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2017

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Articles 571 - 600 of 2014

Full-Text Articles in Nursing

An Observational Study To Assess The Practice Of Infection Control Measures On Patients Undergoing Transvaginal Sonography And Pap Smear Procedure , Among Health Care Professionals In Obstetrical And Gynecological Outpatient Department Of A Tertiary Hospital In Udupi District, Karnataka, Priyanka Rekha Mondal Aug 2017

An Observational Study To Assess The Practice Of Infection Control Measures On Patients Undergoing Transvaginal Sonography And Pap Smear Procedure , Among Health Care Professionals In Obstetrical And Gynecological Outpatient Department Of A Tertiary Hospital In Udupi District, Karnataka, Priyanka Rekha Mondal

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study titled “An observational study to assess the practice of infection control measures on patients undergoing Transvaginal sonography and Pap smear procedure , among health care professionals in Obstetrical and Gynecological outpatient department of a tertiary hospital in Udupi District, Karnataka” was conducted by Ms Priyanka Rekha Mondal in partial fulfillment of the requirements for the degree of Master of Nursing Science at Manipal College of Nursing Manipal, Manipal University, Manipal, Karnataka. The objectives of the study were to assess the practice of infection control measures during Transvaginal sonography procedure and Pap smear procedure among health care …


“A Study To Assess The Relationship Between Psychological Well-Being And Perceived Parenting Style Among Selected High School Students Of Udupi District”., Ansu Francis Aug 2017

“A Study To Assess The Relationship Between Psychological Well-Being And Perceived Parenting Style Among Selected High School Students Of Udupi District”., Ansu Francis

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT (150505004) A research study entitled “A study to assess the relationship between psychological well-being and perceived parenting style among high school students of Udupi district” was conducted by Ms Ansu Francis as a partial fulfillment of the requirement for the degree of Master of Science in Nursing at Manipal College of Nursing, Manipal University, Manipal, Karnataka.

The purpose of the study was to assess psychological well-being and perceived parenting style among high school students studying in 8th and 9th standard. The findings of the study may be used to plan for an awareness program for students to improve their …


A Study On Gender Stereotype, Self-Esteem And Their Determinants Among Adolescents Of Selected English Medium Secondary School Of Udupi District., Bhanu Chhetri Karki Aug 2017

A Study On Gender Stereotype, Self-Esteem And Their Determinants Among Adolescents Of Selected English Medium Secondary School Of Udupi District., Bhanu Chhetri Karki

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT The study titled, “A study on gender stereotype, self-esteem and their determinants among adolescents of selected English medium secondary schools of Udupi district.” was carried out by Ms Bhanu Chhetri Karki, in partial fulfilment of the requirement for the degree of Master of Science in Nursing at Manipal College of Nursing, Manipal.

Objectives of the study were to assess the gender stereotype among the adolescents using the Children‟s Sex Role Inventory (CSRI), to measure the self- esteem of the adolescent using the Rosenberg Self-esteem scale and to find out the determinants of gender stereotype among the adolescents as measured …


A Correlational Study To Assess The Intergenerational Ambivalence And Psychological Wellbeing Among Mothers Of Young Adults Of Selected Areas Of Udupi District, Karnataka, Steffi Jenifer Quadras Aug 2017

A Correlational Study To Assess The Intergenerational Ambivalence And Psychological Wellbeing Among Mothers Of Young Adults Of Selected Areas Of Udupi District, Karnataka, Steffi Jenifer Quadras

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A correlational study to assess the intergenerational ambivalence and psychological wellbeing among mothers of young adults in selected areas of Udupi District, Karnataka” was carried out in Manipal University, Manipal by Miss Steffi Jenifer Quadras.

The objectives of the study were to assess the intergenerational ambivalence of the mothers, assess the psychological wellbeing of mothers, and determine the relationship between intergenerational ambivalence and psychological wellbeing of mothers of young adults of selected areas of Udupi District.

The conceptual framework used for the study was based on the “Dynamic process model of parent” (Resch, Benz, & Ellliot, 2012).

