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Addressing LGBTQ Anxiety With Mindful Meditation
Get PDFThe current study investigated the effect of mindful meditation on anxiety levels in the LGBTQ+ urban student population. An incorporation of Margaret Newman’s Theory of Health as Expanding Consciousness and theoretical concepts of living in the present moment guided these participants in exposing traumas and relational development forming anxiety. Ten LGBTQ+ urban students (N=10) were randomly selected to examine their involvements via the practice of mindful meditation, further determine past traumas associated with identifying within the LGTBQ+ community, and examine how these impact daily experiences of anxiety. Participants completed Likert Surveys to ascertain the effect that mindful meditation had on relieving their anxiety. Due to Covid restrictions, participants were provided with an introduction to mindful meditation, given expectations of practice, encouraged to journal and share experiences, and advised to focus on the idea of utilizing the central theory of presence within the moment of experiential anxiety stimuli. Despite student ability to practice daily, the study found that mindful meditation was reported to relieve anxiety levels in all 10 participants. Furthermore, association with LGBTQ+ community was reported to be a significant factor in the student daily lives. Given the results, more research would be suggested to better understand the impact on anxiety in urban studies with comparison to individuals identifying as LQBTQ+ and those who do not. However, it is without question that mindful meditation and other similar modalities will continue to show positive results in at-risk populations and should be considered in the conversation at all future interactions to begin stimulating open communication about mental health disparities
Lowering Depression Symptoms in Adults: Exploring Nonpharmacologic/Non-talk Therapy Based Approaches
Get PDFBackground: Depression has a high prevalence, affecting more than 300 million people worldwide.1 Antidepressants and talk therapy are the current mainstays for treatment. Given the high prevalence of depression, there is value in the research regarding further treatment options.
Purpose: A literature review of studies exploring additional treatment modalities to lower depression symptoms in adults.
Methods: A comprehensive literature review was conducted using with the search terms \u3c(adults) AND (depression, low mood, mental health) AND (pharmacologic, SSRI, SNRI) OR ( physical activity, fitness, exercise), OR (time outdoors, UV exposure, phototherapy) OR (non-talk therapy)\u3e. Inclusion criteria were studies that were published from 2015 to the present. Exclusion criteria were studies not in English.
Conclusions: Aside from the currently recommended approaches to treating depression, pharmacologic and talk-therapy, other treatment modalities were explored in this literature review. Such treatment modalities include exercise, time outdoors, and alternative therapies. These treatment modalities yielded similar results to the current recommendations in decreasing symptoms of depression
Mindfulness Meditation Program for Parents
Get PDFA literature search on parenting stress determined there is a need for treatment options to reduce parenting stress. Stress resulting from parenting can be physically and emotionally damaging to both the parent and their child. Mindfulness meditation provides parents with the skills to become conscious of their emotions before acting upon them. Newman\u27s (1994) Health as Expanding Consciousness Theory (HEC) explained that as a person continues to develop, the persong\u27s consciousness expands and coexists with the universe, resulting in higher levels of consciousness. The more conscious parents become will help to reduce the parenting stress they are experiencing. The scholarly project provided mindfulness meditation education to seven females and three males resulting in reduced parenting stress. Mindfulness meditation can be implemented into daily nursing practice to reduce parenting stress
Focused Breathing Meditation: a Mindful-based Therapy for Multicultural Population With Heart Failure
No full textHeart failure (HF) is one of the leading causes of hospitalization and readmissions among multicultural populations. Literature has shown that cultural beliefs and practices have not been adequately addressed in the management of HF for patients from multicultural populations. This scholarly project aims to examine existential cultural beliefs that affect adherence to HF treatment plans and initiate a mindful-based intervention of focused breathing meditation as an adjunct treatment to reduce signs and symptoms of HF. Leininger\u27s Theory of Culture Care Diversity and Universality is utilized as a conceptual framework to discover the cultural beliefs and practices that impacted multicultural populations\u27 care and health outcomes. Mindful-based interventions have been proven to help decrease the signs and symptoms of HF. This project introduced focused-based intervention to 10 HF patients from multicultural populations. The scholarly project compares a pre-and post-intervention HF symptom using Memorial Symptom Assessment Scale Short Form (MSAS-SF). The results show an improvement of signs and symptoms of HF post-intervention. Health care providers need to find ways to integrate cultural beliefs and practices into treatment plans to improve adherence to treatment plans for patients with HF from multicultural populations. Mindful-based interventions can be used as adjunct treatment plans to reduce signs and symptoms of HF. The project suggests that more culturally sensitive treatment plans are required to improve adherence and prevent hospital readmissions
