Medicine and Health Sciences Commons^™

A Systems Thinking Framework To Improve Care Of The Terminally Ill: An Australian Case Study, Elizabeth Summerfield

Patient Experience Journal

This paper argues the value of systems thinking to patients, family members and medical practitioners in end-of-life care, particularly as a mechanism for considering when palliative care should be introduced as preferred treatment. It applies a well-established set of tenets in systems thinking retrospectively to a case study of patient care in Australia. This highlights how and where different decisions might have been made, based on a holistic consideration of the patient’s best interests. The case is written from the perspective of a family caregiver. It argues that early, deliberate conversation, framed by systems thinking tenets, can support the call …

Panda: A Case-Study Examining A Successful Audiology And Otology Patient And Public Involvement And Engagement Research Group, Laura Boddy, Richard Allen, Rosalyn Parker, Margaret E. O'Hara, Amy V. Gosling

Patient Experience Journal

There has been increasing involvement of patients and members of the public in research; however, case studies describing patient research groups with hearing loss are non-existent. Such case studies will be valuable, enabling evidence-based dialogue and promoting best practice in the engagement of patients, the public and researchers. This paper aims to discuss this practice. The absence of such dialogue may hinder initial efforts by researchers to realise the potential of Patient and Public Involvement. The objective of this study was to set up and run a patient and public involvement and engagement group in audiology research, use the lessons …

Does An Empathic Pre-Visit Conversation With Another Team Member Improve Perceived Surgeon Empathy?, Lindy Derkzen, Janna S E Ottenhoff, Carrie Barron, David Ring

Patient Experience Journal

Orthopedic surgeon specialists can help alleviate symptoms and reduce self-reported activity limitations by addressing stress, distress, and unhelpful cognitive biases regarding pain (e.g., “hurt equals harm”). But noticing mental and social health opportunities in specialty care can harm the patient-surgeon relationship. This study evaluated the ability of an empathic pre-visit conversation by another team member to improve the patient-surgeon relationship measured as perceived empathy. Factors associated with pain intensity, magnitude of self-reported activity limitations, symptoms of depression, and satisfaction with the surgeon were also studied. We enrolled 100 patients visiting an orthopedic surgeon for the first time. Prior to the …

Collecting Child-Patient Feedback: A Systematic Review On The Patient-Reported Outcome Measures For Hospitalized Children, Haneen Ali, Astin Cole, Adam Sienkiewicz, Steffie Rosene, Reagan Shaffer, Robert Thames

Patient Experience Journal

Accurate reporting of patient experiences is a crucial resource for hospitals engaged in patient-and-family-centered care (PFCC). However, studies suggest that most children do not respond to patient satisfaction surveys and are instead represented by their parents or guardians. This study reviewed instruments used to obtain feedback from children about their healthcare experiences for two purposes: 1) To understand the limitations of current tools and 2) To determine if creating a new instrument is necessary. A systematic review was performed on PubMed, Medline, CINAHL, and Web of Science to identify peer-reviewed questionnaires designed to collect children's healthcare experiences. Out of the …

Flattening The Curve Of Distress: A Public-Facing Webinar For Psychoeducation During Covid-19, Grant Smith, Stephanie Harman, Keri Brenner

Patient Experience Journal

This case report describes the development, implementation and evaluation of a public-facing webinar that provided psychoeducation addressing the emotional distress that has accompanied the coronavirus pandemic. Using a webinar was an effective strategy for reaching a large, public audience and making content from expert clinicians accessible. Participants were likely to recommend the webinar to friends or family. Participants appreciated that the webinar acknowledged the presence of distressing emotions and provided practical advice for reducing the negative psychological sequelae of the coronavirus pandemic. Areas for improvement included addressing technical issues and incorporating additional information into the webinar.

Experience Framework

This article …

Caring For Our Caregivers In Body, Mind And Spirit During The Covid-19 Pandemic, Rick Evans, Philip J. Wilner, Kristen Spillane

Patient Experience Journal

New York City became the epicenter of the coronavirus pandemic in March 2020. The surge of critically ill patients combined with widespread social distancing measures created extraordinary challenges for healthcare workers. Many frontline workers experienced significant physical, psychological, and emotional distress. They faced demanding patient care responsibilities while managing personal obligations and health concerns.

