Medicine and Health Sciences Commons^™

Enhanced Recovery After Surgery (Eras) Protocol For Bariatric Surgery, Krista Bunch

Doctor of Nursing Practice Projects

Bariatric surgery has been utilized in treating severe obesity and offers several benefits, such as sustainable weight loss, treatment of various metabolic comorbidities, and improved life expectancy (Sundbom et al., 2017). With these benefits and procedural improvements, there has been a marked increase in the demand for bariatric surgery and increased interest in shifting some of these procedures to an ambulatory care setting (Stenberg et al., 2022). However, postoperative complications such as pain, nausea, and inability to tolerate oral intake can cause patients to experience an increased length of stay in the hospital and suboptimal outcomes (King et al., 2018). …

Improvement In Patient Compliance For Gynecological Care, Tracee Williams

Doctor of Nursing Practice Projects

This quality improvement project implemented the patient-initiated follow-up (PIFU) pathway in a gynecology clinic setting. PIFU has potential to lead to decreased no-show appointments and increased patient autonomy in outpatient healthcare practices. Barriers that influence compliance with plans of care include lower socioeconomic status, racial and ethnic minorities, and unmet social needs such as food insecurity, healthcare travel and cost, and child/adult care needs. In addition to higher rates of no-show appointments, individuals facing these barriers have increased comorbidities. Prior to implementing the PIFU model, patients between the ages of 18 and 42 completed a patient satisfaction survey to better …

A Computational Fluid Dynamics Analysis Comparing Irrigation Within Complex Root Canal Anatomy, Madeleinne Fern

Master's Theses (2009 -)

Objectives: The aim of this study was to compare fluid dynamics in complex root canal systems shaped with minimally invasive versus progressively tapered file systems using single and double side-vented irrigation tips at different flowrates. Methods: Two identical, plastic mandibular molars were instrumented with minimally invasive and progressive file systems and scanned via micro-computed tomography. A computational fluid dynamics model was generated and enhanced with accessory canals and isthmus in the distal and mesial roots, respectively. The model replicated irrigation within complex canal anatomy using both a single and double side-vented, 30-gauge irrigation tip at four flowrates: 0.05, 0.10, 0.15 …

Reliability Of Popliteal Artery Flow-Mediated Dilation In The Seated Position, Taskina Akhter

Rehabilitation Sciences Theses & Dissertations

Flow-mediated dilation (FMD) is a noninvasive measurement of endothelial function, which is a useful prognostic tool for cardiovascular disease risk. Despite its widespread use since 1992, the reproducibility of FMD varies widely between studies. This variability in reproducibility is especially significant in the case of the popliteal artery due to different methodological approaches. Studies perform popliteal FMD in various body positions, with the prone and seated positions most common. However, no studies have examined the reproducibility of both the seated and prone positions of the popliteal artery FMD. Therefore, the aim of this study is to examine the test-retest and …

Prevalence And Risk Factors Of Hikikomori In Young Adults In The Middle East, Harshil Paresh Shah

Theses

Hikikomori, a form of severe social withdrawal that can occur without the presence of any other psychological disorder, was once thought to be a Japanese culture-bound phenomena. However, studies have emerged from several parts of the world showing that this may be a global issue. Extant literature suggests associations between hikikomori and behavioral addictions such as gaming addiction and Problematic Social Media Use (PSMU). Since there is a relative paucity of research examining this phenomenon in the Middle Eastern context, this study aimed to determine the prevalence and risk factors of hikikomori in young adults of the Middle East. It …

A Review Of The Progression Of Concussion Protocols Used Over Time In High School And College Athletics, Renee M. Thompson

Honors Thesis

Concussions have a significant impact on teenagers and young adults. Most concussions occur when participating in sports. Therefore, the focus is on high school and college athletes for this review. Over the years many new concussion studies and protocols have been implemented and removed. Concussions are head injuries, where the person has suffered trauma causing the brain to shift and receive damage. This typically impacts brain tissue and a variety of symptoms results. Concussions were traditionally not considered with the same severity as broken bones or bloody wounds. Head injuries can have extreme effects on the body and daily living …

