Browsing Capstone Projects by Title
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ItemAn Educational Intervention to Promote IEP Collaboration with Elementary Students(2023) Vo, LienAims: This study aimed to explore the occupational therapists' perceptions of collaborating with elementary students when developing Individualized Education Program (IEP) goals in the education plan. Methods: Sixteen occupational therapists (n = 16) participated in a mixed method pre- and post-experimental study using a one-module educational intervention based on adult learning theories. Results were analyzed descriptively and quantitatively using the Sign Test. Results: The educational intervention significantly changed the occupational therapists' perceptions (Mdn = 1.0) from not collaborating to collaborating with elementary students. However, the participants reported that the organization and team support, time, confidence, and student's functional ability negatively impact their practice to collaborating inclusively. The participants found that group learning activities, literature about collaboration, and paper resources were effective during the educational intervention. Discussion: Outcome measures revealed the educational intervention was effective to inform the occupational therapists about inclusive practices to include elementary students when developing IEP goals. The educational intervention contained evidence-based content and was designed based on blending adult learning principles to construct and apply new knowledge. The pilot study had limitations that can help refine future trainings to include other IEP team members. Conclusion: The educational intervention helped the occupational therapists reflect their perceptions to practice inclusively and equitably in giving elementary students a voice in choice of desired IEP goals. Through collaboration, occupational therapists can shape the elementary student's goals in accordance with the IEP plan. As a client-centered profession, occupational therapists must remain grounded and include elementary students as part of the IEP team. ItemBioimpedance Spectroscopy for the Health Care Professional(2020) Underwood, MelindaPurpose: The capstone project aimed to develop a continuing education module to educate health care providers and staff on the purpose and use of the bioimpedance spectroscopy (BIS) unit. The researcher also conducted a one-month clinical utility survey with the outpatient wound care team to determine if using the BIS measurement tool changed patient intervention plans. Methods: The researcher developed a continuing education training module with pre-and post-testing to assess the participants learning. A course evaluation was developed to evaluate the effectiveness of the learning module. A mixed-methods clinical utility survey was performed with the outpatient wound care center where participants completed a systems usability scale (SUS) questionnaire and participated in a one–month follow-up interview. Results: Seven subjects participated in education and demonstration training during the clinical utility survey. Four of seven participants completed the SUS questionnaire. The data revealed an above average SUS score and good learnability and usability scores. Conclusions: The module and clinical survey confirmed that health care providers found the unit easy to operate and could potentially implement BIS into their daily workload. Reported barriers to using the device include unit location, short staffing, infection control, and patient load. Despite these barriers, the wound care staff have been trained on the device's use and found BIS beneficial for lymphedema patients, chronic venous insufficiency, congestive heart failure, kidney failure, peripheral vascular disease, and post-operative wound care needs. ItemEarly Caregiver Training in Stroke(2021) Koerner, StephanieCerebrovascular accidents (strokes) have a widespread and profound impact on survivors and caregivers, their quality of life and their ability to engage in occupations. Shortened hospital stays, limited access to post-acute rehabilitation, and often drastic changes in an individual’s functioning, can leave caregivers untrained and unprepared at discharge. The focus of acute care is limited to medical stabilization and discharge of the patient, resulting in a missed, and sometimes sole, opportunity to support and prepare caregivers through education and training. The current healthcare climate and review of the literature support the need for an early, standardized education program for caregivers that is clear, systematic, and readily accessible to clinicians and caregivers. The establishment of a formalized program in the acute care setting provides an opportunity for improved outcomes in functioning and quality of life and health for caregivers and survivors of stroke. Benefiting stakeholders, this program serves as a template for other settings. In addition, this program contributes to the scholarship