Nursing Commons^™

Improving On Time Starts For Procedures, Diane Rydzy Rn, Stuart Zarich

Posters

Patient satisfaction is clearly linked to how long a patient waits for their procedure. In order to positively impact patient satisfaction we evaluated start times for our non-invasive cardiology procedures. According to Press Ganey Associates when time spent waiting is 0-20 minutes, overall patient satisfaction ranges from 89.8 to 95.4%.

The Effects Of A Plant Based Diet On The Cholesterol Profile In Young Adults, Terriest Haire

Graduate Research Projects

No abstract provided.

Raising Awareness For Interventions To Reduce Acute Care Transfers (Interact): Implementation Of “Stop And Watch” Tool, Gladys E. Sone-Ebeloue

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Challenges in meeting the healthcare needs of the aging population have led to an increased rate of preventable hospitalizations, which are reported to be costly and detrimental to the health of the elderly, especially for those in Skilled Nursing Facilities (SNFs). Quality improvement initiatives have been proposed as an intervention to improve quality of care of individuals and populations. The purpose of this project was to raise awareness and set the foundation for staff engagement and empowerment in the use of INTERACT (Interventions to Reduce Acute Care Transfers) tools in a SNF. INTERACT is designed to improve quality of care …

A Review Related To Midwifery Led Model Of Care, Shahnaz Shahid, Rafat Jan, Rahat Najam Qureshi, Salma Rattani

School of Nursing & Midwifery

Background: Midwifery led care (MLC) is a model of care in which perinatal care is provided to women throughout different phases of childbirth by a midwife.
Objective: This paper aims to provide a literature review on MLC.
Methods: A variety of databases and reports were considered to do the literature review on MLC. The search was limited from 1991 to 2011 by using keywords. A total of 50 articles were critically appraised for this review.
Findings: The main theme that emerged was women ^’s satisfaction with MLC. Satisfaction was integrated with midwife ^’s presence throughout childbirth, experience to …

The Role Of Melanocortin 1 Receptor In Cutaneous Malignant Melanoma, Mary B. Steck

Publications

Cutaneous malignant melanoma (CMM) is an epidemic cancer in the United States. Survival rates for invasive CMM have not increased in past decades despite numerous clinical trials and the effective use of various combinations of chemotherapy agents to treat other cancers. Recent research has investigated the role of melanocortin 1 receptor (MC1R), a gene associated with red-hair phenotype in White individuals and with increased risk for developing CMM, in the mitogen-activated protein kinase (MAPK) pathway. This limited narrative review discusses the incidence, history, and risk factors for CMM. It explores familial CMM and provides a brief review of melanocyte development …

Lymphedema: Pathophysiology, Diagnosis & Management, Bernadine Cruz

Nursing Student Class Projects (Formerly MSN)

Lymphedema is a disfiguring condition whose hallmark is progressive, increasing swelling which occurs as a result of the accumulation of protein rich fluid in interstitial spaces. Those individuals who are affected suffer from either primary lymphedema or secondary lymphedema; the pathophysiology of both conditions is similar. Lymphedema can be a chronic, acute, or transient alteration, which can eventually lead to keratinization of the skin. An increase in the incidence of lymphedema has also been observed with increase in levels of obesity.

Atrial Fibrillation Post-Lung Lobectomy, Laura Adorni

Nursing Student Class Projects (Formerly MSN)

According to the American Heart Association, atrial fibrillation affected 2.66 million individuals in the United States in 2010 and is expected to double by year 2050 (Sanoski, 2010, p. S11). Post-operative atrial fibrillation (POAF), a classification of atrial fibrillation (AF), can occur after thoracic surgery and is an ongoing source of morbidity and mortality (Imperatori et al., 2012). There is a 10-20% occurrence rate of POAF after non-cardiac surgery, such as a lung lobectomy, and a 40% incidence rate after a pneumonectomy (Omae & Kanmura, 2012, p. 429). Cardiovascular events such as heart failure, cerebral infarction, renal failure, and infection …

Myocardial Infarction (Mi) In Women, Samuel Agyenim Boateng

Nursing Student Class Projects (Formerly MSN)