Otherization And Healthcare: A Philosophical Analysis Of Gender-Based Discrimination In Medicine, Rachel M. Beare

Honors Thesis

Healthcare interactions are a core feature of medical practice and medicine cannot function without these relationships. Moreover, the physician-patient relationship within healthcare have revealed varying problems that arise within the interpersonal interactions. These problems were even more concerning when they showed gender discrimination occurring within medical interactions, such as workplace discrimination of female physicians, higher risk of misdiagnosing and mortality of female patients, and an overall medical culture that invalidated women. Understanding the extent of these problems was achieved through analyzing philosophical structures presented within the philosophical writings of G. W. F. Hegel and Simone de Beauvoir. Application of Hegel’s …

Toward Electrical Impedance Sensing Surgical Drill For Tissue Boundary Detection, Harshavardhan Devaraj

Dartmouth College Ph.D Dissertations

Dental implantation is an increasingly common procedure used to treat missing teeth. However, surgical drilling to place the implant poses a high risk of injury to critical anatomy, such as inferior alveolar nerve injury or maxillary sinus perforation. A real-time surgical feedback system sensing proximity of these critical anatomy could reduce injury risks. This dissertation investigates the development of such a system that incorporates an electrical impedance sensor into the tip of a surgical drill.

A simulation framework based on finite element method (FEM) was developed to optimize the sensor as it approached a high impedance boundary. The accuracy of …

A Pilot Intervention For Adolescent Adoptees: The Interoception Curriculum, Francie X. Bailey

Capstone Projects

This pilot study sought to evaluate the efficacy of Mahler’s (2019) Interoception Curriculum on increasing emotional regulation and interoceptive awareness among adolescent adoptees. A pre - posttest design was employed to assess changes in emotional regulation and interoceptive awareness following a condensed, 10 - week version of the curriculum. Six participants, and their respective parent, completed pretest and posttest assessments following the completion of the weekly intervention. Results demonstrated minimal improvements in both parent and adolescent perceived emotional regulation competency but significant improvement in adolescents’ ability to notice and attend to their bodily sensations, listen to their body cues, and …

Program Development For Group Interventions Targeting Loneliness In Older Adults, Antoinette Cave

Capstone Projects

The topic of loneliness is complex and subjective in nature, and treatment of the condition requires the client-centered approach that occupational therapy encompasses within its scope of practice. Using an occupation-based, mental health approach to develop the program, weekly focus groups were created based on participant-preferred activities to decrease loneliness among older adults at PACE InnovAge’s outpatient and assisted living locations in Thornton, Colorado. Education was provided to participants and staff throughout the 14-week experience. Further training and sustainability efforts were created and distributed among participants and staff at the end of the experience through an occupation-based handout with external …

Trauma Informed Care Resources For Foster And Adoptive Families, Nitasha Cooper

Capstone Projects

Trauma informed care is meeting the needs of children who have undergone trauma by addressing the direct impact caused by the trauma the child experienced. My objectives looked to assist parents in the carryover from the occupational therapy clinic to home by providing videos on techniques to address behaviors occurring in and out of the home and building a connected relationship between child and caregiver as well as resources such as books for children and caregivers; podcasts; social media personnel; support groups; and a respite list. These objectives resulted in a plethora of resources for caregivers and families to access …

Development Of Occupation-Based And Trauma-Informed Care Resources To Promote Successful Reentry Following Release From Prison, Anna Burch

Capstone Projects

This 14-week capstone project focused on program development and education to establish occupational therapy-based resources into the Region 4 OS Reentry program through Michigan Department of correction (MDOC). The project was based out of Kent County Parole Office with the target population focusing on people who are actively on parole. Region 4 OS Reentry provides those on parole with many resources including bus cards, transitional housing, food vouchers, clothing/self-care assistance, trauma counseling and more. The purpose of this project was to utilize an occupational therapy lens to create resources revolving around ADL/IADLs, mental health, connecting the program with other community …