During the COVID-19 pandemic, it was imperative that NewYork-Presbyterian care for its workforce’s physical, psychological and emotional needs, not only because of our commitment to our colleagues as people, but also because of our obligation to continue to deliver high quality care and experience to the …

Johns Hopkins Medicine Responds To Covid-19: Adjusting Patient- Family- And Staff-Centered Care, Stacy L. C. Colimore, Lisa Allen, Zach Lawrence, Nicole Iarrobino, Sylvia Kavouriou, Adey Betre, Chevaunne Edwards, Amel Elshinawi, Lisa Filbert, Tameka Glenn, Jade Hewitt, Lisa Jibril, Brittney Lawrence, Ariel Mabry, Deborah Miller, Nicole Pritchett, Heather Webb

Patient Experience Journal

The extraordinary impact of the novel coronavirus disease 2019 (COVID-19) on the health care industry included a major, nearly immediate paradigm shift in the visitation policy for Johns Hopkins Medicine. This large health system, comprising six hospitals, a home care group, community physician practices and satellite outpatient sites moved from essentially open visitation to no visitation, creating an entirely new set of needs for our staff, patients and their loved ones. We developed new ways of communicating and connecting staff members, staff and patients, staff and the patient’s loved ones, and patients and their loved ones. Our intent was to …

Family Connect: Keeping Families Informed During The Covid-19 Pandemic, Brittany Branson, Anne K. Wilkinson, Jaya Sondhi, Irma Dadic, Devin M. Giguere, Rachel Ramsey, Regina Grinblat, Katherine A. Hochman

Patient Experience Journal

Family Connect programs to enhance communication with families and care partners who were unable to visit their inpatient loved ones during the COVID-19 crisis. While they differed in composition, the Family Connect programs at both institutions leveraged providers who had decreased clinical activity during the pandemic. The Family Connect team became integrated with the team. At both institutions, Family Connect teams perform virtual chart review, discuss patient status and care plan with the primary provider and communicate with the patient’s designated family member or care partner daily. Conversations are documented in the electronic medical record (EMR), which allows for metric …

Positive Patient Experience In Eye Care During Covid-19: A Case From Eye Hospital Sistina Oftalmologija, Vesna Cado

Patient Experience Journal

COVID-19 was a wake-up call, changing the world we know and our experiences in every possible way. Healthcare systems, as the most exposed and stressed in this situation, were called to urgently respond to the new reality. Physical distancing and stay-at-home directives have flattened the curve and decreased the risk of viral transmission but also decreased the clinical volume in eye care medical practice. Hospitals must work hard to find a balance in responding to the pandemic while providing quality care and positive patient experiences. Previous research on crises has been mostly focused on implementing crisis management strategies to handle …

Out Of Sight, But Not Out Of Mind: Keeping Connections Alive During Covid-19, Katie Braun

Patient Experience Journal

The Veteran Affairs Pittsburgh Healthcare System (VAPHS) completed over 750,000 outpatient appointments during fiscal year 2019. With changes occurring around COVID-19, VAPHS saw a significant decline in veterans on campus. VAPHS employees are strongly connected to the mission of serving our nation’s hero’s, while veterans find trust, support and comradery at the VA. The VAPHS Office of Veterans Experience (OVE) realized the impact that COVID-19 isolation may have on veterans quarantined at home and seized the opportunity to continue to build relationships, develop trust and keep connected through the VAPHS Birthday Club. Over 1,300 calls have been placed to provide …

Patient Experience In A Pediatric Emergency Department During Covid-19, Beth L. Emerson Md, Erika Setzer

Patient Experience Journal

The COVID-19 pandemic has changed many dynamics in healthcare in the United States. This study explores an increase in patient experience (PE) scores in a pediatric emergency department. Visits were analyzed before and after March 8, 2020, corresponding with the first local case of COVID-19. Changes in the patient population and characteristics of survey responders were analyzed. Overall, the number of daily visits decreased (113 vs 36/day) and survey response rate decreased (3.7 vs 2.8%, p = 0.03), but PE scores increased (87.21 to 93.73, p = 0.002). Comparatively, an increase in patients with higher acuity levels by Emergency Severity …

Treading Water: Coping With Uncertainty During A Novel Pandemic, Sachin Patel

Patient Experience Journal

The abruptness with which the COVID-19 pandemic has changed the delivery of healthcare will have a lasting effect on patients and families of intensive care unit survivors. Using the best science and epidemiology healthcare systems developed protocols and policies to implement the highest level of care but mitigate disease spread. Out of these initiatives the “no visitor” policy was born. The impact of COVID-19 causing florid respiratory failure immediately derailed the lives of a happily retired couple. While on mechanical ventilation for sixteen days, Betty was unable to connect with her husband of over 40 years. In that time, the …

On The Optimization Of Biological Field Effect Transitors, Ryan M. Evans, Arvind Balijepalli, Anthony Kearsley

Biology and Medicine Through Mathematics Conference

No abstract provided.

