Gerontology Commons^™

Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

ETSU Faculty Works

Insomnia is a common problem in older people, especially in patients with mild cognitive impairment (MCI) whose circadian rhythm is often compromised. Insomnia exerts such a toll on caregivers that it is frequently the primary reason for seeking to institutionalize their loved ones. Three different types of insomnia are recognized: sleep-onset or initial insomnia, sleep maintenance or middle insomnia, and early morning awakening or late insomnia. Nocturnal hypoglycemia, as a cause of middle insomnia, is the main focus of this case study. Other types of insomnia are also briefly reviewed. The management of insomnia is then discussed including sleep hygiene, …

Visual Hallucinations And Paranoid Delusions, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen, J. Culp

ETSU Faculty Works

Visual well-formed hallucinations, fluctuations in the level of cognition, and alertness and extrapyramidal signs are core features of dementia with Lewy bodies. Some patients realize that what they are seeing or hearing are just hallucinations and learn to accept them. Others, however experience these hallucinations as quite real and cannot be dissuaded from the firm belief that they are. In fact, efforts to dissuade them often serve only to confirm the often associated paranoid delusions and this may lead to a catastrophic ending. Hence, it is best not to contradict the patient. Instead, attempts should be made to distract the …

Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp

ETSU Faculty Works

Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the …

Real-World Large-Scale Iot Systems For Community Eldercare: A Comparative Study On System Dependability, Hwee-Pink Tan, Austin Zhang

Research Collection School Of Computing and Information Systems

The paradigm of aging-in-place — where the elderly live and age in their own homes, independently and safely, with care provided by the community — is compelling, especially in societies that face both shortages in institutionalized eldercare resources, and rapidly-aging populations. Internet-of-Things (IoT) technologies, particularly in-home monitoring solutions, are commercially available, and can be a fundamental enabler of smart community eldercare, if they are dependable. In this paper, we present our findings on system performance of solutions from two vendors, which we have deployed at scale for technology-enabled community care. In particular, we highlight the importance of quantifying actual system …

Preconceptional Health Behavior Change In Women With Overweight And Obesity: Prototype For Smart Strong Healthy Women Intervention, Frank T. Materia, Joshua M. Smyth, Kristin E. Heron, Marianne Hillemeier, Mark E. Feinberg, Patricia Fonzi, Danielle Symons

Psychology Faculty Publications

Background: The prevalence of maternal perinatal obesity is rising, and in turn, increases health risks and morbidity for both mother and child. Past evidence suggests the preconceptional Strong Healthy Women (SHW) intervention can reduce multiple biobehavioral risk factors for adverse perinatal health. The SHW intervention, however, was time- and resource-intensive to deliver. Mobile health (mHealth) technologies provide an opportunity to expand intervention reach while reducing implementation cost and burden. Previous research suggests that preconceptional women are broadly supportive of using smartphones for behavior change, yet few studies have elicited their specific preferences for a targeted mHealth intervention. The objective of …

Using Person-Centered Scheduling With Geriatric Patients To Reduce Anxiety With Telepsychiatry, Jody Long, Patricia A. Wilkerson, Evi Taylor, John Hall, Christopher Peters

Research, Publications & Creative Work

This study explored using person-centered scheduling with telepsychiatry for rural community geriatric patients. Quantitative research approaches were used to determine the level of satisfaction participants experienced with person-centered scheduling and geriatric telepsychiatry. Quantitative data were collected by using the Zung Self-Rating Anxiety Scale (SAS) before scheduling the first appointment and to assess the intervention’s effectiveness after the telepsychiatry session. Person-centered telepsychiatry scheduling decreased geriatric patients’ anxiety as evidenced by Zung SAS scores. Conclusion: Older adult patients saw telepsychiatry as a viable means of treatment. Future research with geriatrics from different regions is needed. Implications and future directions include exploring patient …

Effects Of Long-Term Participation In Tennis On Cognitive Function In Elderly Individuals, Scott Culpin

Theses: Doctorates and Masters

Many studies have reported the relationship between exercise and cognition with conflicting results. This may be due to differences in intervention durations, session lengths, intensities, and type of exercise. It has been suggested that exercises requiring greater cognitive demand such as football, basketball and racquet sports, are protective against cognitive decline, compared to less cognitively demanding exercises such as swimming, cycling and running, however, research concerning exercise types are currently limited. The present study tested the hypothesis that elderly individuals who had been regularly playing tennis more than 10 years, would have greater cognitive function than those who had been …

Narratives Of Baby Boomers: Envisioning Late Life Spiritual Resources, Jane A. Kuepfer

Theses and Dissertations (Comprehensive)

ABSTRACT:

In this narrative inquiry, first-wave baby boomers (six males and six females born between 1946 and 1955) reflected on their lives and envisioned living into old age. While literature has focused on trends in baby boomer spirituality, issues of aging, and spiritual needs and tasks among elders, this study listened for “spiritual resources.” Initially defined broadly as that which has sustained a person throughout their life and will sustain them in the future, spiritual resources came to be understood as those things, both internal and external, that address deep human need for such spiritual values as love, hope, peace, …

Elder Care In Chile And The Us: Two Models Of Culture Change, Sarah Jane Robinson

Honors Theses

This project examines two long-term care models: the Green House Project model and the Little Sisters of the Poor Home for the Aged in Viña del Mar, Chile, under the lens of the long-term care culture change movement to explore what can be learned from each of these models to allow elders to grow in dignity and autonomy. The research methods used were primarily participant and non-participant observation, informal interviews, and review of social scientific and gerontological literature. Elements of culture change were found to be present in each model, both of which aim to provide person-centered care to elders. …