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Articles 1 - 30 of 48
Full-Text Articles in Nursing
Seasonal And Migrant Agricultural Workers: A Neglected Work Force, Kennith Culp, M. Umbarger
Seasonal And Migrant Agricultural Workers: A Neglected Work Force, Kennith Culp, M. Umbarger
Kennith R. Culp
A desperate need exists to provide occupational health services to migrant and seasonal farm workers in the United States. There are unique challenges related to this endeavor, and the authors have attempted to explain some of the issues that have not been previously discussed in a forthright manner. In doing so, it is likely that some controversy related to the topic has been introduced.
Workplace Hazards In Iowa Nursing Homes: Perceptions Of Certified Nursing Assistants, Kennith Culp, Sandra Ramey, D. Burdsall
Workplace Hazards In Iowa Nursing Homes: Perceptions Of Certified Nursing Assistants, Kennith Culp, Sandra Ramey, D. Burdsall
Kennith R. Culp
No abstract provided.
Iowa Certified Nursing Assistants Study: Self-Reported Ratings Of The Nursing Home Work Environment, Kennith Culp, S. Ramey, S. Karlman
Iowa Certified Nursing Assistants Study: Self-Reported Ratings Of The Nursing Home Work Environment, Kennith Culp, S. Ramey, S. Karlman
Kennith R. Culp
No abstract provided.
Intrahospital Transport Of The Critically Ill Adult, M. Caruna, Kennith Culp
Intrahospital Transport Of The Critically Ill Adult, M. Caruna, Kennith Culp
Kennith R. Culp
No abstract provided.
Risk For Acute Confusion In Sensory-Impaired, Rural, Long-Term-Care Elders, P. Cacchione, Kennith Culp, M. Dyck, J. Laing
Risk For Acute Confusion In Sensory-Impaired, Rural, Long-Term-Care Elders, P. Cacchione, Kennith Culp, M. Dyck, J. Laing
Kennith R. Culp
Acute confusion is a common geriatric syndrome in long-term care (LTC) elders with prevalence rates of 10% to 39%. Sensory impairment, specifically vision and hearing impairment, is even more common in LTC, with prevalence rates of 40% to 90%. The purpose of this study was to investigate the risk relationship between sensory impairment and the development of acute confusion in LTC elders. Each resident (N = 114) underwent sensory screening and then was followed for 28 days to monitor for the onset of acute confusion. Twenty residents (17.5%) developed acute confusion, 60 residents (52.6%) were found to be visually impaired, …
Hydration And Acute Confusion In Long-Term Care Residents... Including Commentary By Lindgren Cl And Mills Em With Author Response, Kennith Culp, J. Mentes, B. Wakefield
Hydration And Acute Confusion In Long-Term Care Residents... Including Commentary By Lindgren Cl And Mills Em With Author Response, Kennith Culp, J. Mentes, B. Wakefield
Kennith R. Culp
Although it is generally appropriate for a healthy adult to consume 2000 to 2500 ml per day, the literature does not address evaluating any standard. The objective here was to develop a weight-based hydration management intervention and evaluate the impact of this on the incidence of acute confusion (AC) using an N = 98. The intervention consisted of a fluid intake goal based on 100 ml per kg for the first 10 kg, 50 ml/kg for the next 10 kg, and 15 ml for the remaining body weight. The treatment group received instruction and assistance on the fluid goal and …
Geriatric Hemodialysis Patients: A Comparative Study Of Vascular Access... Including Commentary By Courts Nf And Mathers T, Kennith Culp, L. Taylor, P. Hulme
Geriatric Hemodialysis Patients: A Comparative Study Of Vascular Access... Including Commentary By Courts Nf And Mathers T, Kennith Culp, L. Taylor, P. Hulme
Kennith R. Culp
OBJECTIVES: To compare vascular access in hemodialysis patients >/= 65 years of age with those /= 65 years). DESIGN: A descriptive, longitudinal study with a 1-year follow-up period. METHODS: Following the placement of a permanent vascular access, information was collected by the dialysis nursing staff about the configuration of the access, needle gauge used for cannulation, dialysis prescriptions, diabetic status, and other comorbid disease conditions. Odds ratios (OR) for vascular access thrombosis (VAT) risk were calculate between the two age groups. RESULTS: Comparisons between the two age groups suggest a higher frequency of polytetrafluorethylene (PTFE) grafts in the >/= 65-year-old …