A descriptive …


A Study To Determine The Infection Control Practices By The Health Care Workers (Hcws) And Facilities In The Labor Theatre (Lt) Of A Selected Tertiary Referral Hospital Of Udupi District , Karnataka, Mitchelle S Lewis Aug 2017

A Study To Determine The Infection Control Practices By The Health Care Workers (Hcws) And Facilities In The Labor Theatre (Lt) Of A Selected Tertiary Referral Hospital Of Udupi District , Karnataka, Mitchelle S Lewis

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study entitled “Infection control practices by the Health Care Workers (HCWs) and facilities in the Labor Theatre (LT) of a selected tertiary referral hospital of Udupi District, Karnataka” was carried out at Manipal University, Manipal by Mitchelle S Lewis for the award of Master of Science in Nursing as a partial fulfilment of the course. The objectives of the study were to observe the infection control practices during procedures in the LT by each category of HCWs using observational checklists and observe the facilities available in the LT using Infection Control Assessment Tool (ICAT) observational checklists by …


A Retrospective Study To Assess The Incidence And Factors Predisposing To Surgical Site Infection (Ssi) In Patients Who Have Undergone Caesarean Section In Tertiary Care Hospital Of Udupi District, Karnataka., Debalina Ghosh Aug 2017

A Retrospective Study To Assess The Incidence And Factors Predisposing To Surgical Site Infection (Ssi) In Patients Who Have Undergone Caesarean Section In Tertiary Care Hospital Of Udupi District, Karnataka., Debalina Ghosh

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study titled, “A retrospective study to assess the incidence and factors predisposing to surgical site infection (SSI) in patients who have undergone caesarean section in tertiary care hospital of Udupi district, Karnataka” was conducted by Ms Debalina Ghosh in partial fulfilment of the requirement for the degree of Master of Science in Nursing at Manipal College of Nursing, Manipal, Manipal University, Karnataka.

The objectives of the study were to determine the incidence of surgical site infection (SSI) in patients who have undergone caesarean section through record analysis and to identify the factors predisposing to surgical site infections …


Effectiveness Of Trainning Programme On Prevention Of Ventilator Associated Events (Vae) In Terms Of Knowledge And Practice Among Health Care Professionals Of Selected Intensive Care Units (Icu) Of A Tertiary Care Hospital Udupi, Arjun S Aug 2017

Effectiveness Of Trainning Programme On Prevention Of Ventilator Associated Events (Vae) In Terms Of Knowledge And Practice Among Health Care Professionals Of Selected Intensive Care Units (Icu) Of A Tertiary Care Hospital Udupi, Arjun S

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study “Effectiveness of training programme on prevention of Ventilator Associated Events (VAE) in terms of knowledge and practice among Health Care Professionals of selected Intensive Care Units (ICU) of a tertiary care hospital Udupi” was carried out at Manipal University, Manipal by Arjun S for the award of Master of Science in Nursing as a partial fulfilment of the course. The objectives of the study were to assess the knowledge regarding VAE prevention using a structured knowledge questionnaire, determine the VAE preventive practices among health care professionals of selected ICUs using observational checklist, determine the effectiveness of …


“A Descriptive Study To Assess The Immunization Compliance, Common Health Problems Of Immunized Under Five Children And Perceived Maternal Barriers For Immunization In Selected Rural Areas Of Udupi District”., Anusha C A Aug 2017

“A Descriptive Study To Assess The Immunization Compliance, Common Health Problems Of Immunized Under Five Children And Perceived Maternal Barriers For Immunization In Selected Rural Areas Of Udupi District”., Anusha C A

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study titled “A descriptive study to assess the immunization compliance, common health problems of immunized under five children and perceived maternal barriers for immunization in selected rural areas of Udupi district”, was conducted by Ms Anusha C.A in partial fulfilment of the requirement for the degree of Master of Science in Nursing at Manipal College of Nursing, Manipal University, Manipal, Karnataka.

The objectives of the study were to: find out the immunization compliance of under five children in selected rural areas of Udupi district, identify the perceived maternal barriers for immunization among mothers of under five children, …


A Study To Assess The Knowledge And Practices Of Cleaning And Disinfection Among Health Care Workers (Hcws) In The Intensive Care Units (Icus) Of A Tertiary Care Hospital In Udupi District, Karnataka., Tincy Varghese Aug 2017

A Study To Assess The Knowledge And Practices Of Cleaning And Disinfection Among Health Care Workers (Hcws) In The Intensive Care Units (Icus) Of A Tertiary Care Hospital In Udupi District, Karnataka., Tincy Varghese

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A study to assess the knowledge and practices of cleaning and disinfection among Health Care Workers (HCWs) in the Intensive Care Units (ICUs) of a tertiary care Hospital in Udupi district, Karnataka was conducted by Ms. Tincy Varghese in partial fulfillment of the requirements for the award of Master of Science in Nursing at Manipal College of Nursing Manipal, Manipal University.

