Current Search: D'Amato-Kubiet, Leslee (x)
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- Title
- THE PSYCHOSOCIAL EFFECTS OF SOLID ORGAN TRANSPLANTATION ON LIVING DONORS: A LITERATURE REVIEW.
- Creator
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Evans, Christopher G, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Historically the source for most organ donations were from the cadavers of deceased donors. Over time living organ donation has become an important way to address the shortage of organ availability. The purpose of this literature review is to explore the psychosocial effect the organ donation process has on the living donor. The body's physiological response to organ donation had been well documented. However, the psychosocial effect of donation is now being more appreciated and studies are...
Show moreHistorically the source for most organ donations were from the cadavers of deceased donors. Over time living organ donation has become an important way to address the shortage of organ availability. The purpose of this literature review is to explore the psychosocial effect the organ donation process has on the living donor. The body's physiological response to organ donation had been well documented. However, the psychosocial effect of donation is now being more appreciated and studies are being done to try to elucidate the factors that can influence the living donor's response to the transplant pro The ultimate goal of these queries is to provide areas where clinicians can develop interventions that will enhance the post-donation experience for the living donor. To conduct this literature review peer-reviewed, English language research articles that were published between 2008 to the present were critiqued. In the end most living donors had a positive experience and would not hesitate to donate their organ again; however, there were a small minority of patients that did not fare well by psychosocial measures. These patients many times were aware that the graft had failed in the recipient. This was the single biggest factor in determining if the experience was positive or negative for the living donor. Strategies, such as internet-based cognitive behavioral intervention, are being to be developed to address the negative psychosocial outcomes that some living donors experience. Further studies are necessary to determine additional factors that may alter the living donor's experience and to develop a tool-kit of interventions that can be applied as necessary to address the living donors specific needs.
Show less - Date Issued
- 2019
- Identifier
- CFH2000474, ucf:45841
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000474
- Title
- THE EFFECTS OF HORMONE REPLACEMENT THERAPY (HRT) ON SURGICALLY POSTMENOPAUSAL WOMEN: A REVIEW OF THE LITERATURE.
- Creator
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Hertweck, Leslie M, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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The primary purpose of this research was to examine the effects of HRT in women with acute estrogen deficiency from surgically induced menopause. The secondary purpose was to evaluate how HRT improves symptoms of acute estrogen deficiency and quality of life (QOL) in women using hormone supplementation. Peer reviewed articles published from 2000 to 2017 that were written in the English language with a focus on the use of HRT in women with acute estrogen deficiency after surgical menopause...
Show moreThe primary purpose of this research was to examine the effects of HRT in women with acute estrogen deficiency from surgically induced menopause. The secondary purpose was to evaluate how HRT improves symptoms of acute estrogen deficiency and quality of life (QOL) in women using hormone supplementation. Peer reviewed articles published from 2000 to 2017 that were written in the English language with a focus on the use of HRT in women with acute estrogen deficiency after surgical menopause were evaluated for relevance. Evidence suggests the primary reason for decreased use of HRT is the associated risks outweighing the benefits; however, this is not reflected in health care provider's (HCP's) clinical experience. HCP's were more likely to prescribe HRT for themselves or family members if they were experiencing the negative side effects of estrogen deficiency due to surgical menopause, but not to women in their care with similar clinical manifestations of menopause. Additionally, serious risks associated with HRT for acute estrogen deficiency remain incongruent with HRT for women experiencing natural menopause; although risk for breast cancer due to HRT was a universal concern. Risks of HRT related to thromboembolism, stroke and heart disease, were discussed with comparison to the undesirable clinical manifestations of menopause. Results indicate further education and research is needed that explores the risks and benefits for HRT in women with sudden onset of estrogen deficiency from surgical menopause.
Show less - Date Issued
- 2018
- Identifier
- CFH2000452, ucf:45796
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000452
- Title
- THE EFFECTS OF EMERGING TECHNOLOGY ON HEALTHCARE AND THE DIFFICULTIES OF INTEGRATION.
- Creator
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Pavlish-Carpenter, Skyler J, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Background: Disruptive technology describes technology that is significantly more advanced than previous iterations, such as: 3D printing, genetic manipulation, stem cell research, innovative surgical procedures, and computer-based charting software. These technologies often require extensive overhauls to implement into older systems and must overcome many difficult financial and societal complications before they can be widely used. In a field like healthcare that makes frequent advancements...
