Medicine and Health Sciences Commons^™

Sexualtiy [Sexuality] Resource For Caregivers Of Adolescents With Down Syndrome, Katie Carlson, Karna Plaine

Occupational Therapy Capstones

The purpose of the scholarly project was to develop a comprehensive sexuality communication tool for developmentally delayed individuals, facilitating problem identification, mutual goal setting, and development of a consistent approach to sexuality intervention across the home and school contexts. The Youth Sexuality Index (YSI) was developed following a thorough literature review of sexuality, sex education, developmental delays, and Down syndrome-related topics. Following the review of literature, the need was identified for a sexuality communication tool for individuals with developmental and cognitive delays. Healthy sexuality is necessary for one to develop self-esteem and experience meaningful relationships. However, lack of communication and …

Bridging Job Skills To The Future For Students With Disabilities, Trista Aaberg, Jessica Mcwilliams

Occupational Therapy Capstones

It is estimated that 83% of students, who received special education services, are unemployed following graduation (White & Weiner, 2004). The problem is that often there is no training program to assist the job coaches in the evaluation process to create a successful fit between the student and the job placement. The literature supports the creation of a protocol and training program to address the needs identified of the student.

This scholarly project focuses on the Natrona Country School District in Casper, Wyoming which has implemented the Kelly Walsh Work Study Program. A review of the program's needs assessment and …

Incorporating American Sign Language (Asl) Into Ot: A Clinician's Manual And Workshop, Kristin Pfeifer-Fylling

Occupational Therapy Capstones

The purpose of this scholarly project is to educate occupational therapists on American Sign Language (ASL) to enhance communication when working with Deaf individuals. Currently, in the United States, 12% of the population has trouble with their hearing, ranging from small auditory deficiencies to complete deafness. Many of these individuals communicate by using ASL which is now the 3rd most commonly used primary language in the United States (Barnett, 2002). In addition, Deaf individuals are found to have more difficulty with activities of daily living (ADLs) which may indicate more involvement with ~T. Because most healthcare workers OTs are not …

Inservice For Individuals Working Or Caring For People With Low Vision, Tara Lee, Haylee Volesky

Occupational Therapy Capstones

Throughout the United States, low vision affects more than 3 million Americans 40 years of age and older (Rosenberg & Sperazza, 2008). As the population continues to age, more individuals will be moving to some form of either assisted living care or long-term care, which will increase the number of individuals with visual impairment living in such situations and requiring appropriate services. An individual with low vision typically has a decreased ability to function in daily life with a considerable impact upon functional decline in performance (Haymes, Johnston, & Heyes, 2002; Horowitz, 1994). Difficulties occur in everyday activities such as …

Occupational Therapy For Client Empowerment In End-Of-Life Care, Emily Johnson, Sarah Landsem

Occupational Therapy Capstones

Purpose: To enable clients in end-of-life care (EOLC ) the opportunity to continue engaging in meaningful activities throughout their remaining days to increase QoL and experience a "good death."

Methods: To complete our Scholarly Project we conducted a literature review using PubMed, CINAHL, OTsearch, and AOTA publications search engines. We also conducted an informal information session with local hospice staff and from this information we chose model/theory to guide product development.

Results: Upon completion of the literature review, we found the following problems existed in regard to utilization of Occupational Therapy in end-of-life care setting; 1) hospice care team members …

Occupation-Based Program To Reduce Revidicism [I.E. Recidivism] In Women Offenders, Kacie Moll, Ashley Tyre

Occupational Therapy Capstones

Within the United States, women are known to be the fast growing population of inmates. The purpose of this project is to develop a gender specific occupation based life skills program to implement within a prison setting and continue once in the community. An extensive literature review was conducted on current programming available and what the current needs of women inmates are. Literature revealed that there is a high rate of recidivism among female inmates once released but the recidivism percentage decreased when programming was provided within the prison. The needs of women inmates are different then male inmates. As …

An Interactive Manual For Informal Caregivers Of Cerebral Vascular Accident (Cva) Survivors, Lindsay Draayer, Kaila Gunderson

