Background: Use of hormonal contraceptives in clinical settings and in the general public, may exacerbate pre-existing anxiety and depressive symptoms. The PLISSIT model is a sex therapy counseling model which can aid any persuasive practitioner to tackle women's sexual health.
Background
Poor appetite is a common problem among older people; it is known to contribute to weight loss, nutritional deficiencies, and increased mortality, which can affect their community participation and psychological status. In this study, we aimed to identify the relationship between community participation, nutritional appetite, and psychological distress among comorbid older people. This cross-sectional study included 300 elderly people, of whom 100 participated in geriatric clubs and 200 did not. Older people assessment sheet, the Australian Community Participation Questionnaire, the Council on Nutrition Appetite Questionnaire, and Kessler Psychological Distress Scale were used.
Results
Majority of geriatric club members had high community participation, while half of the older people who were not members of the club had moderate community participation levels. Approximately 41.0% of the participants at geriatric clubs had no risk at this time for a nutritional decline, while less than three-quarters of those who are not geriatric club members need frequent appetite reassessment. A correlation was observed between community participation with appetite and psychological distress in those who attended geriatric clubs. Those who are not geriatric club members had correlation between appetite with community participation and psychological distress (P ≤ 0.001).
Conclusions
Good appetite and psychological status are positively impacted by engaging in social activities among older people. Findings suggest that community programs, such as Meal on Wheels programs, and shared group activities can improve appetite and social interaction among older people.
Delirium in the intensive care unit (ICU) setting is often under-recognized and undertreated lead to increases morbidity, duration of mechanical ventilation, and length of stay. Nurses' knowledge and practice had a significant role in the improvement of the quality of healthcare and preventive measures for patients with delirium. The study aimed: To assess nurses' knowledge and practices regarding care of patients with delirium at AL-Thawra Hospital-Yemen. Subjects & method: A descriptive research design was utilized in this study. The study incorporated a convenience sample of (60) nurses working in the ICUs. Data collection tools included: demographic and workrelated characteristics data, nurses' knowledge questionnaire of delirium, and observational checklist for assessment of nurses' practices caring for delirium patients. Results: Age of studied nurses' was ranged from 25 to 30 years old, and 61.7% of them were females, 55% had a diploma in nursing , and 61.7% of nurses had 1-5 years working in ICU. The majority of the studied nurses had poor knowledge and practices, with a significant decrease in the total mean score (29.72±7.00 & 48.38±20.20), respectively. Conclusion: Nurses had poor knowledge and practices regarding the care of delirium patients. Recommendations: Education program regarding the care of delirium patients in ICU is essential for nurses to improve their knowledge and practices.
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