Show moreBackground: Disruptive technology describes technology that is significantly more advanced than previous iterations, such as: 3D printing, genetic manipulation, stem cell research, innovative surgical procedures, and computer-based charting software. These technologies often require extensive overhauls to implement into older systems and must overcome many difficult financial and societal complications before they can be widely used. In a field like healthcare that makes frequent advancements, these difficulties can mean that the technology will not be utilized to its full potential or implemented at all. Objective: To determine the inhibiting factors that prevent disruptive technology from being implemented in conventional healthcare. Methods: Peer reviewed articles were gathered from Cumulative Index to Nursing and Allied Health Literature (CINAHL), Educational Resources Information Center (ERIC), Elton B. Stephens Co. Host (Ebsco Host), Medical Literature On-line (Medline), and Psychological Information Database (PsychINFO). Articles were included if written in English and focusing on technology that was or is difficult to implement. Results: Research suggests that the primary reason disruptive technology is not implemented sooner is the cost versus benefit ratio. Those technologies with extremely high benefits that greatly improve efficiency, safety, or expense are integrated relatively quickly, especially if their cost is reasonable. Secondary reasons for difficulty with integration include ethical dilemmas, extreme complexity, technical limitations, maintenance, security, and fallibility. Conclusion: Research indicates that a decrease in production cost and selling price along with removing any issues that may depreciate the technology will provide better incentives for healthcare systems to integrate disruptive technologies on a wider scale.
Show less - Date Issued
- 2018
- Identifier
- CFH2000374, ucf:45799
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000374
- Title
- THE USE OF DRUG THERAPY FOR ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) IN THE MANAGEMENT OF OPPOSITIONAL DEFIANT DISORDER (ODD): A LITERATURE REVIEW.
- Creator
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Flowers, Shaina, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
-
Children with oppositional defiant disorder (ODD) and a concurrent Axis I diagnosis are often prescribed drug therapy for attention deficit hyperactivity disorder (ADHD) to manage disruptive behavior. However, ODD symptoms tend to be poorly controlled, raising questions about the effectiveness of drug therapy in children with the condition. Safety and long term consequences of pharmacological agents for ODD are important factors clinicians must consider before initiating treatment. The...
Show moreChildren with oppositional defiant disorder (ODD) and a concurrent Axis I diagnosis are often prescribed drug therapy for attention deficit hyperactivity disorder (ADHD) to manage disruptive behavior. However, ODD symptoms tend to be poorly controlled, raising questions about the effectiveness of drug therapy in children with the condition. Safety and long term consequences of pharmacological agents for ODD are important factors clinicians must consider before initiating treatment. The purpose of this literature review is to examine the pharmacodynamics and efficacy of drug therapy used for ODD in school-age children and adolescents. Additionally, awareness of poor behavior patterns and recognition of symptoms associated with ODD in children among health care providers was explored. A literature review exploring ODD and drug therapy for ODD and related behavioral disorders was conducted from various online databases. Results from 15 reviewed studies suggest that pharmacologic therapy is typically prescribed for ODD symptoms when a comorbid condition such as ADHD, a mood disorder, or an anxiety disorder is present. Drug therapy for ADHD has demonstrated effective behavioral outcomes in reducing ODD symptom severity in children and tolerable side effects when used for short-term therapy. Studies have demonstrated success and better control of ODD symptoms with a focused drug therapy regimen. Overall, the benefits of drug therapy can potentially outweigh the risks of adverse effects, and improve the quality of life in children with ODD. In conclusion, uncovering the reasons for poorly controlled ODD in children can be of clinical significance to health care providers and can support decision making when considering drug therapy for children with this condition.
Show less - Date Issued
- 2014
- Identifier
- CFH0004673, ucf:45297
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004673
- Title
- THE EFFECT OF DIETARY INTERVENTIONS ON FETAL BIRTH WEIGHTS IN PREGNANT ADOLESCENTS: A SYSTEMATIC REVIEW.
- Creator
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Nath, Seeta, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Nutrition status during adolescent pregnancy and childbearing is a complex, multifaceted condition that can impact the health status of the teen mother and her baby. Adolescent mothers are at higher risk for low birth weight infants because of the unique dietary requirements needed to accommodate for both the growth needs of the adolescent mother and her unborn child. The purpose of this research was to examine dietary interventions that have the greatest effect on fetal birth weight outcomes...
Show moreNutrition status during adolescent pregnancy and childbearing is a complex, multifaceted condition that can impact the health status of the teen mother and her baby. Adolescent mothers are at higher risk for low birth weight infants because of the unique dietary requirements needed to accommodate for both the growth needs of the adolescent mother and her unborn child. The purpose of this research was to examine dietary interventions that have the greatest effect on fetal birth weight outcomes in adolescent mothers. Secondly, this study explored dietary nutrients effective in reducing the likelihood of complications commonly associated with low birth weight infants in adolescent pregnancy. A systematic literature review was conducted from the following online databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature On-line (MEDLINE), Education Resources Information Center (ERIC), and PsycInfo. Initial search terms included 'adolescent', 'nutrition', 'diet', and 'prenatal'. Further search items included 'weight' and 'outcome'. Selected articles included those published between 2000-2013, written in English, and peer-reviewed. Significant evidence supported positive birth weight outcomes for dietary supplementation with zinc and calcium, and BMI-specific weight gains for adolescent pregnancy. No significant evidence was provided on the effect of iron and fatty acid composition on birth weight outcomes. Results for other dietary interventions and their effects on fetal birth weight were either inconclusive or absent. Discovering dietary interventions that work best in prenatal care of adolescent populations will allow for more individually-tailored, dietary specific interventions to be developed to combat the prevalence of low fetal birth weight infants in adolescent pregnancy.
