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1 Promoting Obstetric Care for Rural Women in Northern Utah: "Choose the Right Provider for You"Overson, AnnieIn 2012, approximately 55% of women living in rural Box Elder County (Northern Utah) sought obstetric services from larger facilities in distant locations, despite having quality, comprehensive services available in their community and a generally healthy, low-risk population. Uncomplicated pregnanc...
2 Pediatric Obesity Treatment and Reimbursement in Primary CareHomer, Sarah BabcockPrimary care providers have struggled to find a cost-effective clinically-based pathway to treat pediatric obesity and cardiovascular risk. Providers cite lack of reimbursement for obesity-related services as one reason that precludes their ability to effectively treat obesity. With the implementati...
3 Pre-Hospital Algorithm for Anticoagulation Therapy in ST-Segment Elevation Myocardial InfarctionRomero, TyreeFor a number of years the emphasis has been placed on the in hospital care of patients with acute myocardial infarction, a trend that was strengthened by the inception of coronary care units. In the past several years, however, increased attention has been focused on the pre-hospital phase. Recent s...
4 Creating a Family and Patient Centered Environment: Development of a Communication FormWorthen, RikkiCommunication within the Intensive Care Unit (ICU) among patients, families and physicians is of vital importance. Unfortunately satisfaction surveys frequently show communication as an area needing improvement. As health care providers we cannot expect patients and their families to make life alter...
5 Ask What? Female Sexual Dysfunction Screening Provider TrainingRieff, MollieThis project assessed providers' comfort with and knowledge of female sexual dysfunction screening tools and resources before and after a sexual dysfunction training session, thereby determining training session efficacy as a quality improvement project in a large faculty practice. Problem Statement...
6 Assessment of Taxane Induced Peripheral NeuropathyDeininger, JuttaTaxanes are commonly used chemotherapeutics in women with breast and ovarian cancer. As microtubule stabilizing agents they can be neurotoxic, leading to numbness, tingling, and pain in hands and feet. The symptoms usually start in the fingers and toes and can slowly progress along the extremities. ...
7 The Risks and Benefits of Male Infant CircumcisionAnderson, Jess B.Male infant circumcision (MIC) is the most commonly performed surgical procedure in the U.S. and the world. Each year in the U.S. half - over two million - of all new parents will decide whether or not to circumcise their male infant. The annual cost for MIC, in the U.S. alone, approaches half a bil...
8 Determining Appropriate Use Between Minimally Invasive And Non-invasive Hemodynamic Monitoring In The Shock Trauma ICUKissell, KristiFluid resuscitation remains the mainstay of treatment for the hemodynamically unstable or hypotensive patient. Only approximately 50% of these patients are determined to have a therapeutic response to fluid administration also known as fluid responsiveness. Patients who receive over or under fluid r...
9 Alcohol Withdrawal Syndrome Recognition, Assessment, and Communication: A Quality Improvement ProjectMonson, KristinaAt the Volunteers of America (VOA) Adult Detoxification Center in Utah individuals across multiple disciplines unite together to form substance abuse treatment teams that coordinate the medical and psychosocial care of clients withdrawing from alcohol. These professionals have different training, ed...
10 A Motivational Interviewing Toolkit for Providers to Address Weight Among Pregnant WomenCole, Erin JohnsonThe obesity epidemic poses a substantial public health challenge in the United States and worldwide. More than one-half of all pregnant women in the United States are overweight or obese. Overweight and obesity during pregnancy carry significant short and long-term maternal and fetal risks. However,...
11 Educating CDEs to Screen for Impaired Cognition in Elderly Individuals with Type 2 Diabetes MellitusCardenas, ElizabethThere is a growing population of older Americans with diabetes at increased risk for cognitive impairment, however this risk is poorly disseminated among providers of diabetes care. The purpose of this project was to research and disseminate the state of the science regarding the increased risk for ...
12 Bulimia Management in a Primary Care SettingGalbraith, Brianne MoffittBulimia nervosa is psychiatric condition characterized by self-induced vomiting, laxative abuse, diuretic use or excessive exercising (Frank et al., 2012). Bulimia can result in various medical complications. Subsequently, patients who suffer from bulimia initially seek care from their primary care ...
13 Developing a Mentoring Program for Homeless Youth in Salt Lake CityWanserski, Melissa M.Homeless youth face complex challenges that can have significant harmful effects on their well-being. Although much remains to be known about the homeless youth experience, current research identifies that homeless youth often lack trusting relationships with adults and further support systems (Bart...