The objective of the study was to assess the knowledge and practice on cleaning and disinfection among the health care workers.

The conceptual framework was based on Radical approach model on educational process (1974).

The sample for observation …


A Study To Explore Bullying And Its Impact On The Psychosocial Wellbeing Among The Selected High School Students Of Udupi District, Karnataka., Reema Rai Aug 2017

A Study To Explore Bullying And Its Impact On The Psychosocial Wellbeing Among The Selected High School Students Of Udupi District, Karnataka., Reema Rai

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT The study titled “A study to explore bullying and its impact on the psychosocial wellbeing among the selected High School students of Udupi District, Karnataka” was carried out by Ms Reema Rai, for the partial fulfilment of requirement for the award of Degree of Master of Science in Nursing in Manipal College of Nursing Manipal, Manipal University, Karnataka. The objectives of the study were to explore bullying using Illinois Bullying Scale, to assess the psychosocial wellbeing of students using psychosocial wellbeing Scale, to determine the relationship between bullying and psychosocial wellbeing, to determine the association between bullying and selected …


A Study To Assess The Level Of Anger, Coping And Factors Influencing Anger Amongst Adolescents Of Selected Schools, Udupi District Karnataka., Pusahole Natso Aug 2017

A Study To Assess The Level Of Anger, Coping And Factors Influencing Anger Amongst Adolescents Of Selected Schools, Udupi District Karnataka., Pusahole Natso

Manipal College of Nursing, Manipal Theses and Dissertations

ABSTRACT A research study titled “A study to assess the level of anger, coping and factors influencing anger amongst adolescents of selected schools, Udupi District Karnataka” was conducted by Pusahole Natso , as a partial fulfillment of the requirement for the degree of Master of Science in Nursing at Manipal College of Nursing, Manipal.

The objectives of the study were to assess the level of anger, identify the factors influencing anger, assess coping among the adolescents and to determine the relationship between anger and coping among the adolescents.

The conceptual framework for the study was based on Roy’s Adaptation Model. …


2017-2018 Graduate Studies In Nursing Handbook, Otterbein Office Of Graduate Programs Aug 2017

2017-2018 Graduate Studies In Nursing Handbook, Otterbein Office Of Graduate Programs

Graduate School

A graduate handbook for the Graduate Studies in Nursing programs at Otterbein University.


A Deeper Look Into Herpes Zoster, Jennifer Perkins Aug 2017

A Deeper Look Into Herpes Zoster, Jennifer Perkins

Nursing Student Class Projects (Formerly MSN)

Herpes zoster, otherwise known as shingles, is a prevalent condition in the United States, as close to 95% of the population are seropositive for the varicella zoster virus (VZV). The primary VZV infection is commonly known as chickenpox and typically occurs in childhood. After the initial VZV infection resolves, the VZV virus lies dormant in the affected individual’s dorsal ganglia until it is reactivated and manifests as shingles. The pathophysiology, clinical presentation, diagnosis, complications, treatment, vaccination and nursing implications related to herpes zoster are thoroughly examined further.


Alzheimer's Disease, Kirstin Fortune Aug 2017

Alzheimer's Disease, Kirstin Fortune

Nursing Student Class Projects (Formerly MSN)

This presentation is an overview on Alzheimer's disease. Signs, symptoms, pathophysiology and pharmaceuticals are all incorporated in this poster. The United States is planning to address the possible crisis of Alzheimer's with many initiatives.


