Foulkeways at Gwynedd - A Continuing Care Retirement Community




		Barbara J Riegel, DNSc, RN, CS, FAAN Associate Professor of Nursing Heart failure remains the most common cardiac diagnosis in elders and one of the major reasons for hospital admission. Dr. Riegel provides national and international leadership in clinical research with this patient population. She is widely known for her studies of heart failure self-care and disease management and is currently Editor of Journal of Cardiovascular Nursing. Teaching Dr. Riegel teaches NURS 104 “Healthy Life Styles I" in the sophomore year of the nursing program. In this course we examine the risk factors for various diseases, ways to decrease risk factors, and nurses' roles in prevention. This is the first clinical course in the nursing program. Students learn skills in the School of Nursing laboratory and then apply those skills and the material learned in class to various community settings. Research Since 1994, Dr. Riegel has led interdisciplinary research in chronic heart failure, an extremely common and debilitating syndrome. Approximately 550,000 new cases of heart failure occur each year in the United States and one year mortality rates for newly diagnosed cases averages 35-45%. In her research, Dr. Riegel has tested various disease management approaches and developed psychometrically sound methods of measuring the self-care of persons with heart failure. Clinical Practice Dr. Riegel is certified as a Clinical Nurse Specialist by the American Nurses Association. Since moving from San Diego, California to join the faculty of the University of Pennsylvania, Dr. Riegel has maintained her formal relationship with Sharp HealthCare in San Diego as a Clinical Researcher. Her research is conducted in that environment in preparation for direct implementation into clinical practice. Dr. Riegel has published her clinically relevant research widely in peer reviewed journals and books. Honors/Credentials A selection of her honors include the first annual Nursing Research Award of the Heart Failure Society of America, the Distinguished Research Lectureship Award from the American Association of Critical Care Nurses, the Heart Failure Research Prize from the American Heart Association Council on Cardiovascular Nursing and Otsuka America, Inc., and research awards from the Gamma Gamma Chapter, Sigma Theta Tau. She received the San Diego State University Alumni Association Distinguished Alumna Award and the award for Outstanding Faculty Contributions. Dr. Riegel is a Fellow in both the American Academy of Nursing and the American Heart Association. Frank Morgan Jones Fund Pilot: “Relationships Among Sleepiness, Cognition, Mood, and Self-Care in Persons with Heart Failure” Period: June 1, 2003 to May 31, 2004 Project Summary: Poor self-care is common in elders with heart failure. The project study exams the relationship between sleepiness as a contributor to poor self-care through its effects on cognition and mood. The study is to generate pilot data testing the relationships among these variables using sleepiness as a significant predictor of cognitive deficits, distressed mood and poor self-care. Resulting Work: Chriss, P.M., Sheposh, J., Carlson, B., & Riegel, B. (2004). Predictors of successful heart failure self-care maintenance in the first three months after hospitalization. Heart & Lung, 33(6), 345-353. Riegel, B., Carlson, B., Moser, D.K., Sebern, M., Hicks, F.D., Roland, V. (2004). Psychometric Testing of the Self-Care of Heart Failure Index. Journal of Cardiac Failure, 10(4), 350-360. “How Sleepiness influences self-care in persons with heart failure”, Heart Failure Society of America, September, 2004, Journal of Cardiac Failure supplement 10 (4), supplement, abstract 378. RO1 Grant - Impact of sleepiness on heart failure self-care Agency Reference #: 1-R01-HL-084394 National Institutes of Health 6/1/2007-5/31/2010 Principal Investigator: Barbara Riegel, DNSc, RN, FAAN, FAHA Co-Investigator: Terri Weaver, PhD, FAAN, RN Christine K Bradway, PhD, RN, CRNP Assistant Professor of Gerontological Nursing - Clinician Educator Dr. Bradway received her BSN from Wilkes College and her master’s and doctorate in nursing from the University of Pennsylvania. Teaching Dr. Bradway provides faculty leadership for the Adult Health and Gerontology Nurse Practitioner Programs, expanding on the role she has held as Assistant Director of these programs since 1994. She is the course director for N644: Health Care in an Aging Society. While this is primarily a core course for students in the Gerontology nurse practitioner program it is frequently elected by graduate and undergraduate students in enrolled in other School of Nursing programs, and other schools within the University. Research Her dissertation focused on the narratives of women with long-term urinary incontinence. Her research interests also include delirium in hospitalized older adults and emergency care of the elderly. Clinical Practice Dr. Bradway has practiced as a gerontologic nurse practitioner for over 20 years in a variety of settings including long-term care, community-based primary and specialty care, and as a nurse clinician in a tertiary care setting. Dr. Bradway currently maintains a clinical