Medicine and Health Sciences Commons^™

The Use Of Managemed Screening Tool For Directing Occupational Therapy Intervention In The Home Health Setting, Taylor J. Kouts

OT Student Capstones

Medication non-adherence has been an ongoing problematic public health issue in the United States that has resulted in negative complications such as financial expenditure, a lower quality of life, increased chronic health conditions, frequent hospital readmission, increased health care costs, morbidity, and mortality across a variety of health care conditions (CDC, 2017; Yap et al., 2016). An estimated $100-300 billion dollars is spent annually on medication adherence across the nation (CDC, 2017; Robnett et al., 2007). With costs on the rise, it has been identified that around 50% of individuals take medication incorrectly, and 14-77% actively or passively fall in …

Balance And Bloom: Encouraging Self-Regulation And Resilience Through Yoga And Mindfulness, Kayla Previti

OT Student Capstones

The experiences an individual has throughout their childhood sets the foundation for their overall life trajectory. Adverse childhood experiences (ACEs) leave a lifelong impact on a person's mental, emotional, spiritual, and physical health. It is estimated that the impact of ACES on an individual leads to an economic burden of $830,928 in terms of such services as law enforcement, child welfare, medical treatment, hospitalization, and loss of productivity and wages (Fang, Brown, Florence, & Mercy, 2012; Peterson, Florence, & Klevens, 2018). Occupational therapists and other health professionals have the ability to develop programs that fill the gaps in preventing and …

Development Of Clinical Practice Guidelines For Chemotherapy-Induced Peripheral Neuropathy Rehabilitation, Rikki Silver

OT Student Capstones

In the past four decades, there have been significant improvements in early cancer detection and efficacy of cancer treatments, resulting in a growing number of cancer survivors. People diagnosed with cancer are now living longer than ever before; while lifespan after cancer is increasing, cancer survivors are experiencing health and functional challenges due to the persistent effects of curative therapy (Rowland et al., 2018). One of these effects includes chemotherapy-induced peripheral neuropathy (CIPN). Approximately 70% of patients receiving neurotoxic chemotherapy experience CIPN, an uncomfortable and sometimes painful sensation in the hands and feet (Seretny et al., 2014). The likelihood of …

The Role Of Occupational Therapy In A Multidisciplinary Outpatient Concussion Setting: Persistent-Post Concussion Symptoms, Lina Rivera

OT Student Capstones

Background and Purpose: Nearly 15%-20% of individuals with a concussive or mTBI experience persistent residual cognitive, psychosocial or physical symptoms (Cogan et al., 2019). Majority of patients who sustain a concussion recover within 10 days, however, 15-20% of individuals experience prolonged recovery lasting longer than 10 days or suffer from post concussive symptoms affecting one’s participation in daily occupations (Patricios et al., 2015 & Harris et al., 2019.) With increased awareness of concussions, concussion management approaches have shifted from complete rest to a holistic, whole-body approach and graded return to activity to improve functional outcomes. The purpose of this study …

Scoping Review Of Female Sex Workers Risk Factors And Interventions, Colleen White

OT Student Capstones

A considerable amount of the stigma surrounding sex work can be contributed to the misconception of why women enter or do not exit sex work. The purpose of this research was to summarize the current knowledge of sex work using the scope of occupational therapy to enhance sex workers health and well-being. To achieve this, a scope of the literature for interventions that address this issue and their effectiveness, as well as literature that addressed risk factors for entering and remaining in sex work was conducted. The original search was conducted in June of 2021 and yielded a total of …

Library & Knowledge Services Newsletter - Winter 2020/21, Baystate Health Sciences Library

Library Newsletters

Baystate Library & Knowledge Services - Winter 2020/21

Preoperative Atrial Fibrillation/Flutter Impact On Risk-Adjusted Repeat Aortic Intervention Patients[Protocol], Samantha Novotny, Julia Dokko, Xiaoyue Zhang, Sohaib Agha, Ashutosh Yaligar, Natalie Kolba, Vineet Tummala, Puja Parikh, Aurora Pryor, Henry Tannous, A. Laurie Shroyer, Thomas Bilfinger

Department of Surgery Faculty Publications

No abstract provided.