Occupational Therapy Capstones

Based on data from the literature review and clinical experience, an interactive manual was developed for occupational therapists to utilize when working with caregivers of cerebral vascular accident (CVA) survivors. CVA survivors display difficulty in basic personal cares such as eating, dressing, and general mobility within, but not limited to, the first year following the onset of the CVA. An interactive caregiving manual was created that addresses the needs of a caregiver of a CVA survivor during their transition from hospital to home. This focused education program enhances communication between the family caregiver of the CVA survivor and the occupational …

Fall Prevention Algorithm And Programs For Wyoming Medical Center, Janna Rone

Occupational Therapy Capstones

Falls are the leading cause of fatal and non-fatal injuries for people over the age of 65 (Center of Disease Control and Prevention, 2008). Literature indicates that 30-40% of falls are preventable (Sjosten, Vaapia, & Kivela, 2008). The population for this scholarly project is people over the age of 65 who are admitted into Wyoming Medical Center (WMC). WMC is a 180 bed acute care hospital that services the medical needs of the residents of Casper, Wyoming and the surrounding area. Like many acute care hospitals around the country, WMC has a problem with the number of fall occurrences. This …

Managing Dual Relationships In Rural Healthcare Settings: An Education Module For Occupational Therapists, Jennifer Maus, Caroline Olson

Occupational Therapy Capstones

Dual relationships are a common challenge for health care providers serving a rural community. A dual relationship is when a therapist has a professional and a personal relationship with a client. Occupational therapists may be at greater risk for dual relationships because of the personal nature of their interventions. These relationships create ethical dilemmas between the patient and the therapist and impact the effectiveness ofthe delivery of therapy services. A literature review includes information on the following topics: issues of rural healthcare, occupational therapy in rural healthcare, dual/multiple relationships, and continuing education.

The project is a continuing educational course on …

Falls Prevention Program For Community-Dwelling Older Adults, Brittanie Field, Krista Radi

Occupational Therapy Capstones

The purpose of this scholarly project was to develop a multidisciplinary falls prevention program manual intended to be implemented in Senior Citizen Centers (SCC) for the community-dwelling older adult population. Falls have a major impact on the independence of the older adult population aged 65 years and older (Stevens & Sogolow, 2008). Therefore, the goal of this project is to promote healthy aging in place through the use of meaningful occupations in order to potentially reduce the number of falls among the older adults.

A literature review was conducted to obtain scientific reading and research to find what has and …

A Clinical Guide To The Psychosocial Issues Related To Pediatric Traumatic Brain Injuries, Mandy Christen, Becky Hansmeier

Occupational Therapy Capstones

Children and adolescents who sustain a traumatic brain injury (TBI) demonstrate changes in personality, such as mood swings, irritability, impulsivity, argumentative behaviors, decreased frustration tolerance, and difficulty cooperating (Prigatano & Gray, 2007; Prigatano & Gray, 2008; Souza, Braga, Filho, & Dellatolas, 2007). These clients also have an increased susceptibility to psychiatric disorders, including mood and anxiety disorders, later in the lifespan as physical and cognitive demands increase (Koponen et al., 2002; Luis & Mittenberg, 2002; Viguier, Dellatolas, Gasquet, Martin, & Choquet, 2001). Despite these substantial risk factors, a significant number of children and adolescents continue to have unrecognized or unmet …

Quad Strengthening And Hamstring Stretching As A Treatment Of Pes Anserine Bursitis, Jennifer Bernardy

Physical Therapy Scholarly Projects

Background/Purpose: This case study describes a 28-year-old woman’s six physical therapy visits over a period of four weeks for treatment of right pes anserine bursitis. The purpose of this case study is to describe the treatment of an individual with pes anserine bursitis using hamstring stretching, quadriceps strengthening, and iontophoresis and to describe the outcomes.

Case Description: Following a fall down eight steps in her home with her right knee underneath her. The patient presented with increased pain, swelling, loss of range of motion, and tenderness at the pes anserine. Treatment consisted of iontophoresis, hamstring stretches, and quadriceps strengthening.

