Athena Commons - Digital Repository of Mississippi University for Women
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Impact of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) on Family Functions
Family policy broadly encompasses everything the government does to promote individual and family well-being through policies that seek to improve the quality of life for individuals and their families. The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 (P.L. 104-193) requires work in exchange for time-limited assistance and a performance bonus to reward states for moving welfare recipients into jobs. The bill includes a provision known as Section 115 that imposes a lifetime ban on federal food and cash assistance for people with drug felony convictions. Those with a previous drug felony conviction receive a lifetime ban on SNAP and TANF regardless of whether they have completed their time in prison or not. As such, the purpose of this brief is to educate and inform on the impact of this section on the well-being of individuals and families through Hill\u27s (1949) ABC-X model and Boss\u27 (2002) model of family stress
Improving Primary Care Providers’ Assessment of Type 2 Diabetic Patients
Type 2 diabetes is the most common form of diabetes and affects millions of Americans. Type 2 diabetes leads to many chronic medical conditions if not properly managed. Often, primary care providers (PCPs) deliver care to type two diabetic patients; therefore, it is imperative that PCPs are knowledgeable of current American Diabetes Association (ADA) guidelines. The purpose of this Doctor of Nursing Practice (DNP) project was to determine if implementation of a type 2 diabetes’ assessment algorithm improved PCP’s knowledge and compliance of ADA assessment guidelines. Educational sessions were conducted at clinics within Mississippi and Tennessee. A pre-test was administered, and immediately following the educational session, participants completed a post-test. Participants were given two to three months to implement changes in their clinical practice prior to the administration of the Post Education Self Evaluation questionnaire. Descriptive and inferential statistics were utilized to compare samples. It was determined that there was not a statistically significant increase in knowledge regarding the assessment of type 2 diabetic patients following the sessions (p=0.479). Since the knowledge of the recommendations was adequate, 92% of the participants reported an increase in following the guidelines because of the educational session. This project supports the need for continued education for healthcare providers regarding guidelines such as these in order to improve quality of care for the diabetic population
The Question of the Purpose of Anti-Miscegenation Laws
Using The Hairstons: An American Family in Black and White, along with additional scholarly research and legal documentation for context, explores the ramifications and reasonings behind the creation and enforcement of anti-miscegenation laws. The primary individuals focused on suggest that anti-miscegenation laws were enacted for reasons outside of marriage\u27s status as a union between two individuals. Social status, property inheritance, and even voting rights were denied to African Americans via the vehicle of anti-miscegenation laws. Just as other antebellum laws served to advance the agendas of the time, anti-miscegenation laws were no different. And the specific stories elaborated on show the many ways that individuals were alienated
Dr. Sally Palmer Thomason & Jean Carter Fisher
Dr. Sally Palmer Thomason and Jean Carter Fisher discuss their book The Power of One, about Sister Anne Brooks, a Catholic nun and doctor of osteopathy, who for 34 years served Tutwiler in the Mississippi Delta, one of the nation’s most impoverished towns. Starting with only two other nuns and regularly working 12-hour days, Brooks’ patient load—in a region where seven out of ten patients that walked in her door had no way to pay for care—grew from 30-40 individuals per month to more than 8,500 annually. Thomason and Fisher tell her powerful story, including her tumultuous childhood, how she overcame crippling arthritis in early adulthood, and her near-unprecedented decision to attend medical school at the age of forty.https://athenacommons.muw.edu/swain-series/1000/thumbnail.jp
Management of Gastroesophageal Reflux Disease (GERD) by Primary Care Providers in Mississippi
