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Reducing Barriers for a Houseless Patient: Inola
No full textInola, a 52 year old Cherokee woman, struggles with poorly managed stage two chronic lymphocytic leukemia. She experiences barriers to care in each layer of her life including within herself, her family and friends, her broader community, and her environment. Inola is currently houseless and unemployed with a high school diploma. For forty years, she has smoked cigarettes daily; she previously struggled with alcohol use disorder but notes that is no longer a factor. She is undergoing chemotherapy and blood infusions for her leukemia, which, in conjunction with her homelessness, fuel additional concerns such as poor nutrition, weight loss (her BMI is less than eighteen), inability to tolerate exercise, anxiety, and depression. In addition, Inola is a Cherokee Native American who grew up disconnected from her heritage and feels distrustful of modern healthcare, the latter of which resulted in her delayed diagnosis.
Inola resides in Poland, Maine, a small, rural town roughly thirty miles outside of Portland. While she possesses strong friendships with individuals eager to help when they can, they are often unavailable to drive her to appointments. When she finds herself without shelter, she either sleeps on a friend’s couch or at a shelter. She is not married and has no children. Her parents passed away over thirty years ago; she has no living family and has learned to rely on herself and her community.
Due to her rural location, Inola must travel to Portland for her medical care. This poses a challenge as she lacks access to a car and the region lacks a direct bus route. While Poland offers community resources, she cannot access them without a permanent residence. Communication poses a challenge as well: she owns an iPhone but not a cell phone plan, so she is forced to rely upon wifi, payphones, or friends’ phones for connection. Based upon all of this, caring for Inola will require careful consideration of her history, challenges, and support.https://dune.une.edu/caiepspring2024/1017/thumbnail.jp
Exploring The Perspectives Of Private High School Students With Adverse Childhood Experiences On Trauma-Based Approaches
Full text linkNearly 75% of high school students reported having at least one adverse childhood experience (ACE) (Anderson et al., 2022). The effects of trauma include hindrances to skill acquisition and task completion because of how one’s executive functioning is inhibited (Cohen & Barron, 2021; Hubel et al., 2020; McClain, 2021). Students with trauma may experience “emotional, relational, behavioral and cognitive levels that will significantly impair their psychosocial functioning” (Milot et al., 2010, p. 232). This study used a qualitative phenomenological approach to capture the essence of the lived experiences of the participants (Creswell & Poth, 2017). The purpose of this study is to explore how private high school students, age 18 or older, who have at least one ACE, perceive trauma-based approaches used in the classroom. The specific problem that this study addresses is the lapse in research on trauma-based approaches used by private school teachers. This study used students with ACEs as participants to solicit their insights into the trauma-based approaches they believed positively impacted their academics and functioning in learning. The research\u27s findings revealed that a trauma-based approach in this study is a three-pronged approach that includes a holistic teacher, a holistic learning environment, and responsive instructional methods used by the teacher. The findings of this research also revealed that a trauma-based approach can lead to pervasive academic achievement and cultivate self-reflection in students while also nurturing a student’s identity and repairing their attachment
Growing Through Adversity: Cultivating Oral Health After Childhood Cancer Care
Full text linkChildhood cancer treatments, such as chemotherapy and radiation, are essential but have significant side effects on growth, development, and oral health. These therapies can disrupt cell division, damage growing tissues, and cause complications like delayed tooth eruption, soft tissue abnormalities, and saliva production changes. Despite these risks, there is a lack of comprehensive research and standardized protocols for managing oral health in survivors. Studies reviewed for this paper were recently published and they stated to have been the first ever to discuss this topic. Increased research funding is needed to study long-term effects, focusing on salivary gland function, periodontal health, and dental development. Collaboration among oncologists, dentists, and researchers is crucial for integrated care plans. Additionally, educating dental professionals and survivors about these risks can lead to early intervention. Policy efforts should also ensure survivors have access to regular dental assessments and preventive care.https://dune.une.edu/dh_studpost/1025/thumbnail.jp
