Health & Human Services

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Mapping and Intervention for Preventing Pressure Injury. Jessi Wenzel, University of Michigan--Flint; Faculty Sponsors: Janet Barnfather, Department of Nursing, University of Michigan-Flint; Maureen Thum, Department of English, University of Michigan-Flint, Flint, MI 48502

Pressure ulcers, commonly known as bedsores or decubitus ulcers, are a breakdown in skin integrity due to poor nutrition, moisture, incontinence, friction, sheering forces, pressure from immobility, and even dementia. They are a widespread problem in health care settings. According to Tilus (2001), "an estimated 1.7 million Americans developed pressure ulcers in 1999--70% of which occurred in the acute care setting." Decubitus ulcers have been addressed in research projects over an extended period, but there are still gaps in the knowledge base. The present paper focuses on pressure injury research conducted at three sites in Australia. Each participant was placed on a pressure sensor mat on a standard hospital mattress for ten minutes with a laser Doppler on his sacrum. Pressure levels were monitored every minute along with blood flow to the sacrum. The patient was then placed on another mattress chosen at random, either the standard hospital mattress or one of two pressure relieving mattress types. The monitoring process was then repeated. While previous research has dealt with healthy patients and therefore given misleading results, the current study includes patients in all ranges and states of health.

L.I.F.E: Living in the Foster Care Environment--Implications for Emancipated Youth. Marjory Turner, Social Work Department, University of Toledo; Faculty Sponsor: Brenda F McGadney-Douglass, Social Work Department, University of Toledo, Toledo, OH 43606

Children and youth in foster care often spend most of their childhood in "the system". Frequently these children and youth ate moved to several different foster homes and may not acquire essential skills to become independent and effective adults. Youth who are not provided with best-practice interventions are often at risk of an adulthood that is challenging to self and to society. This presentation describes a rare voice in this social dilemma; that off an emancipated youth, and how she has created her own path to adulthood and independence while she has several siblings who remain in the Ohio foster care system and two additional siblings who have been adopted. This presentation will explain the position of successfully emancipated youth who leave direct supervision of the foster care system. The discussion will reflect the development of a Regional Youth Advisory Board for the Ohio Independent Living Association (OHILA) with advocacy support from the Public Children Services Association of Ohio (PCSAO). Highlights from the video "Our Voices from the My Voice, My Life, My Future Project" will be used to illustrate major points. The presentation will conclude with recommendations for Ohio's foster care system from the perspective of emancipated youth.

Insights of a Junior Nursing Faculty. April Bigelow, Eastern Michigan University, School of Nursing, Ypsilanti, MI 48197

Just as staff nurses and advanced practice nurses arc experiencing a shortage, nursing faculty are quickly teaching retirement and leaving academia. The purpose of this presentation is to discuss the current and future nursing faculty shortage, changes in entry level facility positions, the emerging role of young junior faculty, and the impact these changes have on nursing students and patients alike. The presentation will review current literature as it relates to nursing education and faculty shortages, discuss current practices of Schools of Nursing and nursing faculty roles, and identify gaps between research and practice. Furthermore, implications of the nursing faculty shortage will be discussed, specifically related to trends in student nurses, changes in bedside care, and potential threats to quality of care, collaborative practice, and nurse leadership. …