Relationship Of Cardiovascular Disease To Stress And Vital Exhaustion In An Urban, Midwestern Police Department, Sandra Ramey, Elena Perkhounkova, Nancy Downing, Kennith Culp
Relationship Of Cardiovascular Disease To Stress And Vital Exhaustion In An Urban, Midwestern Police Department, Sandra Ramey, Elena Perkhounkova, Nancy Downing, Kennith Culp
Kennith R. Culp
This study explored risk factors for cardiovascular disease (CVD) among 336 officers of a Midwestern police force. Instruments used included the Perceived Stress Scale, the Maastricht Questionnaire (measuring vital exhaustion), and a general Health Risk Appraisal. Rates of CVD, hypertension, and hypercholesterolemia were 3%, 28%, and 43%, respectively. The relative risk of hypercholesterolemia for male officers, compared to female officers, was 1.98 (95% confidence interval [CI], 1.10 to 3.56). The officers' average body mass index was 28.6 (SD = 4.9), with 80% being overweight or obese. The average vital exhaustion score was higher for female officers than male officers (p …
Using The Quetelet Body Mass Index As A Mortality Indicator For Patients Starting Renal Replacement Therapy... Including Commentary By Parker Kp With Author Response, Kennith Culp, M. Flanigan, J. Dudley, L. Taylor, T. Bissen, S. Garrison
Using The Quetelet Body Mass Index As A Mortality Indicator For Patients Starting Renal Replacement Therapy... Including Commentary By Parker Kp With Author Response, Kennith Culp, M. Flanigan, J. Dudley, L. Taylor, T. Bissen, S. Garrison
Kennith R. Culp
OBJECTIVE: The prupose of this study was to compare clinical profiles and mortality risk of patients starting renal replacement therapy (RRT) across three Quetelet body mass index (BMI) classifications: lean, normal, and obese. SAMPLE/SETTING: All patients applying for dialysis services using Health Care Financing Administration (HCRA) form 2728-U4 were sampled during the period of April 1, 1995 through June 30, 1995 in two end-stage renal disease (ESRD) Networks. These two ESRD networks encompassed 7 states and provided 846 patients for this analysis. DESIGN: A descriptive survival study was used with a follow-up period of 18 months. METHODS: The Quetelet BMI …
Risk Factors And Outcomes Associated With Hospital Admission For Dehydration, B. Wakefield, J. Mentes, J. Holman, Kennith Culp
Risk Factors And Outcomes Associated With Hospital Admission For Dehydration, B. Wakefield, J. Mentes, J. Holman, Kennith Culp
Kennith R. Culp
The hospital admission rate for dehydration is one of the Agency for Healthcare Research and Quality Prevention's Quality Indicators, which are considered screening tools for potential quality issues. Thus, admission for dehydration may reflect the quality of care provided in community settings. Using a case-control design, this study estimated the incidence, risk factors, and outcomes of dehydration in adults admitted to the hospital. The overall prevalence rate for three International Classification of Diseases codes for dehydration at admission was 0.55%. Cases and controls differed significantly on a number of clinical variables at admission, including weight, body mass index, pulse, blood …
Preventing Heat-Related Illness Among Hispanic Farmworkers, Kennith Culp, S. Tonelli, Sandra Ramey, K. Donham, L. Fuortes
Preventing Heat-Related Illness Among Hispanic Farmworkers, Kennith Culp, S. Tonelli, Sandra Ramey, K. Donham, L. Fuortes
Kennith R. Culp
Hispanic and Latino farmworkers are at risk for negative occupational health and safety outcomes due to issues such as their extreme work conditions, their reliance on employer beneficence, and cultural barriers. The purpose of this article is to explain the unique characteristics of heat-related illness in the Hispanic agricultural work force and to provide an overview of the problems of poor hydration and heat exposure in this population. Culturally appropriate preventive strategies are discussed because industrial-type solutions may not work in a crop production environment where language and beliefs may interfere with adaptation.