A Qualitative Phenomenological Study Of Inner Speech Used As A Self-Help Tool Among Adult Remote Workers
Full text linkThe COVID-19 pandemic and subsequent shift to remote work emphasized the importance of maintaining the well-being of adult remote workers. The problem studied was the awareness, understanding, and acceptance of inner speech/self-talk among adult remote workers. The purpose of this qualitative, phenomenological study was to explore the perceptions and experiences of adult remote workers regarding their use of inner speech/self-talk. Inner speech/self-talk is an innate ability of higher mental functions that include reasoning, problem solving, planning and plan execution, attention, and motivation. Data collection involved the purposeful sampling of 10 participants who were adult remote workers. The semistructured interviews were conducted via Google Meet and were transcribed using Otter software. The data were manually coded, and they revealed three interconnected themes: the state of consciousness, self-regulation, and social interaction. The participants shared insights into the applications of inner speech and self-talk from coping with isolation and adapting to communication styles in remote work to managing emotions, enhancing self-discipline, and planning interactions. In conclusion, this study’s implications extended to individuals, communities, and organizations. The study illuminated inner speech and self-talk functions in the lives of adult remote workers
Sharing Stories Of Development: How School Leaders Perceive Developing A Trauma-Informed School
Full text linkABSTRACT
This narrative inquiry explored how educational leaders perceive the development of a trauma-informed school. A trauma-informed school acknowledges the impact of trauma and responds by integrating effective practices, programs, and procedures to build resilience. The problem addressed by this study is, with rising numbers of adverse childhood experiences (ACEs), school staff lack targeted skills to help students mitigate trauma. Further, this qualitative study fills the gap in literature by providing the lived experiences of educational leaders in developing trauma-informed schools. Through narrative research, semistructured interviews which lasted up to 60 minutes were individually conducted with five educational leaders who worked in trauma-informed schools in Maine. Data analysis included restorying the interview transcripts and data coding. Each narrative was sent to participants for member checking to ensure accuracy. Restoried narratives were examined in depth and revealed the following themes: Connections, Readiness for Change, and Availability of Time. Key findings showed connections are the foundation of a trauma-informed school to foster belonging. Readiness for change among staff is necessary for professional development to be meaningful, and time is essential to engage in the work. Success is measured by whole-child well-being over test scores. Implications suggest a collaborative, whole-school approach may promote a student’s daily resilience
Supporting Health with Harm Reduction: Cumberland County Jail Wellness Bags
No full textOur interprofessional team of medical, occupational therapy, pharmacy students and faculty created harm reduction kits to support the reentry of Cumberland County Jail (CCJ) residents into the community and provided supportive resources to correctional officers. As part of this project, we held a focus group with CCJ residents and staff, collaborated with leaders of local community organizations, provided a wellness event for correctional officers, and led a harm reduction kit packing event.https://dune.une.edu/caiepspring2024/1008/thumbnail.jp
Interprofessional Patient Focused Framework
No full textThis is a case presentation of a patient that we created as an interprofessional group. We then worked together to theorize ways in which we can best address the needs of this patient and direct them towards the best health outcomes. We were all able to provide unique perspectives on this case as we all are involved in different Health Professional Programs.https://dune.une.edu/caiepspring2024/1012/thumbnail.jp
Anne Wales, D.O. Interview 2 Recording 1
No full textAn interview with Dr. Anne Wales at her home discussing Osteopathic treatment and history.https://dune.une.edu/walescollection/1006/thumbnail.jp
Anne Wales, D.O. Interview 5 Recording 1
No full textAn interview with Dr. Anne Wales at her home discussing osteopathic treatment and history.https://dune.une.edu/walescollection/1012/thumbnail.jp
Anne Wales, D.O. Interview 8
No full textAn interview with Dr. Anne Wales at her home discussing osteopathic treatment and history