Medicine and Health Sciences Commons^™

Grassroots Advocacy With Tennessee Disability Coalition, Sylvia Stenger

OTD Capstone Projects

Grassroots advocacy initiative to gather family feedback and recommendations on group 4 of the Employment and Community First CHOICES Program in order to advocate for continued refinement of the ECF CHOICES Program with TennCare.

Understanding Of Aerosol Transmission Of Covid 19 In Indoor Environments, Adama Barro, Cathal O'Toole, Jacob S. Lopez, Matthew Quinones, Sherene Moore

Publications and Research

Our reason for discussing severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) or 2019 novel corona virus (Covid-19), is to understand its aerosol transmission characteristics in indoor spaces and to mitigate further spread of this disease by designing a new HVAC system. The problem that we are tackling is the spread of covid-19 droplets through aerosol transmission by looking at potential engineering solutions to the existing HVAC systems. The purpose is to eradicate the spread of the COVID-19 by testing indoor spaces in an effort to understand the effectiveness of ventilation controls. We believe that scientists and engineers have not …

Fall Prevention In A Neurosurgery Clinic, Beth Ann Bremer, Brenda Senger, Jonathan Dennis Carlson, Teresa Bigand, Deborah Smith

Articles, Abstracts, and Reports

No abstract provided.

Implementing The Use Of Nasal Midazolam During Acute Seizures, Elizabeth Armstrong

Scholars Week

The first line emergency drug used for seizures is rectal diazepam. The use of nasal midazolam should be the priority drug used. This research develops reasoning as to why schools, hospitals, and clinics should switch to NM. The key findings included ease of administration, quicker action time, with cheaper cost. Patients will greatly benefit from this medication change because a shortened seizure provides for a greater quality of life.

Music Therapy As A Means Of Pain Reduction And Decreased Opioid Use In The Icu Setting, Dakota Shemwell

Scholars Week

Abstract

Being in the ICU as a patient is not a pleasant experience by any stretch of the imagination. Patients in the ICU have recently had major surgery, are ventilated, or are critically ill in other ways. On top of this are the painful procedures that take place in the ICU; repositioning the patient and endotracheal suctioning are just two such procedures that take place in the ICU. Music therapy has been proven effective in reducing a patient’s pain thus, leading to fewer needed doses of PRN opioid pain medications. With our nation in the midst of an opioid epidemic, …

Implementing A Standard Handoff Amongst Nurses, Brennan Kunkel

Scholars Week

For many years the nursing handoff procedure was an informal passing of information between two nurses. While informal this handoff was still very vital to the care of a patient in any given circumstance. It can provide key details and information that could be missed or unknown from a previous shift. The nursing handoff has gone through many changes and improvements throughout the years. This paper looks at the error in nursing handoff and implementing a standard form to reduce error and improve patient safety and satisfaction. Upon inspection it was noticed that this topic has been overlooked in the …

Implementing Trauma-Informed Care Early In The Lives Of Children And Adults, Carley Clymer

Scholars Week

Throughout the health care industry, providers are failing to recognize the implications that adverse childhood experiences (ACEs) have upon adult health. As a result, these patients not only have to endure these traumas, but they’re also faced with crippling health conditions that accompany them including depression, heart disease and obesity. The prevalence of common high-risk behaviors such as smoking, drinking and illicit drug use can also co-exist with adversity, which leads to an exacerbation of already poor health. This presentation aims to relay the significance of adopting a trauma informed care (TIC) approach early in the lives of clients to …

Implementing Mandatory Bedside Report Between Nurses, Tosha Taylor

Scholars Week

Implementing bedside report into nursing practice is shown to be the best evidence based practice. However, many nurses do not implement bedside report into their practice for various reasons such of lack of knowledge on how to properly conduct bedside report. Bedside report can reduce medication errors, increase patient safety, and increase nurse accountability among other issues. This paper reviews the benefits of bedside report as well as how to properly implement mandatory bedside report among nurses through policy.

Implementing Mandatory Psychiatric Training For Medical-Surgical Nurses, Hannah Berry

Scholars Week

Hospitals worldwide experience poor outcomes for patients with mental illnesses. Psychiatric patients have a lesser likelihood of surviving a particular illness than does a person with that same illness who does not have a psychiatric comorbidity. This is a bleak reality that nurses have the unique opportunity to influence for the better. Destigmatizing mental illness is perhaps the largest component of stepping toward this goal. Our nurses being more educated on the nature of mental illnesses—their signs, symptoms, and common treatments—will improve care outcomes for patients who suffer from them. Not only should we educate nurses on mental illness for …

Family Presence During Resuscitation, Brittany Whistle

Scholars Week

Background:

Families want more involvement in their loved one’s care than they did just twenty years ago. Especially, in the matter of resuscitation efforts, this involvement remains controversial.

