Medicine and Health Sciences Commons^™

Changes In The 2017 Pediatric Hypertension Clinical Guidelines., Bonita Falkner

Department of Medicine Faculty Papers

The clinical practice guidelines on diagnosis and management of high blood pressure in children and adolescents have been periodically modified and updated since the original publication in 1977.1 Since the last pediatric blood pressure guideline was published in 2004, known as the Fourth Report,2 the literature on child BP and hypertension has expanded considerably. There has been a recognized need to update the Fourth Report for several years. However, the National Heart, Lung, and Blood Institute (NHLBI) who sponsored previous pediatric BP guidelines announced that NHLBI would no longer sponsor development of new clinical guidelines.3 Subsequently, in 2014 the American …

The Effects Of Stand-Alone Prescription Drug Plans On Health Care Utilizations, Expenditures And Medication Adherence Among Elderly Medicare Beneficiaries, Jing Yuan

Theses and Dissertations

Since the implementation of Medicare Part D in 2006, a growing body of evidence has shown that Medicare Part D might offset the total healthcare spending by improving the use of prescription drugs. However, little is known about the impact of different types of Part D plans – Stand-alone Prescription Drug Plan (PDPs) and Medicare Advantage Prescription Drug Plan (MA-PDs) – on health care utilizations and expenditures. This dissertation examined the association between the effect in PDPs on health care utilizations as well as expenditures, and medication adherence among elderly Medicare beneficiaries, compared to MA-PDs. Data was pooled from 2006-2010 …

A Guide For Occupational Therapists: Utilizing Trauma-Informed Care To Guide Intervention For Children In Foster Care, Courtney Crabill, Katie Hanson

Occupational Therapy Capstones

The purpose of this scholarly project was to create a guide for trauma-informed interventions for occupational therapists specifically to use with foster care children. Currently, there are approximately 600,000 children living in foster care in the United States (Child Welfare League of America, 2015). Children in the foster system who have experienced or witnessed violent actions often demonstrate post-traumatic stress like symptoms and diagnoses. Often times these experiences affect their development, coping skills, emotional regulation, and relationships and attachments (Lynch et al., 2017; Deutsch et al., 2015; Heim et al., 2010). It is estimated that between 40% and 60% of …

Animal-Assisted Intervention For Healthcare Professionals: An Occupational Therapy Facilitated Program, Samantha Coyle, Caitlin Duggan

Occupational Therapy Capstones

Introduction: This scholarly project explores literature regarding Animal-Assisted Interventions and possible impacts on healthcare professionals. Literature published within the past two decades has emphasized the various roles and benefits that the presence of animals may provide within various healthcare settings and with diverse populations. The evidence of animal-assisted interventions has been extensively researched and supported as it pertains to the client or patient involved. The problem is that no one has taken the time to evaluate the benefits that having an animal in the healthcare system may have on healthcare professionals (i.e. therapists, nurses, physicians). Due to the lack …

The Efficacy Of Hippotherapy For Physical Rehabilitation: A Systematic Review, Megan Hilgers, Haley Nielsen

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project is to examine existing literature pertaining to hippotherapy and conditions impacting physical health through completion of a systematic review. According to the American Hippotherapy Association (AHA, 2017), hippotherapy is defined as “how occupational therapy, physical therapy, and speech-language pathology professionals use evidence-based practice and clinical reasoning in the purposeful manipulation of equine movement to engage sensory, neuromotor, and cognitive systems to achieve functional outcomes” (What is Hippotherapy, para. 1). Hippotherapy was initially cited in occupational therapy practice in the 1980’s, but minimal attention and research have been applied to the topic as …

Occupational Therapy's Role In Sport: A Website On Promotion And Education For Ot's And Coaches, Alison Host, Kaitlin Mankie

Occupational Therapy Capstones

Purpose: The number of individuals participating in the sport of hockey is on the rise. This rise in popularity also means the risk of injury becomes greater. Occupational therapy (OT) works to provide a holistic and client-centered approach when treating individuals that can allow them to return to play safely and effectively. However, OT is not commonly thought of when assisting in the treatment of hockey player injuries. Due to OT not being commonly utilized in the area of hockey-related injuries, such as concussion and the upper extremities, there is also a lack of literature to provide further insight …