N5330 17 Schweickartcourtney Poster, Courtney Schweickart Aug 2017

N5330 17 Schweickartcourtney Poster, Courtney Schweickart

Nursing Student Class Projects (Formerly MSN)

Asthma is a very important disease to understand in the year 2017. With noncompliant patients due to financial strain, resource deprivation, and overall poor socioeconomic status it is very important that the advanced practicing medical providers understand the underlying pathophysiology, signs and symptoms, medication regimen, and nursing implications associated with asthma. Without the education of this disease process and how to correctly manage an asthmatic patient, a controllable disease can ever so easily turn into a fatal diagnosis. In the intensive care setting asthmatic patients range from requiring mechanical ventilation support, to solely utilizing continuous aerosols. This poster explains all …


Traumatic Induced Coagulopathy, Paul Devore Aug 2017

Traumatic Induced Coagulopathy, Paul Devore

Nursing Student Class Projects (Formerly MSN)

Trauma is a leading cause of mortality and morbidity in the United States. For years patients have been resuscitated in a similar method without improvement in survival of the most severely injured cohort. While acidemia, hypoxia, and hypothermia have long been recognized as complicating factors in the care of trauma patients, it is only recently that research has led to a greater understanding of the pathophysiology of this deadly trio. Coagulopathy of trauma is a multi factorial process which is now being recognized as the proximate cause of death in many patients. This poster examines the pathophysiology and nursing interventions …


Influenza Vaccination Of The Older Adult Patient And Documentation By The Healthcare Provider, Victoria Ashley Ford, Suzanne Cox, Lisa Gatwood, Jeff Moffett Aug 2017

Influenza Vaccination Of The Older Adult Patient And Documentation By The Healthcare Provider, Victoria Ashley Ford, Suzanne Cox, Lisa Gatwood, Jeff Moffett

MSN Research Projects

The purpose of this project was to review the treatment prescribed by providers and evaluate the return rate for each treatment.


College Students’ Knowledge Of Human Papillomavirus, Knowledge Of Human Papillomavirus Vaccination Series, And Their Human Papillomavirus Vaccination Compliance, Shelley Hamblin Aug 2017

College Students’ Knowledge Of Human Papillomavirus, Knowledge Of Human Papillomavirus Vaccination Series, And Their Human Papillomavirus Vaccination Compliance, Shelley Hamblin

MSN Research Projects

Human papillomavirus (HPV) is the most prevalent sexually-transmitted infection in the U.S. Specific types have been linked to 70% of cervical cancers, 90% of genital warts, 65% of vulvar cancers, 35% of penile cancers, and 70% of head and neck cancers (Markowitz et al., 2014). According to the CDC, the most effective way to prevent HPV- associated infections and HPV-related cancer is through vaccination. The purpose of this study was to determine how knowledgeable college students ages 18-26 years are of HPV, HPV vaccine, and vaccination compliance among these students. The Health Promotion Model (HPM) created by Pender (2011) was …


Development Of A Patient-Centered Medical Home Toolkit At An Integrated Primary Care Clinic, Lyndsay A. Randall Aug 2017

Development Of A Patient-Centered Medical Home Toolkit At An Integrated Primary Care Clinic, Lyndsay A. Randall

Doctoral Projects

Health care spending in the United States far exceeds that of other high-income countries (Squires & Anderson, 2015). In 2013, the U.S. spent 17.1 percent of its gross domestic product (GDP) on healthcare, which was almost 50 percent more than the next highest spender noted as France (Squires & Anderson, 2015). While the U.S. spends more on healthcare than other countries, multiple other health outcome measures are worse including life expectancy, heart disease, diabetes, and chronic respiratory illnesses (Squires & Anderson, 2015). Today’s healthcare system is highly fragmented, lacking the necessary coordination within the primary care setting. Better care coordination …


Improving Care Of Behavioral Health Patients In A Rural Emergency Department: A Needs Assessment, Margaret Perec Aug 2017

Improving Care Of Behavioral Health Patients In A Rural Emergency Department: A Needs Assessment, Margaret Perec

Doctoral Projects

Leadership and staff at a rural Critical Access Hospital (CAH)have identified the need for interventions to address the specific care issue of behavioral health patients presenting to the emergency department (ED). The ED has experienced a higher than expected number of visits, which has presented the department with challenges, especially in finding placements for patients who need inpatient treatment. ED management and staff have reported many patients have experienced long lengths of stay in the ED while waiting for beds.