Evidence and Findings:

Based on research, theories, and multiple educated opinions, family presence during resuscitation (FPDR) needs to be implemented in hospitals. Theories by Kolcaba and Helvie demonstrate a need for comfort and positive energy around patients to enhance the healing process. Evidence has shown multiple benefits of FPDR. The patient receives a holistic approach of care, the family gains closure and feeling of participation of care, and provides a plan for …

Implementation Of Music Therapy To Reduce Anxiety In Icu Patients, Calley Womack

Scholars Week

Current practice in intensive care units regarding anxiety commonly results in administration of an anxiolytic, which can potentially increase patient’s time admitted, increase costs due to adverse effects, and decrease patient involvement in care. An analysis of multiple research studies was conducted to explore the best practice for management of anxiety, particularly the implementation of music therapy. Studies have been conducted on the implementation of music therapy to reduce levels of anxiety in patients on intensive care floors. Specifically, extensive research with music therapy has been conducted on patients receiving ventilation in the ICU. Consequentially, these studies have shown that …

Implementing Ppe And Precaution Use Among Patient Families And Visitors, Ashley Dunn

Scholars Week

The purpose of this paper is to discuss the current nursing policy regarding education, knowledge, and compliance of PPE (personal protective equipment) among patient families and visitors, and to further assess whether or not the policy in place needs to be strengthened and improved, or changed altogether. Upon investigation, it was found that PPE compliance and knowledge as well as hand hygiene compliance are lacking and are current issues seen among not only families and visitors of families, but nurses as well. There are few studies about this topic due to the fact that it is an issue that is …

Recommending That School Nurses Provide Mental Health Screenings To Students, Mariah Dufault

Scholars Week

Childhood mental health issues not being identified early, caused by a lack of knowledge and awareness in childhood mental health, can lead to lifelong debilitating issues. The Center for Disease Control states, “Mental disorders among children are described as serious changes in the way children typically learn, behave, or handle their emotions, which cause distress and problems getting through the day” (CDC 2020). These issues can lead to negative self-worth, a lack of ambition, thoughts of self-harm, aggression towards others, and suicidal ideations. Studies have even shown that, “Half of adults with mental health disorders report or have been shown …

Animal-Assisted With Nursing Home Residents, Kierstyn Stevens

Scholars Week

This study was conducted to evaluate the use of animal-assisted therapy in nursing home residents, particularly a Nursing and Rehabilitation center in Paducah, KY. Residents of long term care facilities, like a nursing home, face many challenges due to physical and mental changes. Factors contributing to these changes may include financial changes, loss of autonomy, mobility changes, etc. Various articles concerning animal-assisted therapy in elders, residents of hospitals, and residents of long-term care facilities were gathered to examine potential benefits. Findings indicated significant improvement in variables found often in elders, such as anxiety, depression, aggression, and loneliness. Many of these …

Implementing Music As A Distraction To Reduce Pain And Anxiety In Pediatrics, Marcanah Frye

Scholars Week

Music therapy is a safe and inexpensive intervention that can be used to reduce pain and anxiety in pediatric patients. There are several research articles that have proven that music therapy can positively affect patients. Various factors, like pain and anxiety scores, heart and respiratory rates, blood pressure, and oxygen saturation levels were observed throughout the study to help base the decision on whether or not music therapy was effective at reducing pain and anxiety. This therapy can be based upon the nursing theory of comfort by Katharine Kolcaba. Her goal for this theory of comfort was to put comfort …

Stat-Lock Stabilization, Michelle Hicks

Scholars Week

NUR 412 EBP Project Presentation- Stat-Lock Stabilization

Educating Nurses On Therapeutic Discussion Of Code Status, Alanna Wathen

Scholars Week

My presentation outlines the best ways according to current evidence on how nurses should discuss code status therapeutically with patients.

Requiring That Information On Umbilical Cord Blood Banking Options Be Provided Prior To Admission To The L&D Unit, Leighton Terrell

Scholars Week

This research project covers the topic of educating expectant mothers on the options for umbilical cord blood banking or donation. Through the research, it was determined exactly what umbilical cord blood banking was and the types of banking available. Umbilical cord blood banking has many benefits and has been proven to help treat various diseases. Transplantation of umbilical cord blood stem cells rather than bone marrow has improved the cure rates and survival rates of many treatments. Since the first transplantation in 1988, multiple lives have been changed, some even saved, by using blood that has been taken from an …

Development Of “Sharkavir”: A New Hypothetical Inhibitor For Hiv-1 Protease, Feza Abbas

Trick to the Treat of Internships and Research

HIV has infected approximately 37 million people worldwide and results in over 1 million deaths annually. A key component of the HIV life cycle is the enzyme HIV-1 protease, which is involved in cutting newly made protein components of the HIV virion. Our research focused on how can molecular models be used to simulate the binding of various HIV-1 prtease inhibitors including Darunavir, Ritonavir, and a novel combination of these two named "Sharkavir".