Delirium In Elderly Patients: An Overview Of The State Of The Science, M. Foreman, B. Wakefield, Kennith Culp, K. Milisen
Delirium In Elderly Patients: An Overview Of The State Of The Science, M. Foreman, B. Wakefield, Kennith Culp, K. Milisen
Kennith R. Culp
Delirium is a common and potentially preventable and reversible cause of functional disability, morbidity, mortality, and increased health care use among elderly individuals. Much has been learned about delirium in the past decade. Highlighted in this article are recent advances in the diagnosis of delirium, delirium in long-term care, use of health care resources, outcomes of delirium, etiologies, and interventions to prevent and treat delirium. Suggestions for future research also are proposed.
Health Status And Resources Of Rural Homeless Women And Children, Martha Craft-Rosenberg, S. Powell, Kennith Culp
Health Status And Resources Of Rural Homeless Women And Children, Martha Craft-Rosenberg, S. Powell, Kennith Culp
Kennith R. Culp
The purpose of this research is to describe the health status and health resources for homeless women and children in a Midwestern rural community. A group of 31 rural homeless women in a shelter participated in the study by answering questions on the Rural Homeless Interview developed by the investigators. The findings revealed higher than expected rates of illness, accidents, and adverse life events, with the incidence ofsubstance abuse and mental illness being comparable to data from other homeless populations. The data on children were limited by lack of knowledge on the part of their mothers. Some mothers reported that …
Premorbid Intellect And Current Rbans Performance: Discrepancy Scores In Three Geriatric Samples, K. Duff, M. Schoenberg, L. Beglinger, D. Moser, J. Bayless, Kennith Culp, R. Carnahan, J. Mold, J. Scott, R. Adams
Premorbid Intellect And Current Rbans Performance: Discrepancy Scores In Three Geriatric Samples, K. Duff, M. Schoenberg, L. Beglinger, D. Moser, J. Bayless, Kennith Culp, R. Carnahan, J. Mold, J. Scott, R. Adams
Kennith R. Culp
Assessing cognitive change during a single visit requires the comparison of estimated premorbid abilities and current neuropsychological functioning. As newer instruments are developed to measure current cognitive functioning, their relationships with premorbid estimates need to be evaluated. The current study examined the clinical utility of discrepancy scores between an estimate of premorbid intellect derived from demographic variables (i.e., Barona) and the Total score on the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) in three geriatric samples. A large community-dwelling control sample and two clinical samples were examined. As expected, there was little difference between estimated premorbid intellect and …
Studying Acute Confusion In Long-Term Care: Clinical Investigation Or Secondary Data Analysis Using The Minimum Data Set?, Kennith Culp, J. Mentes, E. Mcconnell
Studying Acute Confusion In Long-Term Care: Clinical Investigation Or Secondary Data Analysis Using The Minimum Data Set?, Kennith Culp, J. Mentes, E. Mcconnell
Kennith R. Culp
Incidence and prevalence rates between hospital settings and longterm care settings may be significantly different because of diagnostic challenges imposed by the higher prevalence of dementia in the nursing home population, the notion that dementia is a risk factor for acute confusion, and that individuals who are acutely confused may not want to be identified.
The Relationship Of An Anticholinergic Rating Scale With Serum Anticholinergic Activity In Elderly Nursing Home Residents., R. Carnahan, B. Lund, P. Perry, Kennith Culp
The Relationship Of An Anticholinergic Rating Scale With Serum Anticholinergic Activity In Elderly Nursing Home Residents., R. Carnahan, B. Lund, P. Perry, Kennith Culp
Kennith R. Culp
No abstract provided.
