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Minority mental health patients face many health inequities and inequalities that may stem from implicit bias and a lack of cultural awareness from their healthcare providers. I analyzed the current literature evaluating implicit bias among healthcare providers and culturally specific life traumas that Latinos and African Americans face that can

Minority mental health patients face many health inequities and inequalities that may stem from implicit bias and a lack of cultural awareness from their healthcare providers. I analyzed the current literature evaluating implicit bias among healthcare providers and culturally specific life traumas that Latinos and African Americans face that can impact their mental health. Additionally, I researched a current mental health assessments tool, the Child and Adolescent Trauma Survey (CATS), and evaluated it for the use on Latino and African American patients. Face-to-face interviews with two healthcare providers were also used to analyze the CATS for its’ applicability to Latino and African American patients. Results showed that these assessments were not sufficient in capturing culturally specific life traumas of minority patients. Based on the literature review and analysis of the interviews with healthcare providers, a novel assessment tool, the Culturally Traumatic Events Questionnaire (CTEQ), was created to address the gaps that currently make up other mental health assessment tools used on minority patients.

ContributorsAldana, Lauren Michelle (Author) / Sullivan-Detheridge, Julie (Thesis director) / Allen, Angela (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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For those living lives devoted to taking care of others, it can be difficult to remember to take care of themselves. This thesis project is a review of quantitative and qualitative literature pertaining to self-care for the caregivers of Alzheimer's and dementia patients. Three nursing diagnoses and related nursing interventions

For those living lives devoted to taking care of others, it can be difficult to remember to take care of themselves. This thesis project is a review of quantitative and qualitative literature pertaining to self-care for the caregivers of Alzheimer's and dementia patients. Three nursing diagnoses and related nursing interventions were created using data from the evidence-based literature. With the proper knowledge and assistance, caregivers can better prepare for the future and participate in health-promoting self-care activities which may improve their quality of life.

ContributorsSchmidt, Anna Claire (Author) / Fries, Kathleen (Thesis director) / Barnum, Leslie (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Watts College of Public Service & Community Solut (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Description
Dementia is a progressive, neurodegenerative disease for which there is no cure at the present time. Patients with dementia and age-related disorders experience neuropsychiatric symptoms such as delusions, hallucinations, and other difficult to handle behaviors (Peipert et al., 2018). Due to the staggering cost of hiring in-home help or placing

Dementia is a progressive, neurodegenerative disease for which there is no cure at the present time. Patients with dementia and age-related disorders experience neuropsychiatric symptoms such as delusions, hallucinations, and other difficult to handle behaviors (Peipert et al., 2018). Due to the staggering cost of hiring in-home help or placing their loved ones in a memory care facility, many Americans choose to care for their loved one at home. Unfortunately, this undertaking can impact the caregiver’s emotional and mental health, financial situation, and social life (Peipert et al., 2018). Psychosocial interventions, ranging from social support to therapy, have been shown to be incredibly effective in improving dementia caregiver mental health. One such psychosocial intervention is Cognitive-Behavioral Therapy. Cognitive-Behavioral Therapy (CBT) helps the individual adapt more effective thinking patterns in order to improve their coping skills (Kwon et al., 2017). CBT combines cognitive theory and behavioral theory to explain how our thoughts and feelings directly impact the severity of a situation. In cognitive theory, it is our interpretation of the events that happen to us that is the root of our emotions, not the events themselves. The relationship between our interpretation and our emotions is known as the ABC model (Sorocco & Lauderdale, 2011). In this paper, several relevant studies researching the impacts of CBT on family dementia caregiver stress and burden are assessed and reviewed. A comprehensive, tentative CBT plan for family dementia caregivers is included and proposed.
ContributorsVan Duine, Kelly Nicole (Author) / Infurna, Frank (Thesis director) / Baker, Zach (Committee member) / Barrett, The Honors College (Contributor) / School of Social and Behavioral Sciences (Contributor) / School of International Letters and Cultures (Contributor)
Created2024-05
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The purpose of this thesis project is to analyze the impact that patient death has on long-term care providers. This study draws upon my own experience working as a licensed nursing assistant in a long-term care facility and also uses a qualitative analysis of six semi-structured interviews with other nursing

The purpose of this thesis project is to analyze the impact that patient death has on long-term care providers. This study draws upon my own experience working as a licensed nursing assistant in a long-term care facility and also uses a qualitative analysis of six semi-structured interviews with other nursing assistants and hospice volunteers. With patient death being an unavoidable part of working in this area of healthcare, I explore how these care providers cope with losing their patients and the effectiveness of these coping mechanisms. Some strategies found that aided in coping with grief included staying detached from patients, being distracted by other aspects of the job, receiving support from co-workers, family members and/or supervisors, and having a religious outlook on what happens following death. In addition to these, I argue that care providers also utilize the unconscious defense mechanism of repression to avoid their feelings of grief and guilt. Repressing the grief and emotions that come along with patient death can protect the individual from additional pain in order for them to continue to do their difficult jobs. Being distracted by other patients also aids in the repression process by avoiding personal feelings temporarily. I also look into factors that have been found to affect the level of grief including the caregiver’s closeness to the patient, level of preparedness for the death, and first experience of losing a patient. Ultimately, I show that the common feelings accompanied by patient death (sadness, anger and stress) and the occurrence of burnout are harmful symptoms of the repression taking place.
ContributorsMasterson, Kaitlin (Author) / Loebenberg, Abby (Thesis director) / Mack, Robert (Committee member) / School of Mathematical and Statistical Sciences (Contributor) / School of Molecular Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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This paper will provide a review of the difficulties associated with caregiving for a family member with Alzheimer’s Disease and Related Dementias (ADRD) and the intervention strategies used to improve psychosocial wellbeing of the caregiver. A review of various empirical studies compares different intervention strategies and their accessibility and effect