Show less - Date Issued
- 2014
- Identifier
- CFH0004646, ucf:45278
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004646
- Title
- OUTCOMES OF FAMILY PRESENCE DURING RESUSCITATION (FPDR) IN THE ACUTE CARE SETTING: A REVIEW OF THE LITERATURE.
- Creator
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Corn, Audra M, D'Amato-Kubiet, Leslee, Moore, Sarah, University of Central Florida
- Abstract / Description
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Family Presence During Resuscitation (FPDR) remains controversial and is not consistently implemented during resuscitation events or invasive procedures. Evidence has demonstrated positive outcomes produced by implementation of FPDR; such as, decreased rates of post-traumatic stress symptoms, decreased symptoms of anxiety, and depressive symptoms were not significantly different. Unfortunately, use of FPDR in the acute care setting is not widely accepted or readily implemented. The primary...
Show moreFamily Presence During Resuscitation (FPDR) remains controversial and is not consistently implemented during resuscitation events or invasive procedures. Evidence has demonstrated positive outcomes produced by implementation of FPDR; such as, decreased rates of post-traumatic stress symptoms, decreased symptoms of anxiety, and depressive symptoms were not significantly different. Unfortunately, use of FPDR in the acute care setting is not widely accepted or readily implemented. The primary purpose of this integrative literature review is to evaluate the use of FPDR in the acute care setting. The secondary purpose is to evaluate the health care professional's level of perceived value associated with the outcome of having family present during resuscitation. A systematic literature search was conducted using multiple databases for relevant articles in the English language between 2006 to 2017, including Cumulative Index to Nursing and Allied Health Literature (CINAHL), Educational Resources Information Center (ERIC), Elton B. Stephens Co. Host (Ebsco Host), Medical Literature On-line (Medline), Psychological Information Database (PsychINFO), and PubMed. Search terms included 'family presence during resuscitation', 'family presence', 'pediatrics', 'nurse perceptions', and 'perceptions'. Ten of the nineteen articles suggest the use of FPDR leads to positive outcomes such as decreased post-traumatic symptoms, and decreased anxiety for family members. The use of FPDR can enhance family members' understanding of resuscitation efforts and involves them in their loved one's care. This integrative review indicates the implementation of FPDR can provide benefits for family members of those undergoing CPR and invasive procedures; although the perceptions of the healthcare team remain the barrier to its use.
Show less - Date Issued
- 2018
- Identifier
- CFH2000450, ucf:45858
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000450
- Title
- EFFECTS OF ENERGY-BASED THERAPIES ON POSTOPERATIVE RECOVERY: AN INTEGRATIVE REVIEW OF THE LITERATURE.
- Creator
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Wooten, Emily M, Bushy, Angeline, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Associated with health care reform, there has been a growing interest among healthcare professionals regarding use of energy-based therapies as a complementary therapeutic intervention. The purpose of this integrative literature review was to examine the impact of energy-based therapies (i.e. healing touch, reiki, therapeutic touch) on patients� postoperative recovery. The methodology included identifying appropriate peer-reviewed, English-language research articles on the topic area that...
Show moreAssociated with health care reform, there has been a growing interest among healthcare professionals regarding use of energy-based therapies as a complementary therapeutic intervention. The purpose of this integrative literature review was to examine the impact of energy-based therapies (i.e. healing touch, reiki, therapeutic touch) on patients� postoperative recovery. The methodology included identifying appropriate peer-reviewed, English-language research articles on the topic area that were published between 2006 to 2018. Following a search in select data bases, articles focusing on the topic were critiqued, analyzed and synthesized by the researcher. Consistent and inconsistent findings along with gaps in the literature are noted. In general, the research supported positive postoperative recovery outcomes when energy-based therapies were included along with standard postoperative nursing care. This theses highlights implication for nursing practice, education, and policy and identifies study limitations. Given that research is limited on this topic area, additional studies are needed to establish supporting evidence to ascertain the effects of energy-based therapies when used as a complementary postoperative intervention.
Show less - Date Issued
- 2018
- Identifier
- CFH2000456, ucf:45865
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000456
- Title
- BEHAVIORAL INTERVENTIONS VERSUS PHARMACEUTICAL INTERVENTIONS TO REDUCE PREOPERATIVE ANXIETY IN SCHOOL AGED CHILDREN.