Stay-At-Home Order And Spatial Disparities In Covid-19 Pandemic In New York City, Youqin Huang, Rui Li

Understanding and eliminating minority health disparities in a 21st-century pandemic: A White Paper Collection

Much of the world has adopted unprecedented lockdown policies as the key method to address the spread of COVID-19; yet their effect on pandemic outcomes remain largely unknown. This research determines how mobility restriction policies and public transit system shape intra-city health disparities in this pandemic, using New York City as a case study. With a spatial method and multiple sources of data, this research demonstrates the effectiveness of the stay-at-home order. On average, people spent about 20% more time at home in 2020 than in the same period in 2019. Census tracts with people spending more time at home …

Hydration And Nutrition During Labor, Muna Abdi, Katie Cooper

All Electronic Theses and Dissertations

Background/Purpose: Historically women have birthed in their own homes. As birth moved to the hospital, concerns surrounding gastric aspiration following general anesthesia led to restrictive intake policies for laboring women. Current professional recommendations vary regarding nutritional intake in labor. The purpose of this paper is to determine whether there are differences in maternal outcomes when different forms of hydration and nutrition are used during labor. Theoretical Framework: Neuman’s Systems Model was the theoretical framework used to guide the research process. This model includes four systems (client-client, environment, health, and nursing) which work together to promote holistic wellness. Methods: A thorough …

Postplacental Intrauterine Device Insertion: Efficacy And Barriers, Tommi Amanda Ladd Carrell

All Electronic Theses and Dissertations

As many as half of all women do not attend postpartum care and receive desired family planning care. Left with little to no resources for obtaining contraception, many go on to have subsequent unplanned pregnancies. The American College of Obstetricians and Gynecologists has stated that offering long-term, reversible contraception at the time of birth should be considered for these women, yet adoption of this procedure remains low. This literature review will evaluate the efficacy and advantages of postplacental intrauterine device placement and barriers to implementing the procedure.

Perineal Massage Or Warm Compress To Decrease Perineal Trauma In Second Stage Of Labor, Amanda Condon, Colleen Williams

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this review of research is to determine if the use of perineal massage or warm compress in the second stage of labor decreases perineal trauma, including spontaneous lacerations or the need for an episiotomy. Theoretical Framework: Betty Neuman’s Systems Model asserts that each person will interact with the environment with their own set of variables. Neuman’s Systems Model focuses on maintaining health with the prevention of three categories of stressors: primary, secondary and tertiary. Nurse-midwives work to prevent perineal trauma by considering what interventions strengthen the defense of each women to the environment stressors of physiologic …

Maintaining Postpartum Bleeding: Effects Of Tranexamic Acid, Shenider Dufort

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this literature appraisal is to determine the effectiveness of tranexamic acid (TXA) and its ability to stabilize postpartum bleeding. TXA is an antifibrinolytic pharmacologic drug found to reduce blood loss associated with trauma and patients undergoing major surgeries. When administered in combination with other uterotonics, the World Health Organization predicts the prophylactic use of TXA could globally improve the morbidity and mortality rates associated with postpartum hemorrhaging. Theoretical Framework: Kurt Lewin’s change theory was used in the development of this literature review. The Lewin change theory emphasizes the importance of change and development within a medical …

The Resilient Midwife, Sarah M. Dorsey

All Electronic Theses and Dissertations

Midwives have been shown to significantly improve birth outcomes; the World Health Organization proposes that 83% of maternal deaths, newborn deaths, and stillbirths could be prevented through midwifery care. However, burnout level in this profession is high; a 2017 survey of U.S. certified nurse-midwives and certified midwives revealed that 40.6% of these professionals were suffering from burnout. The purpose of this paper is to identify strategies to facilitate resilience and decrease burnout in the midwifery professionMethods: 1427 articles were screened to yield twenty research studies relevant to improving resiliency and decreasing burnout the midwifery profession. The twenty articles were summarized …

