Back ground: Chronic pain is a global public health concern because of its high prevalence, high economic costs, and negative impact on the quality of life of individuals and their families. The aim of this study was to evaluate effect of chronic pain on activities of daily living among elderly at their homes. Design: A descriptive design was utilized. Setting: The study was conducted at Kafr El-Genady Village, Diarb Negm District, Sharkia Governorate. Sample: A stratified random sampling technique of 352 elderly suffering from chronic pain. Tools: Ӏ-An interview questionnaire sheet consisted of three parts (personal characteristics-pain assessment and assessment of the impact of pain on elderly life). ӀӀ-Assess effect of chronic pain on Daily Living Activities. Results:. Revealed that there were statistically significant relations between elderly' independence in DLAs and all the aspects of impact of pain (p<0.001). Conclusion: The elderly suffering from chronic pain in the study settings have a high prevalence of chronic diseases. The pain has high impact on their life and most of them are partially or totally dependent in the Activities of Daily Living (ADLs). Recommendation: More efforts from gerontology and community health nurses in carrying out their educational roles through individual and group sessions for elderly to improve their knowledge of the chronic pain.

Background: Anemia is a common, multifactorial condition in the elderly; it is prevalence increases with age which adversely affects older adult's general health and physical activity. Rural elderly are more prone to becoming anemic due to lack of medical facilities and poor economic conditions. The aim of this study was to investigate the association between anemia and physical activity among elderly in rural areas, Sharkia governorate. Design: A cross-sectional descriptive design was utilized in the study. Setting: The study was conducted at Sharkiat Mobasher Village, Elibrahemya District, Sharkia Governorate. Sample: A systematic random sampling technique of 150 elderly, then anemic elderly were selected and given the nutritional guidelines. Tools: Four tools were used to collect the study data: I) A structured interview sheet. II) The Mini Nutritional Assessment short form (MNA). III) Assessment of elderly's activity level [Katz scale for activities of daily life (ADLs) & International Physical Activity Questionnaire (IPAQ) short form]. IV) Laboratory investigations [complete blood count (CBC) & stool analysis]. Results: The study results revealed that the prevalence of anemia among the studied elderly was 36.7%. The anemic elderly had poorer physical activity level and more disability in activities of daily living than non-anemic elderly. Conclusion: Anemia representing an important health problem among older individuals and had an adverse effect on the elderly's physical activity. Recommendation: Health education programs to increase the elderly awareness about the importance of periodic medical checkup and healthy life habits.