- Creator
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Cline, Jennifer J, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Surgical procedures that require general anesthesia can be stressful and create needless anxiety for school-age children. Interventions aimed at reducing preoperative anxiety can improve cooperation and enhance postoperative outcomes by lowering anxiety levels prior to induction of general anesthesia. The purpose of this study was to examine the effects of behavioral interventions versus drug therapy in reducing pre-operative anxiety in children. The secondary purpose was to compare methods...
Show moreSurgical procedures that require general anesthesia can be stressful and create needless anxiety for school-age children. Interventions aimed at reducing preoperative anxiety can improve cooperation and enhance postoperative outcomes by lowering anxiety levels prior to induction of general anesthesia. The purpose of this study was to examine the effects of behavioral interventions versus drug therapy in reducing pre-operative anxiety in children. The secondary purpose was to compare methods used to integrate anxiety reduction interventions into pre-operative care and to evaluate the most widely used and effective strategy for clinical practice. A literature review exploring behavioral based stress reduction interventions and drug therapy targeted at reducing preoperative anxiety was conducted from various online databases. Peer reviewed articles, published in the English-language between 2006 and 2015 that focused on postoperative outcomes in which preoperative interventions to reduce anxiety in children age two years and older, as well as the parent's perspective of the outcome, were included for synthesis. Results from 9 randomized controlled trials that used behavioral based interventions implemented on the day of surgery, prior to anesthesia induction were compared for effectiveness at anxiety reduction versus the use of drug therapy prior to surgery. The studies suggest more successful post-surgical outcomes related to shorter length of stay and post-operative delirium for behavioral interventions to reduce anxiety prior to surgery and demonstrated even greater optimal outcomes for combined behavioral interventions. Drug therapy alone to decrease anxiety prior to anesthesia induction showed mixed results in reduction of physiologic and general outcomes following surgery. No significant difference between behavioral based interventions versus drug therapy was shown in any of the reviewed studies to have a significant effect on post-surgical outcomes. However, potentially promising behavioral based interventions such as clowns, electronic devices, parental presence and music over drug therapy prior to surgery, require further evaluation for their use in decreasing pre-operative anxiety in school-age children and having a positive impact on post-operative outcomes.
Show less - Date Issued
- 2016
- Identifier
- CFH2000090, ucf:45566
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000090
- Title
- SELF-EFFICACY AND COPING IN TRANSITION OF CARE AFTER REMISSION OF CANCER IN ADOLESCENTS.
- Creator
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McDonnell, Leah M, D' Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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The improvement in cancer remission rates in children and adolescents due to advances in cancer treatment and therapy has led to the development of guidelines that address long-term follow up for survivors of childhood cancers. Adolescents often experience negative emotions related to the fear of uncertainty about long-term survival after cancer remission, yet often report feelings of hope and optimism for the future more than adult cancer survivors. The purpose of this study was to...
Show moreThe improvement in cancer remission rates in children and adolescents due to advances in cancer treatment and therapy has led to the development of guidelines that address long-term follow up for survivors of childhood cancers. Adolescents often experience negative emotions related to the fear of uncertainty about long-term survival after cancer remission, yet often report feelings of hope and optimism for the future more than adult cancer survivors. The purpose of this study was to understand the role of self-efficacy and coping in adolescents after remission of cancer. A secondary purpose was to analyze which coping strategies supported long-term survival goals after cancer remission in adolescent populations. A systematic literature review was conducted from the following online databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature On-line (MEDLINE), Education Resources Information Center (ERIC), and PsycInfo. Selected articles included those published between 2000-2016 that were written in English and were peer-reviewed. The results of the study revealed that most adolescents with cancer remission do not experience long term psychosocial issues related to their cancer diagnosis and treatment. However, a large percentage of adolescent cancer survivors report intermittent depression, suicidal ideation and a lower quality of life due to survival after remission. The literature indicates that multiple, integrative forms of behavioral therapy: cognitive, psychosocial, and family based treatment models, help to enhance long term quality of life in adolescent cancer survivors. Strategies that use positive coping methods and improve self-efficacy related to long term survival after remission have demonstrated improvement in psychosocial behaviors in adolescents and promote a better outlook on planning for the future. Future research that analyzes the most effective coping skills to practice after cancer remission and that optimize self-efficacy related to long term survival can positively influence quality of life for adolescent cancer survivors.
Show less - Date Issued
- 2016
- Identifier
- CFH2000049, ucf:45552
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000049
- Title
- THE RISK OF SECONDARY LYMPHEDEMA DUE TO PROCEDURES IN THE AFFECTED ARM POST-MASTECTOMY: A LITERATURE REVIEW.
- Creator
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Perna, Lindsay, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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The risk for upper extremity lymphedema post-mastectomy in women surgically treated for breast cancer is a concern since it is often painful, aesthetically displeasing, and can increase the risk of infection. However, there is a paucity of data examining if diagnostic procedures performed in the ipsilateral arm post-mastectomy increases the risk of lymphedema. The purpose of this research is to examine the relationship between diagnostic procedures performed in the ipsilateral arm post...
