Seniors Who Exercise Regularly Experience Less Physical Decline as They Age, MU Study Finds

June 3, 2014

COLUMBIA, Mo. –The majority of adults aged 65 and older remains inactive and fails to meet recommended physical activity guidelines, previous research has shown. However, these studies have not represented elders living in retirement communities who may have more access to recreational activities and exercise equipment. Now, researchers at the University of Missouri found that older adults in retirement communities who reported more exercise experienced less physical decline than their peers who reported less exercise, although many adults — even those who exercised — did not complete muscle-strengthening exercises, which are another defense against physical decline.

“Physical decline is natural in this age group, but we found that people who exercised more declined less,” said Lorraine Phillips, an associate professor in the MU Sinclair School of Nursing. “The most popular physical activities the residents of the retirement community reported doing were light housework and walking, both of which are easily integrated into individuals’ daily lives, but these exercises are not the best choices for maintaining muscle strength.”

Phillips and her colleagues studied the physical activity of 38 residents at TigerPlace, an independent-living community in Columbia, four times in one year. The researchers tested the residents’ walking speed, balance and their ability to stand up after sitting in a chair. Then, researchers compared the results of the tests to the residents’ self-reported participation in exercise. Phillips found that residents who reported doing more exercise had more success maintaining their physical abilities over time.

Phillips says the national recommendations for exercise include muscle strengthening exercises, such as knee extensions and bicep curls. Most of the study participants did not report completing these types of activities despite daily opportunities for recreational activities and access to exercise equipment. Phillips says muscle strength is important to individuals of this age group in order for them to maintain their ability to conduct everyday activities such as opening jars, standing up from chairs and supporting their own bodyweight.

“For older individuals, walking may represent the most familiar and comfortable type of physical activity,” Phillips said. “Muscle-strengthening exercises should be promoted more aggressively in retirement communities and made more appealing to residents.”

To combat the lack of physical activity among seniors, Phillips says health care providers should discuss exercise programs with their patients and share the possible risks associated with their lack of exercise, such as losing their ability to live independently. According to the Centers for Disease Control and Prevention, individuals 65 years of age and older that have no limiting health conditions should do muscle-strengthening activities that work all major muscle groups at least two days a week.

Phillips’ research, “Retirement Community Residents’ Physical Activity, Depressive Symptoms, and Functional Limitations,” was published in Clinical Nursing Research.

Article By: Diamond Dixon, MU News Bureau

School confers 113 degrees in May ceremony, recognizes 99 upcoming July graduates

May 20, 2013

Columbia, Mo. — The University of Missouri Sinclair School of Nursing (MU SSON) celebrated commencement exercises Friday, May 17, 2013. The school awarded 113 degrees and graduated its first class of doctor of nursing practice students.

Fifty-eight graduates received a bachelor of science in nursing (BSN), another 99 students participated in the ceremony and will complete courses for their BSN degrees in July. Graduate-level graduates included 39 master of science degrees, 8 doctor of nursing practice degrees, 2 doctor of philosophy degrees and 6 post-master certificates. May and July graduates.

Dean Judith Fitzgerald Miller presided over the ceremony and gave the main address. Student addresses were given by Jessica Loos, BSN candidate; Liz Demse, accelerated BSN candidate; and Julie Miller, MS(N) candidate. Each graduate received a rose from the Nursing Alumni Organization.

Special faculty and student awards were given during the ceremony:

  • Nursing Student Council Outstanding Clinical Teaching Faculty Award
           
    • Denice Mendenhall
  • Nursing Student Council Outstanding Classroom Teaching Faculty Award
           
    • Pam Evans-Smith
  • Nursing Student Council Outstanding Student Award
           
    • Jessica Loos, May graduate
             
    • Sarah Tannehill, July graduate
  • Janet ‘Joy’ Thompson Undergraduate Student Award
           
    • Lindsey Gray
  • Geriatric Excellence Undergraduate Student Award
           
    • Jennifer Morris

MU Sinclair School of Nursing graduation pictures are available on the school’s Flickr page.