A How-To Guide For Implementing Level I Faculty-Facilitated Fieldwork Sites: A Western Michigan University Model, Jordyn Diaz

Capstone Projects

Since the Covid-19 pandemic, community partners and fieldwork educators have been overwhelmed by the demand of occupational therapy (OT) students seeking fieldwork placements. The faculty-facilitated model is a desirable option to relieve this burden and provide services for the community. Faculty-facilitated sites have a 1:6 fieldwork educator- to-student ratio. These sites can occur on-campus, within a community organization, or virtually as demonstrated by Western Michigan University (WMU). However, barriers to implementing this model include financial concerns, time constraints, space limitations, and the associated workload required to sustain these sites.

The focus of this doctoral capstone experience was to create a …

Student Comprehension Of Addressing Acote Standards Related To Fieldwork Educators And Level I Fieldwork Sites, Baileigh Grabow

Capstone Projects

Accreditation Council of Occupational Therapy Education (ACOTE) standards are the rules and procedures occupational therapy academic programs across the country are mandated to follow and uphold (ACOTE, 2018). The standards are the framework to ensure quality education of the same rigor across OT/OTA programs preparing the future practitioners of occupational therapy. The ACOTE Standards (2018) have an “A” section related the resources, faculty experience, public policies, curriculum framework, and strategic plan requirements, a “B” section related to didactic program content requirements, a “C” section for fieldwork requirements, and a “D” section related to capstone requirements.

The purpose of this doctoral …

Inclusive Yoga Programming For Children With Diverse Needs, Allison H. Hansel

Capstone Projects

Limited research exists to support the use of yoga as an occupational therapy intervention for children with disabilities. In the studies that are available, yoga is primarily used to target children with autism spectrum disorder (ASD). Currently there is no research available that explores use of yoga in a group of children with a variety of disabilities and diagnoses. The aim of my doctoral capstone experience was to design and implement an inclusive yoga group for children with diverse needs. Objectives were created to guide this capstone project such as creating intake forms, pre/post surveys, weekly yoga curriculum and weekly …

Enhancing Self-Regulation Skills With The Zones Of Regulation, Sara Hayes

Capstone Projects

It has been highlighted that children with Autism Spectrum Disorder (ASD), Cognitive Impairments, Emotional Impairments, and other Sensory Processing Disorders. often lack the ability to self-regulate appropriately. Self-regulation is defined as the ability to control one’s emotions and behaviors, get along with others and engage in learning. Self-regulation helps children learn effectively, obtain, and maintain relationships, and communicate appropriately. A tool proven to teach and implement appropriate self-regulation is Leah Kupyers’ Zones of Regulation curriculum. The purpose of this literature review is to analyze the potential for OT involvement in the implementation of the Zones of Regulation curriculum within the …

The Development Of An 8-Week Neurodiversity-Affirming Caregiver Co-Regulation Coaching Program., Carissa Heestand

Capstone Projects

The realm of pediatric care is witnessing the rapid emergence of two innovative practices centered on nurturing safety within a child's nervous system. This program development endeavors to synergize these practices to optimize occupational balance within the familial unit. The first pioneering approach involves Neurodiversity (ND) affirming care, which is seamlessly integrated into therapy sessions. Here, therapists honor and embrace the diverse nature of each child's brain, while acknowledging and celebrating their unique abilities. The second innovative practice involves caregiver coaching sessions, with a primary focus on educating caregivers about co-regulation techniques. Previous research has highlighted the efficacy of such …

Integrative Sensory Room For General Education And Special Education 3rd-5th, Julia Henderson

Capstone Projects

Everyone has a unique sensory system that continues to change and adapt throughout their lifespan. In an 8-hour school day, children take in so much information with very little consideration of how their sensory systems may be reacting in response to varying environments and social situations. The gap within the school system remains to be seen as a lack of understanding of sensory systems and how they affect children’s learning capabilities. The objective throughout my capstone experience was to support Greyhound Intermediate School by creating a sensory room for both special education and general education students. This was done by …