Show moreThe risk for upper extremity lymphedema post-mastectomy in women surgically treated for breast cancer is a concern since it is often painful, aesthetically displeasing, and can increase the risk of infection. However, there is a paucity of data examining if diagnostic procedures performed in the ipsilateral arm post-mastectomy increases the risk of lymphedema. The purpose of this research is to examine the relationship between diagnostic procedures performed in the ipsilateral arm post-mastectomy and the occurrence of lymphedema with or without related complications. A systematic review of the literature was conducted from multiple, online databases available from 1992 through 2014, and included CINAHL, MedLine, PsychInfo, and ERIC. Search terms included lymphedema, breast cancer, mastectomy, blood pressure, and infection. Exclusion criteria comprised articles focused on male gender, primary lymphedema, metastases, survival, quality of life studies, reoccurrence breast cancer, breast conservation, lymphedema management, lymphedema, and lymphoma. The results of this study were inconclusive concerning a relationship between upper extremity lymphedema and procedures performed in the ipsilateral arm after mastectomy. This literature review outlines gaps in the data showing a need for more focused research on the causes of secondary lymphedema after breast cancer surgery with lymph node removal. Further research on the impact of diagnostic and other invasive procedures on the ispilateral arm after mastectomy should be considered.
Show less - Date Issued
- 2015
- Identifier
- CFH0004857, ucf:45480
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004857
- Title
- ANALYZING THE RELATIONSHIP BETWEEN WOMEN'S DECISIONS TO USE CONTRACEPTION AND THEIR PARTNERS' PERCEPTIONS OF PREVENTATIVE BEHAVIORS.
- Creator
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Gayle-Campbell, Kayla, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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A majority of adolescents and young adults report inconsistent use of safe sexual behaviors and contraception methods due to a variety of influencing factors. These practices can lead to limited future reproductive choices and can spread communicable disease in the population. The purpose of this study was to determine if a woman's decision to use a specific type of contraceptive method is influenced by her partner's attitude toward preventive sexual health practices. A secondary purpose was...
Show moreA majority of adolescents and young adults report inconsistent use of safe sexual behaviors and contraception methods due to a variety of influencing factors. These practices can lead to limited future reproductive choices and can spread communicable disease in the population. The purpose of this study was to determine if a woman's decision to use a specific type of contraceptive method is influenced by her partner's attitude toward preventive sexual health practices. A secondary purpose was to analyze women's attitudes towards safe sex and contraceptive practices as independent entities of disease and pregnancy in the reproductive cycle. A literature review was conducted from the following databases: CINAHL, ERIC, Medline, and PsycInfo. Initial search criteria terms included �contraception', �male partner', �influence', �decision-making', �intimacy', and �relationship'. Results were limited to scholarly journals/peer reviewed articles published no earlier than 1996. Overall, findings were inconclusive if a relationship exists between women's choice of contraceptive method and their partner's attitude towards safe sex and preventative health practices. In conclusion, further research analyzing intimate partner relationships and their influence on sexual health practices can provide insight into creating a plan of preventative care tailored to each individual.
Show less - Date Issued
- 2015
- Identifier
- CFH0004856, ucf:45472
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004856
- Title
- THE EFFICACY OF NON-PHARMACOLOGICAL PAIN MANAGEMENT METHODS AMONGST PREMATURE NEONATES IN THE NEONATAL INTENSIVE CARE UNIT (NICU).
- Creator
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Martinez, Hannah R, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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The purpose of this study was to conduct an integrated review of the literature examining the use of non-pharmacologic pain management strategies in premature neonates and to explore the relationship between health outcomes and time to discharge from the neonatal intensive care unit (NICU). Non-pharmacologic pain management strategies include human touch, facilitated tucking, non-nutritive sucking, and kangaroo care. A systematic review of the literature was conducted from multiple online...
Show moreThe purpose of this study was to conduct an integrated review of the literature examining the use of non-pharmacologic pain management strategies in premature neonates and to explore the relationship between health outcomes and time to discharge from the neonatal intensive care unit (NICU). Non-pharmacologic pain management strategies include human touch, facilitated tucking, non-nutritive sucking, and kangaroo care. A systematic review of the literature was conducted from multiple online databases. Peer reviewed, English-language articles containing the keywords 'pain management', 'neonatal intensive care unit', and 'non-pharmacologic' were included for synthesis. Exclusion criteria included articles with a focus on infants not admitted to the NICU and infants with a gestational age greater than 37 weeks. Results revealed positive outcomes when alternative pain-relieving methods, rather than drug therapy, were used in the NICU. A majority of articles suggest facilitated tucking is very successful in lowering a preterm infant's pain. However, facilitated tucking alone was significantly less effective in relieving procedural pain compared to facilitated tucking in combination with oral sucrose administration. Kangaroo care and gentle human touch also proved to reduce physiologic and behavioral signs of pain in neonates. The literature reveled an overall positive outcome when non-pharmacologic pain interventions are used in the NICU, with some behavioral interventions showing better efficacy than others at relieving neonatal pain. None of the reviewed articles explored the relationship between reduced length of stay and parameters assessing health outcomes based on pain control in neonates. The literature indicated nurses play a significant role in the use of pain-relieving methods in neonatal populations. Implications for future research that focuses on successful behavioral based pain management strategies that assists in refining neonatal pain relief would be of great benefit to improving health outcomes related to infant survival after discharge from the NICU.
