Theses and Dissertations at Montana State University (MSU)
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Item Attention deficit hyperactivity disorder treatment for pediatrics(Montana State University - Bozeman, College of Nursing, 2018) Brewer, John Mikkel; Chairperson, Graduate Committee: Tracy HellemAttention deficit, hyperactivity disorder (ADHD) is commonly diagnosed in children, and the frequency of this disorder being diagnosed and treated continues to rise each year. The research regarding treatment for pediatric ADHD has shown varied results ranging from pharmacological and behavioral therapies producing positive effects when combined to standalone behavioral therapy or medication producing positive effects with no therapeutic intervention. There are two published guidelines on the management of pediatric ADHD. The American Academy of Pediatrics and the National Collaborating Centre for Mental Health each created a guideline for evaluating, diagnosing, and treating pediatric patients with ADHD. This project analyzed ADHD treatments for children ages 4 to 18 years in an acute, inpatient psychiatric setting, and in an inpatient, residential-treatment-care setting. A comparison of these treatments with the national guidelines was conducted. This scholarly project compared pediatric ADHD treatment in an inpatient, acute-care unit versus a residential-care unit of a psychiatric children's hospital. Readmission rates within 30 days of discharge from a psychiatric children's hospital have been analyzed, and care practices have been compared with the national guidelines. Data was extracted from electronic medical records from the psychiatric children's hospital's healthcare record system. The types of data that were extracted included demographics, such as age, comorbid diagnoses, and concomitant medications; in addition to types of treatment, readmission rates, and treatment setting. Type-of-treatment data included type of medication versus treatment setting. The findings suggest that medications other than methylphenidate may have similar efficacy as methylphenidate for treating pediatric ADHD. The inpatient psychiatric unit is not necessarily following the National Clinical Guidelines for treating pediatric and adolescent ADHD, but the results reveal that methylphenidate versus non-methylphenidate treatment for ADHD does not demonstrate a statistically significant difference with respect to inpatient readmission rates. The research identified that patients receiving residential care for ADHD had a higher likelihood of being readmitted to the hospital than patients receiving acute care, and patients' readmission rates were not statistically significantly different regarding methylphenidate versus non-methylphenidate medication-treatment regimens. Overall, this research identified that medications other than methylphenidate can be effective in treating patients with ADHD.Item Wards of state: complicating agency and identity for youth in foster care as portrayed in young adult literature(Montana State University - Bozeman, College of Letters & Science, 2017) Stephens, Shauna Mae; Chairperson, Graduate Committee: Robert PetroneYoung adult literature has become popular amongst a wider audience, and accordingly has developed significant influence on youth and adults alike. Because of this, it is important for scholars and educators to critically consider what messages the literature is passing on to and about adolescents. Texts that feature youth in foster care break from the tradition in some important ways, giving greater influence and visibility to the institutional authorities that operate in the lives of youth. Critically examining these texts allows insight into the messages inherent in the literature about adolescent agency and authority, and the way such messages reinforce the cultural construct around youth in general, and foster youth specifically. This project begins with an examination of the theoretical background around the cultural construct of youth, the critical merit of young adult literature, and the institutional authorities at work in both. Then, these ideas are applied to the critical textual analysis of four recent, popular young adult novels that feature youth in foster care. Looking across the text set from this position demonstrates the power of the institutions over individual agency. Additionally, the web of authority created by the muddying of any defining lines within and between institutions and the lack of stability in their lives makes coming to any single sense of self nearly impossible. At the end of each text, the only option they have to find any stability is to give up their agency and submit to the institutions that operate in their lives. The analysis shows that the literature that is available fails to show the complicated life of foster youth for what it is, instead reinforcing the stereotypes while continuing to support the status quo. Studies like this one may be able to help break from the tradition and allow for a more critical reading of young adult literature, giving agency back to the very youth targeted by the texts.Item Relationships of personal control to health and well-being among nursing home residents(Montana State University - Bozeman, College of Nursing, 1996) Waldron, Jocelynn RobertaItem A study of hepatitis B infection in a Montana insititution for the mentally retarded(Montana State University - Bozeman, College of Agriculture, 1976) Brooks, Bradford Oldham