A needs assessment attempts to identify characteristics of patients who remain in the ED for extended lengths of time, and …


Peer Violence Perpetration And Victimization: Prevalence, Associated Factors And Pathways Among 1752 Sixth Grade Boys And Girls In Schools In Pakistan, Rozina Karmaliani Professor, Judith Mcfarlane, Rozina Somani, Hussain Maqbool Ahmed Khuwaja, Shireen Shehzad Bhamani, Tazeen Saeed Ali, Saleema A. Gulzar, Yasmeen Hassan Somani, Esnat D. Chirwa, Rachel Jewkes Aug 2017

Peer Violence Perpetration And Victimization: Prevalence, Associated Factors And Pathways Among 1752 Sixth Grade Boys And Girls In Schools In Pakistan, Rozina Karmaliani Professor, Judith Mcfarlane, Rozina Somani, Hussain Maqbool Ahmed Khuwaja, Shireen Shehzad Bhamani, Tazeen Saeed Ali, Saleema A. Gulzar, Yasmeen Hassan Somani, Esnat D. Chirwa, Rachel Jewkes

School of Nursing & Midwifery

Background: Child peer violence is a global problem and seriously impacts health and education. There are few research studies available in Pakistan, or South Asia. We describe the prevalence of peer violence, associations, and pathways between socio-economic status, school performance, gender attitudes and violence at home.
Methods: 1752 children were recruited into a cluster randomized controlled trial conducted on 40 fairly homogeneous public schools (20 for girls and 20 for boys), in Hyderabad, Pakistan. This was ranging from 20-65 children per school. All children were interviewed with questionnaires at baseline.
Results: Few children had no experience of peer violence in …


The Role Of Leader Empowering Behaviors On Work Engagement And Intent To Stay Among Staff Nurses In Acute Care Hospitals, Ingrid Kindipan Aug 2017

The Role Of Leader Empowering Behaviors On Work Engagement And Intent To Stay Among Staff Nurses In Acute Care Hospitals, Ingrid Kindipan

Nursing Dissertations - Archive

Leader empowering behavior is a facilitative process where employees perceive their leader to allow self-management and self-leadership of employees. Leader empowering behaviors can be perceived by employees as either enabling or burdensome. The purpose of this descriptive correlational study was to examine the relationship of leader empowering behaviors with nurse demographics, work engagement and intent to stay. A convenience sample of nurses (N = 212) employed in various nursing units within four hospitals completed an online survey related to perceived leader empowering behaviors, and the nurse’s level of work engagement and intent to stay in his/her organization of employment. Overall, …


Predictive Relationship Of Positive Lifestyle Choices With Emotional Distress Of Undergraduate College Students: An Analysis Of American College Health Association Data, Robin Lockhart Aug 2017

Predictive Relationship Of Positive Lifestyle Choices With Emotional Distress Of Undergraduate College Students: An Analysis Of American College Health Association Data, Robin Lockhart

Nursing Dissertations - Archive

Undergraduate student reports of anxiety and depression have risen each year since 2012 to the most recent report of 17% experiencing anxiety and 14% experiencing depression (ACHA, 2016). The significance of the experience of anxiety and depression in this population is that they are the top-reported factors affecting academic attrition (ACHA, 2016). The purpose of this study was to examine the predictive relationship of three healthy lifestyle behaviors and emotional distress among undergraduate college students. The three healthy lifestyle choices examined were nutrition, exercise and rest. The prevalence of emotional distress and depression within each year of study also was …


Chronic Obstructive Pulmonary Disease, Tracy Fleming Aug 2017

Chronic Obstructive Pulmonary Disease, Tracy Fleming

Nursing Student Class Projects (Formerly MSN)

Chronic Obstructive Pulmonary Disease (COPD) is a gradually progressive disease that affects the airways or pulmonary parenchyma, or both, and results in airflow obstruction.

This poster aims to provide information regarding the signs & symptoms, underlying pathophysiology, and significance of this chronic disease state as well as the implications for nursing care.