A Vocational Training Program For High School Students With Disabilities On An Alternative Track To Graduation, Natalie Jennings, Michael Lehnerz

Occupational Therapy Capstones

Problem: According to the Bureau of Labor Statistics (2017), in 2016 the employment rate for persons with a disability was 17.9 percent compared to 65.3 percent for persons without a disability. The discrepancy between the employment rates can partially be contributed to a lack of high school readiness preparation as evidenced by Evert Cimera, Gonda, and Vaschak (2015) who found that the referral rates of transition-aged youth decreased from 62.3 percent in 2004 to 50.0 percent to 2013.

Purpose: The purpose of this scholarly project is to minimize the gap during the transition from high school to vocational …

Occupational Therapy Practice Trends For Occupations Impacted By Puberty In Children With Asd, Sydney Larson, Kelsey Hemberger

Occupational Therapy Capstones

Introduction: Adolescents face physical, social, cognitive, and emotional changes during the developmental stage of puberty. Pubertal changes can be difficult for neurotypical adolescents to cope with, but especially for individuals with autism spectrum disorder (ASD). Specifically, adolescents with ASD experience challenges with adapting to physical and emotional changes, managing new hygiene routines, abiding to social norms, and inappropriate sexual behaviors (Beddows & Brooks, 2016; Cridland, Caputi, Jones, & Magee, 2015; Cridland, Jones, Caputi, & Magee, 2014). While occupational therapy plays a role in helping adolescents with ASD, a lack of occupational therapy literature on this topic leads to unknown …

Promoting Successful Community Re-Integration For Incarcerated Juveniles: The Role Of Occupational Therapy To Enhance Quality Of Life, Madison Gerszewski, Bailey Odegaard

Occupational Therapy Capstones

The purpose of this scholarly project is to present a manual for occupational therapists working with juvenile delinquents in their transition into the community following incarceration. The intended outcome of the project is for juvenile delinquents to be independent, successful members of the community.

A literature review pertaining to juvenile delinquents was conducted and addressed recidivism, risk factors, and unmet needs. At this time, there are no practice guidelines in the United States that capture occupational therapy’s scope of practice when working with adolescents who have been involved in the criminal justice system.

A manual was developed in order to …

Educational Materials For Implementation Of Cognitive Interventions Across Practice Settings, Ashlyn Grindberg, Nicholas Wahlstrand

Occupational Therapy Capstones

Purpose: The purpose of this project was to develop educational materials for the UND occupational therapy (OT) program to address cognitive strategies for intervention across populations.

Methods: A literature review was conducted to determine the need for our product. The review of literature included the role of OT in functional cognition, use of cognitive intervention strategies with populations, and specific frames of references used in OT practice settings. It was found that new OT practitioners did not feel prepared to address cognitive deficits across populations when moving from one setting to another.

Results: The Adult Learning Theory …

Vacationing Older Adults, Breanna Taralson, Brittany Winter

Occupational Therapy Capstones

Introduction: This scholarly project was conducted to explore the aspects of vacationing in older adults and how age-related changes seen within this population can impact decisions while traveling. The purpose of this project was to create a resource guide for older adults to help navigate the vacationing process.

Methodology: A literature review was conducted using various sources including: online databases, books on travel and vacationing, personal communication via informal interview, and through major travel corporation websites. Information from these sources was then compiled to create a resource guide for older adults.

