the …
Improving Cognitive Function In Persons With Dementia Through Music Therapy, Jillian Natividad
Improving Cognitive Function In Persons With Dementia Through Music Therapy, Jillian Natividad
Nursing | Senior Theses
People diagnosed with dementia experience cognitive alterations that cause overwhelming challenges and lead to distinctive life changes. Declining cognitive function noticeably experienced in dementia not only inflicts difficulty with achieving independent living but increases feelings of agitation and disturbs quality of life. Advanced medical care is widely available for managing mental conditions but may not always be effective in treating cognitive changes like memory loss and confusion. Because the stages of dementia vary from person to person, medical interventions are often patient centered to effectively focus on an individual’s specific needs. With non-pharmacological methods, flexibility in adjusting to an individual’s …
Supporting Working Family Caregivers And Older Adults Through An Educational Employer-Based Eldercare Program, Chanté Bowens
Supporting Working Family Caregivers And Older Adults Through An Educational Employer-Based Eldercare Program, Chanté Bowens
OTD Capstone Projects
This doctoral capstone project was completed in partnership with AgeWell Middle TN, a non-profit agency that focuses on informed, positive aging, and being a champion, advocate, and trusted community resource for older adults. Working family caregivers of older adults are struggling to balance work and caregiving duties, while employers are experiencing loss in productivity and financial return. In response, AgeWell is developing a program called “Eldercare Coach” to provide guidance to employers and working caregivers. Thus, the primary focus of this project was to develop educational materials for AgeWell’s Eldercare Coach program. These educational materials include a list of interview …
Exploring The Effects Of The Cycling Without Age Program On Older Adults Living In Long-Term Care, Victoria Cotnam
Exploring The Effects Of The Cycling Without Age Program On Older Adults Living In Long-Term Care, Victoria Cotnam
Electronic Thesis and Dissertation Repository
The Cycling Without Age program, offered in long-term care homes around the world, allows residents to experience the feeling of a bike ride in the trishaw as a volunteer pedals the electrical bike. The purpose of this pragmatic observational study was to measure the effects of an existing program in a Canadian long-term care home on residents’ happiness, quality of life, pain and functional status (using Resident-Assessment Instrument Minimum Data Set 2.0). A convenience sample of 39 residents participated in two groups, a biking group (n=23) and a strolls group (n=16) over the period of 12 weeks. Findings show that …
Understanding The Impact Of Social Distancing On Older Adults And Senior Centers To Better Adapt Towards A New Normal, Salina Jivan
Understanding The Impact Of Social Distancing On Older Adults And Senior Centers To Better Adapt Towards A New Normal, Salina Jivan
Student Capstone Papers
COVID-19 brought about social distancing mandates that posed as a new barrier to meaningful social participation in the community. The purpose of this project was to understand the impact of social distancing on older adults and senior organizations to better inform the role of OT in helping seniors adapt towards a new normal within the community. A qualitative study and needs assessment were performed through phone interviews with seniors and organizations that support them from around the United States. Themes highlighted seniors desire for social contact and cautious return to the community once mandates are lifted. Both seniors and organizations …
Fall Prevention Service-Learning Project, Alexis Mansoor, Kendra Morrison, Jeremy Nordfelt, Cheng Yang Tu
Fall Prevention Service-Learning Project, Alexis Mansoor, Kendra Morrison, Jeremy Nordfelt, Cheng Yang Tu
UNLV Theses, Dissertations, Professional Papers, and Capstones
Introduction: The purpose of this service-learning project was to: 1) reduce falls in the Las Vegas, Nevada community by implementing the Stepping On fall prevention program and 2) to investigate the effect of planning and implementing a service learning project (SLP) on physical therapy (PT) students’ education and professional development. Description: Under the supervision of our advisor, we planned and organized this SLP, became certified leaders of Stepping On, recruited and screened older adults using the STEADI fall risk screening tool, and facilitated the program at a local community hospital. We facilitated group discussion and instructed the exercises outlined in …
Supporting Older Adults Through Aging In Place And Capable Programs, Laura Compton
Supporting Older Adults Through Aging In Place And Capable Programs, Laura Compton
OTD Capstone Projects
This experiential component or doctoral capstone project involved a partnership with Habitat for Humanity of Greater Memphis. Through this agency, projects were completed based on identified needs of the Aging in Place and CAPABLE programs. The Aging in Place (AIP) program provides critical home repairs to low-income adults aged 60 years and older. The CAPABLE program provides the same critical home repairs along with a select number of visits from a registered nurse and an occupational therapist to help the older adults age in place safely.
