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THE GEOGRAPHY OF CARE: RURAL VERSUS URBAN CAREGIVER PERSPECTIVES ON COMMUNITY RESOURCES FOR PARKINSON’S DISEASE MANAGEMENT
Full text linkThis qualitative study investigated the experiences and perceptions of caregivers for individuals with Parkinson\u27s disease (PD) in rural versus urban settings, with particular emphasis on their access to and utilization of community resources. Through semi-structured interviews with 30 caregivers, the research explored how geographical location impacts caregiving challenges, support systems, and resource accessibility. Using Andersen\u27s Behavioral Model of Health Services Use as a theoretical framework, the study revealed both universal caregiving challenges and location-specific barriers. While all caregivers reported significant emotional burden and healthcare system navigation difficulties, rural caregivers faced distinct challenges related to resource accessibility and specialized care availability. Urban caregivers, despite better access to formal resources, encountered unique obstacles in coordinating complex healthcare systems and utilizing available services. The analysis identified four major themes: psychosocial impact, importance of connection and support, the need for education, and challenges with healthcare systems. The findings suggest that while some aspects of caregiver burden are universal, the manifestation and management of these challenges vary significantly based on location. The study contributes to the understanding of geographical disparities in PD caregiving and provides recommendations for developing targeted interventions that address both universal and location-specific challenges. These insights inform healthcare providers, policymakers, and support organizations working to enhance caregiver support across diverse geographical settings.
Keywords: Parkinson\u27s disease, caregivers, rural health, urban health, community resources, healthcare access, qualitative research, geographical disparities, support systems, chronic disease managemen
Teaching Vocabulary Graphic Organizers to Students with Disabilities Using the Constant Time Delay Procedure
Full text linkThis study examined the effectiveness of constant time delay (CTD) as a systematic instructional technique to teach three elementary-aged students identified with mild to moderate disabilities how to complete a vocabulary graphic organizer using words identified from their grade level social studies textbook. The researcher used CTD to teach the participants how to complete the graphic organizer while embedding instructive feedback. A multiple probe design across three participants was used to examine the effectiveness of the intervention. Results indicate that CTD was effective in teaching participants how to complete the graphic organizer. Additionally, participant acquired information through instructive feedback (e.g., glossary usage, context clues, vocabulary connections)
Statistical Connections Between Graph Structure and Maximum Independent Sets
No full textFrom a mere childhood game to the power of modern computing, watch a computer program grow into maturity as it begins to algorithmically answer a question with strong implications. Can one always find a subset consisting of the majority of any planar graph’s points to be colored without any colored points directly connecting together? Despite the complexity of this question, the presentation will include a fun drawing activity for (almost) all ages. Surprise yourself and become quickly enraptured by a fun easy-to-understand but also difficult question to answer
Enhancing CRNA Knowledge and Confidence in Gastric Point-of-Care Ultrasound for Patients on GLP-1 Receptor Agonists: A Focused Educational Intervention
No full textAbstract
Background: Glucagon-like peptide-1 (GLP-1) receptor agonists, commonly prescribed for type 2 diabetes and weight loss, delay gastric emptying and increase aspiration risk during anesthesia. Current fasting guidelines may not adequately address this risk. Gastric point-of-care ultrasound (G-POCUS) offers a noninvasive method to assess gastric contents, but many certified registered nurse anesthetists (CRNAs) lack formal training in its use.
Purpose: This project aimed to evaluate the effectiveness of a focused G-POCUS educational intervention in improving CRNAs’ knowledge and confidence in performing gastric ultrasound for patients on GLP-1 receptor agonists.
Methods: A quasi-experimental pre- and post-survey design was implemented with six CRNAs at a rural facility. Participants completed pre- and post-intervention assessments evaluating G-POCUS knowledge and confidence. The intervention included a structured didactic session on G-POCUS techniques, GLP-1 pharmacology, and perioperative decision-making. Data were analyzed using paired t-tests.
Results: Post-intervention, CRNAs demonstrated a significant improvement in knowledge (mean score increase from 46.67% to 93.33%, p = 0.0014) and confidence (Likert scale mean increase from 1.8 to 3.5). All participants reported no prior formal training in G-POCUS but expressed greater confidence in clinical application after education.
Conclusion: A structured G-POCUS education program effectively enhanced CRNA knowledge and confidence. Integrating ultrasound training into CRNA education and practice could improve patient safety and perioperative risk assessment for those on GLP-1 receptor agonists. Further research is recommended to evaluate long-term clinical adoption.
