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open access

Investigating the Effects of Polypharmacy Among Elderly Patients with Diabetes on Glycemic Control and Clinical Outcomes in Home Health Care

Description: The focus of this research study is glycemic control in the presence of multiple morbidities and polypharmacy in homebound individuals with Type 2 diabetes aged 65 years and older. The research method is a quantitative retrospective cohort study of discharged patients of a nonprofit community-based home health agency from January 1, 2010, to December 31, 2011, using OASIS data. Glycemic control is assessed using the hA1C laboratory test following the recommendation of the American Diabetes Ass… more
Date: December 2012
Creator: Bernier, Shelia Alathia
Partner: UNT Libraries
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

Predictors of Quality of Life (Qol): Comparing Baby Boomers, Older Adults, and Younger Adults Using Data From the 2010 National Health Interview Survey

Description: The purpose of this study was to identify factors that predict quality of life (QOL) for aging adults and to examine and compare Baby Boomers', Older Adults' and Younger Adults' responses to the 2010 National Health Interview Survey/QOL Functioning and Disability. Significant findings included several significant values based on the multivariate regression to estimate a model to predict QOL. In particular, being male, four ethnicities other than white, being older than Boomer, age in 10 years, … more
Date: December 2012
Creator: Bryce, Helen Roult
Partner: UNT Libraries
open access

Resident Rights and Electronic Monitoring

Description: The purpose of this exploratory study was to examine resident, family member and staff perceptions of electronic monitoring and their effect on resident rights. The sample consisted of 53 nursing home residents, 104 staff and 25 family members, in the Dallas Fort Worth metroplex, from a nursing facility in which residents utilize video cameras in their rooms (Nursing Facility 1), two nursing facilities that have video cameras in their common rooms areas (Nursing Facility 2 and 3) and a nursing … more
Date: August 2010
Creator: Shashidhara, Shilpa
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
open access

Sex and Older Americans: Exploring the Relationship Between Frequency of Sexual Activity and Happiness

Description: The purpose of this study is two-fold: (1) to examine the correlation between frequency of sexual activity and general happiness among older Americans and (2) to examine the correlation between frequency of sexual activity and marital happiness among older married Americans. This study employed quantitative data drawn from the 2004-2008 General Social Surveys. Two samples were used. The first sample included all respondents 65 years of age and older with valid responses for the dependent, indep… more
Date: August 2010
Creator: Jackson, Adrienne
Partner: UNT Libraries
open access

The Impact of Genetics, Socioeconomic Status, and Lifestyle Factors on Visual Health in an Adult Population

Description: The purpose of this dissertation was to understand how genetics, socioeconomic status (SES), and lifestyle factors influence the development of age-related macular degeneration (AMD), glaucoma, and diabetic retinopathy in an adult population in Dallas County. Two hundred fifty-three older adults participated in this study as the sample. Crosstabulation and binary logistic regression were utilized to analyze the data. Results indicated a disparity among participants' test scores, visual health s… more
Date: December 2010
Creator: Mitzel, Gina Marie
Partner: UNT Libraries
open access

End of Life Care: African Americans' Disproportionate Use of Hospice

Description: The United States of America is a country composed of various ethnicities. This country is considered to be a multi-cultural society. There are various cultural traditions values, norms and superstitious practices within each ethnic group. Attitudes toward end of life care are complex and vary differently across each ethnic group. This study explored factors that explained African Americans' disproportionate use of hospice. Access to hospice care was address, experience with hospice was ex… more
Date: December 2010
Creator: McDonald, Ray
Partner: UNT Libraries
open access

Domestic Violence Shelters in Texas: Responding to Programming Needs of Older Victims of Intimate Partner Violence

Description: This study examined if domestic violence shelters in Texas are responding to the needs of older female victims of intimate partner violence. Data for this study was collected through online questionnaire surveys of 45% of Texas domestic violence shelters. Findings of this study indicated that less than 10% of Texas shelters are providing specialized programming for older victims of IPV. In Texas, the demographic growth of older adults has remained comparable to increased national trends. The st… more
Date: December 2010
Creator: Lozano, Yvonne M.
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
Access: Restricted to UNT Community Members. Login required if off-campus.
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
Access: Restricted to UNT Community Members. Login required if off-campus.
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
Access: Restricted to UNT Community Members. Login required if off-campus.
Date: May 2000
Creator: Cecil, David P.
Partner: UNT Libraries