This paper will provide a review of the difficulties associated with caregiving for a family member with Alzheimer’s Disease and Related Dementias (ADRD) and the intervention strategies used to improve psychosocial wellbeing of the caregiver. A review of various empirical studies compares different intervention strategies and their accessibility and effect on caregiver mental health. The literature suggests that the most effective treatments are those that are based in cognitive behavioral techniques , teaching caregivers how to recognize and regulate negative emotions that arise and to develop coping strategies for stressful situations involving their loved one with ADRD (Cheng et al., 2018). However, there is currently only a limited amount of research done on the topic of pain recognition and management by caregivers for those with ADRD; future research on this topic is needed to help to develop programs to teach caregivers strategies to help them recognize changes associated with pain in their loved one’s health and wellbeing (Kankkunen & Valimaki, 2014). Future research regarding caregivers for those with ADRD will continue to improve the development of family based support programs based in education for recognition of pain symptoms in patients and cognitive behavioral principles to improve caregiver and patient quality of life (Gitlin et al., 2015).

ContributorsKinnier, Amber (Author) / Coon, David (Thesis director) / Hanish, Laura (Committee member) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Changing Caregivers Attitudes toward dementia study was conducted to assess changes in attitudes of formal caregivers caring for persons with dementia in a palliative care setting. An eight-minute virtual experience activity was delivered to 40 para-professional caregivers of those diagnosed with mild, moderate or severe dementia. The virtual experience consisting

Changing Caregivers Attitudes toward dementia study was conducted to assess changes in attitudes of formal caregivers caring for persons with dementia in a palliative care setting. An eight-minute virtual experience activity was delivered to 40 para-professional caregivers of those diagnosed with mild, moderate or severe dementia. The virtual experience consisting of a set of instructions, headphones and different materials, is a quick, effective and efficient way to mimic having some of the stressors those living with Alzheimer's, or other types of dementia, may experience in their day-to-day lives. The purpose of this study was to analyze the effect on caregivers’ emotions and attitudes toward dementia, before and after the virtual experience using a qualitative approach. It is hypothesized that the intervention will educate and instill empathy in the caregivers, overall, improving the delivery of their care in the future. Participants were asked open ended questions before and after the intervention using the virtual experience and four themes emerged: (1) Being more patient, (2) Slowing down, (3) Empathy and (4) Being positive. The findings suggest further education about the disease process is needed to help caregivers understand the actions of dementia related behaviors. Also, education about different strategies to handle some negative behaviors associated with Alzheimer’s or other types of dementia can be done to improve the situation. Overall, the findings showed an increase in empathy and positive words or phrases from the participants, suggesting the simulation experience was an applicable and ethical intervention.
ContributorsPfohl, Marin Elizabeth (Co-author) / Latini, Abigail (Co-author) / Hamilton, Gillian (Thesis director) / Gallagher, Maribeth (Committee member) / Uriri-Glover, Johannah (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
Changing Caregivers Attitudes toward dementia study was conducted to assess changes in attitudes of formal caregivers caring for persons with dementia in a palliative care setting. An eight-minute virtual experience activity was delivered to 40 para-professional caregivers of those diagnosed with mild, moderate or severe dementia. The virtual experience consisting

Changing Caregivers Attitudes toward dementia study was conducted to assess changes in attitudes of formal caregivers caring for persons with dementia in a palliative care setting. An eight-minute virtual experience activity was delivered to 40 para-professional caregivers of those diagnosed with mild, moderate or severe dementia. The virtual experience consisting of a set of instructions, headphones and different materials, is a quick, effective and efficient way to mimic having some of the stressors those living with Alzheimer's, or other types of dementia, may experience in their day-to-day lives. The purpose of this study was to analyze the effect on caregivers’ emotions and attitudes toward dementia, before and after the virtual experience using a qualitative approach. It is hypothesized that the intervention will educate and instill empathy in the caregivers, overall, improving the delivery of their care in the future. Participants were asked open ended questions before and after the intervention using the virtual experience and four themes emerged: (1) Being more patient, (2) Slowing down, (3) Empathy and (4) Being positive. The findings suggest further education about the disease process is needed to help caregivers understand the actions of dementia related behaviors. Also, education about different strategies to handle some negative behaviors associated with Alzheimer’s or other types of dementia can be done to improve the situation. Overall, the findings showed an increase in empathy and positive words or phrases from the participants, suggesting the simulation experience was an applicable and ethical intervention.
ContributorsLatini, Abigail Louise (Co-author) / Pfohl, Marin (Co-author) / Hamilton, Gillian (Thesis director) / Gallagher, Maribeth (Committee member) / Uriri-Glover, Johannah (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05