Background: The population of elderly patients is growing with increasing prevalence of cancer diagnoses and cancerrelated pain syndromes. Cancer pain occur at any time in the disease's progression. It is a multidimensional and complex phenomenon that need proper assessment, management and evaluation based on current nursing knowledge and practices. Despite the fact that developing adequate pain control is a top priority for cancer patients. Many barriers to undertreatment exist among professionals, which might have an impact on successful pain management. Aim: to assess nurses' attitude, practices, and barriers towards pain management of elderly patients with cancer. Method: In this study. a descriptive correlational research design was used. The study was carried out at medical, surgical, and hematological departments in Oncology Center Mansoura University. A convenience sample of 122 nurses was used in this study. 4 tools were used to collect data.: Nurses' structured interview schedule, nurses' attitude toward pain management interview schedule, nurses' practices interview schedule regarding cancer pain management and nurses' barriers for cancer pain management interview schedule. Results: majority of studied nurses (82.8%) had positive attitude toward pain management, 91% of them had poor practice regarding cancer pain management and 60.7% of studied nurses had little barrier toward pain management of elderly patients with cancer. Conclusion: Nurses' have positive attitude and poor practices regarding pain management of elderly patients with cancer. The main barriers to effective cancer pain management were inadequate knowledge about pain management and opioids. Recommendation: developing standard guidelines for pain management for oncology hospital staff nurses.

Background: Alzheimer's disease (AD) is considered one of the major public health problem throughout the world especialy among older adults. Fear of developing AD has become a topic of interest. So it's important to raise awareness about AD through assessment of elders' knowledge regarding AD aiming to improve diagnosis and treatment modalities, inorder to reduce stigma and improve community support in different clinical care settings.Aim: To measure the effectiveness of structured teaching program on knowledge and fear of Alzheimer's disease in cognitively intact older adults. Methods: A quasi-experimental, pre and post intervention research design was implemented.The study was conducted at the Geriatric Outpatient Clinic of the Specialized Medical Hospital, Mansoura University, Egypt. A purposive sample of 54 elderly of both sexes attending the above-mentioned setting according to inclusion and exclusion criteria. Tools: Five tools were used for data collection; Elderly People's Demographic and Clinical Data, Mini-Mental State Examination (MMSE), Self-rated Health status Scale,The Alzheimer's Disease Knowledge Scale (ADKS), and The Fear of Alzheimer's Disease Scale (FADS). Results: Both ADKS and FADS overall scores showed significant increase after the program implementation (17.62±4.07 and 41.61±24.70 vs.19.18±3.59 and 48.05±26.66; respectively). This improvement favours young elderly female, single, and illiterate elderly who have poor health status, haven't information about the disease or didn't provide any care for Alzheimer's patients, and worried from affection of the disease. A statistically significant positive correlation was found between ADKS total mean score of studied elders and their fear from AD (FADS) before and after the implementation of the structured teaching program. Conclusion: The intervention program improved knowledge but increased fear of AD in elderly. Recommendations: Planning training program to older adults about the other measures to reduce dementia worry such as cognitive behavioral therapy (CBT) or counseling services, development of awareness campaigns about AD and dementia directly to the general public, and health care provider to combat the negative stigma associated with the disease.

No abstract