appointment as Continence Program Director at Meadowbrook Urologic Associates where she has been a member of the practice for many years. Prior to her appointment at Meadowbrook Urological Associates, Dr. Bradway was founder and director of the Penn Nursing Network Continence Program. Honors/Credentials Dr. Bradway and her colleagues received the Best of Image Award for Nursing Research for their article “Functional Status Outcomes of a Nursing Intervention in Hospitalized Elderly” and Dr. Bradway’s book, Nursing Care of Geriatric Emergencies received an American Journal of Nursing Book of the Year Award. Dr. Bradway’s dissertation research recently received the Best Paper Presentation Award at the 12th Annual Research Papers Presentation Night of the Delaware Valley Geriatrics Society. Frank Morgan Jones Fund Pilot: “Illness Narratives of Women with Long-Term Urinary Incontinence” Period: August 2, 2002 to December, 31, 2003 Project Summary: The purpose of this study is to examine the subjective, lived experience of women who suffer from long-term urinary incontinence (UI) and to show how cultural models help define that experience. The specific aims of the study are to describe and analyze 1) what UI means, and 2) how that meaning is constructed by women with long-term UI. Individual narratives of women with long-term UI will be described and if possible, a cultural model for long-term UI will be identified. At study completion, a research report will be compiled to represent the stories told by women with long-term UI, in order to understand their experiences, and to highlight cultural themes. Resulting Work: Bradway, C. W. & Barg, F. (2006). Developing a cultural model for long-term female urinary incontinence. Social Science and Medicine, 63, 3150-3161. Bradway, C. (2005). Women’s narratives of long-term urinary incontinence. Urologic Nursing, 25, 337-344. Bradway, C. (2006). Evaluation and management of urinary incontinence in older adults (web-based module). Produced for the Health Resources and Services Administration (HRSA Contract No. HHSH230200432030C): University of Minnesota School of Public Health. [Also found at: http://breeze4.umn.edu/p78804604/] Bradway, C. & Strumpf, N. (2007). Characteristics of women seeking care for long-term urinary incontinence [peer-reviewed poster presentation]. Society of Urologic Nurses and Associates Annual Symposium, Colorado Springs, CO. Bradway, C. (2005). Narratives of women with long-term urinary incontinence: Interactions with health care providers and barriers to patient-provider communication, [peer-reviewed paper presentation], Society of Urologic Nurses and Associates Annual Meeting, Las Vegas, NV Bradway, C. & Mangino, M. (2005). Continence for older women: Taking control and feeling great, [Invited speaker], American Society on Aging Fall Series, Philadelphia, PA Bradway, C. (2005). Using narrative analysis to develop a cultural model for long-term, urinary incontinence, [peer-reviewed poster presentation], Eastern Nursing Research Society, Annual Meeting, New York, NY Bradway, C. (2005). Evaluation and management of older adults with urinary incontinence, [Invited speaker] Contemporary Forums Gerontologic Nursing Annual Conference, Philadelphia, PA Grant - Developing and testing a cultural model for long-term female urinary incontinence American Academy of Nursing/John A. Hartford Foundation Post-Doctoral Fellowship 9/1/2005-8/31/2007 Norma G Cuellar, DSN, RN Assistant Professor of Nursing My research focuses on the use of Complementary and Alternative Medicine (CAM) in patients with sleep problems, specifically Restless Legs Syndrome. Since RLS is not correctly diagnosed until older age, my focus is on gerontological perspectives of both CAM and RLS. Teaching Dr. Cuellar is currently involved with teaching Nursing 270 Health Care of the Older Adult in the undergraduate program. She also guest lectures in a variety of courses on CAM perspectives, including culture, research, aging, pain, and use across the lifespan. Research Dr. Cuellar is currently involved in a variety of research projects related to sleep, CAM, RLS, and the older adult. She is currently in the process of completing two studies. The first looks at older adults and compares symptoms of primary and secondary RLS. The second project examines the prevalence of RLS in type 2 diabetics and outcomes of sleep and glycemic control. Preliminary data on this study shows that 43% of type 2 diabetics report symptoms of RLS. This finding may impact how we care for diabetics and implications for diabetic educators to teach their patients how to manage diabetes when RLS is exacerbated. The 3rd study is examining the use of valerian on sleep in persons with RLS. Dr. Cuellar has 2 other grants in review building on the valerian study in patients with RLS and the second grant examining the effects of mindfulness meditation on sleep in postwar Iraqi and Afghanistan veterans with PTSD. Honors/Credentials July 2004 - John A. Hartford Institute for Geriatric Nursing. Hartford Institute/AJN Geriatric Nursing Research Scholar. New York University. Frank Morgan Jones Fund Pilot: “A comparison of Idiopathic and Secondary Diagnosis of Elder Persons with Restless Legs Syndrome (RLS)” Period: November 1, 2003 