The Impact Of Fall Efficacy On Occupational Performance In Community-Dwelling Older Adults, Michelle Fong, Araya Moua, Erin Denola, Merit Franklin
The Impact Of Fall Efficacy On Occupational Performance In Community-Dwelling Older Adults, Michelle Fong, Araya Moua, Erin Denola, Merit Franklin
Occupational Therapy | Graduate Capstone Projects
Falls are a major health concern in the older adult (OA) population. While there is research on falls and their prevention, research on how low fall efficacy (FE) impacts the occupational engagement of the OA population is limited. FE is defined as the confidence a person has in his/her ability to complete a task without falling (Tinetti & Powell, 1993). A qualitative study was conducted using a phenomenological approach to explore the lived experiences of OAs with low FE and the impact on occupational performance. Participants who scored ≤ 6 on the Modified Fall Efficacy Scale (MFES) engaged in a …
Resiliency And Proactive Coping Methods Targeting Perceived Stress Levels In Older Adults, Katie Holmes
Resiliency And Proactive Coping Methods Targeting Perceived Stress Levels In Older Adults, Katie Holmes
OT Student Capstones
Stress, or perceived stress, has the potential to be life-threatening to those that experience it on a regular basis. Community-dwelling older adults may be particularly vulnerable to perceived stress and its effects due to stressors such as negative life events, chronic disease or declining health, loss of loved ones experienced with the aging process, and social isolation. Stress and mental health and well-being are not being adequately addressed in independent and assisted living communities for older adults. An eight-week stress management program focusing on the concepts of resiliency and proactive coping was implemented at a local retirement community. An overall …
Effects Of Generic Group-Based Versus Personalized Individual-Based Exercise Programs On Balance, Gait, And Functional Performance Of Older Adults With Mild Balance Dysfunction And Living In Residential Care Facilities - A Randomized Controlled Trial, Varatharajan Lingam
Department of Physical Therapy Student Theses, Dissertations and Capstones
Background and Purpose: To investigate the effect of an individualized exercise program versus a generic group-based exercise program on balance, gait, and functional performance of older adults categorized as having mild balance dysfunction and living in residential care facilities. Methods: Single blind randomized control design. One hundred-twenty residents fulfilled screening criteria for mild balance dysfunction based on the BioSwayTM balance and the Multi-Directional Reach Test (MDRT) primary outcome measures. Secondary assessment was completed using the Modified Physical Performance Test (PPT), hand-held dynamometer (lower-limb muscle strength testing), and gait speed analysis. Sixty subjects received individualized treatment from physical therapists (8 weeks). …
Assessing The Risk Of Falling In Adults One-Year After Total Hip Arthroplasty, William Janes
Assessing The Risk Of Falling In Adults One-Year After Total Hip Arthroplasty, William Janes
Electronic Thesis and Dissertation Repository
The purpose of this study was to examine falls prevalence, falls risk factors and knowledge of falls in individuals who have undergone a total hip arthroplasty. There were 135 patients examined at their one-year follow-up appointment for total hip arthroplasty. Our primary outcome, falls prevalence and falls circumstances, found a falls prevalence of 21.5% with identical circumstances to that of average community-dwelling older adults. Female sex, number of prescription medications and multiple joint replacements were found to be significantly associated with the occurrence of falls in the previous year. The Falls Risk for Older People in a Community Setting Questionnaire …
Resilience And Protective Factors In Older Adults, Jessica Mcclain, Katelyn Gullatt, Caroline Lee
Resilience And Protective Factors In Older Adults, Jessica Mcclain, Katelyn Gullatt, Caroline Lee
Dissertations, Masters Theses, Capstones, and Culminating Projects
Evidence suggests resilience promotes successful aging in place and protective factors promote resilience. This study sought to investigate whether or not the combination of three protective factors, physical health, social support, and self-efficacy are all of equal importance in predicting resilience among Marin County older adults, or if some individual protective factors have a greater impact on resilience than the others. Fifty-eight participants ages 62 and higher were recruited from senior community programs and personal contacts. Four self-report questionnaires were completed by the participants in this exploratory, cross-sectional, quantitative design. SPSS was used for a descriptive and multivariate analyses to …
Therapeutic Riding And Psychological Health In Older Adults, Alyssa Pattison, Craig Ashford
Therapeutic Riding And Psychological Health In Older Adults, Alyssa Pattison, Craig Ashford
Thinking Matters Symposium Archive
This project explores the available quantitative and qualitative research to see if there is a link between therapeutic horseback riding and the reduction in symptoms of depression in older adults. Currently, there is a gap in evidence based research surrounding older populations with depression and therapeutic riding. However, research gathered on adolescents and adults suggest that therapeutic riding may alleviate depressive symptoms in persons over 65 years of age. Studies included in this project reveal groups of themes. The first is assessments, tools and evaluations. The second is animal assisted therapy, equine assisted therapy, therapeutic riding, and the barn environment. …
Occupational Therapy’S Role In Empowering The Oldest Old Population, Lauren Conigliaro, Nicole Wingfield
Occupational Therapy’S Role In Empowering The Oldest Old Population, Lauren Conigliaro, Nicole Wingfield
Thinking Matters Symposium Archive
Question: Does occupational therapy promote occupational engagement and increase confidence in mobility in the oldest old population residing in assisted living facilities?
“Older Adults And Their Experiences With Home Care And Assisted Living”, Faith Robinson
“Older Adults And Their Experiences With Home Care And Assisted Living”, Faith Robinson
Thinking Matters Symposium Archive
As the state of Maine and the U.S. population at large continues to age, discussion about future care and living arrangements for older adults has become an increasingly relevant issue. Older adults are often faced with a range of options for housing, including staying in their home in their community while receiving home care services, or moving to an assisted living facility.
Currently a gap in the research exists as to the attitudes, perceptions, and lived experiences of the older adults themselves around these decisions, experiences, and the meaning of “home” in our older years. This study aims to provide …