Global Sensitivity Analysis Of A Physiologically-Based Pharmacokinetic (Pbpk) Model Of Bromochloromethane, Colton Sawyer

Biology and Medicine Through Mathematics Conference

No abstract provided.

The Effects Of Mechanical Ventilation On Macrophage Activation: Mathematical Model And Parameter Estimation, Sarah B. Minucci, Rebecca L. Heise, Michael S. Valentine, Franck J. Kamga Gninzeko, Angela M. Reynolds

Biology and Medicine Through Mathematics Conference

No abstract provided.

A Pharmacokinetic Model Of Lead-Calcium Interactions, Anca R. Radulescu, Tucker Lundgren

Biology and Medicine Through Mathematics Conference

No abstract provided.

Modelling The Evolution Of Barrier Islands, Greg Robson

Biology and Medicine Through Mathematics Conference

No abstract provided.

Emergence, Mechanics, And Development: How Behavior And Geometry Underlie Cowrie Seashell Form, Michael G. Levy, Michael R. Deweese

Biology and Medicine Through Mathematics Conference

No abstract provided.

In Silico Mouse Model Of Infection And Immunity, Daniel Jonas, Michael Kirby, Alan R. Schenkel

Biology and Medicine Through Mathematics Conference

No abstract provided.

A Phosphoinositide-Based Model Of Actin Waves In Frustrated Phagocytosis, Marco A. Avila Ponce De Leon

Biology and Medicine Through Mathematics Conference

No abstract provided.

Effects Of Local Mutations In Quadratic Iterations, Abraham Longbotham, Anca R. Radulescu

Biology and Medicine Through Mathematics Conference

No abstract provided.

Implementing Inter-Professional Patient-Family Centered Plan Of Care Meetings On An Inpatient Hospital Unit, Nicolas Hernandez, Alice Fornari, Sage Rose, Leanne Tortez

Patient Experience Journal

Inpatient plan of care meetings support efforts to encourage collaborative practice and patient-family centered care and result in an effective strategy to enhance communication and patient satisfaction. Clinical team members participated in patient/family centered plan of care meetings at a community hospital in a selected inpatient unit with full time hospitalist physicians. Quantitative data were gathered pre/post implementation from the external Hospital Consumer Assessment of Health Care Providers (HCAHPS) survey. HCAHPS data were collected independently, specifically for questions related to communication between patients, family members/guardians and the medical team and also the effects of care transition. There was a slow …

Effects Of Foam Rolling And Static Stretching On Flexibility And Performance Longevity, Jazmin Howard

International Journal of Exercise Science: Conference Proceedings

Developing flexibility by improving both active and passive range of motion is crucial in many sporting activities. Flexibility aids in performance but it is unsure how long peak performance lasts. PURPOSE: To examine and compare how long the effects of foam rolling and static stretching last by measuring vertical jump performance and hip range of motion at different time increments. METHODS: Fourteen undergraduate division III athletes participated (20.0 ± 1.25 years) in a cross over design. Subjects were foam rolled and static stretched and then had their hip range of motion and vertical jump height measured. Measurements occurred at …

The Role Of University-Required Fitness Courses In Students' Health And Exercise Practices, Haley Turner, Kara Jones, Katelyn Cole, Yunsuk Koh, Heather Hudson

International Journal of Exercise Science: Conference Proceedings

Lifetime fitness (LF) classes include exercise, sport, and recreational activity courses. The main purposes of LF classes are to give health education that elicits mental, social, and physical preparation for a lifelong experience of fitness. However, previous research has not extensively investigated the role of LF classes on students’ motivations to exercise during and after completing the course. PURPOSE: To determine whether or not taking an LF class contributes to a student’s motivation to exercise, to determine a motivation for signing up for an LF course, to determine why they chose that specific class, and to determine the degree to …

Pilot Study: Validity Of The Sway Application With Multiple Mobile Devices, Keandra Gray, Brittany Thompson, Jennifer Lancaster