14 Addressing HIV/AIDS Among Latinos Living In UtahMontes, Victor M.More than 56,000 Americans become infected each year with HIV/AIDS (CDC, 2009). Every 9½ minutes someone becomes infected with HIV (CDC, 2009). HIV/AIDS is topic that is not discussed by certain ethnicities/races. Latinos are one ethnicity/race that is affected more than others. In 2008, more than ...
15 Postpartum Depression: Faith-Based Health PromotionThomas, MaryPostpartum depression (PPD) is experienced by 10%-15% of women per year and often goes under recognized by women and communities (CDC, 2008). It is the most serious of postpartum disorders and most common pregnancy-related illness. Women experiencing PPD may not seek help for multiple reasons, inclu...
16 Application of an Online Warmline as a Crisis Prevention Tool in Rural Sanpete County, UtahStewart, RhondaCompleted suicides, suicide attempts, self-harm behavior and violence towards others are significant indicators for the need for preventive services for Utah youth and their families. In addition rural youth and their families struggle with healthcare disparities, which leads to fewer services avail...
17 Prenatal Care Curriculum for Women with Substance AbuseAnderson, Laura McGrawThe goal of this project was to develop a group prenatal care curriculum for women on Methadone and Suboxone therapies. This curriculum implements best practices based on the most current research to provide prenatal care for women currently receiving treatment for substance abuse. In the 2010 Natio...
18 Pain Management for Patients with Dementia in Nursing HomesGreenberg, Robert J.Of the 3.3 million Americans currently living in nursing homes, it is estimated that 45-80% suffer from significant chronic pain. Additionally, it is estimated that 70% of nursing home patients with dementia suffer chronic pain. Patients with dementia in nursing homes suffer disproportionately from ...
19 Making a Diabetic Ketoacidosis Computerized Order Set User-FriendlyChecketts, Heidi, M.Clinicians in the Shock-Trauma Intensive Care Unit (STICU) at Intermountain Medical Center have spoken frustration about the current diabetic ketoacidosis (DKA) order set. Both providers and nurses are often confused by these orders. This confusion has lead to delayed order implementation likely res...
20 Bridging the Gap: Passive Hypothermia Prior to Transport in the Neonate At Risk for Hypoxic-Ischemic EncephalopathyAshcroft, Anglea K.Perinatal depression occurs after hypoxic insult to the fetus or neonate either during the intrapartum period, or immediately after birth. Obstetrical emergencies can cause hypoxic insult and have potential to precipitate perinatal depression. Hypoxic-ischemic encephalopathy (HIE) results from lack ...
21 Developing a Faith-Based Prenatal Education Curriculum for African-American Women in Salt Lake City, UtahBrooks, BrandyAfrican-American women are nearly three times more likely to have their infants die before the age of one year (Utah Health Department, 2009). In Utah, 61 % of infant deaths in this population are linked to preterm birth and low birth weights (Utah Health Department, 2009). Additionally, this popula...
22 An Evaluation of Follow-up for Postpartum Depression in Mothers with a History of DepressionKelley, SarahThe purpose of this project was to evaluate provider follow-up at postpartum visits for women diagnosed with a history of depression before, during, or after a pregnancy in a large CNM/WHNP faculty practice. A chart review was completed on all women age 18 or older who gave birth at a large teaching...
23 Lactation Services in the Pediatric Clinic: A Business Plan for Breastfeeding SupportDunn, Stephanie L.Data from the Centers for Disease Control and Prevention (2013) indicates that nearly 40% of infants who are initially breastfed are no longer exclusively breastfed at three months. Discontinuation of breastfeeding during the first week of life is primarily attributed to feeding difficulties and at ...
24 Treatment Options for Aortic Valve Stenosis: Developing an Algorithm for Best Practice between TAVR and Surgical AVRByrd, KennedyThis Doctor of Nursing Practice Scholarly Project addressed the problem of a lack of guidelines about the surgical options for the surgical treatment of aortic valve stenosis and the impact this has on a patient's ability to make an informed decision and their outcomes. The purpose of this project w...
25 A Fall Prevention Protocol for Home Hospice PatientsPark, MinjiHospice patients are at a greater risk of falls than community-dwelling geriatric populations due to the nature of terminal illness. Although the necessity of developing a fall risk assessment and fall prevention protocol for home hospice patients has been discussed, an assessment protocol for home ...
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