Show less - Date Issued
- 2016
- Identifier
- CFH2000079, ucf:45503
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000079
- Title
- NUTRITIONAL INTAKE AND WEIGHT GAIN IN INFANTS WITH NEONATAL ABSTINENCE SYNDROME: A LITERATURE REVIEW.
- Creator
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Kubisch, Kailey A, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Neonatal abstinence syndrome (NAS) in infants presents unique challenges in feeding and weight gain. The unpredictable clinical manifestations associated with the newborns withdrawal from exposure to drugs in utero can lead to costly delays in transition of the infant out of the Neonatal Intensive Care Unit (NICU).The purpose of this review of literature was to explore feeding positions and nutritional intake with the greatest impact on weight gain in infants with neonatal abstinence syndrome...
Show moreNeonatal abstinence syndrome (NAS) in infants presents unique challenges in feeding and weight gain. The unpredictable clinical manifestations associated with the newborns withdrawal from exposure to drugs in utero can lead to costly delays in transition of the infant out of the Neonatal Intensive Care Unit (NICU).The purpose of this review of literature was to explore feeding positions and nutritional intake with the greatest impact on weight gain in infants with neonatal abstinence syndrome (NAS) following delivery. The secondary purpose was to compare the clinical manifestations of infants with NAS that influence nutritional intake and their relationship to length of time and cost of stay in the NICU. A review of literature was performed using multiple databases. Articles focusing on feeding position and nutrition intake were identified for interventions to effectively promote weight gain, while reducing clinical manifestations common in infants with NAS. Articles exploring improved feeding and weight gain in infants with NAS and reduced length of stay in the NICU were also synthesized for cost reductions to the facility. Results from 12 studies comparing various feeding positions that optimized nutrition, and reduced negative clinical manifestations in infants with NAS were synthesized for content relevant to the research questions. Results suggest a relationship between placing infants in the c-position, and side-lying position to reduce sensory stimulation, with reducing clinical manifestations for infants actively experiencing withdrawal symptoms from NAS. Providing chin and cheek support as needed, decreasing eye contact during feeding periods, and providing darker quiet environments all play an important role in allowing infants with NAS to optimize their weight gain. As previously stated, to manage nutritional intake and optimize weight gain, reduction of clinical manifestations through pharmacological and non-pharmacological interventions must be actively incorporated into the infants' plan of care.
Show less - Date Issued
- 2019
- Identifier
- CFH2000561, ucf:45675
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000561
- Title
- GENETIC INTERVENTION AS A LIFESTYLE APPROACH: AN ANALYSIS OF DISEASE AND TREATMENT.
- Creator
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Dempton, Jennifer, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
-
Purpose: The scientific knowledge of how genes affect disease expression and evolution can facilitate more effective environmental and drug therapy interventions delivered by health care professionals. The purpose of this paper is to a) describe the role of genetic science in healthcare; b) explore genotype determinants for environmental and pharmacological interventions; c) and analyze ethical dilemmas, barriers to access, and allocation of resources based on genotype. Methods: A review of...
Show morePurpose: The scientific knowledge of how genes affect disease expression and evolution can facilitate more effective environmental and drug therapy interventions delivered by health care professionals. The purpose of this paper is to a) describe the role of genetic science in healthcare; b) explore genotype determinants for environmental and pharmacological interventions; c) and analyze ethical dilemmas, barriers to access, and allocation of resources based on genotype. Methods: A review of literature was conducted from the disciplines of nursing, medicine, psychology, and sociology using the CINAHL, Ebsco Host, Medline, and PsychINFO databases. The search was limited to peer reviewed, full text article in English that dated from 1987 to 2011. Inclusion criteria were articles describing environmental, pharmacologic, and nutritional influence on genetic expression. Forty-five articles on genetic intervention were chosen for further review, in addition to five book publications which met inclusion criteria. Many of the sources retrieved were obtained from the biomedical sciences and published in the last decade, owing to more recent innovations in genetic discovery. Results: Disease and treatment must be approached according to genetic profiles for effectiveness and to increase health outcomes. Several variations were found regarding response to pharmaceuticals, as well as environmental exposures, based on genotype. Conclusions: Health care has been practiced using a 'universal protocol' approach; however, as the literature reveals, each individual genotype must be taken into account to provide optimal care.