Understanding The Experience Of Interprofessional Team Members After Participating In Comprehensive Obstetric Hemorrhage Training, Frances Kelly Aug 2017

Understanding The Experience Of Interprofessional Team Members After Participating In Comprehensive Obstetric Hemorrhage Training, Frances Kelly

Dissertations and Theses (Open Access)

Purpose: The obstetric hemorrhage rate has risen steadily in the U.S. accounting for 11.4% of maternal deaths between 2011 and 2013, and remains a leading cause of maternal morbidity. Improving the quality and safety of care could prevent much of the morbidity and potential mortality associated with obstetric hemorrhages. An interprofessional obstetric team developed, tested, and implemented obstetric hemorrhage and massive transfusion protocols. Multi-modal team training occurred before service-wide implementation of the protocols, including didactic, skills stations, on-line educational modules, and in situ simulation team training. Early quantitative results were promising.

Methods: To augment understanding of the quantitative results and …


Comparing The Effectiveness Of The Video Laryngoscope With The Direct Laryngoscope In The Emergency Department: A Meta-Analysis Of The Published Literature, D. Sean Degarmo Aug 2017

Comparing The Effectiveness Of The Video Laryngoscope With The Direct Laryngoscope In The Emergency Department: A Meta-Analysis Of The Published Literature, D. Sean Degarmo

Dissertations and Theses (Open Access)

Purpose: Rapid intubation is essential for the critically ill patient in the emergency department in order to ensure adequate oxygenation. Regardless of presenting illness or injury, the first pass success rate (FPSR) can impact patient morbidity and mortality. The study aim was to evaluate the FPSR of direct laryngoscopy (DL) compared with video laryngoscopy (VL) in adult patients intubated in the emergency department.

Methods: Ovid Medline, Cochrane Library database, Embase, and Google Scholar were searched for peer-reviewed articles of studies of human subjects reporting a comparison of FPSR between VL and DL in adult patients who were orotracheally intubated in …


"Flatbush" Diabetes: A Variant Of The Typical Classification, Sharnee Cederberg Msn, Rn, Cde Aug 2017

"Flatbush" Diabetes: A Variant Of The Typical Classification, Sharnee Cederberg Msn, Rn, Cde

Patient Care Services / Nursing

No abstract provided.


Longitudinal Examination Of Social And Environmental Influences On Motivation For Physical Activity, Elizabeth Richards, M Mcdonough, R Fu Aug 2017

Longitudinal Examination Of Social And Environmental Influences On Motivation For Physical Activity, Elizabeth Richards, M Mcdonough, R Fu

School of Nursing Faculty Publications

Background: Physical activity behavior is influenced by numerous factors including motivation, social interactions, and the walkability of the environment. Aim: To examine how social contexts and environmental features affect physical activity motivational processes across time. Methods: Participants (N=104) completed 3 monthly online surveys assessing self-determination theory constructs, social partners in physical activity, neighborhood walkability, and weekly physical activity. Longitudinal path analysis examined the degree to which physical activity was predicted by individual goals, orientation, and autonomy support and whether these associations were meditated by motivation and moderated by the social and environmental contexts of physical activity. Results: The effect …


Hap Prevention: One Tracheostomy At A Time, Elenita Gianan Aug 2017

Hap Prevention: One Tracheostomy At A Time, Elenita Gianan

Master's Projects and Capstones

Abstract

The objective of this project is to educate the nursing and respiratory therapist staff, along with the patient and their families on the importance of discarding used suction catheters. The intention of this project is to provide awareness and education on the negative implications of re-using a saved one-time use tracheal suction catheters. As a future CNL, through the competency as the Clinician, designating and coordinating care for the individual to promote health and risk prevention can be practiced. Many times, a single-use tracheal suction catheter was noticed hanging connected to the suction wall, tucked under the patient’s pillow, …


Comparing Total Expenditures By Source Of Long-Term Services And Supports., Maresa R. Corder Aug 2017

Comparing Total Expenditures By Source Of Long-Term Services And Supports., Maresa R. Corder

Electronic Theses and Dissertations

This study compares total expenditures between beneficiaries enrolled in traditional Long-Term Care (LTC) and beneficiaries enrolled in Home and Community Based Services (HCBS) in a Quasi-Experimental Simple Ex Post Facto study utilizing multiple linear regression with inverted propensity score weighting. The results demonstrated, during the two years of the study period, that total expenditures were on average $14,565.03 (with a p-value oflessfor the total two years of the study, for HCBS beneficiaries when compared to their LTC counterparts. There remains today a belief that expenditures of elderly, dual beneficiaries electing to age-in-place for supported self-care expend less than that of …