Implementing A Health And Wellness Program For Low Income Children And Their Families: A Community Outreach Program, Kailey Ann Geib, Hannah N. Moland, Emily Nicole Nelson

All Electronic Theses and Dissertations

Low income status has been proven to have negative effects on overall health, such as increased prevalence of chronic diseases and poor childhood development (Gupta, de Wit, & McKeown, 2007). Children living in communities of this status often do not have access to healthy foods or exercise facilities in comparison to middle and upper class children (Gupta, de Wit, & McKeown, 2007). Enhancement of education on these topics has the ability to combat the risk for poor health outcomes. A health and wellness program called SMILE was created and implemented at a child care center, called Carol Mathey’s Center for …

Telehealth Use During The Prenatal Period: Strengths And Limitations, Adrian M. Goblisch, Tessa L. Hand

All Electronic Theses and Dissertations

Background/Purpose: The purpose of this paper is to examine the risks and benefits of telehealth use during the prenatal period. With the increasing use of technology to provide healthcare, especially during the COVID-19 pandemic, it is critical to examine the implications this care modality has on individuals and the community. Theoretical Framework: Katharine Kolcaba’s Comfort Theory was applied to the topic of telehealth use in the prenatal period. This theory explains that there is an immediate experience of strengthening when relief, ease, and transcendence are met and that an individual is more likely to exhibit health-seeking behaviors when comfort in …

The Effectiveness Of Comprehensive Sexual Education For Teens: An Exploration Of The Advantages And Disadvantages, Crystal L. Iddings, Danielle J. Wadsworth

All Electronic Theses and Dissertations

Background/Purpose: The teen pregnancy rate in the United States was18.8 per 1000 in 2017. Although this is an all-time low for teen pregnancy in the United States, it is still the highest rate among developed countries. This literature review aimed to reveal the advantages and disadvantages of comprehensive sexual health education. Theoretical Framework: In 1947, Kurt Lewin identified three stages to the Change Theory which people go through while making change: unfreezing, change, freeze (or refreeze). These three major concepts are the force that pushes forward for change to occur. Methods: Twenty research articles were critically reviewed with the purpose …

Pa School And Relationship Satisfaction, Hannah M. Kerkhof, Rebecca Kornowski

All Electronic Theses and Dissertations

Physician assistant programs are rigorous, fast-paced, and time intensive, putting significant stress on PA students themselves and their romantic relationships. Research has been done on the effects of medical school on student mental health and romantic relationships, but there is a lack of research on PA students who undergo a similar didactic education. Determining the relationship between PA school stressors and relationship satisfaction may aid in the development of coping mechanisms for couples, reduce student and partner stress, and improve student well-being. The study revealed students who were married, male, between the ages of 30-39,cohabiting, or in long term relationships …

Dance: The Movement Supporting Safe, Sovereign And Satisfying Birth Experiences, Lisa Marie Morgan

All Electronic Theses and Dissertations

Labor dance utilizes upright positioning, hands and knees position, use of the rebozo and other alternative labor and birth positions as a traditional means of taking advantage of gravity and increasing the pelvic diameter in labor and birth. Despite recommendations by the American College of Nurse-Midwives (ACNM) and the American College of Obstetricians and Gynecologists (ACOG) supporting such positions, promotion and use of labor dance remain in the margins of labor and birth experiences for most women. This literature review finds that labor dance increases safety, sovereignty and satisfaction in the labor and birth experience for women. Further, this simple …

Evaluating The Impact Of Volunteer And Facility Provided Doula Support In The Intrapartum Period On Maternal, Neonatal, And Psychosocial Outcomes In The Hospital Setting, Kayla Puent, Keirsta Marie Ragels

