Implementation Of An Evidence Based Screening Protocol To Improve The Diagnosis Of Dementia In A Home-Based Primary Care Setting,
2019
Grand Valley State University
Implementation Of An Evidence Based Screening Protocol To Improve The Diagnosis Of Dementia In A Home-Based Primary Care Setting, Lauren Liesbeth Sutton
Doctoral Projects
Dementia is a major public health concern that is both debilitating and deleterious to those afflicted with its various forms. The number of those living with dementia is increasing exponentially as the population continues to rise, with 46.8 million people worldwide currently afflicted with dementia (Chow et al., 2018). Dementia causes cognitive impairment that is severe enough to affect everyday function (Chow et al., 2018). The impairment and disability resulting from dementia indicates a significant health problem in primary care. Findings from research studies indicate that prophylactic and periodic screening for dementia can heighten provider suspicion and translate into earlier …
Ovalbumin-Sensitized Mice Have Altered Airway Inflammation To Agriculture Organic Dust,
2019
University of Nebraska Medical Center
Ovalbumin-Sensitized Mice Have Altered Airway Inflammation To Agriculture Organic Dust, Kristi J. Warren, John D. Dickinson, Amy J. Nelson, Todd A. Wyatt, Debra J. Romberger, Jill A. Poole
Journal Articles: Internal Medicine
Agriculture exposures are associated with reducing the risk of allergy and asthma in early life; yet, repeated exposures later in life are associated with chronic bronchitis and obstructive pulmonary diseases. The objective of this study was to investigate the airway inflammatory response to organic dust extract (ODE) in mice with established ovalbumin (OVA)-induced experimental asthma. C57BL/6 mice were either OVA sensitized/aerosol-exposed or saline (Sal) sensitized/aerosol-challenged. Both groups were then subsequently challenged once with intranasal saline or swine confinement ODE to obtain 4 treatment groups of Sal-Sal, Sal-ODE, OVA-Sal, and OVA-ODE. Airway hyper-responsiveness (AHR) to methacholine, bronchiolar lavage fluid, lung tissues, …
“Build A Bridge So You Can Cross It:” A Photo-Elicitation Study Of Health And Wellness Among Homeless And Marginally Housed Veterans,
2019
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA; Division of General Internal Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, PA, USA
“Build A Bridge So You Can Cross It:” A Photo-Elicitation Study Of Health And Wellness Among Homeless And Marginally Housed Veterans, Keri L. Rodriguez, Lauren M. Broyles, Michael A. Mitchell, Melissa E. Wieland, Gala True, Adam J. Gordon
The Qualitative Report
As part of a photo-elicitation interview study, we aimed to describe homeless and marginally housed Veterans’ experiences with health and wellness, health decisions, and health-related behaviors. Twenty Veterans receiving Veterans Affairs Homeless Patient-Aligned Care Team care took photographs depicting health and wellness, then used their photographs to discuss the same topics in 30-60 minute audio-recorded, semi-structured photo-elicitation interviews. Transcripts were analyzed using template analysis. Veterans described eight dimensions related to their health and wellness; physical, social, and environmental were most commonly discussed, followed by emotional, intellectual, spiritual, occupational, and financial wellness. Photographs contained literal and metaphorical depictions that were positively-oriented, …
Diet And Addiction: Interview With A Former Food, Pornography, And Alcohol Addict,
2019
University of Rhode Island
Diet And Addiction: Interview With A Former Food, Pornography, And Alcohol Addict, Tro Kalayjian, Brian Lenzkes
Dignity: A Journal of Analysis of Exploitation and Violence
Drs. Tro Kalayjian (Tapan, New York) and Brian Lenzkes (Santee, California) talk to Matt about his struggles with food, pornography, and alcohol addiction, and how changing his diet contributed to his recovery from his addictions. This report is excerpted from the audio podcast LowCarbMD, Episode 13 (https://itunes.apple.com/us/podcast/low-carb-md-podcast/ ), January 30, 2019). This podcast has filled us with immense hope for those struggling with addiction.
Defining Patient-Oriented Research For The Average Person (And Potential Research Partner),
2019
Aurora UW Medical Group, Aurora Health Care
Defining Patient-Oriented Research For The Average Person (And Potential Research Partner), Dennis J. Baumgardner
Journal of Patient-Centered Research and Reviews
In this introduction to the first issue of 2019, the editor-in-chief of Journal of Patient-Centered Research and Reviews offers additional context to the findings of Kaur and Pluye (p. 7), who methodically formalized an operational definition of patient-oriented research for the purposes of searching bibliographic databases. A possible succinct, lay definition of patient-oriented research for the average “person on the street” is proposed.
