This study provides additional support for the effectiveness of integrative reminiscence therapy as an intervention for depressed older adults living in residential care settings. This study also provides support for the hypothesis that certain types of reminiscence produce their own specific effects.

BackgroundPatients with heart failure (HF) older than 65 years have a two-fold increased risk of cognitive impairment than elders without HF. Identifying factors affecting cognitive impairment in HF may present targets for intervention.ObjectivesThe aim of the present study was to determine cognitive function and related factors among elderly patients with heart failure.Patients and MethodsIn this cross-sectional study, 184 elderly patients with heart failure were selected from four Mazandaran University of Medical Sciences teaching hospitals using convenience sampling. Data were collected from patients’ medical records and by interview, using the abbreviated mental test, geriatric depression scale, and Charlson comorbidity index.ResultsThere were significant relationships between cognitive status and living arrangement (P < 0.001), education (P < 0.001), hypertension (P = 0.039), anemia (P = 0.046), Charlson comorbidity index (P < 0.001) and geriatric depression scale (P < 0.001).ConclusionsScreening of cognitive impairment in elderly patients with heart failure seems necessary.

Supplementation with low dose n-3 fatty acids for 6 months could significantly protect elderly Iranians from a rise in serum triglycerides.

Self Care Behaviors (SCB) is one of the most important challenges in controlling readmission and improving the elderly patients outcomes. The aims of this study were to describe the SCB among elderly with heart failure and to assess relationships between SCB, demographic characteristics, age-related characteristics and clinical characteristics. In this cross sectional study, 184 elderly (age 60) with heart failure were selected with convenience sampling from 4 teaching hospitals. To assess SCB, the European Heart Failure Self Care Behavior Scale was used. Its validity and reliability were confirmed (CVI = 0.97 and α = 0.74). Data was collected from patients' medical record and by interviews. The highest percentage of behaviors not performing properly (score > 2), were related to self reported exercise (96.2%), receiving a flu shot (89.7%) and weight monitoring (80.5%), respectively. There was significant relationship between SCB and cognitive impairment (p < 0.001), serum sodium level (p < 0.001), charlson co-morbidity Index (p = 0.001), ejection fraction (p = 0.002), visual impairment (p = 0.002), sleep disorders (p = 0.003), poly-pharmacy (p = 0.004), hearing impairment (p = 0.012) and systolic blood pressure (p = 0.049). Significant relationship between SCB and age-related characteristics suggests the need to design both supportive and preventive programs among elderly with heart failure.

Objectives Because of increasing geriatric population in Iran, the present study aims to plan, prevent, and mitigate the complications among the retired elderly of the Tehran Municipality Pension Organization and then investigate its relation to gender. Methods & MaterialsThe descriptive and analytic approach was adopted on 300 elderly subjects who were 60 years and older (Mean [SD]: 68.14[7.11] years). The subjects were selected using random sampling method. All the elderly subjects were retired members of the Tehran Municipality Administration. The data were collected by direct reference to the subjects' home and conducting interviews. The data collection tool included questionnaires with two sections. The first section consisted of the demographic, socioeconomic, and health profiles, and the second section consisted of WHO Disability Assessment Schedule 2.0 questionnaire. The obtained data were analyzed by SPSS 18. Results Among the elderly subjects in this study, 175 (54%) had no disability, 125 (46%) were disabled, and 19.13% had mild disability. The average disability rate was 5.6% in females and 4.38% in males; these rates were high compared to the present rate in the society. However, the lowest rate of disability (0.72% in males and 1.07% in females) was related to self-caring and personal health. Conclusion In conclusion, the retired elderly of Tehran Municipality Administration showed a lower level of disability compared to those of other developed countries. However, there is an increasing need for setting up geriatric cares units as the population pattern of elderly people is rising in Iran. In addition, the rate of disability was found to be higher in females (58.14%) compared to males (53.31%), which shows a significant relation of disability status with gender and age (P<0.001). A B S T R A C T Keywords:Disability, Elderly, Tehran City council, Sex The aging population has been associated with the increase in the rate of disability I among these elderly. Studies have shown that the extent of disability in activities and chronic diseases is inversely related to cognitive performance and quality of life [2]. Disability is a good indicator of health risk assessment in the elderly population that includes the limitation of the ability to perform social roles and activities related to the job or continuing independent life. The incidence of disability is related to several factors. No study has been carried out in this aspect in the Tehran Municipality Pension Organization. Therefore, the present study aimed at determining the extent of disability in the elderly people and its relationship with gender. Methods & MaterialsThe Tehran Municipality Pension Organization has covered over 7400 retired employees. This study is a correlational and descriptive-analytical research carried out on 300 people aged 60 years and older (Mean [SD]: 68.14[7.11] years), who were covered by Tehran Municipality Pension Organization. These participants were selected using random sampling method and the study data were colle...