Addressing Research Ethics By Adapting Citation Management Software In Research Projects, Eunkyung Lee

Florida Statewide Symposium: Best Practices in Undergraduate Research

It was quite surprising that only a few undergraduate upper-level students were using citation management software on their research paper. It was more surprising that they were not aware that a lack of proper citations or cutting and pasting from other sources could be considered plagiarism in academic writings. They showed a significant reliance on direct quotations to avoid plagiarism. Cumbersome of manually adding citations in-text could be one of the reasons why undergraduate students omit referencing appropriate sources in-text as well as in the bibliography. EndNote is one of the citation management tools available for free to all current …

Implementing Bedside Regional Anesthesia: Improving Clinical Effectiveness, Geoffrey Ho, Everett Chu, Adam Greenwood, Jason Podolnick, Rachel Lubran, Natalie Pudalov, Philip Th Dela Cruz, Paul Dangerfield

Anesthesiology and Critical Care Medicine Faculty Posters and Presentations

No abstract provided.

Building The Bridge Between Front-Line Clinicians And Covid-19 Information, Elaine Sullo, Anne Linton, Laura Abate

Himmelfarb Library Faculty Posters and Presentations

No abstract provided.

Public Policy Origins Of U.S. Data, Bert Chapman

Libraries Faculty and Staff Presentations

Provides detailed introduction and overview of public policy origins of U.S. data. Shows how congressional legislation and Office of Management and Budget documents influence compilation and dissemination of U.S. Government data. Stresses how Indiana General Assembly requirements influence compilation of Indiana state agency data and Indiana local government agency data. Places emphasis on roles played in data compilation and dissemination by public policy research institutions/think tanks. Concludes by stressing limitations of data collection by governmental and non-governmental entities.

Preventing Falls-Interventions In Geriatric Psychiatry Patients: An Overview Of Current Literature, Samantha Beckwith

Maine Medical Center

PREVENTING FALLS-INTERVENTIONS IN GERIATRIC PSYCHIATRY PATIENTS: AN OVERVIEW OF CURRENT LITERATURE

Samantha Beckwith, BSN, RN, PMH-BC, P6

Background: The Inpatient Psychiatry unit at Maine Medical Center (P6) is a 21-bed unit specializing in geriatric and medical psychiatry. The majority of patients have a primary diagnosis of Dementia with Behavioral Disturbance. The unit features 12 double occupancy rooms and one single occupancy room, as well as a large activity room. Patients participate in a therapeutic milieu in which they are encouraged to interact with other patients in common areas and ambulate around the unit. The average number of patients is 19.6 …

Modification Of Current Techniques: Increasing Nipple Projection In Patients Receiving Nipple-Areolar Complex (Nac) Reconstruction, Annalisa Lopez, Aidee C. Nunez, Mauricio De La Garza

MEDI 9331 Scholarly Activities Clinical Years

Breast cancer is the most common malignancy diagnosed in women aside from nonmelanoma skin cancer; 276,480 new cases of breast cancer are estimated to be diagnosed by the end of 2020.1 An estimated 76% of patients with stage III or IV breast cancer pursue mastectomy as part of their treatment.2 Recent breast reconstruction trends reveal an upsurge in the percentage of patients pursuing breast reconstruction following mastectomy recent studies reveal that 54-63% of women undergoing mastectomy decide to pursue breast reconstruction.3 Breast reconstruction is conventionally considered complete after the restoration of the Nipple-areolar complex (NAC), 71% of patients consider a …

Regional Practice Lead Model, Beth Careyva M.D., Mary Stock Keister Md, Jennifer A. Ranton Md

Department of Family Medicine

No abstract provided.

Introducing Occupational Balance And Mindfulness-Based Stress Reduction To Women At The New Beginnings Center, Piper Cleveland

OTD Capstone Projects

The New Beginnings Center is a workout facility that provides coaching in nutrition, fitness, and health behaviors for women experiencing obesity in low socioeconomic classes. The purpose of this project was to enhance the current 12-week curriculum based on reserch and client feedback, as well as create a potfolio for the marketing team of evidence and testamonies. The two curriculum additions focused on stress reduction through occupational balance and mindfulness. In the "Schedule Redesign" class, we focused on the importance of finding maladaptive time use in their schedule (e.g. watching too much TV, laying in bed too long, etc.) and …

Colorectal Cancer Screening: All Strategies Matter., Brian Stello Md, Kyle Shaak Mph

Department of Family Medicine

No abstract provided.

Foundations Of An Outpatient Antibiotic Stewardship Program, Brian Stello Md, Eric T. Young Md, Jarrod W. Kile Rphd, Timothy J. Friel Md, Grant M. Greenberg M.D., M.H.S.A., M.A., Tibisay Villalobos Md, Kristin M. Held-Wheatley Pharmd, Bcop, Katarzyna Jabbour Pharmd, Bcps, Kathryn Zaffiri Mph

Department of Family Medicine

No abstract provided.

Self Regulation Protocol For Move Inclusive Dance, Rebecca Denton

OTD Capstone Projects

Due to the prevalence of autism, Down Syndrome, and sensory processing disorder in the dancers of MOVE Inclusive Dance, a self regulation protocol was formed. This protocol will help the dancers transition from the studio to recital hall in a sensory inclusive way. The protocol is a holistic program that lasts 6 weeks and encompasses numerous aspects including yoga, sensory room, visual supports, social narratives, and optional nutrition guide.