Keywords: gastric ultrasound, GLP-1 receptor agonists, anesthesia, aspiration risk, CRNA educatio
Enhancing Student Registered Nurse Anesthetists (SRNA) Confidence in Awake Tracheal Intubation: A Simulation-Based Educational Project
No full textAbstract
Purpose: The purpose of this project was to evaluate the effectiveness of deliberate practice, simulation technology, and educational sessions in increasing student registered nurse anesthetist (SRNA) confidence in performing awake tracheal intubation (ATI) for securing difficult airways compared to post-induction video-assisted laryngoscopy.
Methodology: Data collection included pre-test questionnaires assessing participants’ knowledge of the difficult airway algorithm and competence in ATI. Eligible second-year SRNAs attended an ATI simulation and educational session at the Murray State University simulation center, followed by a post-test to measure the impact on knowledge and confidence.
Results: Data analysis revealed competency gaps among SRNAs performing awake tracheal intubation, particularly in patients with difficult airways. These competencies included improved skills in managing difficult airways, enhanced decision-making and clinical judgment, better teamwork and communication, increased patient safety, and heightened patient comfort and trust.
Conclusion: Simulation training enhanced SRNAs’ understanding and competence in ATI while increasing awareness of factors influencing ATI selection over post-induction video-assisted laryngoscopy. Increasing the frequency and duration of ATI simulations may further boost SRNA confidence and proficiency in securing difficult airways.
Keywords:
Awake tracheal intubation, post-induction video-assisted laryngoscopy, difficult airway, student registered nurse anesthetist, simulation trainin
The Implementation of Music Therapy for Dementia Patients
Full text linkThis research looks into the implementation of music therapy for dementia patients in several different clinical settings. The framework for the research takes a look at person-centered nursing care which focuses on the patient as an individual with specific wants and needs.
After reviewing the research articles, aspects of changing patient care like adding implementations of personal speakers and playing music in group settings were brought up as recommendations for facilities caring for dementia patients.
With these recommendations, we believe that there will be a reduced use of pharmacological interventions for behavioral outbursts and reduce the use of restraints. Most importantly, there will be an increase quality of care and life for these patients
Benefit of Mandatory Breaks in Nursing
No full textThe evidence-based practice project focused on implementing mandatory breaks that are beneficial for nurses to prevent work fatigue. Research has shown many nurses leaving their jobs within the past five years. This alarming fact demonstrates our need to make pertinent changes to maintain competent nurse employment and promote nurse health and longevity in their career. This presentation discusses how COVID-19, travel nursing, burnout, generational differences, and education are all factors for needing mandatory nurse breaks
Baseline Assessment of Shorebird Use and Habitat Quality at Interior Mid-Continental Stopover Sites
No full textShorebirds migrating through interior North America must navigate across fragmented agroecosystems that are subject to unpredictable variation in environmental conditions (e.g., drought, floods). While often overlooked, permanent wetlands (e.g., lakes, rivers, etc.,) offer comparatively stable hydrological conditions that provide consistent stopover habitat. We studied the capacity of permanent waterbodies to support migrating shorebird populations during autumn migration on seasonally exposed mudflats associated with Kentucky Lake (Kentucky, USA). Our objectives were to: 1) assess shorebird abundance and migration phenology, 2) estimate the effects of shorebird foraging activity on invertebrate resources, and 3) assess factors influencing the spatial variation of invertebrate abundance. We observed that shorebirds routinely used mudflats (n = 2,122 detections) but that abundance was subject to substantial temporal variation (i.e., 79% and 93.5% of detections made during August and September in 2023 and 2024, respectively). Interestingly, shorebirds were observed within hours/days of initial mudflat exposure in late summer, suggesting earlier drawdown would provide additional foraging habitat especially for early long-distance migrants. Foraging was the most commonly observed shorebird behavior (\u3e73% in both years), yet we found no difference in invertebrate abundance or size class inside or outside of foraging exclosures (n = 343 core samples) during 2023 and 2024. While we did not observe depletion of prey resource by migrating shorebirds, invertebrates were patchily distributed with the greatest and least densities observed 10 m downslope and 10 m upslope from the waterline (n = 253 core samples), respectively. Overall, these findings provide baseline information on how wetlands associated with permanent waterbodies can provide stable and consistent habitat for shorebirds. More research attention should therefore be focused on understanding the degree to which permanent waterbodies may mitigate the effects of temporary (i.e., drought) or permanent (i.e., landscape fragmentation) habitat loss across agroecosystem landscapes
Alexis Love, MSU Athletic Hall Of Fame 2019 (4)
No full texthttps://digitalcommons.murraystate.edu/oh-murray-state-women/1002/thumbnail.jp
Harriet Withers, MSU Athletic Hall Of Fame (4)
No full texthttps://digitalcommons.murraystate.edu/oh-murray-state-women/1012/thumbnail.jp