Gestational Diabetes Prevention

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Local Area Agency on Aging Supports In-Home Nutrition Education for High-Nutritional Risk Seniors

Area Agency on Aging (AAA) and University of Idaho Extension created the Senior Extension Nutrition Program (SENP) to help high-nutritional risk seniors understand the importance of using food to better manage their health and/or health conditions. Paraprofessionals from Food Stamp Nutrition Education are funded using AAA funds and provide in-home visits to at risk seniors. Paraprofessionals receive oversight from UI faculty and a registered dietitian. A retrospective pre-test survey indicates behavior changes in fruit, vegetable, dairy, and water consumption and food frequency intake. The program gives these seniors an increase confidence in how to manage their health

An Annotated Bibliography of Art Literature for Grades Four Through Eight

The visual arts, a discipline, with a history and knowledge base is a required component of the elementary and middle school curriculum. In order to learn the language of visual symbols resources are needed. The assumption that books which deal with various topics spanning the spectrum of art will provide a link between visual and verbal information and provide, in part, necessary assistance to students in their study of art is the premise on which this research paper is based. As a result of research into available art related books at three school libraries, one public library and one university youth collection an annotated bibliography was compiled. The bibliography is arranged into eight categories: history of art, art appreciation, media and technique, individual artists, arts personalities, elements and principles, themes, and careers. The bibliography includes books published between 1970 and 1984. The bibliography may be used to provide teachers with titles to support and enrich their curricular goals, students with titles which will stimulate and reinforce their independent study, and media specialists with titles which may be used for interdisciplinary approaches in teaching and collection development

Nurses Improving Nutrition Group Attendance Through RN Invitations

Background: Gestational diabetes (GDM), a common pregnancy complication, increases the risk of dangerous birth outcomes, fetal anomalies, and sustained disease and comorbidity for mothers and infants throughout the lifespan. Insulin use is an independent predictor of anomalies. Our prenatal care did not include detailed nutrition assessments and modifications such as Mediterranean diet, a lifestyle associated with reduction in non-pregnant adult diabetes incidence, even reversal. Adding hands-on cooking to nutrition counseling has improved A1c outcomes. We hypothesized a comprehensive package of diet review, nutrition guidelines, and participation in an onsite cooking class initiated at the beginning of prenatal care (Green Pregnancy – GP) would reduce GDM incidence and insulin use. Methods: Study conducted in two obstetric clinics, control period 2018, GP intervention 2019. Participation in GP was voluntary. We standardized GP, inviting all pregnant patients at their orientation to care visit. Participants attended a single culinary medicine group where families and nurses cooked together while exploring patient-selected topics woven in with cooking skills and GDM prevention principles. Results: 2018 baseline: 146 pregnant patients developed GDM, 53 (36%) required insulin. 2019: 229 patients developed GDM, 48 (21%) required insulin; none of the 20 women who participated in GP developed GDM. There was no anemia in GP pregnancies, and there were no NICU admissions in their infants. Conclusions of Prior Work and Problem Statement: Comprehensive culinary nutrition lifestyle modification with an onsite cooking class emphasizing Mediterranean diet is associated with a reduction in GDM, though moving into 2020, attendance was lower than projected. Nurses aimed to discover if adding RN in-person invitations vs. RN reminder calls alone would improve Green Pregnancy nutrition group attendance. Nurses imagined that when they placed a reminder phone call and invited patients to attend nutrition groups in-person, there would be an increased opportunity for enrollment and attendance. Based on the small change nurses implemented with adding in-person invitations to reminder calls, enrollment and attendance at the Women\u27s Clinic Green Pregnancy nutrition group improved over a three-week period. Nurses reported the connection made during the patient-facing invitation impacts the conversation during the reminder call. Explore the same nurse who met the patient in-person being the nurse to place the reminder call to capitalize on that connection. Well-designed, systematic studies of specific methods of appointment invitations and reminders are needed to discover the link between the intervention and attendance rates

