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Great SMILE: An Interprofessional Approach To TeleHealth
No full textPresentation describing the following: Using interprofessional collaboration, our team worked together to address the needs of our simulation patient, Alex, over the course of two TeleHealth simulation sessions. We reflected on the roles of our various professions, collaboration, and patient empowerment in the TeleHealth setting.https://dune.une.edu/cecespring2021/1013/thumbnail.jp
Cauda Equina Syndrome In A 53-Year-Old Female Following A Motor Vehicle Accident: A Case Report
Get PDFBackground: Cauda equina syndrome (CES) is a collection of symptoms that can present as the result of many different spinal cord pathologies. CES is a medical emergency and often requires immediate surgical intervention to prevent permanent damage. The criteria for screening and diagnosis for CES is observed to be inconsistent and varied among healthcare professionals.
Case Description: A 53-year-old female was involved in a motor vehicle accident (MVA), resulting in her experiencing a concussion, and fracture of the left (L) ankle and right (R) femur. She required R hip surgery and was given a bilateral lower extremity non-weight bearing status. She had several computerized tomography scans and was determined to have no significant neurological injuries to the spine. She progressed through physical therapy (PT) in the hospital and was referred to the skilled nursing facility (SNF) for continued rehabilitation as she was unable to return home independently at that time. On initial examination at the SNF, the student physical therapist (SPT) determined that the patient presented with neurological symptoms that were not noted on the hospital discharge notes. The patient reported experiencing saddle paresthesia and could not determine if she was urinating or not. Findings were consistent with CES. The patient was sent back to the hospital for an MRI which showed compression of her spine in the thoracic region but was determined to be non-emergent and required no surgery at that time. The patient returned to the SNF for further therapy. The patient received education on how to safely move in bed to protect the spine, supine therapeutic exercises, and manual therapy. After imaging was obtained, and the patient cleared for weight bearing, treatment was then focused on ambulation with the continuation of the therapeutic exercises for strengthening.
Outcomes: During the re-evaluation, the patient completed the Six-Minute Walk Test and the 30-Second Sit to Stand test. The patient progressed each week through PT and became more mobile. At the time of discharge, she was ambulating with an Aircast on her L lower extremity and without the need for a two-wheeled walker.
Discussion: Red flag screening is a tool that must be used in order to effectively diagnose and treat patients with underlying critical health conditions. Severe health conditions make up a very small number of diagnoses seen during a PT evaluation, but should not be overlooked. It is the duty of all healthcare professionals to screen for vital pathologies and deficits to provide the pinnacle of care for our patients
There Were Many
No full textThere Were Many reimagines the ubiquitous alphabet primer of the elementary schoolroom as a place where mystery abounds; an arena connected to nature, our origins and the power of the mythical; a place of fluid time, beauty and possibility. This work asks the viewer to slow down, to listen, to observe. It also contains a story of a world that is quite similar to our own. A parable. a call to action, an elegy-- perhaps all three. This work proposes that we find mystery again in the everyday, that we take the time to really see and love the things around us and that we cultivate beauty in all that we do.
It is clear now that our writing and language has not prepared us for the challenges and crises of our current world. In fact, language has been used to cleverly obscure the very real and pressing issues of our time. It is time to reconfigure the uses of an education. Would it be that children were taught the values of reciprocity, taught to bring the utmost care to both our use of language and our relationships to each other and the natural world.
There Were Many was drawn with a brush using ink and gouache in two-foot segments, culminating at a length of twenty feet. The animation is a slow pan of over 17 minutes through the entire drawing accompanied by Bach’s Chaconne from the Partita in D minor. Bach’s music has been a beacon for me in these troubled times--a masterpiece of emotional intensity that resonates with beauty, loss and hope. I have listened to it hundreds of times.
Special thanks are due to my friend and colleague Oran Suta without whose assistance this work would remain just an idea. His patience and enthusiasm were a blessing. I also owe Channel Classics Records a special thanks for their permission to use this recording of the Chaconne by the masterful musician, Toyohiko Satoh. And finally thank you to the University of New England who provided me with sabbatical leave and grant funding to pursue my creative work where the initial spark of this project began.https://dune.une.edu/art_facproj/1000/thumbnail.jp
The Impact Of Student-Centered Coaching On Teacher Self-Efficacy: An Exploratory Case Study
Get PDFThe purpose of this qualitative exploratory case study was to determine the impact that participation in student-centered coaching had on teacher self-efficacy within a large, international school in east Asia. The study aimed to fill the gap in international school research around student-centered coaching and teacher self-efficacy. The study explored how the student-centered coaching process impacted teacher self-efficacy and perceptions of self as well as how teachers described their development of self-efficacy in relation to the student-centered coaching model. Four elementary homeroom teachers participated in this single site study. Data were collected over a six week period in the form of pre-cycle interviews, participant reflective journals, collaborative planning documents, and post-cycle interviews. The researcher found that partnership with an instructional coach and the focus on student success were the two main factors within the process that had an impact on teacher self-efficacy. Further, evidence was collected through the sources of self-efficacy (mastery experiences, vicarious experiences, verbal persuasion, and physiological/emotional states) which showed how participating in a student-centered coaching cycle can positively impact teacher self-efficacy (Bandura, 1997). Recommendations include that focusing on improving student learning outcomes and using data to drive discussions can impact teachers’ beliefs in themselves and ability to meet student learning outcomes, job-embedded professional learning impacts teacher self-efficacy, and schools should ensure that coaches are knowledgeable, collegial, trustworthy and able to guide teachers through reflective processes to promote thinking through the lens of student learning. Further studies could examine what leaders can do to ensure that job-embedded professional learning is implemented at their schools, could explore similarities and differences in how participation impacts teacher self-efficacy at multiple sites, and could further examine the role of the instructional coach to see if there are other implications from the coach’s presence and its impact on teacher self-efficacy