Gastroesophageal reflux disease (GERD) is one of the most common diseases seen in primary care practice. To reduce the negative effects, such as esophageal narrowing, erosions, and precancerous lesions, from uncontrolled or inadequately managed GERD, primary care providers must stay up to date on evidence-based research and integrate the most current guidelines, The American College of Gastroenterology (ACG) updated guidelines for proper management of GERD in 2021, into practice. The guidelines recommend lifestyle modifications, proper pharmacological treatment with proton pump inhibitors (PPIs) for an eight-week course, and proper follow-up and/or referral if unimproved. The purpose of this research study was to conduct chart reviews of documentation to identify if primary care providers followed current ACG guidelines. After contacting the Mississippi University for Women’s Institutional Review Board and receiving permission to conduct chart reviews at four primary care clinics in Southeastern Mississippi, the current researchers collected data from 465 patients’ charts to assess if current guidelines were being followed by Mississippi primary care providers. The quantitative retrospective study revealed the majority of primary care providers managed GERD adequately, according to current ACG guidelines. Although the data collection initially included all primary care providers, such as nurse practitioners, medical doctors, doctors of osteopathic medicine, and physicians’ assistants, only nurse practitioners and medical doctors were included in the study due to the specific clinics utilized for data collection. Overall, the study revealed nurse practitioners as more compliant than medical doctors with adhering to current ACG guidelines for management of GERD. If Mississippi primary care providers manage GERD according to the ACG guidelines, better patient outcomes can be achieved. By recommending lifestyle modifications, such as weight loss, elevation of the head of bed, refraining from eating two to three hours prior to bedtime, and avoiding trigger foods, reduction of the negative effects of GERD can be piloted. Correct pharmacological treatment with an eight-week course of PPIs can also reduce the negative outcomes produced by GERD without overtreatment that can lead to other issues, like osteoporosis. If failure of combined therapies occur, referral to a specialist should be made for further treatment. The findings also reiterate the importance of timely follow-up. By following the guidelines, primary care providers can improve patient outcomes through reducing the physical strains of GERD and the economical strains of improper management and treatment of the prevalent disease
Vaping Prevalence Among College Students and Their Knowledge of the Associated Risk of Vaping
E-cigarettes are electronic devices that heat a liquid and produce a vapor that can be inhaled. Vaping is a term used in association with use of e-cigarettes. Vaping has become widespread among the young adult population. In 2018, the Food and Drug Administration and Surgeon General declared vaping an epidemic. The Centers for Disease Control and Prevention predicts at the current rate of use among United States adolescents, 5.6 million under the age of 18 will face early death due to vaping. The purpose of this study was to determine vaping prevalence and vaping knowledge among college students. The study was also utilized to determine if primary care providers are educating college students regarding vaping. The researchers in this study utilized a nonexperimental, quantitative design. An electronic survey assessing demographics, vaping prevalence, vaping knowledge, and primary care provider education regarding vaping was distributed to students 18 years of age and older enrolled in two community colleges 6 and two universities in the southeastern United States. Data were obtained using SurveyMonkey, an online survey software company used to perform professional surveys. The Don’t Blow It: Anti-vaping Campaign questionnaire by Essentia Health was used as the knowledge section of the survey. The researchers had a total of 182 respondents, 172 of which completed the entire survey. The prevalence of ever-vaping in participants was 63.2%, and 83.47% were considered knowledgeable regarding the health risks of vaping. Of the participants who reported vaping, only 12.9% reported being educated about the risks of vaping by their healthcare providers
Hand-drawn campus map
From the Photograph Collection. Campus map, hand-drawnhttps://athenacommons.muw.edu/mdl-1950-1999/1124/thumbnail.jp
Two nursing students
From the Photograph Collection. Two nursing students looking at records in shot used as promotional photohttps://athenacommons.muw.edu/mdl-1950-1999/1141/thumbnail.jp
Reverse of Jewel J. Glass
From the Photograph Collection. Reverse of photo showing subject and datehttps://athenacommons.muw.edu/mdl-1950-1999/1164/thumbnail.jp
Reverse of Valerie Jaudon
From the Photograph Collection. Reverse of photo showing subjects and datehttps://athenacommons.muw.edu/mdl-1950-1999/1168/thumbnail.jp