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Talks at Twelve: Mardelle Shepley, Wednesday, February 22, 2017

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Mental and Behavioral Health Facilities: Critical Research and Design Recommendations
Mardelle Shepley, Design and Environmental Analysis, Cornell

Wednesday, February 22, 2017
12:00-1:00 PM
Beebe Hall, 2nd floor conference room



Research on the design of mental and behavioral health facilities is available but limited, although the shortcomings of these facilities are well-known. Dr. Mardelle Shepley will describe design features that are believed to positively impact staff, patients, and families in psychiatric environments and provide information related to their presence in existing facilities. Her research project involved both qualitative and quantitative methods. Dr. Shepley will share results involving a variety of topics including the appropriateness of private rooms, deinstitutionalization, access to nature, and open nursing station design. She will also provide guidelines for mental and behavioral health facilities.

Mardelle Shepley is a professor in the Department of Design and Environmental Analysis and associate director of the Institute for Healthy Futures. She serves on the graduate field faculty in the Department of Architecture. A fellow in the American Institute of Architects, she has authored/co-authored six books, including Healthcare Environments for Children and their Families (1998), A Practitioner’s Guide to Evidence-based Design (2008), Design for Critical Care (2009), Health Facility Evaluation for Design Practitioners (2010), Design for Pediatric and Neonatal Critical Care (2014) and Design for Mental and Behavioral Health (2017).

This talk is open to all. Lunch will be served. Metered parking is available in the Botanic Gardens lot across the road from Beebe Hall. No registration or RSVP required except for groups of 5 or more. We ask that larger groups email Patty at pmt6@cornell.edu letting us know of your plans to attend so that we can order enough lunch.

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Nursing home residents commonly abused by neighbors

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By Heather Lindsey for the Cornell Chronicle:

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Pillemer and Lachs

Twenty percent of people living in nursing homes are abused by other residents, according to a study by researchers in the College of Human Ecology and Weill Cornell Medicine.

“We were very surprised by the prevalence of aggression,” said senior author Karl Pillemer, the Hazel E. Reed Professor in the College of Human Ecology’s Department of Human Development and professor of gerontology in medicine at Weill Cornell Medicine, who published the findings June 13 in the Annals of Internal Medicine. “We thought it would be common, but we did not anticipate that 1 in 5 people would be involved in a resident-to-resident incident.”

In addition to the physical injuries that can result from these abusive incidents, “the emotional toll that can result from being victimized incessantly can be overwhelming,” said lead author Dr. Mark Lachs, co-chief of the Division of Geriatrics and Palliative Medicine and the Irene F. and I. Roy Psaty Distinguished Professor of Clinical Medicine at Weill Cornell Medicine.

The Cornell researchers and colleagues at the Research Division of Hebrew Home at Riverdale evaluated 2,011 residents in 10 nursing home facilities during a one-month period. Of those individuals, 407, or 20.2 percent, had experienced a least one resident-to-resident incident of mistreatment.

Nine percent of victims experienced verbal abuse. Five percent encountered physical abuse, and less than 1 percent sexual abuse. Another 5 percent suffered “other” types of abuse, such as invasion of privacy and menacing gestures.

The most common types of verbal aggression were screaming at another resident and using foul language. Physical aggression most often included hitting and pushing. Going into another resident’s room without permission and taking or touching another person’s property were common examples of invasion of privacy.

A major risk factor for aggression was cognitive impairment, said Pillemer, who is also director of the Bronfenbrenner Center for Translational Research at Cornell. “You have people who would otherwise not be violent but who have serious aggressive episodes,” he said.

People who were younger and more physically active, meaning they were able to wander into other residents’ rooms, were more likely to be involved in an abusive incident, he said.

Crowding in common spaces such as hallways and lounges also increased risk. Conflict occurred more frequently in the winter months, presumably when patients had limited space to interact indoors, and in nursing homes with lower staffing levels, said Lachs, who is also professor of medicine at Weill Cornell Medicine.