Results: Information found within the literature …

Evolution Of Occupational Therapy Practice: Life History Of Anne Haskins, Phd, Otr/L, Dayton Bender, Shaina Simonson

Oral History Posters

This life history is one of 31 life history interviews which contribute to a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT), in North Dakota and Wyoming.The purpose of this life history study is to gather information about the history and evolution of occupational therapy practice (OT) in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states.This study is intended to provide current and future generations of occupational therapy practitioners a view of history and OT practice has evolved from its inception …

Life History Of Missy Neff Msot, Otr/L, Hannah Burks, Kristen Kilian

Oral History Posters

The life history of Missy Neff was one of many interviews conducted as part of a larger project of Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the interview is to gather information about the history and evolution of OT practice from perspectives of individuals, like Missy Neff, who have been influential in the development of the profession. The study is intended to provide current and future generations of occupational therapists a view of how OT practice has evolved over time in Wyoming and North Dakota since …

Evolution Of Occupational Therapy Practice: Life History Of Terry Kipp, Cota, Jacob Horn, Nora Stevenson

Oral History Posters

This life history is one of 31 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather information. This study is intended to provide current and …

Evolution Of Occupational Therapy Practice: Life History Of Sue Morrison, Msot, Otr/L, Ashton Hudspeth, Colton Peltier

Oral History Posters

The life history of Sue Morrison was one of 30 life history interviews conducted as a part of a larger project of Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this project is to gather information about the history and evolution of OT practice from individuals like Sue Morrison who have been influential in developing OT in these two states This study is intended to provide current and future generations of occupational therapists a view of the history and how OT practice has evolved from its inception …

Evolution Of Occupational Therapy Practice: Life History Of Marabeth Kopp, Cota/L, Kathryn Jensen, Rachael Gabrelcik

Oral History Posters

The life history of Marabeth Kopp was one of 30 life history interviews conducted as part of a larger project of Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. This study is intended to provide current and future generations of occupational therapists a look at the history of OT practice …

Evolution Of Occupational Therapy Practice: Life History Of Lanae Pickard, Otr/L, Cht, Megan Klein, Penelope Yoosook

Oral History Posters

The life history one of 30 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming though life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide current and …

Life History Of Catherine (Catie) Sondrol, Mot, Otr/L, Molly Maudal, Lydia Swanson

Oral History Posters

The participant was one of 31 participants interviewed as part of a larger study, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) with ties to North Dakota and Wyoming. The purpose of this project is to gather information about the history and evolution of occupational therapy practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states.

Evolution Of Occupational Therapy Practice: Life History Of Christina Frank, Otr/L, Paige Mccullough, Mimi Yunker

Oral History Posters

The life history of Christina Frank is one of 30 life history interviews, which are a part of a larger project; Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. This study is intended to provide current and future generations of occupational therapists a view of the history and how occupational …

Evolution Of Occupational Therapy Practice: Life History Of Diane Norell, Msw, Otr/L, Caelin Hansen, Jessie Zimmer

Oral History Posters

This life history is one of 31 life history interviews which are part of a larger project, Life Histories of Individuals Who Have Been Influential In Developing Occupational Therapy (OT) In North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life history of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide current and …

Evolution Of Occupational Therapy Practice: Life History Of Dr. Julie Grabanski, Phd, Otr/L, Sydney Gayton, Madisyn Rick

Oral History Posters

Purpose: Gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these states. Our participant was one of thirty-one participants for the larger study. The KawaModel was used to guide our data collection process and we implemented interview questions that reflected the model. The KawaModel was designed for cultures who value a collectivist mindset (Iwama, 2006). The water represents life flow, the river side walls and bottom represent the environment, rocks represent problematic life circumstances that disrupt water flow, and …

Evolution Of Occupational Therapy Practice: A Life History Of Jody Larson, Otr/L, Brianna Mcnelly, Nicholas Riveland

Oral History Posters

The purpose of this qualitative study was to examine the life history of occupational therapists (OT) and occupational therapy assistants (OTA) who were instrumental in developing occupational therapy practice in North Dakota or Wyoming. This is a continuation of the life history project at the University of North Dakota School of Medicine and Health Sciences (SMHS) started in 2017 as a repository of key individual’s lifetime contributions to the benefit of current and future occupational therapy practice and practitioners in the region.

