Medicine and Health Sciences Commons^™

Collaboration To Improve Care Of Oncology Patient, Kara Panek, Melinda Jennings

Nursing Posters

It was identified that there were opportunities to enhance the care of the inpatient oncology patient when they were not on the Medical and Oncology Unit. Upon completing leadership rounding, patients identified that they did not receive consistent oncology specific interventions when they were transferred to a higher level of care.

Enhancing Retention For Patient Care Assistants: Effective Strategies To Implement To Reduce Turnover, Tiffany Omann-Bidinger

Nursing Posters

Develop and implement a hospital-wide, evidence-based recruitment and retention program to reduce turnover rates for Patient Care Assistants (PCAs).

I.D.E.A.L. Transition Plan, Colleen Porwoll

Nursing Posters

The purpose of this evidence-based practice project is to increase the number of discharges prior to noon by using the IDEAL discharge planning tool with noncomplex total joint replacement patients and maintaining score of discharge phone call follow up. "Were you aware of the discharge plans and felt prepared?"

Rn Case Manager Case Consultation, Nancy A. Schug

Nursing Posters

Purpose:

Apply the Collaborative Care Management Practice Model to address:

• Complex transition planning
• Clinical progression
• Readmission risk

Promote professional growth

Increase knowledge of the ACMA Scope and Standards of Practice for RN Case Managers.

Preceptor Class Evaluation & Redesign, Katherine A. Schulz

Nursing Posters

In August 2016, Education Committee identified need to comprehensively evaluate Preceptor Class for curriculum structure, content, teaching modalities, etc. Preceptor Class Subgroup was formed to lead evaluation efforts.

Decreasing Unnecessary Pharmacy Cost In The Cath Lab, Scott M. Scepaniak, Kristi Patterson

Nursing Posters

AngioMax is a single dose heparin alternative introduced in 2002 that is used in cardiac patients undergoing percutaneous intervention (PCI). Bivalirudin costs $377 per dose; heparin is less than $15 per dose. Noting practice variations, the Cath Lab set out to eliminate unnecessary pharmacy cost for PCI patients by:

• Using current literature to inform clinical care
• Standardizing practice
• Using data to track and guide implementation

Music Heals: Therapeutic Music To Reduce Pain And Anxiety In Adult Icu Patients, Kathleen Sowada

Nursing Posters

To decrease pain and anxiety in adult intensive care unit patients through the use of therapeutic music as compared to no music intervention.

Integrating Holsitic Care Modalities Into An Inpatient Physical Rehabiliation Program, Kathleen Sowada

Nursing Posters

The purpose of this pilot project was to determine the feasibility of incorporating integrative therapies, including acupuncture, into the plan of care of patients undergoing physical rehabilitation in an inpatient setting, and to improve outcomes and patient satisfaction.

Medication Assessment In The Older Adult: Using The Beer's List, Gretchen Zunkel

Nursing Posters

• Describe appropriate pharmacologic principles of medication use in older adults
• Review Beer's List Criteria (American Geriatric Society)
• Identify inappropriate and/or overlooked medication for the older adult
• Share with BH Unit staff, patients, families

Overcoming New Hire Obstacles With An Individualized Rn Orientation In The Critical Care Area, Heather D. Blais, Melissa M. George, Jessica M. Thoma

Nursing Posters

To improve RN new hire orientation in the Cardiac Care Unit (CCU). Research reveals we tend to assign two patients to a new hire too early. They may not be able to safely care for two acutely ill patients, causing both the new hire and preceptor to become frustrated.

Conversion Disorder, Ann Summar

Nursing Posters

Conversion Disorder:

• Neurologic symptoms that are inconsistent with a neurologic disease
• Symptoms cause distress and/or impairment
• No radiological or laboratory findings for symptoms
• May have poor outcomes without proper treatment

Transitions Of Care: Medication-Related Barriers Identified By Low Socioeconomic Patients Of A Federally Qualified Health Center Following Hospital Discharge, Rebecca Cope, Lauren Jonkman, Karen Quach, John Ahlborg, Sharon Connor

Touro College of Pharmacy (New York) Publications and Research

This article describes a qualitative research study using a semi-structured interview process to describe barriers surrounding medication access, use, and adherence for recently discharged patients of a federally qualified health center. Common themes which emerged were: 1) Team assumptions regarding patient plans to access or appropriately use discharge medications negatively impact adherence; 2) Unmet expectation for care coordination between primary care physician (PCP) and hospital; 3) Disconnect between patients and health care workers leads to disengagement; and 4) Lack of personal contact hinders access to services.