International Journal of Exercise Science: Conference Proceedings

The Sway Application is used to test for concussions inactive populations. Many studies have been conducted using the application testing validity and reliability, but most have used an iPhone or another Apple product. PURPOSE: The purpose of this study is to analyze the validity of multiple mobile devices using the Sway Medical Application compared to the Biodex Balance System. This study is aimed to test if this application balance component is inclusive to four mobile devices, such as the iPad, iPhone, Android phone, Android Tablet. METHODS: 10 healthy college-age students (4 males, 6 females) from a rural public university …

The Athletic Trainer’S Perspective On Athletics’ Drug Policy And Program At The Junior And Community College Level, Kayla Ewing, Steve Simpson, Andrea Green

International Journal of Exercise Science: Conference Proceedings

The National Junior College Athletic Association (NJCAA) has only a position statement in regards to drug testing policy and procedure when compared to the National Collegiate Athletic Association (NCAA) detailed drug testing program handbook.The NJCAA position statement brings about speculation of how drug testing is monitored and enforced on this level, and if there is a drug education program being implemented by every institution. PURPOSE: The purpose of this study was to look at the quality of drug policy and intervention programs through the athletic trainer at different institutions within the NJCAA. This considers whether perception of policy and …

Exploring The Role Of Bmp7 Gene Expression In An In Vitro Model Of Aging Human Skeletal Muscle., Dreanna M. Mcadams, Emily L. Zumbro, Chase M. White, Ryan A. Gordon, Anthony A. Duplanty

International Journal of Exercise Science: Conference Proceedings

Sarcopenia is an age-related condition associated with rapid loss of skeletal muscle (SKM) tissue that affects mobility and quality of life of geriatric individuals. Mechanistic Target of Rapamycin (mTOR) and Protein Kinase B (AKT) have significant roles in SKM hypertrophy with responses to DNA damage and repair within SKM. However, mTOR and AKT expression is significantly decreased with age. Upstream of AKT, Bone Morphogenetic Protein (BMP7) is a member of the TGF-β signaling family that has been reported as a positive regulator of muscle hypertrophy through the Bmp–Smad1/5/8 signaling axis. PURPOSE: To use an in vitro model of aging …

Femoral Neck Stress Fracture, Kayla Gable, Lindsay Edwards, Chuck Ruot

International Journal of Exercise Science: Conference Proceedings

CLINICAL PRESENTATION & EXAM: A patient with a femoral neck stress fracture will complain of persistent deep groin pain, orientated anteriorly. The patient will note pain as a new sensation in that area of the body that increases during activity. A patient with a femoral neck stress fracture will have tenderness to palpation. Pain from femoral neck stress fractures occur with repeated vigorous training, such as running, rather than trauma. During a physical examination by a medical professional, a patient suffering from a femoral neck stress fracture will have a gait that favors one leg, the fractured leg will …

Performance Differences In High Intensity Training Participants, William T. Mchenry, Robyn H. Whitehead, Brody W. Sizemore, Victor K. Mortezazadeh, Malcolm T. Whitehead

International Journal of Exercise Science: Conference Proceedings

High intensity training has become increasingly popular over the last 20 years with the advent of well-known training regimens such as P90X, CrossFit, Beachbody, PiYo, and Camp Gladiator. As such, it is important to understand the differences among individuals who participate in high intensity training. PURPOSE: The purpose of this research was to examine differences in Functional Movement Screen (FMS) scores, strength, power, and dynamic exercise in a cohort of male and female high intensity trained athletes (HIT). METHODS: A total of thirty participants (males, n=15; and females, n=15) (mean ± SD; age = 30.7 ± 9.9 years) with minimum …

Geographic Disparity Of Female Athlete Triad Awareness And Access To Resources In The Ncaa, Anna G. Warner, Katherine H. Rizzone, Robert D. Chetlin, Scott Davis, Timothy Harvey, Paul M. Gordon

International Journal of Exercise Science: Conference Proceedings

The Female Athlete Triad is a pervasive, multifactorial morbidity among college athletes. The geographic disparity of female athlete triad awareness and access to resources in NCAA is unknown. PURPOSE: To determine geographic disparities in awareness of Triad components and resource access in the National Collegiate Athletic Association (NCAA). METHOD: Division I-III NCAA compliance officers were sent an email containing a request to disseminate a web-based survey to cross country coaches in their respective conferences. The web-linked instrument included: a study synopsis; an informed consent statement, and; the IRB-approved survey tool. Respondents were grouped geographically based upon conference headquarters …