A5067044910- Schizophrenia research and treatment
- Homelessness and Social Issues
- Diet and metabolism studies
- Geriatric Care and Nursing Homes
- Mental Health Treatment and Access
- Diabetes Treatment and Management
- Nursing Roles and Practices
- Interprofessional Education and Collaboration
- Diabetes Management and Research
- Stress Responses and Cortisol
- School Health and Nursing Education
- Maternal Mental Health During Pregnancy and Postpartum
- Palliative Care and End-of-Life Issues
- Pharmacology and Obesity Treatment
- Lung Cancer Treatments and Mutations
- Dementia and Cognitive Impairment Research
- Ethics in medical practice
- Diabetes Management and Education
- Multiple Myeloma Research and Treatments
- Chronic Disease Management Strategies
- Suicide and Self-Harm Studies
- Alcohol Consumption and Health Effects
- Grief, Bereavement, and Mental Health
- Child and Adolescent Health
- Biomedical Ethics and Regulation
University of Miami
2025
Colorado College
2010-2021
Denver School of Nursing
2013-2019
University of Colorado Denver
2009-2017
University of Colorado Anschutz Medical Campus
2015-2016
Johannes Gutenberg University Mainz
2015
Institut für Palliative Care
2015
Rush University
2012
The University of Texas at Arlington
2002-2008
The University of Texas Southwestern Medical Center
2001-2004
<h3>Background</h3> While the incidence of new-onset diabetes mellitus may be increasing in patients with schizophrenia treated certain atypical antipsychotic agents, it remains unclear whether agents are directly affecting glucose metabolism or simply known risk factors for diabetes. <h3>Objective</h3> To study 2 drugs most clearly implicated (clozapine and olanzapine) risperidone using a frequently sampled intravenous tolerance test. <h3>Design</h3> A cross-sectional design stable,...
This study evaluated the effect of switching outpatients with schizophrenia and antipsychotic-induced sexual dysfunction to open-label quetiapine treatment. Secondary objectives were compare antipsychotic prolactin-related effects versus prestudy Eight patients at least moderately severe (N = 7 taking risperidone, 4–6 mg/d; N 1 haloperidol, 10 mg/d) prospectively after they switched 6 weeks The assessments that we used included evaluations functioning (Arizona Sexual Experience Scale [ASEX];...
About 24% of people living with HIV nationally are identified as needing treatment for alcohol or illicit drug use. Screening, Brief Intervention, and Referral to Treatment (SBIRT) has evolved a strategy assess intervene substance abuse behaviors in various clinical settings. However, less is known about the processes outcomes using SBIRT intervention outpatient clinics. This paper presents descriptive analysis de-identified existing results data from an clinic located western Colorado. From...
Objective: To describe challenges of caring for homeless veterans at end life (EOL) as perceived by Veterans Affairs Medical Center (VAMC) and EOL care staff. Design: E-mail survey. Setting/participants: Homelessness programs VAMCs. Measurements: Programs their ratings personal, structural, clinical were described statistically. program responses compared in unadjusted analyses using multivariable models. Results: Of 152 VAMCs, 50 (33%) completed the The VAMCs treated an average 6.5...
Background: Veterans who nearing the end of life (EOL) in unstable housing are not adequately served by current palliative care or homeless programs. Methods: Multidisciplinary focus groups, interviews with community and Affairs (VA) leaders 29 veterans were conducted five cities. A forum national homelessness (n=5) representatives from each group (n=10), then convened. The used Nominal Group Process to suggest improvements EOL for without homes. Modified Delphi was consolidate prioritize...
Over the past 20 years, significant evidence has emerged for collaborative care in treatment of depression and anxiety disorders primary care.The purpose this project was to integrate an interprofessional model behavioral health services into routine nurse-led delivered vulnerable underserved populations across lifespan. Team members included psychiatric nurse practitioners (PMHNPs), a registered nurse, case manager.An Access database developed track clients seen by PMHNPs. Three key outcome...
Obesity and type 2 diabetes are increasing significantly in the Hispanic population with schizophrenia. In Diabetes Prevention Project (DPP), cognitive-behavioral (CB) interventions were more effective reducing weight preventing diabetes.To test a CB group intervention based on DPP model among individuals schizophrenia weight, body mass index (BMI), waist-hip circumference (WH).Pilot study using pre-post quasi-experimental design convenience sample of 8 subjects from public mental health...
This study aimed to assess the relationship of depressive symptoms with self-management by adults type 2 diabetes mellitus and chronic kidney disease.Using a descriptive correlational design, participants completed Beck's Depression Inventory (BDI-II) Summary Diabetes Self-Care Activities measure.Reported were energy loss, sleep change, fatigue. Performed less exercise, physical activity, eating vegetables, blood checks. Significant correlations BDI-II total score feet checking, loss...
This study evaluated costs associated with risperidone and olanzapine treatment for schizophrenia. Data were collected from the Department of Veterans Affairs computerized database nine months before after patients began continuous (N=23) or (N=47). Both agents significant reductions in psychiatric hospitalization costs. Median increases antipsychotic significantly higher treated ($1,892) than those ($733). Mean dosages 3.5 mg per day group 18 group. Although both treatments similar...
PURPOSE. Progression of metabolic illness in a patient with schizophrenia who was stabilized on an atypical antipsychotic is described using case study framework. Risks and benefits staying current treatment versus switching to another agent strategies are described. CONCLUSIONS. Switching more favorable side effects may improve parameters if other weight loss have failed. or stopping medications too quickly exacerbate psychiatric symptoms. There little evidence support which the best...
Background The use of substances including alcohol, tobacco, and other drugs increases the risk for injury, noncommunicable disease, premature death contributes to global burden disease. Problem morbidity mortality rates among patients with at-risk substance point need future nurses have requisite knowledge competencies provide care this population. Approach This article provides guidance nurse educators in designing curricula that include content related use, screening, brief intervention,...
•Explain quantitative and qualitative aspects of the challenge caring for homeless Veterans who are approaching end their life.•Describe challenges that frequently encountered in life.•Discuss categorize potential solutions to care at life. More than 76,000 estimated be on any night. Among homeless, mean age death is 34-47 years. both life (EOL) do not fit readily into programs (HV) or those (1) Describe current services perceived HV EOL by surveying existing Administration (VA), Veterans,...
INTRODUCTION: All patients of a nurse-led federally qualified health center and faculty practice interested in medication management were automatically referred to the psychiatric mental nurse practitioner clinic. This approach was not sustainable provide access who needed both simple complex management. Thus, search for new care model that also focused on full-scope RN initiated. AIMS: The specific aims this project create fully integrated, behavioral team within primary facilitate (1)...