Cardiovascular disease (CAD) is the most common cause of death for men and women in the US. The disease has been extensively studied in males (Gulati & Bairey Merz, 2012, p. 141). CVD poses an obvious challenge to the health of women. Coronary heart disease (CHD) is described as a "modern epidemic" (Banner, 2010, p. 3123). Although, the prevalence of CVD has prompted many studies for prevention and treatment, little is known about CVD in women. It Is now known that the mortality rates In women have surpassed that of men. Recent reports Indicate that CVD killed more women in …

Early Onset Alzheimer’S Disease In Individuals With Down Syndrome: Explored Theories Of Pathophysiology, Amanda Pack

Nursing Student Class Projects (Formerly MSN)

This presentation is a focus on some of the theories of the pathophysiology of early-onset Alzheimer’s Disease (AD) in individuals with Down Syndrome (DS). Down Syndrome, a genetic condition where an individual has a partial or full extra chromosome 21, is the most common chromosomal condition in the United States (National Down Syndrome Society (NDSS), 2012). Average life expectancy for individuals with DS has vastly increased in the last thirty years from age 25 to age 60 (NDSS, 2012). The extra chromosome genetically makes individuals with DS predisposed to certain conditions, including early onset dementia and AD, therefore as their …

Literary Research On Alport Syndrome, Shailendra Jain

Nursing Student Class Projects (Formerly MSN)

Alport syndrome is rare genetic disorder of the glomerulus in the kidneys that can be X-linked, Autosomal recessive, or Autosomal dominant in nature. Clinical manifestation includes hearing loss, hematuria, proteinuria, and hypertension (Cheungpasitporn, Kaewpoowat, Suksaranjit, Kittanamongkolchai, Srivali, Ungprasert, & Rangan, 2012). It is most common disease in males. A 24-hour urine specimen is usually obtained to check for proteinuria and elevated creatinine, which indicate acute renal failure (Cosgrove, 2012). A renal biopsy and ultrasounds is used to confirm the diagnosis of Alport Syndrome. Patients that are diagnosed with such disease require dialysis and referral to an ophthalmology and audiology. The …

Enterovirus D68, Kimberly Meyers

Nursing Student Class Projects (Formerly MSN)

Enterovirus D68 (EVD68) “belongs to the family Picornaviridae, genus Enterovirus, and species Human enterovirus D: (Kaida et al.,2011, para.2). It is a small nonenveloped RNA virus (Xiang et al., 2012). EVD68 “shares characteristics with rhinoviruses, such as infection of the respiratory tract and acid lability” (Lauinger et al., 2012). There is no specific treatment for EVD68. Since the infection is caused by a virus, antibiotics would be ineffective. There are no antiviral medications currently available to treat EVD68 (Herold, 2014). Treatment may include antipyretics, cough medicines, bronchodilators, oxygen, and mechanical ventilation if required.

Cerebral Venous Sinus Thrombosis (Cvst), Meghan N. Delong

Nursing Student Class Projects (Formerly MSN)

Cerebral venous sinus thrombosis (CVST) is an uncommon condition with incidence resulting in approximately 1-3 % of all strokes. Cerebral venous sinus thrombosis remains often unrecognized initially due to its vague manifestations of symptoms which range from isolated headaches to focal neurological signs and symptoms. CVST is slightly more common in women, particularly in the age group of 20 to 35, due to pregnancy, puerperium and oral contraceptive use (Stam, 2005).

Acute Pancreatitis, Laura Payne

Nursing Student Class Projects (Formerly MSN)

Acute pancreatitis is a common diagnosis seen in intensive care units worldwide. The incidence of pancreatitis has increased over the last decade. It ranks third amongst the gastrointestinal diseases resulting in hospital admissions. The destructive complications of pancreatitis make it a life-threatening disease. If pancreatitis progresses to the severe form the mortality rate significantly increase from one percent to upwards of thirty percent. Pancreatitis is associated with high rates of morbidity, mortality, and prolonged hospital admissions(Goozen, Besselink, Santroort, & Bollen, 2013). An increased understanding of the pathophysiology of pancreatitis has changed the approach to treatment from early surgical treatment to …