Confidential Care For Adolescents In The U.S. Health Care System,
2019
Harvard T.H. Chan School of Public Health
Confidential Care For Adolescents In The U.S. Health Care System, Priya R. Pathak, Adriana Chou
Journal of Patient-Centered Research and Reviews
In providing care for adolescents, maintaining confidentiality should be considered a human right and an evidence-based component of quality care. Unfortunately, complexities in the U.S. legal and health care systems have created a setting in which confidential care is inaccessible to many adolescent patients. Federal laws provide a minimum standard for confidentiality protections, but variations in state legislation relating to minor consent, special health care services, and confidentiality exemptions create large variability in adolescent confidentiality rights across the country. In certain contexts, such as consensual sexual activity, legal provisions may not align with professional ethical standards in adolescent care. In …
Enhancing The Effectiveness Of Special Olympics Minnesota’S Health Promotion Programming,
2019
Bethel University
Enhancing The Effectiveness Of Special Olympics Minnesota’S Health Promotion Programming, Avery R. Bajema, Laura Marie Hayes, Kelsey B. Kostreba, Shelly Winslow
All Electronic Theses and Dissertations
Nearly 3% of the world’s population have an intellectual disability. A link exists between intellectual disability and higher rates of chronic and preventable diseases, which is partially attributed to lack of health education geared toward individuals with intellectual disability. Health promotion programs can provide health-related resources and education. Health promotion programs are often standardized, making it challenging to meet the various learning needs of individuals with intellectual disability. Special Olympics is the largest organization that provides health-related programming for those with intellectual disability. In Minnesota, the Special Olympics branch known as Health Promotion has reported difficulty with meeting the goal …
Preimplantation Genetic Diagnosis: Physician Assistants' Perspectives, Understandings, And Ethical Considerations,
2019
Bethel University
Preimplantation Genetic Diagnosis: Physician Assistants' Perspectives, Understandings, And Ethical Considerations, Sarah K. Barnes, Samantha J. Caron, Claire E. Johnson
All Electronic Theses and Dissertations
While factors contributing to rates of approval and disapproval of preimplantation genetic diagnosis (PGD) have been studied at length, the perspective of Physician Assistants’ (PA) approval and disapproval of PGD has not been studied, nor the common reasons why PAs approve or disapprove of PGD. The first goal of this study was to identify approval and disapproval rates of PGD amongst PAs. The next goal was to identify common reasons PAs approve or disapprove of PGD utilization. Members of the California Academy of Physician Assistants [CAPA (CA)] and Kansas Academy of Physician Assistants [KAPA (KS)] completed an adapted, electronic survey …
A Qualitative Examination Of Vaccine Hesitancy Among Mothers,
2019
Bethel University
A Qualitative Examination Of Vaccine Hesitancy Among Mothers, Alicia L. Benner, Annie Vasterling, Teia Wolter
All Electronic Theses and Dissertations
Vaccine hesitancy describes the reluctance to vaccinate or the delay of vaccines (World Health Organization [WHO], 2017a). Various factors contribute to vaccine hesitancy for patients (Salmon, Dudley, Glanz, & Somer, 2015), and multiple sources are used by patients to gain vaccine information (Salmon et al., 2015), making it difficult for healthcare providers to address vaccine hesitancy. This research was conducted to identify factors that cause mothers to be vaccine hesitant and information sources used to support the mothers’ vaccination beliefs. Phone interviews were conducted with twelve vaccine hesitant mothers. Participants were asked if the following factors contributed to their vaccine …
An Overview Of Diabetes And Community Health Concerns In Guatemala,
2019
Bethel University
An Overview Of Diabetes And Community Health Concerns In Guatemala, Jennifer A. Davidson, Halie M. Higgins, Alex Krona, Danny R. Luna
All Electronic Theses and Dissertations
Type 2 diabetes mellitus (T2DM) has emerged as a worldwide epidemic in recent years. Rates of this disease continue to rise annually. While many countries have adequate access to prevent and treat T2DM, developing countries often lack education and resources to combat the diabetes epidemic. This shortcoming results in alarming rates of uncontrolled T2DM cases among individuals in developing countries, namely, Guatemala. Additionally, the lack of resources in Guatemala results in a myriad of other health disparities beyond T2DM including deficiencies in sanitation and adequate nutrition. This community service project specifically aims to address the disproportionate burden of T2DM, sanitation, …