Outcomes: …

Acute Physical Therapy Management Of Pediatric Patient With Traumatic Brain Injury, Michelle Holt

Physical Therapy Scholarly Projects

Background and Purpose: Traumatic brain injury can cause many deficits including decreased balance and coordination. The purpose of this case report is to describe the interventions used and subsequent outcomes for a pediatric patient following traumatic brain injury in the acute care setting. Also, this case report serves to describe the methods and tools used in a hospital that is not equipped with pediatric-specific equipment or utilities.

Case Description: This paper describes the four-day inpatient physical therapy management of a six-year-old female who fell from a horse and sustained a left open depressed frontal skull fracture with an underlying subdural …

Status Post Rotator Cuff Repair With Interrupted Therapy And Comorbidities: A Case Report, Whitney Lesnau

Physical Therapy Scholarly Projects

Background & Purpose: The purpose of this case study is to describe the plan of care that was completed despite interruption from multiple complications. Interrupted therapy has not been explored in research even though it is something physical therapists encounter often.

Case Description: This 45-year-old patient went through a right rotator cuff repair surgery followed by physical therapy to regain functional use of her shoulder. Her therapy was interrupted twice; first by her mother’s heart condition and then by her own neurological condition.

Intervention: The main component of treatment with this patient was range of motion exercises including passive, active-assistive, …

Outpatient Physical Therapy Management Of A Patient With Chronic Iliotibial Band Friction Syndrome, Kaley Schultz

Physical Therapy Scholarly Projects

Background and Purpose. Iliotibial band friction syndrome (ITBFS) is one of the most common repetitive injuries treated in outpatient physical therapy and if left untreated, can lead to debilitating consequences for an individual. The purpose of this report is to describe the progression of conservative interventions that were used during outpatient physical therapy for a patient with the diagnosis of ITBFS in order for the patient to return to pain free activities of daily living.

Case Description. The patient was a 29 year old male who experienced pain over his c right greater trochanter and pain and snapping over …

Outpatient Physical Therapy Management Of A Patient Who Is Status Post Right Lunate: Open Reduction Internal Fixation With Hardware Removal: A Case Report, Jaime Garness

Physical Therapy Scholarly Projects

Background and Purpose: This case report follows a 20 year old male through his five week out patient rehabilitation for an open reduction internal fixation (ORIF) pinning of his right lunate and subsequent hardware removal following a motor vehicle accident. The patient presented with pain, decreased strength and range of motion of his right wrist. A deficit was also identified in his right shoulder stemming from decreased use of his right upper extremity. The reason for this case study is to look into benefits of physical therapy interventions as well as their functional outcomes.

Interventions: Patient warmed up on …

Guidelines For Environmental Considerations In Occupational Therapy Home Programs For Arthritis, Lori Pachl

Occupational Therapy Capstones

Problem: Occupational therapists frequently provide service to patients with arthritis within a variety of settings. The symptoms of arthritis can be detrimental to a patient's ability to participate in their daily functional activities. Pain, limitation in motion and decreased strength frequently disrupt the individual's ability to complete daily activities which can have a depressing affect. Historically through today, patients report that these symptoms increase with changes in weather conditions.

Changes in barometric pressure, humidity, cold temperatures and levels of precipitation have been reported by patients to affect their arthritic symptoms and pain levels (Aikman, 1996; Guedj, 1990; McAlindon, 2007; & …

A Handwriting Manual For Early Elementary School Teachers, Jennifer Frueh, Nicole Kieffer

Occupational Therapy Capstones

Children in elementary school classrooms are expected to participate in fine motor activities up to 60% of the day. These fine motor activities include writing, cutting, gluing, coloring, and self care tasks such as buttoning and tying shoes (McHale & Cermak, 1992). In a literature review conducted by Feder and Majnemer (2007) it was found that poor handwriting has a negative impact on academic and social performance into adolescence. Consequences of poor handwriting may be avoidance of fine motor activities (Jackman & Stagnitti, 2007) and decreased academic performance which may lead to poor self esteem (McHale & Cermak, 1992).