Pediatric Surgery Nurses Lead and Coordinate COVID-19 Recovery Efforts

Background: In early 2020, the appearance of the novel COVID-19 virus became a global concern, infecting hundreds of thousands of people. To reduce the spread of the virus, the United States government instituted social distancing and required hospitals to take steps to create extra beds for patient with COVID. One method to increase hospital capacity was the cancellation of scheduled, elective surgeries. In one large pediatric hospital in the Pacific Northwest, there was no formal process in place for cancelling elective procedures or for prioritizing when or how to reschedule the case. Because nurses were being called on to provide direct patient care with increased volumes during the pandemic, non-licensed surgery schedulers were tasked with calling patients to cancel cases without ability to assess patient conditions or provide guidance on when the case might be rescheduled. As a consequence, children and their families who were impacted by cancellations experienced uncertainty and fear that, if left untreated and unevaluated, the underlying condition might worsen and lead to an emergency situation. Nurses in this pediatric surgery center therefore conducted a deep dive into the literature to identify best practices to inform when and how to resume elective surgeries in this vulnerable population. Purpose/aims: To investigate the role of pediatric nurses following unexpected surgery cancellation for at-risk children. Methods/Approach: An integrative literature review was conducted. The Cochrane Library, the Cumulative Index of Nursing and Allied Health Literature (CINAHL), and OVID databases were searched using the key words “pediatric surgeries”, “delayed”, “COVID-19”, and “nursing assessment”. Retrieved evidence was limited to peer-reviewed publications, government websites and reputable healthcare organizations published between January 2018 and September 2020. Results: A total of 25 articles and government-sponsored websites met search criteria. Evidence supported that the following criteria merit high priority for rescheduling surgeries for patients: risk for loss of life, limb, organ function, delayed breastfeeding, and developmental delay. Furthermore, nurses are uniquely trained to prevent illness, facilitate healing, and alleviate suffering, and are recommended to assess ongoing individualized care needs that could drive prioritization of surgery rescheduling following unexpected cancellation. Conclusion: In pediatric patients awaiting non-emergent, elective surgery during the COVID-19 pandemic, literature supports that pediatric surgery nurses must provide ongoing assessment and care of each child affected by cancellation of an elective surgery. Appropriate and timely assessment of evolving family and child needs related to the cancelled surgery can reduce the likelihood of harm during the pre- and post-operative periods. Implications for practice: Pediatric surgery nurses are uniquely positioned to minimize the impact of cancelled elective surgeries by advocating for rescheduling procedures based on assessment of evolving pediatric patients’ need for care. Moving forward, pediatric surgery nurses should collaborate with interdisciplinary teams to write specific institutional policies to guide decisions regarding how and when to resume and prioritize pediatric surgeries if elective procedures need to be delayed.https://digitalcommons.psjhealth.org/prov_rn_conf_all/1022/thumbnail.jp

Readiness for Discharge in Parents of Hospitalized Children

Parental preparation for a child\u27s discharge from the hospital sets the stage for successful transitioning to care and recovery at home. In this study of 135 parents of hospitalized children, the quality of discharge teaching, particularly the nurses\u27 skills in “delivery” of parent teaching, was associated with increased parental readiness for discharge, which was associated with less coping difficulty during the first 3 weeks postdischarge. Parental coping difficulty was predictive of greater utilization of posthospitalization health services. These results validate the role of the skilled nurse as a teacher in promoting positive outcomes at discharge and beyond the hospitalization

Use Retrospective Surveys to Obtain Complete Data Sets and Measure Impact in Extension Programs

The increasing emphasis on evaluation suggests that Extension programs should use the most effective tools to measure impact. The project reported here used a retrospective survey to: compare the retrospective survey and pre/post survey in the number of incomplete responses and monitor participant changes in nutrition, food safety, and resource management behaviors in a Food Stamp Nutrition Education (FSNE) program. Results indicated that the pre-post survey yielded incomplete data, with 16% of questions unanswered, while 100% of questions were answered on the retrospective survey. All self-reported nutrition, food safety, and resource management behaviors significantly increased

Diabetes Prevention

Introduction: Gestational diabetes mellitus (GDM) is one of the most common medical complications of pregnancy. If not treated properly, medicine is recommended = A2GDM. Both are preventable