Identification Of Medical Distress By Washington County Correctional Officers: A Community Service Project,
2019
Bethel University
Identification Of Medical Distress By Washington County Correctional Officers: A Community Service Project, Laura Driscoll, Lauren Gimmestad, Mary Gritton
All Electronic Theses and Dissertations
Throughout the United States incidence of suicide, cardiovascular disease (CVD) and drug withdrawal is increasing. Not only are these issues prevalent in the general population, but are also a regular cause of medical distress within the walls of correctional facilities (Centers for Disease Control, 2017b). At Washington County Jail, correctional officers are often the first responders in cases of medical distress (R. Heinin, personal communication, October 16th, 2018). It is for this reason that correctional officers are required to undergo mandatory training regarding medical care. The Washington County Jail Commander felt that current correctional officer training could be improved upon …
A Community Outreach Project Addressing Mental Health, Obesity, And Asthma In Underserved Saint Paul Youth,
2019
Bethel University
A Community Outreach Project Addressing Mental Health, Obesity, And Asthma In Underserved Saint Paul Youth, Anna Ehnstrom, Ellie Hoopman, Caitlin Olson
All Electronic Theses and Dissertations
Due to a lack of resources, awareness, and reinforcement of information, underserved youth are predisposed to unique health concerns. The health disparities prevalent among children living in poverty are many, but the topics of focus for this community outreach project include mental health, obesity, and asthma. Supplemental health education curriculum has the potential to alleviate the health disparities prevalent among such a vulnerable population (Thomas & Aggleton, 2016). To address the health disparities present specifically among underserved youth in St. Paul, MN, the group partnered with the after-school tutoring program at Central Baptist Church to provide education on the topics …
Smoking In The Homeless Population: Implementation Of A Smoking Cessation Program At The Union Gospel Mission Men’S Campus In St. Paul, Minnesota,
2019
Bethel University
Smoking In The Homeless Population: Implementation Of A Smoking Cessation Program At The Union Gospel Mission Men’S Campus In St. Paul, Minnesota, Benjamin James Hageman, Chandler R. Hutton, Matthew Schull, Nathaniel Van Loon
All Electronic Theses and Dissertations
The health consequences of smoking disproportionately impact the homeless population. The homeless population has a higher rate of smoking (70%) than the general population (21%) and has a 5-fold decrease in smoking cessation success rates (Baggett & Rigotti, 2010). However, the percentage of homeless smokers who wish to quite is comparable with non-homeless populations (84% to 82% respectively) (Baggett, Lebrun-Harris, & Rigotti, 2013). The purpose of this community service project was to alleviate some of the smoking cessation barriers that homeless populations face, allowing them to pursue better health and greater independence. By partnering with the homeless shelter, Union Gospel …
Significance Of Spirituality Among Individuals With Intellectual And Developmental Disabilities,
2019
Bethel University
Significance Of Spirituality Among Individuals With Intellectual And Developmental Disabilities, Carlee N. Hunter, Sarah E. Kivisto
All Electronic Theses and Dissertations
Previous literature has demonstrated a relationship between spirituality and positive health outcomes in the general population. However, little research has been done on the role spirituality plays in the lives of individuals with DD (intellectual and developmental disabilities). The purpose of this study was to identify the prevalence of spirituality in IDD individuals and involvement in spiritual activities. This was done with the goal of identifying potential barriers preventing the optimal practice of spirituality in the lives of those with disabilities. This study targeted IDD individuals living in a residential group home setting by collaborating with ACR Homes, a residential …
Understanding Public Perception Of Telemedicine,
2019
Bethel University
Understanding Public Perception Of Telemedicine, Carolyn Majkrzak, Sarah Strenke, Katie Vraspir
All Electronic Theses and Dissertations
The healthcare system in the United States is struggling to meet the needs of a growing patient population amidst the burden of provider shortages and rising costs, where no simple or easy answer exists. However, telemedicine has emerged as a possible solution with well documented benefits such as increasing provider coverage and saving costs. Despite the proven benefits, many people do not use telemedicine and there is little data to answer why it is underutilized. Therefore, this study sought to understand the public’s perception of telemedicine service. It was hypothesized that gender, age, number of children in the household, education …
