Background: Aging is associated with the loss of balance and increase risk for falling. Gerontological nurse play an essential role in reducing falling and its related injuries through providing safety measures, environmental modification, eliminating risk factors and improving the balance through exercise training Aim of the study: This study aimed to assess the effect of exercise program on balance and prevention of recurrent falling among elderly People. Research design: Quasi-experimental research design was utilized in the current study. Subjects: The study sample including 80 elderly clients male and female. Setting: This study was carried out at three geriatric homes in Minia city (Dar Omar Bn El-khatab-Dar El-Qedesa Hena-Dar El-raee el saleh). Tools of data collection: Two tools were utilized in collecting data; tool I: Interview structured questionnaire; tool II: Berg Balance Scale, the data were collected through one year. Methods: The researcher design booklet in Arabic language and give exercises training program for elderly clients. Results: The current study findings revealed that there was a highly Statistical significant difference in satisfaction of elderly knowledge that show the percent of satisfaction were (85%) after intervention. And also the finding revealed that there was a highly statistical significant difference improvement of elderly balance reported by (80%) and minimizes risk for falling at the end of intervention. Conclusion: The study findings concluded that the regular performing exercises enhances balance and reduces risk for falling for elderly people. Recommendations: We have to spot the light on elderly people to be a part of the education and exercises training program in geriatric homes and community also improve awareness of family members and health care givers about environmental hazards and how avoid it to prevent recurrent falling.

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Background: Abdominal surgery is one of the most frequent surgical procedures performed in age 65 and more. postoperative respiratory tract infection (RTIs) is the most common serious complication after this type of surgery with reported incidence between 17-88%. Delayed mobilization was associated with a three-fold increase in RTIs. Aim of the study: To evaluate the effect of early ambulation on reducing RTIs among postoperative elderly patients with abdominal surgeries. Research design: Quasi-experimental research design was utilized in the current study. Subjects: Convenient sample including 80 elderly patients male and female, classified equally into two equal groups; study group (n= 40) and control group (n= 40), were collected through one year. Setting: This study was carried out at the general surgery departments (A and C) at Minia University Hospital. Tools of data collection: three tools were utilized in collecting data. Tool I: patient interview structured questionnaire, Tool II: patient's physical and respiratory assessment; Tool III: early ambulation record. Results: current study findings revealed that the 87.5% of the study group were free from postoperative RTIs. In contrast to, 85% of the control group had postoperative RTIs. Conclusion: The current study findings concluded that, early ambulation had a synergetic positive effect on reducing postoperative RTIs, improving respiratory parameters and decreased length of hospital stay among elderly with laparotomy. Recommendations: Hospitals should recommend implementing protocols for postoperative early ambulation as a routine hospital policy among all general surgical patients in all age groups.

The aim of the present study is to evaluate the impact of preoperative teaching program on pain outcome & satisfaction for patients undergoing kidney surgery. Research design Quasi-experimental study design was be utilized. Sample data were collected from 60 patients undergoing kidney surgery at urology department El-minia university hospital. Research hypothesis mean scores of all aspect of pain management outcome questionnaire in study group would be better than that in control group. Tools utilized for data collection were patient assessment sheets, Teaching Program and Modified American Pain society patient Outcome Questionnaire (APS-POQ-1995). The results regarding post-op. pain management outcome questionnaire there was statistical significance difference related to pain severity & pain relief as P-value=0.01, 0.00001** ,related to interference with function (activities in bed & out of bedfalling asleep & staying sleep) as P-value = 0.05*, 0.001** 0.020*, 0.001** ,There was statistical difference for Perception of care between study & control groups. Conclusion a highly significant difference in the study group regarding to all aspect of pain management outcome and length of hospital stay compared to the control group and there was positive correlation of using more than two methods of nonpharmacological pain management strategies with post-op. analgesic consumption. Recommendations further research studies are needed to focus on preoperative teaching programs of post-op pain management for patients undergoing surgery.