of occupational therapy (OT), positioning the profession as a visible leader in hospital discharge planning and preparation. ItemEffects of Reflex Integration in Autism: An Occupational Therapy Case Report(2019) Padilla Melendez, JenniferIntroduction: Primitive reflexes play a role in motor development by preparing an infant to move against gravity and develop sensory organs and receptors. The Masgutova Neurosensorimotor Reflex Integration (MNRI) is a non-invasive, natural, and replicable neuromodulation technique that creates mature neurological pathways in the reflex circuit to aid in the development of mature motor patterns. Autism Spectrum Disorder (ASD) is a term used to describe a group of neurodevelopmental conditions characterized by social communication deficits and repetitive sensory-motor behaviors. Objective: To describe the effects of the MNRI intervention on bilateral coordination, auditory-visual integration, and crossing midline motor patterns of a child diagnosed with ASD who presents with a persistent asymmetrical tonic neck reflex (ATNR) and to discuss the implications of MNRI as it relates to occupational therapy (OT) practice. Methods: The child (10 years old) with a diagnosis of ASD with significant motor delays, persistent ATNR, and lack of independence for activities of daily living (ADL) was randomly selected from a purposive sample and participated in an 8-week MNRI intervention protocol to integrate the ATNR. The child was assessed pre and post intervention using the Schilder test, Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition (BOT-2), Sensory Profile 2, and a crossing midline observation form. Results: The case study results suggest that the MNRI intervention was successful at integrating the ATNR and improving bilateral coordination and crossing midline skills. The MNRI was not successful at improving upper-limb coordination. No effects were identified in regards to auditory-visual integration. ItemOccupational Therapists’ Role in Reducing the Risk of Breast Cancer Related Lymphedema Prior to Diagnosis(2021) Asfoor, LinaBreast cancer related lymphedema (BCRL) is a common complication that occur among breast cancer survivors after surgical or radiation interventions. Nearly 40% of breast cancer survivors develop BCRL, though the International Society of Lymphology (ISL) classifies all those with a compromised lymphatic system as having stage 0 lymphedema. Breast cancer related lymphedema can be debilitating for breast cancer survivors, affecting them physically, mentally, emotionally, socially, and financially. Nevertheless, current literature offers no evidence to support a standard approach to improve management at stage 0 lymphedema. Occupational therapists (OTs) can help breast cancer survivors address BCRL at its early stages in order to improve performance outcomes and survivors' quality of life. A high demand is currently present to educate breast cancer survivors on BCRL and its prevention. This article thus aims to identify best practice in minimizing the risk of developing BCRL beyond stage 0 and distinguish the role of OTs in this practice. ItemOccupational Therapy Practice Guidelines for Post-Surgical Breast Cancer Survivors(2020) Sitabkhan, ShamimaCancer continues to grow at an alarming rate globally and in the United States. Breast cancer is one of the leading cancer diagnoses in women, and surgery is a common treatment option for breast cancer. Breast surgery leads to numerous challenges with a unique set of complications affecting breast cancer survivors’ functional abilities and quality of life (QoL). To effectively address these unique set of complications, cancer rehabilitation professionals, including occupational therapy (OT) practitioners, need to have specific training, advanced skills, and clinical judgment in the field of oncology rehabilitation. This paper addresses the need for population-specific OT clinical practice guidelines (CPGs), as a resource to OT practitioners, with recommendations on evidence-based assessments and interventions to holistically address the physical, psychosocial, spiritual, and functional needs of this population. The Occupational Therapy Practice Guidelines for Post-Surgical Breast Cancer Survivors were developed after completing a thorough needs assessment, communication with the interdisciplinary oncology team, an intensive review of current research on the efficacy of assessments and interventions within the scope of OT, and the application of OT theory to practice guidelines. The CPGs provide recommendations on completing a comprehensive assessment, guidance on interventions to address symptom management, and a list of recommended upper extremity exercises for the OT practitioner while working with this population. The CPGs were implemented with a one-person case study with outcomes indicating that the CPGs may be effective at increasing functional abilities and maximizing QoL for individuals after surgical intervention for breast cancer.