The Sigma Theta Tau Alpha Iota chapter inducted new members prior to the graduation ceremony May 17. Pictures from the Sigma Theta Tau induction pictures are available on the school’s Flickr page.

2013 Award Recipients Announced at Annual Banquet

April 8, 2013

Columbia, Mo. — The University of Missouri Sinclair School of Nursing (MU SSON) celebrated the accomplishments of its alumni, faculty, staff, students and friends during the 23rd Annual Banquet and Awards Ceremony April 5 at Donald W. Reynolds Alumni Center on the University of Missouri campus with about 200 people in attendance. Dean Judith Fitzgerald Miller and Nursing Alumni Organization (NAO) President Terry Jackson, BSN ’78, presented the school and NAO alumni awards.
“This annual event gives the school and the Nursing Alumni Organization the opportunity to recognize outstanding individuals who have elevated the reputation, research, teaching and service of the Sinclair School of Nursing,” Miller said.

The school’s highest honor, the Distinguished Friend of the School, was awarded to Richard G. Miller (no relation) for his ongoing support of the school. Two years ago, he funded the school’s innovative Safe Practices Room where students learn how to prevent injury for themselves and keep patients safe. The room is named in honor of his daughter, Grace, who earned a BSN from the school in 2012. Miller is president and CEO of Miller’s Professional Imaging/Mpix.

The Nursing Alumni Organization presented five awards recognizing the achievements of alumni and friends of the school:

Linda Kovachevich Klein, BSN ’74 – Citation of Merit. Klein is president and CEO of Klein and Company Inc., a multi-million dollar company providing medical education and communication services for the biopharmaceutical and medical device industries.

Mary I. Johnson, MS(N) ’87, CNS ’95 – Alumna of the Year Award. Johnson is a nurse practitioner and clinical nurse specialist at Ellis Fischel Cancer Center. She has been with University of Missouri Health Care for 43 years.

Elizabeth L. Pettitt, BSN ’08 – Alumni Achievement Award. Pettitt is hospitalist coordinator at Lake Regional Health System in Osage Beach, Mo., and works on quality improvement projects in the Lake Regional Clinics. She is currently pursuing a master’s in nursing with an executive focus.

Ursula Adrian Smith, BSN ’80 – Humanitarian Award. Smith worked for just a few years as a nurse before becoming a full-time mother of five, but she has continued to use her nursing skills and knowledge in a variety of volunteer capacities including as a volunteer school nurse at her children’s independent school and as a member of the Community Emergency Response Team in Chesterfield, Mo.

Marjorie Skubic – Honorary Alumna Award. Skubic co-leads the Eldertech research team at TigerPlace where sensor technology is a key component of Aging in Place research. Skubic is an MU professor with joint appointments in the Department of Electrical and Computer Engineering and Department of Computer Science.

The school also presented staff, faculty and student awards during the annual banquet. Recipients of the staff and faculty awards were:

Laura Anderson – Staff Award for Overall Excellence

Glenda Nickell – Faculty Award for Excellence in Teaching

Marilyn Rantz – Faculty Award for Excellence in Research

Denice Mendenhall – Betty Crim Faculty Enhancement Award

Recipients of the student awards for overall excellence were:

Whitney Hoskins – RN to BSN Award

Abby Kemna – Accelerated BSN Award

Sharon Finn – Seventh Semester Award

Jennifer Movold – Eighth Semester Award

Dyann Helming – Master’s Award

Shelby Thomas – Doctor of Nursing Practice Award

Deidre Bales-Poirot – Doctor of Philosophy Award

MU Program Helps Health Care Workers Move Past Tragedy

Program has been recognized nationally

March 26, 2013

Story Contact(s): Christian Basi, 573.882.4430

COLUMBIA, Mo. ­—When a patient dies unexpectedly, whether suddenly or after a long illness, the loss can hit loved ones hard. In some of these cases, health care workers can be affected deeply due to the emotional bonding that can occur between patients and their caregivers. Now, studies have shown that a new program that provides support and training at the University of Missouri Health Care System is helping health care workers get back on their feet and heal both mentally and physically.