to August 31, 2004 Project Summary: The descriptive comparative project study will examine if differences exist between primary and idiopathic diagnosis of older adults with Restless Leg Syndrome (RLS) and the effects of this diagnosis on sleep, symptom severity, fatigue, depression and quality of life. A variety of measurement instruments will be used to generate data necessary for further examination of conventional and non-conventional RLS treatment interventions. Resulting Work: Cuellar, N. (2004). Diagnosis and Treatment of Persons with RLS. Clinical Excellence for Nurse Practitioners, 8(1), 5-13. Cuellar, N., Galper, D., Taylor, A., D'Huyvetter, K., Miederhoff, P., & Stubbs, P. (2004). Use of Conventional and Non Conventional Practices in Persons with Restless Legs Syndrome. Journal of Complementary and Alternative Medicine, 10(3), 422-423. Cuellar, N., Strumpf, N. & Ratcliffe, S. (in press). Symptoms of Restless Legs Syndrome in Older Adults: Outcomes on Sleep Quality, Sleepiness, Fatigue, Depression and Quality of Life. Journal of the American Geriatrics Society (3.479) Cuellar, N., Rogers, A.E., Hisghman,V., & Volpe, S. (in press). Assessment and Treatment of Sleep Disorders in the Older Adult. Geriatric Nursing. (.331) Cuellar, N., Ratcliffe, S., & Chien, D. (2006). The Effects of Depression on Sleep Quality, Fatigue, and Sleepiness in Persons with Restless Legs Syndrome. The Journal of the American Psychiatric Nurses Association, 12, 262-271. Cuellar, N., Lundy, K., & Callahan, V. (2001). Women's Health. In K.S., Lundy & S. Janes (Eds.). Community Health Nursing: Caring for the Public's Health. Boston, MA: Jones and Bartlett Publishers. *Cuellar, N.G. (November 2005) Paper Presentation: RLS International Annual Meeting, Orlando, FL: “The use of CAM in RLS”. INVITED SPEAKER. Cuellar, N.G. (November 2005) Colloquium Paper Presentation: Geriatric Society of America, New Orleans, LA: “The use of CAM in the Older Adult: Implications to Sleep”. Cuellar, N.G. (April 2005) Paper Presentation: Eastern Nursing Research Society, pre-conference colloquia presentation, New York City, NY. “RLS and Sleep: Implications to Health Outcomes”. K01 Award - The use of Valerian on sleep in persons with restless legs syndrome Agency Reference #: K01-NR009570 National Institutes of Health 5/25/2007-4/30/2010 Fang Yu Assistant Professor – University of Minnesota (Former pre- and post-doctoral scholar, University of Pennsylvania) Education: Beijing Medical University, Beijing, China, B.M., 1991-1996, Nursing University of Pennsylvania, Philadelphia, PA, M.S.N., 1999-2002, Gerontological Nurse Practitioner University of Pennsylvania, Philadelphia, PA, Ph.D., 1999-2003, Nursing John A. Hartford Foundation Building Academic Geriatric Nursing Capacity Postdoctoral Fellow, State College, PA 2004-2006, Gerontology and Nursing Frank Morgan Jones Fund Pilot: “Effectiveness of Ambulatory Outpatient Rehabilitation for Cognitively Impaired Elders” Period: March 1, 2003 to December 31, 2003 Project Summary: The purpose of this retrospective cohort study is to explore differences in rehabilitation interventions and outcomes between elders with cognitive impairment and those with normal cognitive function in a sample of elders admitted to a Comprehensive Outpatient Rehabilitation Facility (CORF). An electronic descriptive database will be constructed of key patient variables from the CARE program clinical records for analysis to determine rehabilitation outcomes (functional gain, rehabilitation efficiency, number of days of service and discharge destination) to determine statistical significance of rehabilitative intervention. Resulting Work: Penrod, J., Yu, F., Kolanowski, A., Fick, D., Loeb, S., & Hupcey, J (2007). Reframing person-centered care for persons with dementia. Research and Theory for Nursing Practice: An International Journal, 21(1), 61-76. Yu, F., Kolanowski, A., Strumpf, N. E., & Eslinger, P. J (2006). Improving cognition and function through exercise intervention in Alzheimer's disease. Journal of Nursing Scholarship, 38(4), 358-365. Yu, F.M, Kolanowski, A., & Litaker, M (2006). The association of physical function with agitation and passivity in nursing home residents with dementia. Journal of Gerontological Nursing, 32(12), 30-36. Yu, F., Evans, L. K., & Sullivan-Marx, E. M. (2005). Functional outcomes for elders with cognitive impairment in a comprehensive outpatient rehabilitation facility. Journal of the American Geriatrics SocietyM, 53, 1599-1606 (Editorial commentary by Dr. Vince S. Thomas on pp 1624-1626). Yu, F., & Richmond, T. (2005). Factors affecting outpatient rehabilitation outcomes in elders. Journal of Nursing Scholarship, 37(3), 229-236. Funding - The Feasibility of a Two-month Aerobic Biking Protocol in Persons with AD Funding Agency: John A. Hartford Foundation BAGNC Postdoctoral Fellowship Funding - Promoting Cognitive and Functional Independence in Older Adults with Dementia through Aerobic Exercise Funding Agency: NIH K12 Career Development Award Funding - The Effect of Aerobic Fitness Exercise on Executive Functioning and Function in Community-dwelling Persons with AD Funding Agency: American Nurses Foundation Project Dates: 2005-2007
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