Traumatic Injury Rates In Meatpacking Plant Workers, Kennith Culp, M. Brooks, Kerri Rupe, C. Zwerling
Traumatic Injury Rates In Meatpacking Plant Workers, Kennith Culp, M. Brooks, Kerri Rupe, C. Zwerling
Kennith R. Culp
This was a 3-year retrospective cohort study of traumatic injuries in a midwestern pork meatpacking plant. Based on n = 5410 workers, this was a diverse workforce: Caucasian (56.6%), Hispanic (38.9%), African American (2.7%), Asian (1.1%) and Native American (0.8%). There were n = 1655 employees with traumatic injuries during this period. At 6 months of employment, the probability of injury was 33% in the harvest workers who were responsible for slaughter operations. The overall incidence injury rate was 22.76 per 100 full-time employees per year. Women experienced a higher incidence for injury than men. The risk ratio (RR) for …
Civic Engagement As A Retirement Role For Aging Americans, B. Kaskie, S. Imhof, J. Cavanaugh, Kennith Culp
Civic Engagement As A Retirement Role For Aging Americans, B. Kaskie, S. Imhof, J. Cavanaugh, Kennith Culp
Kennith R. Culp
No abstract provided.
Agricultural Health In The Gambia I: Agricultural Practices And Developments, R. Kuye, K. Donham, S. Marquez, W. Sanderson, L. Fuortes, R. Rautiainen, M. Jones, Kennith R. Culp
Agricultural Health In The Gambia I: Agricultural Practices And Developments, R. Kuye, K. Donham, S. Marquez, W. Sanderson, L. Fuortes, R. Rautiainen, M. Jones, Kennith R. Culp
Kennith R. Culp
This manuscript reports results of our study to characterize the historical developments of agricultural practices in The Gambia and related health risks of farm workers. It surveys the various factors that shape production agriculture in the country and examines the degrees to which hand tools, animal traction, motorized traction and manual labour all contribute to the inherent hazards of farm work. The principal objective of this study is to lay the ground work for detailed research of occupational health hazards in Gambian agriculture; and development of policies and programmes to promote the health of Gambian farmers. The authors of this …
Agricultural-Related Injury And Illness In The Gambia: A Descriptive Survey Of A Rural Nursing Service And Area Farmers, Kennith Culp, R. Kuye, K. Donham, R. Rautiainen, M. Umbarger-Mackey, S. Marquez
Agricultural-Related Injury And Illness In The Gambia: A Descriptive Survey Of A Rural Nursing Service And Area Farmers, Kennith Culp, R. Kuye, K. Donham, R. Rautiainen, M. Umbarger-Mackey, S. Marquez
Kennith R. Culp
This is an exploratory, descriptive study based on a convenience sample from a rural nursing service and in-country area farmers from The Gambia. The purpose of the study was to provide descriptive information about agricultural-related injury and illness from area farmers and to obtain data from rural nurses about the time they spent caring for and treating farmers. Employees of the nursing service could read and write English fluently and thus completed a written questionnaire; the area farmers were unable to read and write English so they were interviewed by farm extension workers in their own tribal language. The most …
Pesticide Handling And Exposures Among Cotton Farmers In The Gambia, R. Kuye, K. Donham, S. Marquez, W. Sanderson, L. Fuortes, R. Rautiainen, M. Jones, Kennith Culp
Pesticide Handling And Exposures Among Cotton Farmers In The Gambia, R. Kuye, K. Donham, S. Marquez, W. Sanderson, L. Fuortes, R. Rautiainen, M. Jones, Kennith Culp
Kennith R. Culp
Objectives: There are substantial health hazards to farmers and the environment associated with pesticide use in developing countries. Based on observations by the authors and previous reports, most previous studies in Africa are descriptive in nature. The aim of this study was to investigate how cotton farmers are exposed to pesticides in The Gambia and quantify their pesticide exposures and provide information for the formulation of a policy on pesticide safety for the country. Methods: A representative sample of 20 cotton farmers in the Central and Upper River Divisions (CRD and URD) of The Gambia were surveyed by questionnaires. Dermal …
Comparing The Geriatric Depression Scale, Minimum Data Set, And Primary Care Provider Diagnosis For Depression In Rural Nursing Home Residents, C. Kerber, M. Dyck, Kennith Culp, Kathleen Buckwalter
Comparing The Geriatric Depression Scale, Minimum Data Set, And Primary Care Provider Diagnosis For Depression In Rural Nursing Home Residents, C. Kerber, M. Dyck, Kennith Culp, Kathleen Buckwalter