Show less - Date Issued
- 2011
- Identifier
- CFH0004060, ucf:44792
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004060
- Title
- INTERVENTIONS TO REDUCE THE EFFECTS OF NICU NOISE IN PRETERM NEONATES.
- Creator
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Manske, Rebecca L, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Exposure to excessive noise during a neonates stay in the neonatal intensive care unit (NICU) can create both immediate and long term health problems such as, hearing loss, neurological deficits, and sleep pattern disturbances. The use of earmuffs or earplugs to decrease the neonate's exposure to noise can create a more stable environment to facilitate improved growth and development. The purpose of this research was to examine the use of earmuffs or earplugs to reduce the impact of noise on...
Show moreExposure to excessive noise during a neonates stay in the neonatal intensive care unit (NICU) can create both immediate and long term health problems such as, hearing loss, neurological deficits, and sleep pattern disturbances. The use of earmuffs or earplugs to decrease the neonate's exposure to noise can create a more stable environment to facilitate improved growth and development. The purpose of this research was to examine the use of earmuffs or earplugs to reduce the impact of noise on neonates. A systematic review of literature was conducted using online databases including CINAHL, ERIC, Ebsco Host, Medline, and PsychINFO. The search included a combination of the following terms: 'preterm', 'neonate', 'NICU', 'noise', 'earplugs', and 'earmuffs'. Peer reviewed, articles published in the English language were examined that tested noise reduction devices in the NICU setting, hearing screening of neonates, and the effect of noise reduction interventions on physiologic changes in the preterm infant receiving care in the NICU. Results yielded 8 articles between the years of 1995 to 2017 which were synthesized for review. The results indicated that the use of earmuffs or earplugs in the NICU may offer a viable solution to reducing the effects of excessive noise on neonate's growth and development. The use of earmuffs or earplugs has been shown to positively improve vital signs, increase growth, improve physiological and motor development, and improve sleep efficiency. Further research on larger sample sizes is needed in order to validate the findings and offer substantial evidence for its use in the clinical setting.
Show less - Date Issued
- 2017
- Identifier
- CFH0000227, ucf:44683
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0000227
- Title
- THE USE OF HERBAL SUPPLEMENTS ON MINIMIZING THE CLINICAL MANIFESTATIONS OF ALZHEIMER'S DISEASE.
- Creator
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Donohue, Delayna L, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Alzheimer's disease (AD) affects over 5 million individuals in the United States annually. By the year 2050, the number of individuals living with AD is projected to triple (Latest Alzheimer's Facts and Figures, 2016). Although there is no cure for AD, there are many prescriptive pharmacologic agents used to help manage the clinical manifestations of the disease. Complementary and alternative medicines (CAM) and herbal supplements are also used in the treatment of AD, however indications for...
Show moreAlzheimer's disease (AD) affects over 5 million individuals in the United States annually. By the year 2050, the number of individuals living with AD is projected to triple (Latest Alzheimer's Facts and Figures, 2016). Although there is no cure for AD, there are many prescriptive pharmacologic agents used to help manage the clinical manifestations of the disease. Complementary and alternative medicines (CAM) and herbal supplements are also used in the treatment of AD, however indications for their use and effectiveness during the progression of AD have not been examined. The purpose of this study was to examine the use of herbal supplements in managing the clinical manifestations of AD. The secondary purpose was to compare a variety of herbal supplements used to treat the clinical manifestations of AD and to evaluate the most widely used and most beneficial for clinical practice. A literature review examining herbal supplements and their risks, benefits, and uses in AD was conducted from multiple online databases. Peer reviewed articles published in the English language from 1998-2016 that focused on herbal supplements used to control the clinical manifestations of mild to severe AD were included for synthesis. Results from 14 studies that used herbal supplements as a treatment for the clinical manifestations of AD were compared for effectiveness in the management of symptoms. The findings suggest Ginkgo Biloba is the most effective and widely used herbal supplement in the treatment for cognitive decline in AD. Other supplements including Saffron, Curcumin, Cistanches Herba, and Sage were found to improve memory function and activities of daily living in individuals with AD. Herbal supplements can be cost effective and easier to retrieve for many individuals in comparison with prescriptive drug therapy. Although the research demonstrated beneficial results with the use of herbal supplements, the limitations of these studies make the application of the results problematic. Therefore, further research in this area is required.
Show less - Date Issued
- 2017
- Identifier
- CFH0000237, ucf:44670
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0000237
- Title
- WOMEN'S PERCEPTIONS OF NURSING CARE AND MANAGEMENT AFTER FIRST TRIMESTER MISCARRIAGE.
- Creator
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McGee, Jennifer, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Spontaneous abortion, or miscarriage, is an event that affects approximately one in four women during their reproductive years. Despite the psychological and physiological trauma associated with the loss of pregnancy, few evidence-based practice recommendations exist to guide nursing care of women experiencing first trimester miscarriage. The purpose of this integrative review of literature was to examine research related to women's health care experiences of first trimester miscarriage and...