The first steps toward addressing the problem are improving staff awareness and developing clear protocols for dealing with aggression among residents, Pillemer said. Individualized care is also important. Some people who are at greater risk of becoming aggressors may need more supervision than others.

One obstacle to addressing this form of aggression is that regulatory agencies and media have traditionally focused on physical abuse of residents by staff.

“This certainly occurs, and we should have zero tolerance for it,” Lachs said. “But this study suggests that one is much more likely to experience physical or verbal harm from another resident than from a staff member.”

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Talks at Twelve: Barbara Ganzel

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Trauma-informed Hospice and Palliative Care: Unique Vulnerabilities Call for Unique Strategies
Thursday, September 10, 2015

Barbara Ganzel
BCTR, Cornell University

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Learn about Affordable Care Act December 5

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Jennifer Tiffany

Jennifer Tiffany

Working with university, community, and government partners, Jennifer Tiffany (BCTR's Director of Outreach and Community Engagement and CCE's Associate Director-Human Ecology) helped organize a December 5 forum on navigating the Affordable Care Act (ACA) and accessing New York State's ACA health plan marketplace, New York State of Health.

The information session will take place at Tompkins Cortland Community College in the Forum, just inside the main building (main campus, Cortland) from 6:30 - 8:00 p.m. on Thursday, December 5. Cornell Cooperative Extension offices throughout the state will be able to livestream the event. Jean McPheeters, president of the Tompkins County Chamber of Commerce and a trained health access navigator, will talk about her experience as a navigator assisting people to access health plans that fit their needs. Dennis Romero of the Substance Abuse and Mental Health Services Administration will also present. Helene Dillard, Director of Cornell Cooperative Extension will moderate the panel and audience discussion.

Learn about Affordable Care Act December 5 - Cornell Chronicle

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New evidence about medical malpractice

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"More than 15,000 lawsuits are filed against doctors in the United States each year for medical malpractice, a claim that medical treatment caused injury or death to the patient, typically involving a medical error."

Read the rest of this post on the Evidence-Based Living blog:

New evidence about medical malpractice

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Talks at Twelve: David Feathers, Thursday, May 16, 2013

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Physical Access to Healthcare Environments: Ergonomic Analysis for Persons with Physical Disabilities Across the Life Span
David Feathers, Design & Environmental Analysis, Cornell University

Thursday, May 16, 2013
12:00-1:00PM
Beebe Hall, 2nd floor conference room



This talk is open to all. Lunch will be served. Metered parking is available in the Plantations lot across the road from Beebe Hall.

This is a BCTR Innovative Pilot Study Grant recipient talk.

Design of the built environment and synergistic use of accessible technologies within the built environment play key roles in enabling access to preventative and curative healthcare services, especially for people with disabilities. His talk will define the current state of physical accessibility for a sample of healthcare environments in the United States. This project considers physical access across the lifespan, disability context, perceptions of physical barriers, and related physical access outcomes regarding reception of healthcare services for three types of healthcare locations: out-patient/clinic-based service delivery; in-hospital service delivery; and at-home care (self-management). This pilot study initiates a series of considerations regarding physical access throughout the process of receiving healthcare and identifies key areas for inclusive, human-centered research for distributed healthcare delivery across the lifespan.

David Feathers is an assistant professor of Human Factors and Ergonomics in the Department of Design and Environmental Analysis, College of Human Ecology, Cornell University. He is the founding director of the Cornell DAB Lab (Digital Anthropometry and Biomechanics), which focuses on measuring diversity in human structure and function for inclusive design of products and spaces. The DAB Lab uses a combination of traditional and innovative 3D measurement technologies to assess and model human performance with the aim of improving the products and environments we interact with on a daily basis. Dr. Feathers received his B.A. and M.A. in Anthropology, his M.S. in Industrial Engineering and Ph.D.in Industrial and Systems Engineering, all from the University of Buffalo.

 

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