The Role Of Occupational Therapy In Transition Programs For High School Students With Disabilities, Kara Hutchison

Capstone Projects

Students with disabilities frequently experience a gap in services as they grow older and after exiting the public education system. During school, students have Individualized Education Plans (IEPs) to support their education, but once they graduate, the services they were receiving expire. Occupational therapy is under- utilized in transition planning for students after graduating high school and entering adulthood. The purpose of this DCE was program development and advocacy with the Project SEARCH transition program while exploring the role of occupational therapy has in transition planning for high school students with disabilities. The goal of this project was to improve …

The Integration Of Occupational Therapy In Transition Programs To Improve Outcomes For Students, Morgan Jagiela

Capstone Projects

Numerous studies exist depicting the benefit and efficacy of an occupational therapy (OT) presence within post-secondary transition programs. Both transition programs and occupational therapists aim to help students with disabilities improve independent living skills, vocational skills, and social/communication skills, so they may live functional adult lives with as few supports as possible. Despite this success and the overlap in scope, OT is rarely found in transition programs. The purpose of this doctoral capstone experience (DCE) was to develop a program that would implement occupational therapy into the Empower U transition program. Through the creation and completion of objectives, success and …

Friends At Work: Creating A Peer-To-Peer Program For Individuals With Disabilities In The Workplace, Claire Johnson

Capstone Projects

Students with disabilities face social isolation, loneliness, mental health conditions, and unemployment rates at a disproportionately high rate compared to their typically developing peers (Choiseul-Praslin et al., 2019). Peer support programs and transition to work organizations have the ability to combat these factors. The following Doctoral Capstone Experience depicts the development and implementation of a peer-to-peer program within a transition to work program to increase social participation amongst transitional students with disabilities. The program was implemented at Project SEARCH at Corewell Health Beaumont Troy Hospital. Additionally, this project attempts to quantitatively qualify the effectiveness of the Project SEARCH program in …

Improving The Care Of Individuals With Neurogenic Bowel And Bladder Dysfunction In An Inpatient Rehabilitation Setting, Brooke Loucks

Capstone Projects

Neurogenic bladder and bowel dysfunction can lead to serious health complications and negatively impacts one’s mental health and quality of life (Kurze et al., 2022l; Borsh et al., 2019 ). Despite the abundance of research on the topic concerning the spinal cord injury population, there is limited generalization to other neurologic conditions with similar presentation. There is also a need for practical implementation and clinical guidelines in health care systems (Kurze et al., 2022l; Borsh et al., 2019). Toileting is one of the main activities of daily living listed in the Occupational Therapy Practice Framework ( AOTA, 2020) yet the …

Occupational Therapy Health & Wellness Promotion For Adults Living With Intellectual/Developmental Disabilities, Sydni Rodriguez

Capstone Projects

Based on educational principles and program development, this occupational therapy doctoral capstone experience (DCE) was centered on addressing the health and wellness needs of adults living with intellectual/developmental disabilities (I/DD) at Self-Help Alternative Living Opportunities Michigan (SHALOM), a Christian non-profit organization. Research has shown that adults living with I/DD have an increased chance of having health complications related to health disparities when compared to the general population of adults. Occupational therapists have a profound role in health and wellness as it relates to access and engagement in daily occupations. This DCE was accomplished through development of a recurrent monthly walking …

Grant Funding For Non-Profit Organizations And Community Focused Entrepreneurship, Tyler Turnquist

Capstone Projects

The primary objective of this Capstone project was centered around developing grant writing skills and the ways it aids both nonprofits and small businesses to promote increased opportunities within the community. One facet of this project focused on researching and writing grants for the nonprofit, Renew Mobility to increase their operation budget, as well as creating a central database of their funding sources. This database fills the need for better organization of deadlines, interactions, and documents that can reduce the number of missed grant opportunities and increase overall funding. The second objective of this capstone was writing a grant for, …

