Psychiatry and Psychology Commons^™

Perspectives Of Awareness And Cognitive Processing During The Event Of Stroke And Subsequent Recovery: Competence Versus Performance, Pennie Seibert, Pernilla Stridh-Igo, Tiffany Whitmore, Christian Zimmerman

Pennie S. Seibert

We investigated strokes' effects on awareness and cognition from the participants' perspective in four case studies, ages 37-50 (mean = 45). Data is comprised of standardized and open-ended interviews, medical chart reviews, literature reviews, and professional consultations. Although the participants sustained various types of injuries, they reported similar patterns of awareness, perceptions, emotions, and thoughts. These case studies endorse the idea that stroke victims are far more aware of their surroundings than they appear. Their reports indicate active mental processes, such as emotion and thoughts, occurring even while their bodies were unable to respond appropriately. We discuss four areas of …

The Concomitant Relationship Shared By Sleep Disturbances And Type 2 Diabetes: Developing Telemedicine As A Viable Treatment Option, Pennie S. Seibert, Jennifer Valerio, Codieann Dehaas

Pennie S. Seibert

Individually, sleep disturbances and type 2 diabetes pose pervasive challenges to health. In addition, the negative symptomology associated with each condition is exacerbated further when presenting concomitantly. This relationship formulates a destructive loop wherein those with diabetes experience decreased sleep quality, which, in turn, worsens a wide range of health threats experienced by those with diabetes, including obesity and glucose intolerance. Because major lifestyle changes and daily care are needed to effectively manage both diabetes and sleep disturbances, an efficient and timely modality of treatment is essential. Advanced technology incorporating telemedicine and telehealth has the potential to enhance treatment by …

The Use Of Telemedicine To Train Perioperative Nurses In Rural Settings, Pennie Seibert, Tatiana Reddy, Tiffany Whitmore, Jennifer Valerio, Codieann Dehaas

Pennie S. Seibert

The training available to perioperative nurses in rural areas is often inefficient and can be difficult to access. We designed a distance training programme using educational material from the Association of Perioperative Registered Nurses (AORN). Over a six-year period, we compared the performance of 22 nurses undertaking the programme via telemedicine with that of 13 nurses undertaking it conventionally, in person. The telemedicine nurses were based at six rural hospitals and interacted with their preceptors via remotely controlled videoconferencing systems. There was no significant difference in the time taken to complete the programme: 118 days in the telemedicine group and …

Mood And Lexical Access Of Positive, Negative, And Neutral Words, Garvin Chastain, Pennie Seibert, F. Ferraro

Pennie S. Seibert

Two experiments based upon the Reicher task were conducted to investigate the influence of happy, sad, and neutral moods on the processing of positive, negative, and neutral words. In Experiment 1 participants showed least advantage in determining which of two one-letter-different words, in comparison with nonword controls, had been presented for words that were valenced in congruence with the induced mood. In Experiment 2 mood acted as a prime that produced a detrimental effect of presenting nontarget mood-congruent preview words on participants' performance on the valenced targets. The authors contend that these effects are related to mood’s altering of the …

A Checklist To Facilitate Cultural Awareness And Sensitivity, P. Seibert, P. Stridh-Igo, C. Zimmerman

Pennie S. Seibert

United States of America demographic profiles illustrate a nation rich in cultural and racial diversity. Approximately 29% of the population are minorities and demographic projections indicate an increase to 50% by the year 2050. This creates a highly mobile and constantly changing environment, revealing the need for new levels of cultural awareness and sensitivity. These issues are particularly critical in the medical community where medical professionals must understand the impact cultural differences and barriers can have on evaluation, treatment, and rehabilitation. During times of stress, such as when injury strikes, problems associated with lack of cultural sensitivity are intensified. Cultural …

The Emerging Role Of Telemedicine In Diagnosing And Treating Sleep Disorders, Pennie Seibert, T. Whitmore, P. Parker, F. Grimsley, K. Payne, J. O'Donnell

Pennie S. Seibert

Over one-third of adults are at risk of developing sleep disorders. Telemedicine is emerging as an effective tool in sleep medicine by allowing people to undergo sleep studies without overnight hospital stays (e.g. monitoring at home). Telemedicine has the potential to overcome several obstacles in the diagnosis and treatment of sleep disorders by offering increased access to sleep specialists, enhancing health-care support for patients in their homes and providing cost-effective professional education. The initial costs for telemedicine equipment and training are not insignificant; however, the benefits may outweigh the expense over time. However, recapturing the initial costs cannot be assumed.