Education And Support For Patients And Families With Pediatric Chronic Kidney Disease: A Community Service Project,
2019
Bethel University
Education And Support For Patients And Families With Pediatric Chronic Kidney Disease: A Community Service Project, Dulcey Amaia Milek, Emily Josephine Petersen, Aimie Beth Seehafer
All Electronic Theses and Dissertations
With any chronic illness, there may be difficulties that arise such as symptom control, medical management, and resource and support availability. In addition, pediatric populations may require more complex care due to the child’s continuing development, the need for family involvement, and the eventual transition into adult healthcare. With that, the purpose of the community service project was to provide education and support for families living with pediatric chronic kidney disease (CKD), a chronic illness that affects children worldwide. By working with the National Kidney Foundation (NKF), the research team was able to build an educational track for the pediatric …
Patient Disclosure Of Complementary And Alternative Medicine And The Patient-Provider Relationship,
2019
Bethel University
Patient Disclosure Of Complementary And Alternative Medicine And The Patient-Provider Relationship, Kathryn V. Ortmann, Norsha Scheil, Thomas Stearns
All Electronic Theses and Dissertations
Complementary and alternative medicine (CAM) is becoming increasingly prevalent in the United States, with notable usage of supplements, deep breathing exercises, and chiropractic care. Despite this influx of CAM, nearly half of patients do not report their CAM use to their medical provider (Jou & Johnson, 2016). Disclosing these practices to a medical provider is pertinent to patient safety, as a number of potential drug interactions and side effects are associated with different CAM practices. Current literature illustrates specific provider attributes help facilitate an open dialogue with patients, or more specifically, a positive patient-provider relationship. This research study examines if …
The Effect Of Patient Education On Oral Contraceptive Adherence Rates,
2019
Bethel University
The Effect Of Patient Education On Oral Contraceptive Adherence Rates, Brook M. Anderson, Anmol G. Clairmont, Lydia Lutz
All Electronic Theses and Dissertations
We would like to acknowledge our project chair, Jeanne Szarzynski, PA-C, for dedicating her time, expertise, leadership and patience to truly guide the success of our research project. We appreciate her incredible insight, knowledge and skill in literature as well as clinical research to support our research project. Recognition to Barbara Leafblad, CNM, is also appropriate for her time and effort as a reader throughout the project. A very special thank you is appropriated to Lisa Naser, PA-C, and Wallace Boeve, PA-C, for lending their time and professional skills to editing this paper and providing invaluable feedback, with their help, …
Parenteral Ascorbic Acid For Treatment Of Sepsis,
2019
University of North Dakota
Parenteral Ascorbic Acid For Treatment Of Sepsis, Lindsey Hiatt
Physician Assistant Scholarly Project Posters
Sepsis kills nearly 1 million people each year in the United States and sepsis-related hospitalizations cost approximately $24 billion annually (Paoli, Reynolds, Sinha, Gitlin, & Crouser, 2018). Current treatment guidelines are limited to targeted antibiotics and hemodynamic support. While antibiotics are the definitive treatment to eradicate the infectious pathogen, there are currently no standard-of-care treatments that consistently and successfully attenuate the damage sustained to the body by its own inflammatory response to infection. Many different treatments have been trialed and failed to show improved outcomes. Vitamin C, or ascorbic acid, has long been associated with supporting immune function, and has …
Implementing A Discharge Navigator Reducing 30-Day Readmissions For Heart Failure And Sepsis Populations,
2019
James Madison University
Implementing A Discharge Navigator Reducing 30-Day Readmissions For Heart Failure And Sepsis Populations, Karen Weeks
Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019
A national focus for healthcare reform is preventing hospital readmissions. Thirty-day unplanned hospital readmissions impact patient outcomes and are costly to the healthcare system. This project explored the impact between the discharge navigator and 30-day unplanned readmissions for heart failure and sepsis populations in a 238-bed community hospital located in central Virginia. The primary aim of this discharge navigator project was to reduce 30-day readmissions for the heart failure and sepsis populations to meet the goals of the top quartile for like hospitals and the evaluation of cost avoidance for these readmissions. Heart failure and sepsis populations are high risks …