Show moreSpontaneous abortion, or miscarriage, is an event that affects approximately one in four women during their reproductive years. Despite the psychological and physiological trauma associated with the loss of pregnancy, few evidence-based practice recommendations exist to guide nursing care of women experiencing first trimester miscarriage. The purpose of this integrative review of literature was to examine research related to women's health care experiences of first trimester miscarriage and discuss common themes relating to nursing care. Inclusion criteria consisted of peer review research articles published after 2001 and available in the English language and women that experienced miscarriage during the first 12 weeks of pregnancy. Current literature was collected from Cumulative Index of Nursing and Allied Health Literature (CINAHL), MEDLINE- EBSCOhost and PsycINFO databases using combinations of various key words. Six qualitative studies and one quasi-experimental study met the inclusion criteria and were reviewed. The results indicated that nursing care of women experiencing miscarriage should include therapeutic communication, psychological support, and provision of information and follow-up care. While there is little research reviewing nursing interventions related to first trimester miscarriage, these themes may help guide the development of further research reviewing the efficacy and effectiveness of specific nursing interventions.
Show less - Date Issued
- 2013
- Identifier
- CFH0004414, ucf:45134
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004414
- Title
- PSYCHOSOCIAL STATUS AND HEALTH OUTCOMES IN OLDER ADULTS LIVING WITH HUMAN IMMUNODEFICIENCY VIRUS.
- Creator
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Fernandez, Amanda, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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Purpose: To recognize and raise awareness about the psychosocial status and health outcomes in older adults living with HIV. Method: A literature search was conducted from the disciplines of nursing and medicine using the CINAHL, PubMed, and Medline databases. Inclusion criteria: articles exploring older adults who are HIV positive and factors related to depression, suicide and available healthcare resources. Exclusion criteria: articles including individuals under the age of 50 infected with...
Show morePurpose: To recognize and raise awareness about the psychosocial status and health outcomes in older adults living with HIV. Method: A literature search was conducted from the disciplines of nursing and medicine using the CINAHL, PubMed, and Medline databases. Inclusion criteria: articles exploring older adults who are HIV positive and factors related to depression, suicide and available healthcare resources. Exclusion criteria: articles including individuals under the age of 50 infected with HIV/AIDS and articles focused entirely on physiologic principles of HIV/AIDS. Results: In older adults living with HIV/AIDS, the literature review disclosed a comprehensive gap between identifying this age group as 'at risk', lack of communication between health care providers and older adults concerning sexual activity and/or status, and recurring psychosocial components related to lack of resources and standards of care among older adults living with HIV/AIDS. An unbalanced amount of research has focused on the care and prevention of HIV/AIDS among young adult populations, while a limited amount of research is geared toward detection, prevention and interventions for HIV/AIDS in older adults. Findings suggest that HIV/AIDS is a syndrome of bias based on age and/or gender by health care providers. Solutions to this epidemic must begin with an all inclusive plan that investigates the prevention, identification and intervention across the lifespan. Discussion: As the country ages and the population of older adults increase, nurses will encounter an increasing number of older adults living with HIV/AIDS. In order to competently provide quality care to older adults with a positive HIV/AIDS status, further research is needed to bridge the gap of literature connecting psychosocial aspects of care and accompanying health outcomes.
Show less - Date Issued
- 2012
- Identifier
- CFH0004253, ucf:44932
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004253
- Title
- THE USE OF MOBILE APPLICATIONS IN PREVENTIVE CARE AND HEALTH-RELATED CONDITIONS: A REVIEW OF THE LITERATURE.
- Creator
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Ringer, Naomi, D'Amato-Kubiet, Leslee, University of Central Florida
- Abstract / Description
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The purpose of this review of literature was to understand the role of mobile device applications in health related conditions and to analyze their effects on health outcomes related to the management of chronic illnesses. Implications for future use of applications in client-centered care and interpretation of the data by health care providers was also explored. Peer-reviewed, English-language research articles published from 2008 to present were included for synthesis. Study results...
Show moreThe purpose of this review of literature was to understand the role of mobile device applications in health related conditions and to analyze their effects on health outcomes related to the management of chronic illnesses. Implications for future use of applications in client-centered care and interpretation of the data by health care providers was also explored. Peer-reviewed, English-language research articles published from 2008 to present were included for synthesis. Study results revealed positive outcomes when health-related mobile applications were used in practice and support clinicians' use of mobile applications as a tool for monitoring symptoms and communicating with individuals. The literature indicated nurses play a significant role in providing feedback, which reinforces self-care strategies and adherence, with the potential for improving outcomes. Additional research is needed to evaluate the long-term effects of applications on patient outcomes, nurses' perspectives, and feasibility of implementation into practice.
Show less - Date Issued
- 2014
- Identifier
- CFH0004660, ucf:45280
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004660