Building Resiliency in Children through Mindfulness
Get PDFThis scholarly work recognizes the profound impact of toxic stress on children as a result of adverse childhood experiences (ACEs). According to the MDH (2011), ACEs are the main contributor to toxic stress within children. ACEs include physical abuse, sexual abuse, emotional abuse, mental illness of a household member, drug or drinking problems of a household member, divorce or separation of parents, domestic violence between adults in the household, and incarceration of a household member (MDH, 2011). Fifty-five percent of Minnesotans experience at least one adverse childhood experience during childhood. Results of toxic stress can include impaired brain development, behavioral problems, and chronic illnesses later in life (White, 2014). With ACEs being such a profound issue, MDH (2011) identified the need to focus on the presence of protective factors to mitigate the consequences of ACEs. A key component of individual protective factors is resilience (MDH, 2011). This project focuses on building resiliency in early childhood through mindfulness to prevent toxic stress. Margaret Newman’s (1999) Health as Expanding Consciousness (HEC) Theory and the concept of presence created through mindfulness are the foundation for this project. The project was implemented in a second-grade classroom in Southern Minnesota and focused on breathing techniques, mind jar meditation, as well as the book Peaceful Piggy Meditation by Kerry MacLean (2004). The results of the project demonstrated an increase in self-confidence, one of the 7 “C’s” in building resilience (“Building Resilience in Children,” 2014). It is with mindfulness, resilience, and presence that the effects of ACEs and toxic stress will be mitigated
Improving Advanced Practice Nursing Care to Children With Autism in the Emergency Department
Get PDFAutism Spectrum Disorder (ASD) prevalence rates are increasing within the pediatric population. Often, these children present to emergency departments (EDs) for care that could typically be managed in a primary care setting. Furthermore, pediatric patients with ASD utilize EDs at a rate higher than children without (Baio et al., 2018). Parents, patients, and providers within the pediatric ED setting report a lack of understanding and tools needed to provide quality and meaningful care to this population. The utilization of nurse practitioners in the ED setting is increasing due to affordability and quality of care delivery. The intersection of these two variables presents an important opportunity for the nurse practitioner to serve as a care provider and advocate for children with ASD within the ED setting. It also allows the nurse practitioner working within the ED setting to act as an educator and resource for other providers working with children with Autism Spectrum Disorder. These roles would aid in improving quality of care and health equity to children with AS
Integrative Music Therapy: A Healing Intervention for Children with Disabilities
Get PDFChildren with developmental delays have barriers to accessing early interventions to help develop their childhood milestones. An accessible intervention considered a universal language to all cultures is integrative music therapy. Music therapy paired with in-home care can create a healing environment for children to learn developmental skills, initiate play, and express their emotions with the nurse’s guidance. An integrative music therapy educational program was developed using Jean Watson’s Theory of Human Caring as a theoretical framework for the pediatric nurses working in a rural Midwest home health care company. The goal of the educational program is to promote awareness of music therapy’s benefits in the child’s development and the nurse’s presence in practice through self-reflection. The project will utilize pre and post assessment surveys to evaluate the effectiveness of the educational program, in which the results can indicate opportunities for further education and research. A metaphor was developed to help healthcare providers and parents understand the purpose of integrating music therapy in practice for children with developmental delays. Children with developmental delays must continue to overcome the stagnation in their developmental milestones to decrease the risk of poor health outcomes. Through the educational program, nurses will be able to create a therapeutic environment and use their presence to help their client improve their development
Resilience Through Mentorship