“Our staff is here to help patients, but when the care doesn’t lead to a positive outcome, it can take a toll on our staff’s psyche,” said Susan Scott, a registered nurse, patient safety coordinator and director of the forYOU peer support program at MU Health Care and doctoral student in the Sinclair School of Nursing. “The term “second victim” is used to describe health care workers who suffer physically or emotionally following a negative outcome in a medical setting. The ‘first victim’ is the patient and his or her family, but the health care worker becomes the ‘second victim.’”

Situations that can result in an emotional burden for a health care provider include an unanticipated decline in a patient’s condition, caring for young trauma victims, the first death experienced as a health care worker, caring for young victims of violence or neglect, the death of a patient who was starting to recover, violence in the workplace, dealing with elder abuse cases or even a colleague’s death.

“As a caring being, individuals enter into health care to help people; after a while you may become resilient to many situations, but some cases can drill through that armor that builds up over years and can leave an emotional scar,” Scott said.

To support health care providers through these emotional situations, in 2006 Scott and her colleagues established a team that supports caregivers after any adverse event. In the last several years, Scott and her team have conducted numerous studies to determine what is needed to most effectively provide the necessary support for second victims to help them recover from their respective clinical event.

“Following an event, clinicians are willing to review the outcome of the case and determine if any actions could be taken to avoid a negative outcome in the future, but then many of them will immediately start questioning whether they wanted to continue their career in health care,” Scott said.

One such case involved a nurse, “Elaine,” who was attacked by a female patient waking up following a surgical procedure.

“I was in the recovery room with the adult patient, and as I was repositioning a bed pan, the patient took one of the monitoring cords that was attached to her and wrapped the cord around my neck and started to strangle me,” Elaine said. “It only lasted a few seconds, but it seemed like forever.”

Elaine stayed home the following day, but was back at work within 48 hours. When she arrived, her co-workers and the peer support team greeted her.

“Eventually, I was fine, but after something like that happens, you question every move you make; it shakes the core of your foundation as a health care worker,” Elaine said.

According to Laura Hirschinger, R.N., M.S.N., co-investigator and forYOU tam leader, Elaine’s response to the event is very common. The forYOU research team identified eight actions in three tiers of clinician support with action items that should be addressed following an event.

-Tier I (basic, immediate emotional first aid offered by supervisors/colleagues in the same department as the second victim)

  • Address potential second victims to ensure that they are “OK” immediately following a critical clinical event.
  • Provide basic awareness training to unit leaders and colleagues to educate them on key actions to take following an event.

-Tier II (guidance and nurturing of second victims by colleagues specifically trained on the second victim experience)

  • Embed specially trained peer supporters within clinically high-risk departments
  • When necessary, refer second victims to internal resources, such as patient safety experts, for support.
  • Provide long-term assistance for legal action if necessary.
  • Offer group debriefings when an entire team is affected.
  • -Tier III (ensure prompt availability and access to professional counseling and guidance)

    • Provide a fast-track referrals to individuals specifically trained to handle crisis intervention, if necessary.
    • Provide access to additional hospital resources such as chaplains, social workers and clinical psychologists if necessary.

    “Every day, well-meaning health care providers working in clinically complex environments face the harsh reality of unanticipated and sometimes tragic patient outcomes in their chosen professions,” Scott said. “By studying this program that we put in place, we believe we have established a network that can help health care professionals so they know what is available, what to expect, and how to access assistance in the aftermath of unanticipated clinical events.”

    Studies on the program have been published in The Joint Commission Journal on Quality and Patient Safety and BMJ Quality & Safety. The forYOU Team recently received the 2012 Institute for Safe Medication Practice CHEERS award for this patient safety innovation and assistance to countless clinicians.