Ascaris Lumbricoides: The Unforeseen Diagnosis, Suzette Maynard

Nursing Student Class Projects (Formerly MSN)

Infections from Ascaris lumbricoides have become very prevalent in lesser developed countries. These infections are believed to migrate into the United States through the border with Mexico, and immigration from other countries, through increased world travel and international adoptions (Cardenas et al., 2010). A. lumbricoides have been found to cause cases in the United States, one being in Westerville, Ohio (J. Leonard, personal communication, September 6, 2014). As the world has become smaller, it has become imperative that as a nation we are able to prepare for infections that are popular outside the United States. The first step in preparing …

When Exercise Is A Pain In The Head, Rebecca D. Granger

Nursing Student Class Projects (Formerly MSN)

Headache is one of the five most common chief complaints in the US, resulting in nearly 5 million visits to the ED (Lange, 2011). With great variance in quality, etiology, pathophysiology, and as a potential indicator of a serious underlying problem, it is critical that these headaches be accurately diagnosed, primarily for rapid identification of life threatening factors, but also to offer treatment and education specific to the particular type of headache the patient is experiencing. This will result in better outcomes for the patient through better control and will subsequently save health care dollars by reducing ED visits and …

Rain Rhythms: Fall 2014 - Summer 2015, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Evaluating The Student Health Needs At Dalton State College, Cheryl W. Owens

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

The incidence of chronic diseases in college students mirrors that of older adults. Yet despite the enactment of the Affordable Care Act (ACA), college student continue to have difficulty accessing medical care. Many have no insurance, limited transportation and inadequate finances during college to obtain medical care. While college health centers may improve access to care, smaller colleges often do not have the financial and personnel resources to provide student health services. Even in colleges that provide student health services, the focuses are primarily on sexual health, mental health, violence, and substance abuse. Prevention and treatment of chronic diseases services …

Assessment And Re-Assessment Of Psychiatirc Patients Boarded In The Emergnecy Department: The Impact Of Compliance With Best Practice Standards On Patient Outcomes, Jacquelyn Byrd

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Psychiatric patients have been “deinstitutionalized” over recent decades with their care shifting from the inpatient to outpatient setting. As a result of the closing of more than 13,500 in-patient psychiatric beds between 2005 and 2010, emergency departments (ED) across the nation have become both safe havens and holding areas for psychiatric patients seeking care in the ED. The boarding of psychiatric patients in the ED impacts the timeliness of care provide to psychiatric and non-psychiatric patients alike lengthening door to discharge time for all patients. The purpose of this study is to assess the nursing staff’s compliance with departmental standards …

Nurse Practitioner Screening Practices For Mild Cognitive Impairment In The Older Adult, Margaret Mcilwain

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Abstract

Nurse practitioners (NPs/APRNs) who provide primary care services may be the first line providers in situations where adults present with symptoms of memory loss and forgetfulness. Though protocols are available for evaluating dementia, specific guidelines for evaluating early cognitive changes, Mild Cognitive Impairment (MCI), are lacking. This descriptive research project assesses the knowledge, current screening methods, and barriers to screening for MCI by nurse practitioners (APRNs) in the state of Georgia. One hundred and thirty two NPs participated in the survey. Forty-five percent of the participants were unfamiliar with the diagnostic category of MCI. Of the major barriers identified, …

Factors Affecting Disruption In Families Of Adults With Mental Illness, M. Jane Suresky, Jaclene Zauszniewski, Abir K. Bekhet

College of Nursing Faculty Research and Publications

PURPOSE: This study examined relationships between vulnerability/risk and protective factors, and family functioning in women family members of adults with serious mental illness.

DESIGN AND METHODS: Using a descriptive, correlational design, this secondary analysis examined characteristics of the family member with mental illness (e.g., diagnosis, level of care) and measures of caregiver stigma and strain, client dependence, family disruption, sense of coherence, and resourcefulness.

FINDINGS: Family disruption was greatest inwomenwho provided direct care and whose family member had major depression, followed by bipolar disorder, schizophrenia, and panic disorder. Sense of coherence and resourcefulness were associated with lower family disruption, but …