No full textNurses new to the profession working on an Orthopedic unit at a large Midwest hospital often experience stress during the first couple of years after orientation. These new nurses may leave the profession and transfer jobs if they are not able to cope effectively. As a result, nursing retention is decreased, and the quality-of-care declines. A Resilience Through Mentorship Program (RTMP) was developed in an Orthopedic nursing unit to provide the nurses support during their first year of employment, promote retention and ultimately help nurses develop resilience. Resilience is a skill developed through experience and allows for a person to manage stressors as they arise. Additionally, by building resilience, the nurses will be able to work through their stressors and emerge stronger and more resourceful. Margaret A. Newman\u27s Health as Expanding Consciousness (HEC) was used as a theoretical guide for this mentorship program. The goal of RTMP is to help nurses build resilience by matching an experienced nurse and a new nurse completing their orientation. The mentee’s consciousness will expand as knowledge is gained through interaction and comradery. The mentee will reach new levels of consciousness as resilience is developed and they will gain confidence to meet any challenges they encountered. Surveys will be used to evaluate the success of the program. Developing resilience in new nursing staff through the RTMP will advance the individual nurse on a personal and professional level, and potentially, improve nursing retention, and has the potential to elevate the nursing profession
Impact of using ACEs survey in the prevention of long-term health outcomes in adolescents in North America
No full textBackground: Adverse childhood experiences (ACEs) are traumatic events that can occur in a child’s life prior to the age of 18. An adverse childhood experience can be physical/emotional abuse, neglect, parental divorce, substance abuse, or physical abuse in the home. This literature review will be looking at the impact screening for ACEs can make on the prevention of long- term health outcomes in adolescents.
Purpose: ACEs tend to leave a negative effect on the developing brain of a child causing them to have an increased risk of developing chronic medical conditions and being at high risk for substance abuse and mental health conditions as an adult if they do not receive appropriate interventions.
Methods: A comprehensive literature review was conducted using PubMed, ScienceDirect, and Google Scholar using the search terms adverse childhood experiences, effects of ACEs, trauma in adolescents, substance abuse, adult mental health, and PTSD. Inclusion criteria were studies that were conducted within the last five years from 2017-2021. Exclusion criteria were studies that were not conducted in the last five years and studies only focusing on ACEs in adults.
Conclusion: To decrease the prevalence of ACEs, screening recommendations are required, and unique interventions suited to the needs of individuals are needed. This can be completed through primary care providers, social workers, or school psychiatrists that can administer ACEs screening and refer patients to appropriate providers based on the care they require. The benefit of early screening is providing each individual, particularly adolescents, with early intervention services to decrease the long-term effects of ACEs
Comparing Efficacy of Denosumab to Bisphosphonates in Fragility Fractures
Get PDFBackground: Osteoporosis is a disease of the bones with decreased bone mineral density and bone mass, leading to poor bone quality/structure, increasing the risk of fragility fractures. Pharmacological treatment is recommended to decrease risk of fractures. Current first line treatment is with bisphosphonates; however, alternative treatment includes denosumab. Both bisphosphonates and denosumab are antiresorptive drugs but differ in mechanism of action. Bisphosphonates remain as first line treatment.
Purpose: The purpose of this literature review is aimed at the PICO question in adults with osteoporosis, what is the efficacy of denosumab compared to bisphosphonates in decreasing the risk of sustaining a fragility fracture? Treatment with bisphosphonates has remained as gold standard, however, an alternative effective treatment is denosumab. Therefore, the this review compares the efficacy of denosumab to bisphosphonates and whether this treatment option should be considered over bisphosphonates.
Methods: A comprehensive literature review was conducted using PubMed. Inclusion criteria included adult participants (men and women), however, many studies focused on postmenopausal women given the significant risk for predisposition to osteoporosis. Exclusion criteria were studies that did not include adults, studies published after 2017, and systematic reviews.
Conclusions: Based on the literature review, results suggest that the efficacy of denosumab treatment may be favored over treatment with bisphosphonates in increasing BMD. While treatment with denosumab increased BMD greater than bisphosphonates, further research/review should be conducted on the direct effect of fracture reduction with denosumab