- Nutrition and Health in Aging
- Child Nutrition and Feeding Issues
- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Dysphagia Assessment and Management
- Clinical Nutrition and Gastroenterology
- Frailty in Older Adults
- Dementia and Cognitive Impairment Research
- Food Security and Health in Diverse Populations
- Intensive Care Unit Cognitive Disorders
- Nursing Roles and Practices
- Grief, Bereavement, and Mental Health
- Diabetes Management and Education
- Patient Dignity and Privacy
- Health and Well-being Studies
- Childhood Cancer Survivors' Quality of Life
- Dietetics, Nutrition, and Education
- Family and Patient Care in Intensive Care Units
- Nutrition, Health and Food Behavior
- Mobile Health and mHealth Applications
- Obesity, Physical Activity, Diet
- Diet and metabolism studies
- Esophageal and GI Pathology
- COVID-19 and Mental Health
- Chronic Disease Management Strategies
Medical University of South Carolina
2011-2020
University of Alabama in Huntsville
2014-2016
University of South Carolina
2014-2016
Sigma Theta Tau International
2016
University of Tennessee Health Science Center
2016
University of North Carolina at Charlotte
2016
East Tennessee State University
2016
Duke University
2012
MGH Institute of Health Professions
2010
University of Pennsylvania
2010
We describe findings from a large study that provide empirical support for the emerging construct of cognitive frailty and put forth theoretical framework may advance future complex aging conditions. While impairment physical have long been studied as separate constructs, recent studies suggest they share common etiologies. aimed to create population predictive model gain an understanding underlying biological mechanisms relationship between impairment.
The development and clinical trial of a 5-session behavioral intervention for complicated bereavement (CB) is presented. We conceptualized CB in terms Major Depression (MDD) Post-traumatic Stress Disorder (PTSD) consequently applied treatment components Behavioral Activation Therapeutic Exposure (BA-TE). In order to assure standardization treatment, control costs, engage patients, multi-media, multi-context format was adopted address avoidance withdrawal behaviors as central pathogenic...
BACKGROUND: Assessment of and interventions for promoting eating in persons with late‐stage dementia have primarily focused on facilitation safe feeding methods to promote ingestion nutrients via several routes. Using Social Exchange Theory, this study examined how the quality interaction between care giver receiver influenced proportion food consumed by dementia. METHODS: Fifty‐three dyads composed nursing home residents Certified Nursing Assistants (CNAs) were observed during breakfast...
To present the findings of a dimensional analysis isolation in context, and from perspective, lesbian, gay, bisexual transgender youth.Lesbian, youth are often at greater risk for negative health outcomes compared with heterosexual youth. Isolation is one factor cited throughout literature; however, concept complicated has many uses thus warrants clarification.Concept Analysis.Sources comprise 35 English language research articles retrieved CINAHL EBSCOHost (1987-2012).A was undertaken to...
Abstract Background The aims of this study were to evaluate the relationship between anticholinergic drug burden (ACB) cognitive impairment, physical frailty, and determine if ACB is predictive these phenotypes when modeled with biological genomic biomarkers. Methods In a retrospective cohort study, total 1,453 adults aged 20–102 years used examine as predictor for frailty. Anticholinergic examined all in cross-sectional analysis using logistic, ordinal regression models, Extreme Gradient...
Background Nursing home ( NH ) residents who require assistance during mealtimes are at risk for malnutrition. Supportive handfeeding is recommended, yet there limited evidence supporting use of a specific technique to increase meal intake. Objectives To compare efficacy three techniques assisting with dementia meals: Direct Hand DH ), Over OH and Under UH ). Design A prospective pilot study using within‐subjects experimental Latin square design randomization one sequences. Setting...
Persons with various forms of dementia suffer from a progressive disease in which memory and the ability to function independently are lost. During moderate late-stage dementia, individuals experience increased difficulty eating require more feeding assistance. Clinicians working this population must acknowledge multifactorial aspects behavioral issues, use team approach, make careful assessments using appropriate instruments. Interventions should include attention cognitive impairment,...
Aim. To develop a broad understanding of nursing beliefs, knowledge and roles in feeding decisions for home residents with advanced dementia. Background. Concern is growing about the common use tubes Nurses can play an important role providing information guiding family members through difficult decisions. Little known nurses’ perspectives on Design. Qualitative descriptive. Methods. In‐depth semi‐structured interviews 11 licensed nurses who were experienced caring Results. Analysis...
Rates and frequencies of alcohol consumption remain unknown among nursing students, risk protective factors associated with misuse are poorly understood. Nursing curricula often lack content on substance use disorders nurses, which is reported to begin prior or during college.The aims the study were examine students' perceptions behaviors themselves their peers identify policies influence.We used Photovoice method, employs participatory action research. Participants screened for via AUDIT-C,...
Typical aging may result in subclinical swallowing alterations (presbyphagia), which can place an individual at risk for dysphagia-related conditions, such as aspiration pneumonia, secondary to loss of functional reserve and rising incidence age-related diseases associated with dysphagia. The purpose this study was investigate occurrence airway invasion among healthy, nondysphagic community-dwelling adults. Further, we tested differences across age categories between sexes.Each eligible...
In Brief The Edinburgh Feeding Evaluation in Dementia scale is an 11-item instrument developed to assess eating and feeding problems people with late-stage dementia. By looking for certain behaviors—spilling food while or turning the head when prompted eat, example—a nurse can identify a patient's needs build effective care plan. takes as little five minutes complete. Watch online video of nurses demonstrating use scale: https://links.lww.com/A281. Certain eating, example—can predict
The purpose of this paper is to explicate a change model for caregivers persons with dementia assist them in facilitating meals the home, at community-based programs and institutional settings. Building on Social Ecological Model, C3P Model—Change Person, Change People, Place offers clear method adapt care strategies foster independence while providing appropriate support as person cognitively functionally declines. Meals are highly embedded within culture ritualized events family requiring...