Introduction Older adults with Alzheimer’s disease (AD) experience drastic changes in their physical and mental abilities. AD patients became heavily dependent on their caregivers for everyday functions, which have significant implications not only for them but also for their caregivers. So, many AD caregivers experienced an increased level of depression and anxiety symptoms, lower perceived control, and higher burden compared to non-AD caregivers. Therefore, psychological first aid (PFA) and educational interventions are designed to enable those caregivers to meet the daily requirements of their patient care and to cope with its challenges. Aim Determine the effect of psychological first aid program on stress level and psychological well-being among caregivers of older adults with Alzheimer’s disease. Design One group pre-test post-test was followed. Subjects A convenience sample of one hundred (100) caregivers of older adults with AD. Setting All online groups concerned with the care of Alzheimer’s disease patients on Facebook. Tools Socio-demographic and clinical data of older adults with Alzheimer’s disease and their caregivers’ questionnaire, Alzheimer’s disease knowledge scale, Kingston caregiver stress scale, and authentic identity measures (AIM) scale of psychological well-being Results The psychological first aid program has highly statistically significant effect on the AD caregivers’ knowledge, stress level and psychological well-being as (t=-30.707, P = 0.000, t = 8.500, P = 0.000 & t= -4.763, P = 0.000 respectively). Conclusion Psychological first aid program is considered an effective intervention in decreasing the AD caregivers’ stress and increasing their psychological wellbeing and knowledge regarding delivering care for AD patients.

Older adults with Alzheimer’s disease (AD) experience drastic changes in their physical and mental abilities. AD patients became heavily dependent on their caregivers for everyday functions, which have significant implications not only for them but also for their caregivers. So, many ADcaregivers experiencedan increased level of depression and anxiety symptoms, lower perceived control, and higher burden compared to non-AD caregivers.Therefore, psychological first aid (PFA) and educational interventions are designed to enable those caregivers to meet the daily requirements of their patient care and to cope with its challenges.Aim: determine the effect of psychological first aid program on stress level and psychological well-being among caregivers of older adults with Alzheimer's disease. Design a quasi-experimental research design (one group pre-test post-test)was followed. Subjects:A convenience sample of one hundred (100) caregivers of older adults with AD.Setting: all online groups concerned with the care of Alzheimer’s disease patients on Facebook. Tools: Socio-demographic and clinical data of older adults with Alzheimer's disease and their caregivers’questionnaire,Alzheimer's disease knowledge scale, Kingston caregiver stress scale, and authentic identity measures (AIM) scale of psychological well-being. Results: the psychological first aid program has highly statistically significant effect on the AD caregivers’ knowledge, stress level and psychological well-being as (t=-30.707, P= 0.000, t=8.500, P= 0.000 & t= -4.763, P=0.000 respectively).Conclusion: psychological first aid program is considered an effective intervention in decreasing the AD caregivers’ stress and increasing their psychological wellbeing and knowledge regarding delivering care for AD patients.

Background: the incidence of ICU-acquired weakness (ICUAW) is rising from 25 to 31% worldwide, with 3.25-6.2 million new patients annually. This may be due to the ageing process and the intensive care units (ICUs) stay. Objective: To determine the correlation between ICU-acquired weakness and hyperglycemia in critically ill geriatric patients. Design: A descriptive research design was used to conduct this study. The study was conducted at six intensive care units from Smouha university hospital and Alexandria main university hospital in Egypt. Tools: Two tools were used, tool one was patients' clinical and demographic data. Tool two was patients Simplified Medical Research Council (SMRC) Scale. Sample: A purposeful sample of four hundreds and ninety newly admitted geriatric patients, aged > 60 years, Glasgow Coma Scale >9, oxygen saturation ≥88%, no brain stem problems, spinal cord lesions, myasthenia gravis or Guillain-Barre syndrome were included at this study. Results: the study showed that 37.1 % of geriatric patients had ICU-acquired weakness, 57% had hyperglycemia, and 33.7% of them had both ICU-acquired weakness and hyperglycemia. There was a highly statistically significant correlation (p=0.008) between the acquired muscle weakness and hyperglycemia among the geriatric patients. Conclusion: A significant correlation was found between ICUAW and hyperglycemia among critically ill geriatric patients. Recommendations: Health education program should be offered to the critical care nurses who are working with critically ill geriatric patients to foster early detection of ICUacquired weakness, and control of hyperglycemia.

Background: Prefrailty prevalence increases with age, and can lead to negative healthcare outcomes. Prefrailty prevention and management are very important actions to prolong independence in older adults. Self-efficacy is one of the psychological factors that are the most reliable predictors of older adults' initiation and uptake of physical activity. Gerontological nurses play a crucial role in the early identification of older adults with pre-frailty and tailoring preventive and rehabilitative multicomponent exercise interventions which are considered a key factor in decreasing, preventing, or even reverse decline associated with prefrailty. Aim of the study: To determine the effect of nursing intervention on the physical performance self-efficacy among community dwelling older adults in the pre-frail stage. Settings: El-Waffa club for older adults which affiliated to the Ministry of Social Solidarity, in Alexandria, Egypt. Subjects: Forty pre-frail community dwelling older adults were included in this study. Tools: Six tools were used to collect data ; Frailty Index for Elders, Short Physical Performance Battery, Socio-demographic and Clinical Data of Community-dwelling Elders, Barthel Index, Instrumental Activities of Daily Living, and Exercise Self-efficacy Scale. Results: statistically significant differences were found in the studied older adults' pre-frailty status, physical performance, and their self-efficacy after the implementation of the study intervention as (P= 0.000 for all of these variables). Conclusion: physical performance selfefficacy and prefrailty status of all studied pre-frail community dwelling older adults improved after the implementation of the multicomponent exercise program. Recommendations: Prefrailty screening should be performed for all community dwelling older adults. The multicomponent exercise program can be safely and effectively incorporated into standard nursing practice in caring for pre-frail community dwelling older adults.