Jackman …

Carpal Tunnel Syndrome: An In-Service And Guide On Education And Prevention, Derek Foss

Occupational Therapy Capstones

Carpal tunnel syndrome (CTS) is common among supermarket employees with a high prevalence among supermarket cashiers. In a study by Davis et. aI., (2001) it was found that supermarkets had the highest number of workman's compensation claims regarding CTS in Massachusetts. Of 247 reported cases of CTS in supermarkets 80 involved cashiers. Supermarket cashiers show a 19-60% CTS prevalence rate (Bonfiglioli et aI. , 2007). No prevention guide designed for supermarket employees was found in the literature; this scholarly project addresses the need for prevention of CTS among supermarket employees.

An extensive literature review was conducted to understand the need …

Regulation Of Survivin Gene Expression In The Human Endometrium And Endometrial Cancer, Nancy H. Nabilsi

Dissertations and Theses (Open Access)

In the United States, endometrial cancer is the leading cancer of the female reproductive tract. There are 40,100 new cases and 7,470 deaths from endometrial cancer estimated for 2008 (47). The average five year survival rate for endometrial cancer is 84% however, this figure is substantially lower in patients diagnosed with late stage, advanced disease and much higher for patients diagnosed in early stage disease (47). Endometrial cancer (EC) has been associated with several risk factors including obesity, diabetes, hypertension, previously documented occurrence of hereditary non-polyposis colorectal cancer (HNPCC), and heightened exposure to estrogen (25). As of yet, there has …

Effect Of Group Aphasia Treatment On Word Retrieval Skills, Claire Renee Zimmerman

LSU Master's Theses

ABSTRACT The present single subject study investigated the treatment effects of group aphasia treatment (GAT) on word retrieval skills. Two participants participated in 1.5 hours of GAT, two times a week for 17 sessions. Both participants demonstrated significant improvements in percent of correct responses, but theses gains were not maintained. Slight improvements were noted on the Boston Naming Test (BNT; Kaplan et al., 2001) in one participant, but not the other. Both participants demonstrated improvement in discourse as evidenced by percent correct information units (CIUs; Nicholas & Brookshire, 1993) and in functional communication abilities as evidenced by the ASHA Functional …

Influence Of Tick Transmission On The Host Response To Rickettsial Infection, Soma Chowdhury

LSU Master's Theses

Several members of the spotted fever group (SFG) of Rickettsia are transmitted to the host through infected ixodid (hard) ticks, which can serve as both vectors and reservoirs. Multiple studies have demonstrated that ticks secrete proteins into the bite site of the host that suppress innate and adaptive immune responses. While this suppression of immune responses is beneficial to the tick, it may also be beneficial to the transmitted Rickettsia. We hypothesize that Rickettsia utilize the tick’s ability to alter the host immune response at the tick feeding site to successfully establish infection. In the current study, we analyzed how …

Voice Initiation And Voice Offset Patterns In Normal Females: Investigated By High Speed Digital Imaging, Rebecca Leblanc Jopling

LSU Master's Theses

This preliminary study investigated the voice initiation period (VIP) and voice offset period (VOP) using high-speed digital imaging. The purpose of the study was to obtain preliminary data on VIP and VOP patterns of normal voice and to investigate the variability in VIP and VOP patterns in young female subjects within and between recording sessions. VIP was segmented into 3 phases: VIPa, VIPb, and VIPc. Results of the analysis of the data demonstrated that VOP is a more consistent measure than VIP and that VIPa is the most consistent phase of VIP. This study also suggested that changes in fundamental …

Effects Of Clenbuterol On Skeletal And Cardiac Muscle In Horses, Jessica Thompson

LSU Master's Theses

Clenbuterol is a commonly prescribed β2-adrenergic agonist approved for veterinary use as a bronchodilator in horses with reactive and obstructive airway disease. Potential for abuse of this drug in the horse industry is substantial, due to the perceptions that clenbuterol increases performance and lean muscle mass. Although anabolic effects have been confirmed in multiple species, recent studies into the effects of clenbuterol in exercising horses suggest that clenbuterol doses within therapeutic ranges negatively impact aerobic capacity and cardiac function. Results of studies in murine models demonstrate that clenbuterol directly induces skeletal and cardiac muscle cell death at high doses. Three …

Chondrocyte Death In Canine Osteochondral Explants Exposed To 0.5 Percent Bupivacaine, Geoffrey Stuart Hennig