Effects Of Emotional Mood States In Recognizing Places: Disentangling Conscious And Unconscious Retrieval, Linda Anooshian, Pennie Seibert

Pennie S. Seibert

The effects of emotional mood states on remembering scenes along a route of travel were examined in two experiments. For Experiment 1, 48 participants were exposed to a route of travel following a sad, happy, or neutral mood-induction procedure. Process dissociation (Jacoby, 1991) was used to derive separate estimates of the relative roles of conscious recollection and sense of familiarity (unconscious retrieval) in recognizing scenes. Conscious recollection, but not familiarity, was adversely affected by being in an emotional mood state during exposure. For Experiment 2, 24 participants given neutral mood induction were divided according to self-reports of induced mood. Participants …

Case Study Music And The Brain: The Impact Of Music On An Oboist's Fight For Recovery, Pennie Seibert, Laura Fee, Jean Basom, Christian Zimmerman

Pennie S. Seibert

A 20-year-old female, alias Sara, was an aspiring professional oboist who studied music performance at college level. While wading across a river she lost her balance, was swept down river, and suffered profound injuries including severe hypothermia, cardiac arrest, and hypoxic brain injury. While recovering, her family and friends surrounded Sara with music. Her oboe teacher placed Sara's oboe in her hand and played tapes of Sara's past performances. Her mother played recordings of her favourite music in hopes that the music would remind her of her life's passion and, thus, stimulate her mind and soul while she recovered. Two …

Diversity Within Spatial Cognition: Memory Processes Underlying Place Recognition, Linda Anooshian, Pennie Seibert

Pennie S. Seibert

We conducted three experiments to explore distinct memory processes involved in remembering places in spatial environments. The results of all three experiments demonstrated the viability of the process-dissociation procedure for studying spatial cognition; that procedure yielded separate measures of the role of familiarity (implicit memory) and conscious recollection (explicit memory) in recognizing scenes along a previously viewed route of travel. Those measures were not affected by whether the participants viewed videotapes or also physically walked the route of travel. Increasing the delay between encoding and retrieval led to comparable effects for familiarity and conscious recollection (Experiment 1). In contrast, the …

Conscious And Unconscious Retrieval In Picture Recognition: A Framework For Exploring Gender Differences, Linda Anooshian, Pennie Seibert

Pennie S. Seibert

The authors explored gender differences by examining 2 distinct memory processes involved in recognizing pictures that were scenes captured from videotapes. For Study 1, the authors used a process dissociation procedure (L. J. Anooshian & P. S. Seibert, 1995; L. L. Jacoby, 1991) to obtain separate estimates of the contributions of recollection (conscious retrieval) and sense of familiarity (unconscious retrieval) in recognizing scenes along previously viewed routes of travel. Women obtained higher familiarity scores than did men, whereas no gender difference emerged for conscious recollection. In Study 2, the authors tested both preschool children and adults and found results similar …

Indirect Expression Of Preference In Sketch Maps, Pennie Seibert, Linda Anooshian

Pennie S. Seibert

First graders, fifth graders, university students, and older adults drew sketch maps of familiar environments. Not until after the sketch maps were collected did subjects have any idea that the study had anything to do with expression of preferences. At that time, subjects were asked to identify (recall) objects located in the environment drawn that they liked most, disliked most, and about which they felt neutral These items were compared with other items on the sketch maps to determine whether they were drawn on the same scale, were emphasized, or were absent. A similar pattern of results was found …

Brain Injury: Quality Of Life's Greatest Challenge, Pennie Seibert, D. Reedy, Joanne Hash, Andrea Webb, Pernilla Stridh-Igo, Jean Basom, Christian Zimmerman

Pennie S. Seibert

The objectives of this investigation were to (1) identify elements that comprise an acceptable quality of life (Q-L) post-traumatic brain injury (TBI) from the perspectives of patients and families, and (2) explore patient and family satisfaction with treatment decisions relevant to QoL. The authors created, tested, and administered two forms (patient; family) of a 35-question interview to 33 participants in a longitudinal TBI study (14 women, 19 men) and 33 associated family members. Men associated ratings of QoL with numerous variables, while women's responses revealed no significant relationships shared by QoL and other variables. Women reported a poorer QoL than …

