000007505 001__ 7505 000007505 005__ 20240124114245.0 000007505 0247_ $$2DOI$$a10.6083/c534fp395 000007505 037__ $$aETD 000007505 245__ $$aHealth promotion with elders at risk for depression: a quality improvement project 000007505 260__ $$bOregon Health and Science University 000007505 269__ $$a2019 000007505 336__ $$aThesis 000007505 502__ $$bM.N. 000007505 520__ $$aA large urban area clinic serves a population base of older adults aged 65 and older who are Medicare insured. The clinic utilizes a home visit model whereby primary care providers visit medically complex clients within their home environment. The clinic serves elderly clients who live with multiple medical conditions, experience possible mental health concerns, and may cope with social isolation and loneliness as well. There is currently no framework in place to address the prevention of clinical depression for these clients, many of who carry multiple risk factors for the development of depression. Without intervention, these clients are at risk for further deterioration of their mental health as well as the worsening of an already fragile physical health status. Leadership would like to implement a framework to prevent depression and to promote optimal functioning in their elderly clients. Non-licensed, support staff address the needs of less acute clients as well as promote engagement in clinic services for lower acuity clients. 000007505 650__ $$aHealth Promotion$$019900 000007505 650__ $$aQuality Improvement$$039456 000007505 650__ $$aMental Health$$022046 000007505 650__ $$aDepression$$017614 000007505 6531_ $$aelderly 000007505 6531_ $$afrail older adult 000007505 691__ $$aSchool of Nursing$$041370 000007505 7001_ $$aHernandez Kadell, Carly 000007505 8564_ $$9eb8342a1-ad30-4e38-b61c-049fcc2ee549$$s74575$$uhttps://digitalcollections.ohsu.edu/record/7505/files/hernandez.carly.2019.pdf 000007505 905__ $$a/rest/prod/c5/34/fp/39/c534fp395 000007505 909CO $$ooai:digitalcollections.ohsu.edu:7505$$pstudent-work 000007505 980__ $$aTheses and Dissertations