Life History Of Jason Kjar, Mot, Otr/L, Alana Grabarkewitz, Alyana Simpron

Oral History Posters

The purpose of this project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states and/or at the national level. It is anticipated that the life history interviews will be a valuable experience and an effective way to gather information about this individual. The study is intended to provide occupational therapy students and occupational therapists with a snap shot of the history of OT, and how OT practice as evolved over time in the North …

Evolution Of Occupational Therapy: Life History Of Lacey Konickson, Otr/L, Clt, Paige Melby, Hannah Merges

Oral History Posters

The life history of Lacey Konickson was one of 31 life history interviews conducted apart of a larger study of Life History of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this study is to gather information about individuals, like Lacey Konickson, who have been influential in developing OT in North Dakota and Wyoming and their life histories. The findings of this study will be used to provide current and future occupational therapists with a overview of the life history and how OT practice has changed from its commencement to …

Evolution Of Occupational Therapy Practice: Life History Of Marylou Wittmann, Otr/L, Elizabeth Hauck, Kimberly Harmelink

Oral History Posters

This life history is one of 31 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of OT practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide current and future …

Life History Of Zondra Thompson, Mot Otr/L, Brianna Johnson, Kylie Walthers

Oral History Posters

This study offers a glimpse into the life of Zondra Thompson from the time she graduated in 1972 from the Occupational Therapy Program at the University of North Dakota to the time she retired in 2007. This life history is one of the 31 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories …

Treatment Of Undifferentiated Connective Tissue Disease With Csdmard’S Through Primary Care Providers In The Absence Of Intervention Via Rheumatology, Leslie Ann Anderson

Physician Assistant Scholarly Project Papers

Undifferentiated connective tissue disease (UCTD) was first defined by Leroy over 30 years ago. UCTD is described as an autoimmune disease which presents similarly to other rheumatic diseases but fails to meet laboratory requirements which indicate a specific disease such as rheumatoid arthritis, systemic lupus erythematous, Sjogren's or scleroderma. Common signs and symptoms manifested by patients with UCTD include arthralgias, myalgias, fatigue, fever, Raynaud’s phenomenon and sicca like symptoms in addition to having a positive antinuclear antibody (ANA) test. Often patients with these symptoms are referred to rheumatology. Unfortunately, there is a shortage of rheumatology providers across the nation. Although …

Comparing Prevalence Of Medication-Related Osteonecrosis Of The Jaw (Mronj) Due To Denosumab And Bisphosphonates As A Side Effect Of Osteoporosis Treatment, Kendra Apland

Physician Assistant Scholarly Project Papers

As the baby boomer generation continues to age, the diagnosis of osteoporosis and its side effects will continue to increase. Denosumab and bisphosphonates (BPs) are some of the most common medication classes used to treat osteopenia and osteoporosis, but it is believed that both medications have the possible side effect of medication-related osteonecrosis of the jaw (MRONJ). The purpose of this paper is to uncover if MRONJ is a side effect of osteoporosis treatment and which medication carries the highest incidence rate. Through a review of several electronic databases and several peer reviewed research articles, a wide range of reported …

The Efficacy And Safety Of Creatine Supplementation In The General Population, Cody Baxter

Physician Assistant Scholarly Project Papers

The purpose of this study was to determine whether supplementation with creatine monohydrate is efficacious beyond the realm of its most popular use, which is in athletics. This study investigated the safety of creatine supplementation in the general population. References were collected through a review of PubMed and Scopus databases. Initial keywords searched were creatine supplementation and creatine safety. Where possible, trials with human subjects were utilized. Studies focused on creatine’s effects in athletes or weightlifting parameters were eliminated. Topics were further narrowed down by conditions with the most amount of research and medical concerns recognized as common to primary …

Integrative Medicine In Primary Care, Ashley M. Bjornerud

Physician Assistant Scholarly Project Papers

Integrative medicine (IM) is an approach to care that puts the patient at the center and addresses the full range of physical, emotional, mental, social, spiritual and environmental influences that affect a person’s health (Rakel, 2017). Commonly, integrative medicine is associated with complementary and alternative medicine therapies (CAM). These are two separate entities. CAM is one of the modalities used in integrative medicine.

The review of the literature on IM analyzed studies in primary care settings in all parts of the world. Definitions of IM and CAM are evaluated. Defining what IM is and how to incorporate this approach in …