Assisted Living: The Need for Creation of Affordable Options

Description: Assisted living, the fastest growing segment of the senior housing industry, allows individuals to remain as independent as they prefer and still receive necessary services. However, assisted living residences exist primarily to serve those seniors who can pay for the services from their own savings/income. We are facing a critical need for housing options for both the current senior generation and the soon-to-be-retired baby boomers. How will access to assisted living be opened to all types of… more
Access: Restricted to UNT Community Members. Login required if off-campus.
Date: August 2000
Creator: Kretzinger, Robert W.
Partner: UNT Libraries
open access

Correlates of Depression in Elderly Asians in the United States

Description: The primary purpose of this study was to examine the correlation between depression and the personal characteristics of Asians who are 50 years or older. The secondary objective was to determine whether Asians 50 years or older living in the United States are more likely to be depressed than other ethnicities. The information for this study was secured from the National Health Interview Survey, spanning the years 2001 to 2010. In this study, I utilized the SAS-Callable SUDAAN statistical syst… more
Date: December 2013
Creator: Kung, Kevin Hsiang-Hsing
Partner: UNT Libraries
open access

Churches, Social Service Access and Korean-american Elders: an Exploratory Study

Description: This study examined how Korean co-ethnic churches serve as connections between Korean seniors and the agencies that offer social and health care services. The study developed from a pilot outreach program funded by the North Central Texas Council of Governments’ Area Agency on Aging (NCTAAA) to inform Korean seniors about Medicare-related programs between February and May of 2011. The results of the pilot program suggested that the Korean-American church can be an effective place for program ou… more
Date: December 2013
Creator: Kim, Eunkyung
Partner: UNT Libraries
open access

Witchcraft: a Targeted Societal Discrimination Against Women in Northern Ghana

Description: A combination of aging and poverty is becoming dominant in African society today, at a time when African countries are expected to be recovering from poverty, and are projected to house the economic growth of the next century. The emergence of aging in African context and the aging of the world population will expose the weakness of the current mechanisms used for older people around the world. As economies grow around the world, the distribution gap between the affluent and the poor widens, … more
Date: December 2013
Creator: Atumah, Oscar Nwagbo
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

Social Participation and Depression Among Elderly People in Greece

Description: The researcher had two objectives: first, explore how social involvement changes by age among Greek elderly, and second, examine the relationship between social involvement and depression by age among study participants, controlled for education, marital status, and gender. The researcher used data from the 2004 Survey of Health, Aging, and Retirement in Europe (SHARE) database subjecting a sample of 2,898 elderly aged 50 or older to analysis in terms of the study questions. Approximately 43% o… more
Date: December 2015
Creator: Simmons, Daniela
Partner: UNT Libraries
open access

Legal Compliance in Guardianship Cases An Exploratory Study: Investigating Denton County Probate Court Visitors' Program Success with Legal Compliance in Guardianship Cases in 2013

Description: Dabner, Carol P. Legal Compliance in Guardianship Cases. An Exploratory Study: Investigating Denton County Probate Court Visitors' Program Success with Legal Compliance in Guardianship Cases. Doctor of Philosophy (Applied Gerontology), December 2016, 140 pp., 18 tables, references, 20 titles. Aim: To evaluate the effectiveness of the legal compliance of the Denton County Probate Court Visitor's program in the year 2013. Rationale: Guardianship case management success is based on the presen… more
Date: December 2016
Creator: Dabner, Carol Patrice
Partner: UNT Libraries
open access

Assessing the Older Diabetic Population in the US: A Descriptive Look at This Population from 2001-2010 Focusing upon Education and Clinical Behaviors

Description: The focus of this research study was to gain needed information on the older adult population in the United States who have diabetes. The research method was quantitative retrospective study of American diabetes obtained from the National Health Interview Survey database from 2001 through 2010. The study results confirmed more than one-third of the U.S. diabetics are aged 65 and older. More than 75% of the older diabetic population report clinical limitations or comorbidities. Based on surr… more
Date: December 2016
Creator: Parker, Patti Annette
Partner: UNT Libraries
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