Influence Of The Oral Microbiome On General Health, Zvi G. Loewy, Shoshana Galbut, Ephraim Loewy, David A. Felton

Touro College of Pharmacy (New York) Publications and Research

The prevalence of edentulism is common worldwide. While improvements in access to healthcare and dental care are reducing the prevalence rate of edentulism, the rapidly growing number of elderly as a percent of the global population will sustain a need for denture therapy for the foreseeable future. While denture use has positive impacts on the quality of life, their use is associated with some problems and risks. Denture stomatitis, a chronic infection-related inflammatory disorder of the oral mucosa, is extremely common and has been reported to occur in up to two-thirds of denture wearers. Importantly, epidemiology studies have shown edentulism …

Healthnet News V.33:No.1 January-February 2018, Wendy Urciuoli

Articles - Patient Care

Linking Connecticut Patients and Families to Reliable Health Information

Healthnet News V.33:No.3 May-June 2018, Wendy Urciuoli

Articles - Patient Care

Linking Connecticut Patients and Families to Reliable Health Information

Healthnet News V.33:No.4 July-August 2018, Wendy Urciuoli

Articles - Patient Care

Linking Connecticut Patients and Families to Reliable Health Information

Healthnet News V.33:No.5 September-October 2018, Wendy Urciuoli

Articles - Patient Care

Linking Connecticut Patients and Families to Reliable Health Information

Wellness Through Answers News V.33:No.6 November-December 2018, Wendy Urciuoli

Articles - Patient Care

Linking Connecticut Patients and Families to Reliable Health Information.

Determining The Barriers To Prenatal Care Entry Within The First Trimester By Evaluation Of Prenatal Care Surveys And Questionnaires, Joycelyn Akamune

Master of Public Health Program Student Publications

Background: Prenatal care (PNC) within the first trimester is associated with improved fetal and maternal health outcomes. Improved PNC is necessary to prevent negative birth outcomes such as low birth weight and infant mortality, which have significant impact on birth outcome rates. Improving access to PNC in the first trimester involves removing barriers to care. A brief survey distributed to expectant mothers is a simple way to define these barriers. Many small community health centers do not use surveys to gather patient information. By reaching this population, barriers to PNC can be better understood and mitigated using community resources decreasing …

Current State Of Commercial Wearable Technology In Physical Activity Monitoring 2015-2017, J. A. Bunn, J. W. Navalta, C. J. Fountaine, J. D. Reece

Physical Therapy

No abstract provided.

Nonmodal Clinical Decision Support And Antimicrobial Restriction Effects On Rates Of Fluoroquinolone Use In Uncomplicated Infections, L R. Gunn, R Tunney, K E. Kelly

Pharmacy Practice

No abstract provided.

Metabolism Of Primaquine In Normal Human Volunteers: Investigation Of Phase I And Phase Ii Metabolites From Plasma And Urine Using Ultra-High Performance Liquid Chromatography-Quadrupole Time-Of-Flight Mass Spectrometry, B. Avula, B. L. Tekwani, N. D. Chaurasiya, P. S. Fasinu, N. D. Nanayakkara, H. B. Herath, Y. H. Wang, J. Y. Bae, S. I. Khan, M. A. Elsohly, J. D. Mcchesney

Pharmaceutical Sciences

No abstract provided.

Effectiveness Of Mailed Letters To Improve Medication Adherence Among Medicare Advantage Plan Participants With Chronic Conditions, A. Mann, T. W. Esse, O. Serna, L. D. Castel, S. M. Abugosh

Business, Lundy-Fetterman School of

No abstract provided.

An Evaluation Of Gout Visits In The United States For The Years 2007 To 2011, K. E. Castro, K. D. Corey, D. L. Raymond, M. R. Jiroutek, M. A. Holland

Clinical Research

No abstract provided.

Data Analytics And Modeling For Appointment No-Show In Community Health Centers., Iman Mohammadi, Huanmei Wu, Ayten Turkcan, Tammy Toscos Phd, Bradley N Doebbeling

Mirro Center Articles

OBJECTIVES: Using predictive modeling techniques, we developed and compared appointment no-show prediction models to better understand appointment adherence in underserved populations.

