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California State University, Long Beach
Department of Family and Consumer Sciences

CSULB Gerontology Student Research 2010

Anesthesiology, Geriatric Surgery, and the Risk of Post-Operative Cognitive Dysfunction

Gina Rossi, MS

Postoperative Cognitive Dysfunction refers to impairment in a person’s cognitive functioning after a surgical procedure with the use of general anesthesia.  This study examined the health status, pharmacological agents used both preoperatively and postoperatively, duration of surgery, oxygen saturation level, creatinine level, and preoperative and postoperative cognitive status of 200 male subjects 65 years and older by evaluating their operative medical records.  The purpose of this study was to evaluate relationship between these variables in relation to the development of Post Operative Cognitive Dysfunction.  The results of this study found a relationship between cancer and post surgical confusion.  Also, confusion significantly increased postoperatively as compared with preoperative levels.  For this sample, a marginally significant finding was patients who were given the drug Versed experienced less postoperative confusion than with other drugs given preoperatively.

Preparing for the Third Age: A Retirement Planning Course Outline For Lifelong Learning Programs

Barbara E. McClinton, MS

Retirement in the United States is changing.  Baby Boomers are working longer than previous cohorts and may postpone retirement.  A literature review revealed the number of adults 65 years of age or over in the United States is projected to increase dramatically through 2030, with a larger percentage of these individuals remaining in the work force longer than prior cohorts.  Previous studies showed that retirement planning programs have a positive impact on participants’ life satisfaction and adjustment to retirement.  Knowledge and understanding of identified issues could positively affect participants’ successful transition into their third age.  This project presents an innovative retirement planning course outline that incorporates financial, sociological, psychological, and physiological issues encountered during the transition from full-time work into retirement, including health promotion and disease prevention strategies. The report contains a course outline, presenter information form, course and presenter evaluation, course press release, marketing information, and suggested readings.

Program Resources for Salvation Army Older Adult Programs

Leslie Peacock, MS

The purpose of this project was to dispel the perception that a religious organization could not conduct programs in federally funded facilities and to create a resource CD/DVD to support Salvation Army Corps (churches) in locating materials on the internet that can assist them in planning effective religious and non-religious programs at federally funded Salvation Army Silvercrest facilities.  Information was gathered and organized by topic including, but not limited to, Alzheimer's disease, crafts, elder abuse, life story, men's activities, health information, and religious programs.  A Salvation Army board will have to provide approval before the CD/DVD can be distributed for testing purposes.  The CD/DVD offers a wide-ranging selection of websites that should supply an abundance of ideas for the novice or the experienced program planner. 

Impact Of The Care Transitions Program On Caregiver Preparedness And Confidence

Melanie Weir, MS

The purpose of this study was to examine whether an intervention designed to improve care transitions for patients would also have an impact on caregivers’ sense of preparedness and confidence for providing post-hospital care.   The intervention consists of a series of four or five phone calls conducted by a Care Transitions Coach, whose role is to encourage self-management, and help improve communications with providers.

Forty-two caregivers were interviewed at two different points in time, initially upon completion of the Care Transitions Intervention and again 30 days later.  Caregivers frequently agreed or strongly agreed with statements encompassing confidence and preparedness in managing tasks under the five domains addressed by the intervention (medication self-management, use of a patient-centered record, follow-up medical care, knowledge of warning signs and symptoms, and empowerment to assert preferences).  This indicates that the Care Transitions Intervention may positively influence caregiver preparedness and confidence in providing post-hospital care, and that this effect may be sustained over time.  This study did not find significant differences between the mean scores of male and female caregivers, or between older and younger caregivers, nor was a significant correlation found between the care recipient’s level of function and the caregiver’s preparedness and confidence.  Additionally, while a significant difference was not established between caregiver self-rated health and caregiver preparedness and confidence, results were very close at p=.051.  Therefore, a correlation may exist.

 

 

gina

Gina Rossi, MS

BA, California State University, Long Beach

 

 

 

 

 

 

barb mcClinton

Barbara E. McClinton, MS

BA, California State University, Long Beach

 

 

 

 

 

 

Leslie Peacock

Leslie Peacock, MS

BS, Azusa Pacific University

 

 

 

Melanie Weir

Melanie Weir, MS

M.B.A., Pepperdine University