Bronchoscopy is a frequently required procedure in the elderly due to the high prevalence of pulmonary diseases. Bronchoscopy is associated with fears, stress, and anxiety. To evaluate the impact of an educational program on patient knowledge, anxiety level, difficulties, duration, and complications of bronchoscopy procedure in elderly patients. One hundred and fifty patients aged 60 years and older candidates for bronchoscopy were included. The patients were randomly divided into two equal groups: 75 patients received educational guideline (study group); 75 patients did not receive educational guideline (control group). Patient knowledge about bronchoscopy and anxiety level were assessed. The esigned educational program was applied to the study group on the day before the procedure. It included brochures with simple and brief instructions and pictures about bronchoscopy in Arabic language. It also includes the structure of the respiratory system, definition, indications and complications of bronchoscopy, patient preparation before, during and after the procedure, and patient’s precautions that should be taken during and after bronchoscopy. There were insufficient knowledge and high anxiety scale about bronchoscopy. Knowledge score significantly increased and anxiety scale significantly decreased after providing the patients with educational program (P<0.001 for each). There was significant reduction in the duration of bronchoscopy procedure and the amount of anaesthesia used in the study than in the control group (P<0.001). Difficulties and discomfort were significantly lower in the study group. Besides improving knowledge and …

Abstract Background: Chronic Obstructive Pulmonary Disease (COPD) is a common respiratory disease interferes with basic function of breathing of elderly. Aim: To evaluate the impact of implementing nursing protocol on respiratory function of elderly patients' with COPD. Subjects & methods: Quasi - experimental research design was utilized to conduct this study in Chest Diseases Departments at the Main Assuit University Hospital. A purposive sample of 169 elderly patients with COPD (87 study& 82 control groups) was participated. Three tools were used includes: 1st tool: Elderly patients assessment sheet, it includes 2 parts (Socio-demographic& health history and Bristol COPD knowledge sheet). 2nd tool observational check lists: used to assess the practice of elderly includes (breathing & coughing exercise, inhaler technique and incentive spirometer).The 3rd tool respiratory function …

This study aimed to: assess the oral health status and identify the incidence of oral problems among elderly people in Assiut city. The study was conducted at dental and medical clinics as( diabetic, cardiology and medical out patient clinics) at Assiut University Hospital, Central Health Insurance Clinic, and General Assiut hospital ''El Shamlah'' in Assiut city. The total number of the study subjects was 500 elders aged 60+ years. Two tools were used to collect the data needed for the study. The first tool was structured interview sheet, it consisted of two parts, the first one was concerned with personal and socio-demographic characteristics of the study sample. The second part covered the elderly medical history, oro-dental complains, smoking habits and life style pattern related to oral health status as oral and denture hygiene practices and oral follow- up pattern. The second tool was the Chalmers Brief Oral Health Assessment Tool (2005). Data was collected during the period from the first of October 2008 to the end of March 2009. Results of the present study revealed that 89.4% of the studied elders aged 60-↓75 years. Illiterate elders represented 69.8% of the studied sample. The result also illustrated that 88.4% had one or more oro-dental complain including dental pain, teeth loss, oral dryness, bleeding and swallowing problems. Moreover, a significant difference was found between educational level of the studied elders and oral hygienic care. The study recommended that: Community out reach oral health services should be implemented to identify high risk group of elderly and elder's awareness about the importance of periodic dental check up should be encouraged.