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open access

Evaluation of Law Enforcement and the Court System in Texas: Perspectives of Adult Protective Services Case Managers

Description: The purpose of this study was to examine perceptions of Texas Adult Protective Services (APS) case managers (CM) in regard to their relationships with the law enforcement community and area courts. The sample consisted of 138 Texas APS CMs. The survey measured respondents' perceived strengths and weaknesses of their relationships with both the law enforcement community and with area courts. Items also included respondents' interest in receiving additional training and their perceptions of level… more
Date: May 2013
Creator: Weaver, Matthew S.
Partner: UNT Libraries
open access

Determinants of the Applications to the Institutional Care in Turkey: Darulaceze Example

Description: Although institutional care has started to be outmoded in the developed countries with development of different models of care, it still has a considerable place in the developing countries such as Turkey. This is because, changes in the demographic structure, extended family, and urban development of Turkey has brought about several aging problems leading older adults to end up in institutions. Loneliness was one of the significant reasons given in the Social Inquiry Survey of Applicants of … more
Date: May 2013
Creator: Esendemir, Serif
Partner: UNT Libraries
open access

Homeless Predictors in the Older Adult Population

Description: This secondary research study uses data from two convenience samples of homeless persons in Central Arkansas collected during 2004 and 2011 Point in Time Counts. The prevalence of predictors of homelessness are compared across years, and also compared by age (<50 and > 50) controlling for year of survey. The number of older adults increased significantly between 2004 and 2011 surveys, and reporting serious mental illness and veteran status significantly decreased from 2004 to 2011. Age differe… more
Date: May 2013
Creator: Lewallen, Jina P.
Partner: UNT Libraries
open access

Medicare Plan D: Impact on Medication Compliance in the Elderly

Description: This dissertation examined the impact of Medicare Plan D on medication compliance in Medicare beneficiaries at University of Texas Health Center at Tyler, TX. Data were collected before and after the implementation of Plan D. The impacts of various types of benefits, such as private insurance, employer insurance and pharmacy assistance programs were evaluated in terms of impact on drug compliance. Medication compliance was found to increase in those respondents without Plan D. Plan D was found … more
Date: May 2007
Creator: Huff, Billie Kathryn
Partner: UNT Libraries

Teamwork in the Nursing Home: The Art of Caring for Long-Term Care Residents

Description: The effects of teamwork in a long-term care setting were explored, and four key elements of teamwork in the long-term care facility were discovered. These elements--clarity of purpose, clear communication, well-defined decision-making procedures, and participative leadership--are presented in detail. The literature reviewed as well as observations from personal participation in a case study show that employing the teamwork concept in a nursing home environment significantly enhances the quality… more
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Date: May 2000
Creator: Saxon, Juliane M.
Partner: UNT Libraries

Long-Term Care Administrator Licensure and Certification: An Emerging Health Profession

Description: The long-term care administrator profession is one that is both new and evolving. The unique historical perspective of this health profession is brief in the number of years it encompasses and crucial in understanding the current issues facing the profession. Administrator experiences provide a point of reference regarding the profession's structural problems. Ethical considerations play a dynamic role in administrators' daily jobs as well as their continued licensure. The significance of the p… more
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Date: May 2000
Creator: Syverson, Thomas
Partner: UNT Libraries

Tuberculosis in the Nursing Home: A Policy and Procedure Manual

Description: Tuberculosis in the nursing home is an ever-growing problem for the health care community. The incidence of tuberculosis in the United States has risen alarmingly since 1982, and high-population environments such as nursing homes are among the places where it is most prevalent. The first part of this document is an introduction to the current concerns faced by nursing home infection control personnel. It includes information about the history, symptoms, and epidemiology of the disease, as well … more
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Date: May 2000
Creator: Mounts, Camilla M.
Partner: UNT Libraries

Humor and Nursing Home Residents

Description: Although humor is a generally accepted part of everyday life for humans, its existence, importance, and positive influence on older persons are often underestimated. The purposes of this study are to determine whether humor is a normal experience for nursing home residents, enhancing their activities of daily living, and whether it plays a role in contributing to their psychological well-being. The study includes a discussion of research on humor, particularly as it relates to the elderly and t… more
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Date: May 2000
Creator: Cecil, David P.
Partner: UNT Libraries
open access

Culture Interrupted: Assessing the Effects of the Shining Path Internal Armed Conflict in the Peruvian Highlands

Description: This study was a qualitative examination of social, economic, political, and cultural dilemmas that face Peruvian survivors of the Communist Shining Path Revolution, an internal armed conflict that cut a swath of terror and destruction during the years 1980-2000, with a reported loss of 69,000 residents either killed or considered “disappeared.” The conflict affected primarily poor, uneducated Andean campesinos and townspeople in the highland areas of the Ayacucho District. In this study, I loo… more
Date: May 2014
Creator: Van Wye, Kalynn Hicks
Partner: UNT Libraries
open access