All Electronic Theses and Dissertations

Background/Purpose: The unacceptably high maternal mortality rate in the United States has demanded a call to action for evaluation and implementation of efforts to improve both maternal and neonatal outcomes. Low-resource and low-socioeconomic populations are at a higher risk of experiencing adverse birth outcomes. Doulas have continuously been recognized as key tools in improving outcomes, but not all birthing persons have access to them. The positive impact of continuous labor support in improving outcomes is recognized by the American College of Obstetricians, American College of Nurse-Midwives, the Society for Maternal-Fetal Medicine, and the March of Dimes. The purpose of this …

Breastfeeding Education And Support For Marginalized Women To Increase Exclusive Breastfeeding Rates, Kelsea J. Rush, Leah Vogel

All Electronic Theses and Dissertations

Background/Purpose: Marginalized women have significantly lower rates of breastfeeding initiation and duration and also experience significant health disparities when compared to non-marginalized populations. Breastfeeding has positive health benefits to both mother and child and could help to reduce these disparities. The purpose of this critical appraisal of the literature was to determine the effects of additional breastfeeding education and support on breastfeeding among marginalized groups of women. Theoretical Framework: Ramona Mercer’s Maternal Role Attainment Theory was used as a framework for the literature review by following the four stages of attainment; anticipatory, formal, informal, and personal. Methods: Twenty relevant, scholarly …

Assessment Of Medical Experiences Of Hearing Guardians With Deaf Or Hard Of Hearing Children In The Twin Cities, Hannah R. Jaster, Erin R. Rudolph, Melinda Sorensen

All Electronic Theses and Dissertations

This paper assesses the medical experiences guardians of deaf or hard of hearing children have after their children are first diagnosed with a hearing loss within the Twin Cities region of Minnesota. Data collection used a mixed methods approach through a survey containing Likert scale questions and opportunities to elaborate on personal experiences. The non-profit organization MN Hands & Voices provided a population qualified to participate in this study who were hearing guardians with a child under ten years old diagnosed within the Twin Cities region of Minnesota. Hearing loss can cause delays in language development if not diagnosed early, …

Diagnosing Dermatological Conditions In The Non-Caucasian Population, Mackenzie M. Mellum, Candace Joyce Nysted, Kassidy E. Westrom

All Electronic Theses and Dissertations

There is currently a lack of resources available on dermatological conditions in the non-Caucasian population; therefore, additional educational materials are needed to supplement the education of healthcare professionals (Ebede & Papier, 2006). The researchers created an educational module with common dermatological conditions, the presentation of various dermatological conditions, and descriptive pictures of how each condition presents in the non-Caucasian population to use as a supplement to the current dermatology modules that are used throughout various health and social science programs at Bethel University in Arden Hills, MN. The topics of the module include basal cell carcinoma, squamous cell carcinoma, melanoma, …

The Effects Of Socialization On The Progression Of Dementia, Caitlyn Hagstrom, Ashley G. Heppner, Katelyn N. Kunde

All Electronic Theses and Dissertations

Dementia is an umbrella term for a group of disorders marked by a decline from baseline in memory, executive function, and other cognitive functions such as reasoning, handling complex tasks, and spatial orientation, all of which interferes with activities of daily living and independence (Larson, 2019). Current pharmaceutical management of dementia and related symptoms is limited (Press & Alexander, 2019b). As dementia progresses, the cognitive skills required to maintain social interactions and familial relationships decline, therefore affecting the perceived loneliness and isolation of the person living with dementia. This research was conducted to understand the role of socialization in the …

The Role Of Specialty Care In Pediatric Management In Minnesota, Marissa Hall, Rachel Nornes

All Electronic Theses and Dissertations

Childhood asthma can be a challenging condition to manage and often requires individually tailored pharmacologic therapy in order to prevent symptom exacerbation and subsequent hospitalizations. Many patients and their families seek guidance from primary care providers or specialty care clinics to help in navigating appropriate medication management and symptom control. This study aimed to identify the role of specialty care management in pediatric asthmatics through the completion of a systematic chart review of patient records obtained from a Minnesota-based pediatric pulmonology clinic. The methodology included a qualitative retrospective cohort analysis which focused on patient referral source, specific treatment interventions, and …