Agriculture Is Adapting To Phenological Shifts Caused By Climate Change, But Grassland Songbirds Are Not
Get PDFMigratory birds time their migration based on cues that signal resource availability for reproduction. However, with climate change, the timing of seasonal events may shift, potentially inhibiting the ability of some species to use them as accurate cues for migration. We studied the relationship between phenological shifts and reproduction by long- and short-distance migratory songbirds—Bobolinks (Dolichonyx oryzivorus) and Savannah Sparrows (Passerculus sandwichensis). Our study population breeds in hayfields and pastures in Vermont, USA, where farmers are also changing management activities in response to climate change. From 2002 to 2019, we monitored nest initiation dates to quantify correlations with environmental factors and the timing of nest initiation. We collected historical and projected precipitation and temperature data for the breeding grounds, and their respective wintering and stopover sites, the North Atlantic Oscillation (NAO) and the El Niño Southern Oscillation (ENSO). We predicted that winter conditions experienced by the short-distance migrant, the Savannah Sparrow, but not the long-distance migrant, the Bobolink, would explain the timing and success of nesting, however that this timing would be misaligned with changes in agricultural practices by hay farmers. Nest initiation dates did not show significant directional change for either species, but did vary among years. Interannual variation in Savannah Sparrow nest initiation dates was best explained by the interaction between precipitation on the breeding grounds and average wintering site (Wilmington, North Carolina). For Bobolinks, interannual variation in nest initiation dates was best explained by the interaction between breeding ground precipitation and average temperature in their fall stopover site (Barquisimieto, Venezuela). However, first haying dates in Vermont advanced by ~10 days over 18 years. These results suggest that the conflict between the timing of hay harvests and grassland songbird reproduction will increase, further threatening population processes for these species, as early harvests notably decrease annual productivity
Adding Value Through Sustainability: Incentivizing An Ecosystem Approach To Oyster Aquaculture In Maine
Get PDFThis study identified oyster farming practices that have the potential to increase the sustainability of Maine’s oyster industry while increasing its value. Practices aligned with the principles of the ecosystem approach to aquaculture were gleaned from semi-structured interviews and surveys of oyster farmers and their buyers. Themes from interview transcripts were developed using thematic analysis. Survey data was used to triangulate interview transcript data. As a result, sustainable oyster farming practices were identified that had direct and indirect connections to the value of Maine’s oysters. Practices with direct connections to increased oyster value included conducting and advertising actions of increased stewardship in the coastal areas around farms. Practices with indirect connections to increased oyster value included 1) monitoring water quality to prevent exceeding production carrying capacity, and 2) involving a broader spectrum of community members as stakeholders in planning oyster aquaculture development at all scales
Teachers’ Perceptions Of Restorative Practices In K–8 Classrooms
Get PDFIn this qualitative phenomenological study, the researcher sought to examine teachers’ perceptions of restorative practices in Kindergarten–Grade 8 (K–8) classrooms. The authors in the current literature concerning restorative practices have referenced the connection to social–emotional learning and school climate, yet there is limited understanding of how teachers perceive these practices and use them in their classroom. The purpose of this study was to examine the phenomenon of restorative practices including when, where, and how teachers use these practices and support social–emotional learning efforts. Ten public school teachers in K–8 classrooms in Connecticut shared their lived experiences through semistructured interviews. Data from the interviews were analyzed using a 5-step data analysis process that Creswell and Poth (2018) developed. The analysis of the findings revealed that (a) the participants used restorative practices for community and relationship building, (b) there is an emphasis on the use of restorative practices to build social competency for students and staff, and (c) there is a need for consistent restorative structure within a school community. This research has implications for school leaders and classroom teachers, and it truly explores how restorative practices can be used to support SEL and to improve school climate
When they fall, so do you
No full textMedical education can teach you everything under the sun, but none of that matters when it\u27s family involved. And despite these teachings, no one ever truly teaches you what to do in the aftermath
Attitudes Related To Trauma-Informed Care In The Educational Setting: An Exploratory Case Study
Get PDFThis qualitative, exploratory case study was used to explore the perceptions of public high school faculty and staff towards trauma-informed practices in the school environment. Faculty and staff attitudes toward adverse childhood experiences and their attitudes toward implementation of trauma-informed care (TIC) in the educational setting are not well known. This study applies constructivism as a theoretical framework because the research depends on the participants’ views of the topics under study. Ten faculty and staff from a suburban high school in the northeastern part of the United States participated in this exploratory case study, completed the Attitudes Related to Trauma-Informed Care Scale, and participated in a semistructured interview. The data analysis revealed four themes that included relationships, safety, training, and behavior. The most significant finding was building relationships. From the results of this study, this researcher found that, when educators take the time to build relationships with students, the impact of traumatic events might be mitigated. Additional findings of this study were focused on participant attitudes toward TIC, the TIC practices they implemented, and factors that affected TIC implementation, including professional development. The findings of this study could be useful to educators, administrators, and educational support personnel interested in TIC
Adolescent Obesity: Causes, Risks and Interventions
Get PDFTo provide concise information about adolescent obesity to include the common causes, risk factors, immediate and long-term health risks. This handout also strives to deliver basic nutrition education and easy-to-access resources for more information.https://dune.une.edu/an_studedres/1183/thumbnail.jp