Telemedicine Facilitates Chf Home Health Care For Those With Systolic Dysfunction, Pennie S. Seibert, Tiffany A. Whitmore, Carin M. Patterson, Patrick D. Parker, Caitlin C. Otto, Jean Basom, Nichole Whitener, Christian G. Zimmerman

Pennie S. Seibert

An estimated 5 million Americans have congestive heart failure (CHF) and one in five over the age of 40 will develop CHF. There are numerous examples of CHF patients living beyond the years normally expected for people with the disease, usually attributed to taking an active role in disease management. A relatively new alternative for CHF outpatient care is telemedicine and e-health. We investigated the effects of a 6-week in-home telemedicine education and monitoring program for those with systolic dysfunction on the utilization of health care resources. We also measured the effects of the unit 4.5 months after its removal …

Telemedicine Research: Opportunities And Challenges, Pennie Seibert, Tiffany Whitmore, Carin Patterson, Caitlin Otto, Patrick Parker, Nichole Whitener, Michael Ward, Jean Basom, Christian Zimmerman

Pennie S. Seibert

Telemedicine is emerging as an effective tool that can potentially enhance the ability to provide quality health care in hospitals, professional offices, and homes. Applications have demonstrated success in a wide range of disciplines and are particularly important for rural communities in hopes of advancing health care practices to these areas that may not have the same advantages, resources, or specialists. Research into this exciting field has led to challenges rather unique to telemedicine. The demands for appropriate research methods and tools for each application have become more complex because of the variety of fields involved and issues specific to …

Optimal Management For People With Severe Spasticity, Jeffrey S. Shilt, Pennie S. Seibert, Vivek Kadyan

Pennie S. Seibert

Spasticity is characterized by velocity-dependent increase in tonic stretch reflexes and tendon jerks. Many people affected by spasticity receive late treatment, or no treatment, which greatly reduces the potential to regain full motor control and restore function. There is much to consider before determining treatment for people with spasticity. Treatment of pediatric patients increases the complexity, because of the substantial difference between adult and pediatric spasticity. Proper patient evaluation, utilization of scales and measures, and obtaining patient and caregiver history is vital in determining optimal spasticity treatment. Further, taking into consideration the limitations and desires of individuals serve as a …

The Arduous Path Toward Healthcare Reform: Is Unification Of Ideals And Realities Possible?, Christian Zimmerman, Pennie Seibert

Pennie S. Seibert

The American healthcare system is in a state of crisis, and through it, the ethical protocols of the medical profession have been called into question. The 50.7 million uninsured Americans, the rising cost of insurance for individuals and small businesses, hospital inefficiencies and scandals, and the ambiguous relationship shared by the legal and medical professions have made healthcare delivery increasingly difficult for neurosurgeons and other medical professionals to perform their jobs. By scrutinizing the current status of the healthcare system with an understanding of ideals, ethics and the realities of America’s healthcare crisis, adjustments can be made and the integrity …

Exploring The Versatility Of Telemedicine In Diverse Medical Arenas, Pennie Seibert, Tiffany Whitmore, Carin Patterson, Caitlin Otto, Michael Ward, Missy Coblentz, Nichole Whitener, Christian Zimmerman

Pennie S. Seibert

No abstract provided.

Cranio-Cervical Stabilization Of Traumatic Atlanto-Occipital Dislocation With Minimal Resultant Neurological Deficit, Pennie Seibert, P. Stridh-Igo, T. Whitmore, B. Dufty, C. Zimmerman

Pennie S. Seibert

Our purpose is to describe a case of atlanto-occipital dislocation and discuss treatment approaches to minimize subsequent neurological deficits. Traumatic atlanto-occipital dislocation, has traditionally been considered rare and lethal, due to resulting high levels of spinal cord injury. Outcomes are generally expected to be poor. However, recent case reports indicate that survival is increasing. Of patients who survive cranio-cervical dislocation, many endure resulting neurological deficits.

We present a rare case of a 23-year-old male, who sustained an atlanto-occipital dislocation in a motor vehicle accident. The patient presented with a Glasgow Coma Scale (GCS) of 11T. Lateral C-spine x-ray and thin-section …

The Importance Of A Thorough Needs Assessment, Pennie Seibert

Pennie S. Seibert

No abstract provided.