Mitigating Mitochondrial Dysfunction In The Insulin Resistant Phenotype: A Ketogenic Diet And Intermittent Hypoxia, William Christian Grillo, Joshua Pinson, Bethany K. Tangen

All Electronic Theses and Dissertations

Chronic disease currently affects 45%, nearly half, of all persons in the United States (Raghupathi & Raghupathi, 2018). A systemic, cellular etiology of chronic disease has been proposed: literature supports the mechanism of a universal cell danger response (CDR) (Naviaux, 2019). The hallmark of the CDR, the shift in metabolism to anaerobic glycolysis, is initiated by altered functionality of the mitochondria (Naviaux, 2019). Current research on mitochondrial dysfunction has demonstrated that a hypoxic intervention has successfully increased longevity in mice with mitochondrial dysfunction, but such an intervention has not, to our knowledge, been attempted in humans (Jain et al., 2016). …

Assessing Real-World Spot Urine Sodium Values During Continuous Intravenous Infusion Of Loop Diuretics, Rachel Propst, Michael Akers

Pharmacy Posters

• The use of spot urine sodium (UNa)>60 mmol/L as an objective measure to guide diuretic therapy in patients receiving bolus intravenous loop diuretics has been associated with increased weight loss and decreased length of stay.
• There is limited published data evaluating UNa use in patients receiving continuous intravenous loop diuretic infusions.

Nursing Annual Report: 2021, Centracare Health

Nursing Annual Report

Message from the CNO

Message from Central Operations, SVP - St. Cloud Hospital President

St. Cloud Hospital Statistics

New Magnet Program Director, Nursing Strategic Plan FY 2021

Patient Experience

Nursing Care Delivery

Exemplary Professional Practice

Shared Governance

Working Relationships

Professional Development

Nursing Makes a Difference

What Are The Life Experiences Of Health Care Professionals Working During The Covid Pandemic?, Laniece Mcgee

Public Health Education, MPH

Since the end of December 2019, a virus named Coronavirus disease 2019 (COVID-19) has spread rapidly worldwide. First originated in Wuhan China, COVID-19 was declared an international public health emergency by the World Health Organization on January 30, 2020. On March 11, 2020, the COVID-19 outbreak was declared a pandemic. Approximately, there were 792,000 deaths attributed to COVID 19 as of August 21, 2020. Photovoice is a highly recommended participatory research method first introduced by Wang and Burris in the early 90s. The main purpose of photovoice was to give people a way to reflect, talk, learn, share, and make …

Adios 2020 And Welcome 2021, Srinivasan Ragothaman

Creative Work

This is a short ballad about current health policy and practice regarding the Coronavirus. As vaccines are being administered, this poem points out that light is at the end of the tunnel. At the same time it urges caution, vigilance, masking and common sense. It praises science and scientists. It also calls for unity, cooperation and healing!

Design And Synthesis Of Non-Xanthone Structural Analogs Of Α-Mangostin, Maryam Foroozmehr

Theses and Dissertations

α-Mangostin belongs to a class of polyphenolic compounds called xanthones. The potential pharmacological effects such as anti-bacterial and anti-cancer effects of α-mangostin have made it an important natural product for medicinal chemistry evaluation. During this thesis research, we have designed and synthesized a series of non-xanthone analogs of α-mangostin for medicinal chemistry evaluation. A commercially available starting material, methyl-4-methoxysalicylate was used to synthesize these non-xanthone analogs. The analogs were designed as more flexible derivatives compared to the tricyclic motif within α-mangostin yet retain the hydroxybenzoate scaffold. Through a one-pot chemical synthesis, with relatively high yield (70%), we prepared eight different …