METHODS AND MATERIALS: We collected electronic health record (EHR) data and appointment data including patient, provider and clinical visit characteristics over a 3-year period. All patient data came from an urban system of community health centers (CHCs) with 10 facilities. We sought to identify critical variables through logistic regression, artificial neural network, and naïve Bayes classifier models to predict missed appointments. We used 10-fold cross-validation to assess the models' ability to identify patients missing their appointments.

RESULTS: Following data …

Two-Phase Management In A Developing Class Iii Malocclusion With The Aid Of Rapid Maxillary Expander And Facemask, Chih-Hsiang Chan, Chin-Yun Pan, Jung-Hsuan Cheng

Taiwanese Journal of Orthodontics

A 7-year 10-month-old boy with skeletal Class III malocclusion was treated in two phases. In phase one, rapid maxillary expansion (RME) and facemask was applied for early intervention in a cervical vertebral maturation (CVM) stage of CS2. After RME and facemask treatment, decompensation of maxillary and mandibular incisors was noted, as well as an improved skeletal Class III jaw relationship with reduction of the A point-nasion-B point (ANB) angle. Later in phase two, a full mouth fixed edgewise appliance was begun to correct the details of malocclusion. The total treatment duration was 5 years and 5 months (stage 1, 9 …

Critically Appraised Paper For “Adaptive Vs. Non-Adaptive Cognitive Training By Means Of A Personalized App: A Randomized Trial In People With Multiple Sclerosis.”, Erin Chaffee, Ty Duong, Kaylee Gothelf, Emily Minor, Kitsum Li

Occupational Therapy | Critically Appraised Papers Series

The purpose of this study was to evaluate the effectiveness of a working-memory program to improve the cognitive status of people with multiple sclerosis (MS). Given the increasing use of technology in modern-day society, further research is required to provide evidence supporting working-memory training devices that are easily accessible for people with memory deficits.

Critically Appraised Paper For “Effects Of Dance On Motor Functions, Cognitive Functions, And Mental Symptoms Of Parkinson’S Disease: A Quasi-Randomized Pilot Trial”, May Anne Gamueda, Caroline Lee, Susan Nguyen, Ajay Pala, Blanka Pentek, Kitsum Li

Occupational Therapy | Critically Appraised Papers Series

Parkinson’s disease (PD) is a systemic condition that presents not only motor but also nonmotor symptoms, as a result of dopamine deficiency in the basal ganglia. Rehabilitation typically focuses on motor deficits, however, despite the fact that nonmotor symptoms have a significant impact on quality of life. The researchers of this study investigated the effectiveness of dance on motor functions, cognitive functions, and mental symptoms of individuals with PD. They chose dance as their intervention because it has been shown to activate the basal ganglia as well as improve mood. In addition to motor function and mood, the researchers also …

The Comprehensive Pt Management Of A Patient With Chronic Low Back Pain And Lumbar Radiculopathy: A Case Report, Robin Mcguire

Case Report Papers

Background and Purpose: Low back pain is the most common health problem among older adults resulting in pain and disability. Lumbar radiculopathy is a disabling condition causing low back pain that radiates into the lower extremity along the sensory distribution of the spinal nerve root. The purpose of this case report is to describe a comprehensive physical therapy plan for a patient with chronic low back pain and lumbar radiculopathy that included: therapeutic exercises using directional preference, interferential current, and manual traction. Case Description: The patient was a 60-year-old male with lumbar radiculopathy due to nerve root compression. He presented …

The Impact Of Schizophrenia On Copd Readmission Rate Among Hospitalized South Carolinians, Emilienne Y. Watonsi

DNP Research Projects

Due to elevated readmission costs, the Affordable Care Act established the Hospital Readmission Reduction Program in 2012 to curb the 30-day readmission rates. COPD and schizophrenia are two very expensive diseases, COPD national medical costs is projected to be $49.0 billion in 2020; the cost of schizophrenia was 155.7 billion in 2013. The main objective of this study was to determine if schizophrenia is a significant predictor of 30-day readmission following hospitalization for acute exacerbation of COPD after adjusting for age, gender, anxiety, smoking status, T2DM, chronic ischemic heart disease, and GERD. Methods: A retrospective cohort design was used to …