632 research outputs found

    Dear Old Pals

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    Two men have a friendship that weathers allhttps://egrove.olemiss.edu/kgbsides_uk/1865/thumbnail.jp

    The Tar for all Weathers

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    Details a shipwreckhttps://egrove.olemiss.edu/kgbsides_uk/1321/thumbnail.jp

    Book Review: Military Culture Shift: The Impact of War, Money, and Generational Perspective on Morale, Retention, and Leadership

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    Author: Corie Weathers Reviewed by Rodger M. Kissane, graduate student, College of International Security Affairs, National Defense University Rodger M. Kissane provides a thoughtful review of this important book on “bridging and even transcending generational differences” in the US military. Kissane highlights author Corie Weathers’s “insightful . . . recognition that each generation imprints itself upon the institution in ways that reflect their life experiences.” He also outlines the book’s relevance to leaders in that Weathers addresses “ ‘messy dynamics’ leaders confront in synthesizing . . . various perspectives, ideals, and values.”https://press.armywarcollege.edu/parameters_bookshelf/1045/thumbnail.jp

    Spinning the first wire of the Tacoma Narrows Bridge, January 10, 1940

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    Sign says "Tacoma Narrows Bridge spinning first wire. Jan. 10th 1940. Washington Toll Authority Bethlehem Steel Co. Caption on image: Everett T. Smith, President Chamber of Commerce. John Schlarb, Chairman Board of County Commissioners. Mayor J.J. Kaufman. Mrs. Doc Weathers. Lacey V. Murrow, State Highway Director. Admiral Luther E. Gregory, State Liquor Board Head. Charles E. Andrew, Principal Consulting Engineer. Cliff Yelle, State Auditor. Simmer 523. PH Coll. 11.2

    Depression Screening in a Skilled Nursing Facility

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    National statistics show that depression rates are exceptionally high in skilled nursing facilities (SNFs). In addition, depression is more prevalent and harder to detect in patients with dementia due to the overlap of symptoms and comorbidities. To address this problem, the author implemented a depression screening protocol to improve depression detection in a SNF. This two-phased project included a Phase One where the staff will screen residents upon admission with Patient Health Questionnaire -2 (PHQ-2) and automatically refer all residents with a positive score for depression to mental health specialists. For Phase Two, all patients with cognitive impairments will be screened with Cornell Scale for Depression in Dementia (CSDD), a test shown to have superior specificity and sensitivity in detecting depression in patients with dementia. However, due to project delays and increasing depression incidents with COVID-19 lockdowns, the author and facility agreed that Phase One should be implemented ahead of the start of the project, and only Phase Two will be implemented as an official part of the project. Unfortunately, the COVID-19 pandemic reduced the number of potential participant pool and limited the ability to obtain written consents, rendering the sample size too small to reach significance. Preliminary results showed a discrepancy between the CSDD scores of the resident and the staff caregiver. These findings are similar to those of a previous study, alluding that the CSDD may not be optimal for depression screening in the SNF setting. However, the PHQ-2 screening implemented during the prework project discussion showed improved depression detection compared to at admission and should be considered for implementation at other facilities. Keywords: depression screening, skilled nursing facility, Cornell Scale for Depression in Dementia, Patient Health Questionnaire-2, dementia, cognitive impairmen

    Depression Screening in a Skilled Nursing Facility

    No full text
    National statistics show that depression rates are exceptionally high in skilled nursing facilities (SNFs). In addition, depression is more prevalent and harder to detect in patients with dementia due to the overlap of symptoms and comorbidities. To address this problem, the author implemented a depression screening protocol to improve depression detection in a SNF. This two-phased project included a Phase One where the staff will screen residents upon admission with Patient Health Questionnaire -2 (PHQ-2) and automatically refer all residents with a positive score for depression to mental health specialists. For Phase Two, all patients with cognitive impairments will be screened with Cornell Scale for Depression in Dementia (CSDD), a test shown to have superior specificity and sensitivity in detecting depression in patients with dementia. However, due to project delays and increasing depression incidents with COVID-19 lockdowns, the author and facility agreed that Phase One should be implemented ahead of the start of the project, and only Phase Two will be implemented as an official part of the project. Unfortunately, the COVID-19 pandemic reduced the number of potential participant pool and limited the ability to obtain written consents, rendering the sample size too small to reach significance. Preliminary results showed a discrepancy between the CSDD scores of the resident and the staff caregiver. These findings are similar to those of a previous study, alluding that the CSDD may not be optimal for depression screening in the SNF setting. However, the PHQ-2 screening implemented during the prework project discussion showed improved depression detection compared to at admission and should be considered for implementation at other facilities. Keywords: depression screening, skilled nursing facility, Cornell Scale for Depression in Dementia, Patient Health Questionnaire-2, dementia, cognitive impairmenthttps://doi.org/10.5281/zenodo.479633
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