LSU Master's Theses

Objective: Our in vitro study evaluated chondrocyte death in canine articular cartilage exposed to 0.5% bupivacaine without (B) and with methylparaben (BP) and compared the viability with intact (SI) and mechanically debrided surfaces (SR). We hypothesized that B or BP would cause chondrocyte death in vitro in a time dependent manner and that chondrocyte death would be increased in SI osteochondral cores compared to SR. Materials and Methods: Intact cartilage cores with underlying subchondral bone were collected aseptically from both humeral heads of 16 fresh canine cadavers. Joints from each dog were randomly assigned to SI or SR. Ten osteochondral …

Numerical Modeling Of Hemodynamics In The Thoracic Aorta And Alterations By Dacron Patch Treatment Of Aortic Coarctation, Ronak Jashwant Dholakia

Master's Theses (2009 -)

Coarctation of the aorta (CoA) is a major congenital heart disease, characterized by a severe stenosis of the proximal descending thoracic aorta. Traditionally, surgery has been the treatment of choice for CoA. Dacron patch aortoplasty gained increased popularity after its introduction in the mid-twentieth century due to its advantages over other surgical treatment methods available at the time. A major complication with Dacron patch aortoplasty has been the formation of late aneurysm with as much as 51% incidence reported in follow up studies. The change in aortic morphology and formation of aneurysms after Dacron patch surgery could lead to local …

Characterization Of Nprc And Its Binding Partners, Abdel A. Alli

USF Tampa Graduate Theses and Dissertations

The C type natriuretic peptide receptor (NPRC) also known as NPR3 is a widely expressed single transmembrane-spanning protein. NPRC functions as a homodimer at the cell surface for the metabolic clearance of a broad range of natriuretic peptides from circulation. The intracellular domain of NPRC is coupled to inhibitory G proteins and is involved in mediating signal transduction. In order to further elucidate the role of NPRC in signal transduction a proteomic approach was taken to identify putative protein binding partners for NPRC in different cell-types. An interrogation of the molecular association between NPRC and its identified protein binding partner(s) …

Quantitative Real-Time Polymerase Chain Reaction (Qpcr) Assay As A Molecular Tool To Assess Rickettsial Replications In Tick Hosts, Andrea S. Zanetti

LSU Master's Theses

During the past century, many species of the Spotted Fever Group Rickettsia (SFGR)have been described, especially, through the introduction of a variety of molecular techniques applied to detect rickettsiae inside of their host. In this study we developed a quantitative realtime polymerase chain reaction (qPCR) assay (1) to characterize the growth and the distribution of a SFGR of unrecognized pathogenicity in naturally infected Amblyomma americanum ticks during physiological events; and (2) to terminate the influence of the host cell specificity in the replication patterns of recognized and unrecognized SFGR during a reciprocal rickettsiae challenge in both mammalian and tick cell …

Using The Autism Diagnostic Observation Schedule (Ados) To Discriminate Between Children With Autism And Children With Language Impairments Without Autism, Whitney Nicole Dolan

LSU Master's Theses

The purpose of this study was to learn about the diagnostic accuracy of Module 1 of the ADOS-G. Specifically, this study was designed to determine how well the ADOS-G differentiates children with autism from children with language impairments without autism. Data for this study were obtained from 10 children who were recruited from speech, language and hearing clinics in the metropolitan area of Baton Rouge, Louisiana. Visual inspection and statistical analyses indicated that the means of the ADOS-G scores for all domains (Communication, Social Interaction, and Communication + Social Interaction Score) were higher for the autism group than for the …

The Impact Of Centre Based Respite On Occupational Performance For People With Dementia, Kristy Ness

Theses : Honours

Dementia affects occupational performance by restricting one's ability to carry out valued roles and activities. Centre based respite has been described as one intervention to maintain or improve occupational performance and prevent or delay institutionalisation for people with dementia. The purpose of this study was to explore the impact of centre based respite on occupational performance components as outlined by the Occupational Performance Model (Australia) for people with dementia. Five spousal caregivers, recruited through Alzheimer's Australia WA, participated in semi-structured interviews. Data was analysed using framework analysis techniques. Findings revealed centre based respite attendance can positively influence marital relationships, mood, …