The Willingness of Older Adults to Evacuate in the Event of a Disaster

Description: The issue of rising number of disasters, the overwhelming increase in number of older adults, and historically flawed evacuations presents real challenges. Disasters can strike anywhere, any time, and have devastating consequences. Since 1900, the number of Americans 65 and older has increased 12 times (from 3.1 million to 36.3 million). During the next two decades, the number of American baby boomers, now aged 45-64, who turn 65, will increase by 40%. As evidenced by recent disasters, the impe… more
Date: May 2009
Creator: Gray-Graves, Amy Michael
Partner: UNT Libraries
open access

Retirees' Attitudes Toward Mental Illness Treatment: A Life-Course Perspective

Description: This purpose of this dissertation was to examine the attitudes of retirees toward mental illness treatment. Secondary data from the Survey Research Center at the University of North Texas was utilized for this study. The focus was on the influence that gender, income, education, race/ethnicity, personal experience, fear, goodwill, and social control might have had on retirees' attitudes toward mental illness treatment. An n = 225 was selected out of the existing data to serve as the sample popu… more
Date: May 2010
Creator: Starkey, Thomas Wayne, Jr.
Partner: UNT Libraries
open access

Access to Health Care and Rates of Mortality and Utilization for the Elderly in Rural America

Description: The aging experience of men and women in rural America is different than that of their urban counterparts. In this study, I identified key disparities in access to health care, mortality, and utilization of health care that result from geographic location. Foundational theories are discussed to illustrate that disparities can originate from historical societal behaviors. Secondary data and literary reviews create a combined qualitative and quantitative approach to explore the rural/urban divide… more
Date: May 2018
Creator: Johnson, Barbara Ann
Partner: UNT Libraries
open access

Implementation of Person-Centered Care (PCC): A Descriptive Case Study

Description: To meet the growing demand for community-based adult services (CBAS) adult day health care (ADHC) programs, it is important these programs make the necessary modifications in their systems of care to embrace a person-centered care (PCC) model. This study was designed to create an assessment to determine a community-based CBAS/ADHC program's readiness to meet the new federal standards as determined by the program's current operational evidence and by center participants', their families' as well… more
Date: May 2019
Creator: Cole, Min
Partner: UNT Libraries
open access

Evolution and Devolution of Inpatient Psychiatric Services: From Asylums to Marketing Madness and Their Impact on Adults and Older Adults with Severe Mental Illness

Description: I examined the factors that led to the rise and fall of psychiatric hospitals and its impact on two select groups of individuals: adults and older adults with severe mental illness. To explore the reasons behind these fluctuations, the State of Texas was used as a case study. Additionally, the fluctuations occurred for different reasons in public vs. for-profit investor-owned psychiatric hospitals. Using an investor-owned psychiatric hospital organization as a case study, I investigated the dif… more
Date: May 2017
Creator: Helmicki, Soni
Partner: UNT Libraries
open access

A Survey of Collaborative Efforts Between Public Health and Aging Services Networks in Community Health Centers in Texas

Description: Federally qualified health centers (FQHCs) that harness the reinforcing nature of collaborative efforts with aging services can better prepare for the future of older adult populations. The purpose of this research was to identify collaborative efforts between FQHCs and aging services and distinguish perceptions and knowledge regarding older adult populations. Executive directors, medical directors and social service directors (N=44) at 31 FQHCs across the state of Texas completed surveys measu… more
Date: May 2009
Creator: Severance, Jennifer Jurado
Partner: UNT Libraries
open access

Hospital Readmissions: the Need for a Coordinated Transitional Care Model: Analysis and Synthesis of Research on Medicare Policy and Interventions for the Elderly

Description: The transition from hospital to home or alternate care setting is a time of vulnerability for all patients and particularly for our elders. If not handled appropriately there is a risk to our elders for readmission to the hospital environment that may decrease their overall quality of life and further compromise their health status. in addition to the individual risks associated with patient readmissions, there are societal impacts that reach far beyond our current generation of elders 65 and… more
Date: May 2012
Creator: Wolfe, Laura M.
Partner: UNT Libraries
open access

Proposed Therapeutic Art to Diminish Agitation in Elder Care

Description: This research study examines the decreased agitation level utilizing nonpharmacological therapeutic interventions in dementia patients, age 65 and older. The study examined the following question: Will a therapeutic art program diminish agitated behaviors in persons diagnosed with dementia, aged 65 and older? In this quasi-experimental research design, the sample consisted of 19 participants in 3 groups, selected using these criteria: must be receiving services from a long term care facility, b… more
Date: May 2012
Creator: Curington, Bonnie Dearen
Partner: UNT Libraries
open access

Effect of Age on Likelihood to Test for Hiv

Description: HIV/AIDS can affect individuals of any age. Efforts to educate those considered to be most at-risk, based on the age at which the most individuals are infected, are ongoing and public. Less work and mainstream education outreach, however, is being directed at an older population, who can be more likely to contract HIV, is more susceptible to the effects of HIV, and more likely to develop AIDS, than younger persons. Guided by the Health Belief Model theory, research was conducted to determine wh… more
Date: May 2012
Creator: Dreyer, Katherine
Partner: UNT Libraries
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