Kennith R. Culp
BACKGROUND: Depression has a substantial negative impact on quality of life. Underdiagnosis and undertreatment of depression are major problems in nursing home residents. OBJECTIVES: This study sought to determine the prevalence of depression among older adults in nursing homes in rural Iowa using the Geriatric Depression Scale (GDS), Minimum Data Set (MDS), and primary care provider (PCP) depression diagnosis. DESIGN: This is a secondary analysis of data collected from 279 randomly selected residents of nursing homes in rural Iowa. RESULTS: The prevalence of depression based on the GDS (score of 6 or greater) was 37.3%, the MDS was 21.3%, and …
Reducing Hydration-Linked Events In Nursing Home Residents... Including Commentary By Godkin D, J. Mentes, Kennith Culp
Reducing Hydration-Linked Events In Nursing Home Residents... Including Commentary By Godkin D, J. Mentes, Kennith Culp
Kennith R. Culp
The authors used a quasi-experimental treatment and control group design with 49 participants from four nursing homes to test the effectiveness of an 8-week hydration intervention in reducing hydration-linked events (HLEs). A Kaplan Meier survival curve with log rank test was calculated to determine incidence and time to occurrence of a HLE. Incidence of and time to a HLE did not differ between the treatment and control groups over an 8-week period (p > .05). However, treatment group participants were found to be more frail, more cognitively impaired and more at risk for acute confusion than the control group participants. Although …
Letter To The Editor... "Gerontology Coursework In Undergraduate Nursing Programs In The United States: A Regional Study.", Kathleen Buckwalter, Kennith Culp, Keela Herr, Lisa Skemp Kelley, Meridean Maas, D. Schutte, Janet Specht, Elizabeth Swanson
Letter To The Editor... "Gerontology Coursework In Undergraduate Nursing Programs In The United States: A Regional Study.", Kathleen Buckwalter, Kennith Culp, Keela Herr, Lisa Skemp Kelley, Meridean Maas, D. Schutte, Janet Specht, Elizabeth Swanson
Kennith R. Culp
No abstract provided.
Agricultural Health In The Gambia Ii: A Systematic Survey Of Safety And Injuries In Production Agriculture, R. Kuye, K. Donham, S. Marquez, W. Sanderson, L. Fuortes, R. Rautiainen, M. Jones, Kennith R. Culp
Agricultural Health In The Gambia Ii: A Systematic Survey Of Safety And Injuries In Production Agriculture, R. Kuye, K. Donham, S. Marquez, W. Sanderson, L. Fuortes, R. Rautiainen, M. Jones, Kennith R. Culp
Kennith R. Culp
This study was undertaken to provide baseline information on the injuries and health and safety conditions in Gambian agriculture. The objective was to produce information to guide the formulation of an agricultural health and safety policy for the country, future investigations, prevention and surveillance of the adverse health effects in agriculture. A cross-sectional survey of 20 farmers, 20 nurses, and 20 agricultural extension workers was conducted in the Central and Upper River Divisions of The Gambia. The survey was implemented by the means of questionnaires, walk-through survey and hazard checklist. Seventy percent of farms reported an injury during the past …
Family And Client Perspectives On Alternative Residential Settings For Persons With Severe Mental Illness, R. Friedrich, B. Hollingsworth, E. Hradek, H. Friedrich, Kennith Culp
Family And Client Perspectives On Alternative Residential Settings For Persons With Severe Mental Illness, R. Friedrich, B. Hollingsworth, E. Hradek, H. Friedrich, Kennith Culp
Kennith R. Culp
Objective: The housing preferences of persons with severe mental illness living in three types of community residences were examined, as were their perceptions of problems in these settings and the relationships between clients' and family members' housing preferences and perceptions of problems. Methods A closed-ended questionnaire was del-eloped to gather demographic and diagnostic data and information about housing preferences and seven categories of service-related problems. It was completed by clients who lived in group settings with 24-hour on-site staff, in supported housing with on-site visits by staff, and in homes or apartments with no on-site professional services. Questionnaires were returned …
Renal Osteodystrophy In Older Adults With End-Stage Renal Disease, C. Roth, Kennith Culp
Renal Osteodystrophy In Older Adults With End-Stage Renal Disease, C. Roth, Kennith Culp
Kennith R. Culp
No abstract provided.