MU’s Rebecca Johnson to Take on National Advisory Role

March 04, 2013

Story Contact(s): Nathan Hurst, 573.882.6217

COLUMBIA, Mo. — Rebecca Johnson, a professor at the MU College of Veterinary Medicine, director of Research Center for Human-Animal Interaction, and the Millsap Professor of Gerontological Nursing in the Sinclair School of Nursing, has been elected to the National Academies of Practice (NAP) and the Veterinary Medicine Academy (VMA) as a distinguished scholar and fellow. Johnson will be inducted into the NAP in April during the organization’s annual meeting and forum.

The NAP was founded in 1981 to advise Congress in health care practice and delivery. The Academy comprises 10 interdisciplinary organizations: dentistry, medicine, nursing, optometry, osteopathic medicine, pharmacy, podiatric medicine, psychology, social work and veterinary medicine. NAP fellows are considered among the most distinguished in their fields and are chosen only after a rigorous selection process. Membership is limited in order to maintain the Academy’s high standards.

Johnson earned her baccalaureate degree in nursing from the University of Dubuque, Iowa in 1980, her Masters of Philosophy degree from the University of Edinburgh, Scotland in 1982 (as a Rotary Foundation Scholar), and her doctorate from the University of Iowa in 1992. She joined the University of Missouri Sinclair School of Nursing (SSON) in August 1999 as the Millsap Professor of Gerontological Nursing and Public Policy and shortly thereafter was given a joint appointment as associate professor in the College of Veterinary Medicine (CVM) for her research on human and companion-animal interaction. She was promoted to full professor in the CVM and SSON in 2012.

Johnson established the Research Center for Human-Animal Interaction (ReCHAI) in 2005. Her externally funded program of research and community projects merges her work on wellness and relocation of the elderly, assistance of war veterans who have post-traumatic stress disorder and prisoners with the benefits of human-companion animal interaction. Her research shows that companion animals provide a unique source of social support and facilitate motivation for exercise and other wellness-promoting behaviors.

The author of many scholarly publications in peer-reviewed journals and books, Johnson presents her research findings nationally and internationally. She also is called upon as a consultant regarding the relocation of older adults, and human and companion-animal interaction programs. In 2005 she was named the University of Missouri’s William H. Byler Distinguished Professor, an award given for “outstanding abilities, performance and character.” In 2007 she was inducted as a Fellow of the American Academy of Nursing, the highest honor in academic nursing joining only 1,500 nurse academics nationwide to achieve such an accomplishment. In 2011 she had two books published by Purdue University Press: Walk a Hound, Lose a Pound: How You and Your Dog can Lose Weight, Stay Fit, and Have Fun Together, and The Health Benefits of Dog-Walking. Since 2010, she has served as president of the International Association of Human-Animal Interaction Organizations (IAHAIO), a global umbrella association of more than 40 organizations doing practice, education, or research in human-animal interaction. In July, 2013, IAHAIO will hold its triennial conference in collaboration with the American Association of Human-Animal Bond Veterinarians, and the AVMA’s 150th convention in Chicago, Ill.

Johnson’s studies have received funding from the National Institutes of Health, Missouri Foundation for Health, the Waltham Foundation, Pedigree Foundation, Banfield Charitable Trust, and the University of Missouri’s Mizzou Advantage One Health/One Medicine initiative, which facilitates collaborative research projects that benefit human and animal health.

“As a member of the NAP-Veterinary Medicine, it will be my privilege to help this wonderful organization continue to move the importance of the human-animal bond to the forefront with policy-makers nationally,” Johnson said.

The mission of the National Academies of Practice is to promote excellence in practice of health care professionals, and quality health care for all through interprofessional collaboration in service delivery, research, education, and public policy advocacy. To achieve this goal, NAP holds interprofessional healthcare policy forums, Congressional briefings, membership symposiums, and combined conferences. NAP also publishes public policy and position papers, distributing key findings to members of Congress, healthcare planners, public agencies and other interested parties. The Academy publishes the NAP Journal of Interprofessional Healthcare, a free, online journal focused on interprofessional topics in practice, education, research and policy.