Occupational Therapy's Role In Post-Secondary Transition Programing For Young Adults With Disabilities, Mallory Rubley

Capstone Projects

Post-secondary transition programs for young adults with intellectual or developmental disabilities (IDD) are designed to support young adults with IDD in areas of independent living, academics, relationships, financial management, health and safety, and employment. All of which are within the scope of occupational therapy (OT). Within the limited post-secondary transition programs that exist for these young adults, OT is rarely included as a provided service, creating an unintentional disadvantage to the students and clients. The purpose of this Doctoral Capstone Experience (DCE) was program development and advocacy for the role of occupational therapy within Ready for Life (RFL), a post-secondary …

Implementation Of A Life Skills Program With Houseless Youth, Stephanie Velasco

Capstone Projects

The goal of my capstone project was to use occupational therapy knowledge and processes to integrate life skills training into a pre-existing program of services at a not-for-profit organization that helps youth overcome being houseless on Oahu, Hawaii. Occupational therapy as a profession helps individuals to engage in everyday meaningful activities as independently as possible. The scope of occupational therapy includes education and practice of life skills. Life skills are practical abilities and behaviors that allow individuals to effectively meet the demands and challenges of everyday life. Examples of these are knowledge of food and nutrition, meal preparation, home cleanliness …

Recollection-Based Occupational Therapy: An Activities Program For Catholic Dominican Sisters With Dementia, Alyssa J. Visockis

Capstone Projects

Recollection-based occupational therapy is a nonpharmacological approach to dementia, involving five categories of activities: horticultural, physical, art, musical, and instrumental activities of daily living (IADLs). The purpose of this approach is to incorporate memories of a person’s childhood, adulthood, and older adulthood before dementia in activities. Furthermore, the Grand Rapids Catholic Dominican sisters at Aquinata Hall needed a method to gather psychosocial history on their residents as well as new activity programming on the dementia- care unit that had meaningful purpose. Therefore, during this capstone experience, a psychosocial history assessment was created and conducted with the sisters. Using the results …

Support Group Development And Implementation For Parents With Disabilities, Jessica Zydorczyk

Capstone Projects

The focus of this capstone project was to develop a peer-to-peer support group open to any parent or caregiver with a disability navigating the challenges of pregnancy and parenthood. Occupational therapy can have a large impact on the population of individuals parenting with a disability with increased awareness and understanding of their needs. Friendship, community, resource access, and awareness were all needs addressed with the development of the parent support group. The objectives set to be achieved during the 14-week experience included conducting extensive research on the disabled parenting experiences of day-to-day life, developing of handouts and resource collection on …

Implementation Of A Bilingual Feeding Program For Hispanic Children With Autism Spectrum Disorder, Sarah Aguilar

Capstone Projects

Feeding is an important occupation that contributes to a child’s physical, emotional, and social development and is also influenced by cultural and environmental factors, (Korth & Maune, 2020). In individuals with developmental delays, specifically autism spectrum disorder (ASD), feeding difficulties have been reported in as many as 75% of children (Nygren et al., 2021). These difficulties often result in increased feelings of anxiety experienced by the child and caregiver. Limited information exists on the impact of these on minority populations, such as Spanish speaking families that face many challenges when accessing healthcare services like language and cultural barriers. Similarly, group …

Sensory Room Protocol And Education On Sensory Processing Differences In The School Setting, Bethany R. Antor

Capstone Projects

This capstone experience and project targets the enhancement of sensory integration strategies within a school environment by upgrading a sensory room, educating paraprofessionals and teachers on sensory processing differences, associated signs, and regulation tips, and implementing new material within a sensory path for increased student regulation. Sensory processing difficulties can significantly impact a child’s learning and behavior, necessitating effective school - based interventions involving an occupational therapist. This project aims to shrink the gap between school staff’s knowledge of sensory processing differences and the needs of their students. The outcomes include improved functionality and utilization of the sensory room, increased …