Acute Confusion Indicators: Risk Factors And Prevalence Using Mds Data, J. Mentes, Kennith Culp, Meridean Maas, M. Rantz
Acute Confusion Indicators: Risk Factors And Prevalence Using Mds Data, J. Mentes, Kennith Culp, Meridean Maas, M. Rantz
Kennith R. Culp
OBJECTIVE: The purpose of this study was to use Minimum Data Set (MDS) data from LTC (long-term care) in one Midwestern state to test whether risk variables derived from a conceptual model developed from findings in acute care predicted acute confusion in long-term care residents. DESIGN: Cross-sectional. SETTING: MDS nursing home records. POPULATION: The sample was composed predominantly of women (n = 1,775). INTERVENTIONS: The 1995 MIS annual reviews of nursing home residents from a Midwestern state provided the data for analysis; however missing data, on the average about 10% for the acute confusion/delirium indicators, reduced the sample to 2,318. …
Use Of A Urine Color Chart To Monitor Hydration Status In Nursing Home Residents, J. Mentes, B. Wakefield, Kennith Culp
Use Of A Urine Color Chart To Monitor Hydration Status In Nursing Home Residents, J. Mentes, B. Wakefield, Kennith Culp
Kennith R. Culp
To determine whether urine color, as measured by a color chart, might be a valid indicator of hydration status in frail nursing home residents, this study tested the associations between urine color and urine specific gravity. This is a descriptive correlational study set in seven nursing homes in eastern Iowa. Ninety-eight nursing home residents > or =65 years of age participated. Exclusion criteria for the study included: unstable congestive heart failure or diabetes, documented renal disease, hyponatremia (serum sodium or =50 ml/min) had significant associations between average urine color and average Usg. Females with mild renal impairment (CrCl between 30 and …
Bioelectrical Impedance Analysis And Other Hydration Parameters As Risk Factors For Delirium In Rural Nursing Home Residents, Kennith Culp, B. Wakefield, M. Dyck, P. Cacchione, S. Decrane, S. Decker
Bioelectrical Impedance Analysis And Other Hydration Parameters As Risk Factors For Delirium In Rural Nursing Home Residents, Kennith Culp, B. Wakefield, M. Dyck, P. Cacchione, S. Decrane, S. Decker
Kennith R. Culp
Background. The study investigators conducted a vigorous screening protocol for delirium in rural long-term care (LTC) facilities for a period of 28 days focusing on Bioelectrical Impedance Analysis (BIA) and other hydration parameters as risk factors. Methods. A two-stage cluster sampling procedure was used to randomly select participants (n = 313) from 13 LTC facilities located in southeastern Iowa, stratified on facility bed size. BIA was used to estimate intracellular water (ICW), extracellular water (ECW), and total body water (TBW) on four occasions-baseline and follow-up days 7, 14, and 28. Volume estimates were calculated as a percent of body weight …