IJGN

An Interventional Study to Assess the Effect of Back Care on Quality of Sleep among Geriatric People of Nadiad City

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u00a0Nickson Das, Sharma khushbu, Parmar Meet, Patel Devansh, Parera Ripal, Patel Janvi, Pathan Muskan, Muniya Nehal,

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nJanuary 24, 2023 at 4:42 am

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Introduction- Sleep is a condition of body and mind that recurs for several hours every night in which the sympathetic and parasympathetic system is relatively inactive, that eyes closed, the postural muscles relaxed, and consciousness practically sling. Back care was formed in 1968 as national back pain association. Back care is registered charity that aims to reduce encumbrance of back pain by providing information and support. Encouraging best practises and providing research funding. Cleaning and massaging the back while paying close attention to pressure points is known as back care. A back massage in particular comforts and soothes the client, promoting skin stimulation and emotional relaxation. Aim: The purpose of the current study is to evaluate how back treatment affects older patients’ sleep quality and their sleeping habits. • To evaluate the impact and developments of geriatric back care. • To ascertain the relationship between back care practises and sleep quality. Objective: (1) to assess the sleeping pattern among geriatric people of Nadiad city. (2) To assess the effectiveness of the back care among geriatric of Nadiad city. (3) To find out the association of the quality of sleep with demographic variables among geriatric people of Nadiad city. (4) To find out the comparison between experimental group and control group on quality of sleep among geriatric people of Nadiad city. (5) To find out the association between experimental group and control group on quality of sleep among geriatric people of Nadiad city. Methodology: Quantitative Research (Design) Quasi experimental control group design. The physical, social, and cultural location where the study is being conducted might be considered the research context. In quantitative research, meaning making is primarily the emphasis, and participants are observed in their natural environments. The samples are chosen from the city of Nadiad. The number of individuals or observations included in a study is referred to as the sample size. The sample size for the study was 30 experimental group and 30 control group of Nadiad city. Prior to data collection written setting permission obtain from CDHO (Chief District Health Officer) of Kheda district, for the data collection researcher were selected to areas of Nadiad city which were namely mission road and ST Nagar, Nadiad. The total sample size was 60 samples. The tool consists following section-01 Socio demographic variable, section-02 checklist, section-03 Pittsburgh sleep quality Index. Results: Out of 60, 60 (100%) were belong age 60–65 (10.8%), 66–70 (24.3%), 71–75 (16.2%), 76–80 (29.7%), were females 7 (18.9%), male (18.9%), where married samples (37.8%), unmarried (5.4%), widow (37.8%), were social class of samples includes upper class (13.5%), upper middle class (29.7%), middle class (37.8%), where sleeping problem (10.8%), where physical activity (81.1%), bed time sleep (81.1%), night time walking, Yes (10.8%), No (70.3%), some factorsaffect sleep (81.1%), where medical disorder (81.1%). Conclusion: The current study’s objective is to evaluate the impact of back care on geriatric residents of Nadiad city’s sleep quality. The study’s pre-experimental pre-test post-test group design included 60 samples, which were chosen using a practical sampling technique. The content validity and reliability of the tool was done, which suggested that the tool was reliable, the pilot study was conducted among 5 samples and the feasibility of the study was established. Based on the objectives, the data analysis was done by calculating the mean, percentage, standard deviation, Mann-Whitney and t-test. Result revealed that an average assessment of sleep quality before back care was effective back care in geriatric people. This suggests that back treatment is significantly effective in raising senior patients’ sleep quality.

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Volume :u00a0u00a05 | Issue :u00a0u00a02 | Received :u00a0u00a0June 20, 2022 | Accepted :u00a0u00a0July 20, 2022 | Published :u00a0u00a0September 21, 2022n[if 424 equals=”Regular Issue”][This article belongs to International Journal of Geriatric Nursing(ijgn)] [/if 424][if 424 equals=”Special Issue”][This article belongs to Special Issue An Interventional Study to Assess the Effect of Back Care on Quality of Sleep among Geriatric People of Nadiad City under section in International Journal of Geriatric Nursing(ijgn)] [/if 424]
Keywords Rapid Eye Movement, Chief District Health Officer, t-test: hypothesis test, statistic, Quasi: Partly , Mean: Average

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References

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1. Dictionary Oxford languages sleep. https://www.google.com/search?client=ms-android oppo&q=What+is+sleep+definition&sa=X&ved=2ahUKEwiVg7nvutXuAhU4ILcAHcDrA_IQ1QIwGXoECBQQAQ&cshid=1612621617385&biw=360&bih=628&dpr=2
2. 2021 edition 1968, as the national back pain association, 2010, charity times awards 2011 https://www.google.com/url sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiZ9pzTqu7uAhVl4XMBHS1HAmUQFjABegQIAhAE&usg=AOvVaw2c5enwHwaPnBjKszod6rux
3. The importance of sleep for older adults, Frederick MD 21703 according to MaikenNedergaard M.D, D.MSC, co -director. https://www.google.com/url?sa=t&source=web&rct=j&url=https:// www.asbury.org/blog/sleep-benefits-for-seniors/&ved=2ahUKEwj5xM-jvtXuAhVN63MBHR_mAWkQFjADegQIMBAE&usg=AOvVaw2vad_QBkuwN2JMU4mrcdG7
4. American academy of sleep medicine website. Insomnia- overview and facts. Sleepeducation. Org// essentials- in -sleep/ insomnia. Updated march 4, 2015. Accessed April 9,2020. https://medlineplus.gov/ency/patientinstructions/000757.html
5. Miner, b, &kryger, M.H(2017). Sleep in the aging population sleep medicine clinics,12(1), 31-38.https/doi.org/ 10.1016/ j. jsmc 2016. 10.008.https://www.sleepfoundation.org/aging-and-sleep#:~:text=Conditions%20that%20commonly%20affect%20sleep,and%20pain%2C%20such%20as%20arthritis.&text=Sleep%20issues%20may%20also%20be,five%20or%20more%20medications.
6. According to census 2011 by 2026 expected grow elderly in India 2016 the ministry of social justice and empowerment. https://www.amtamassage.org/find-massage-therapist/25-reasons-to-get-a-mass
7. British medical research charity 1968 as the national back pain association (256751).https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiz6dDt9sHzAhXBzDgGHdeVBaEQFnoECBkQAQ&usg=AOvVaw2c5enwHwaPnBjKszod6rux&cshid=1633940632483
8. An elderly woman at a ringing cedars settlement in Russia. Wikipedia ageing.https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/Old_age&ved=2ahUKEwiM-6mrttXuAhWryjgGHbogAGkQFjAJegQILhAB&usg=AOvVaw2 _mPB_c7yzS9OpzdYWN9DN&cshid=1612620433277
9. Melinda smith, M.A, lawreneerabinson, last updated 2020, sleep disorder and problem.https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.helpguide.org/articles/sleep/sleep-disorders-and-problems.htm&ved=2ahUKEwjYutSvre7uAhU9xjgGHdKs CBUQFjAZegQIFxAH&usg=AOvVaw3WceVjK4pdsfeX_COHbd2t&cshid=1613476894955
10. 2021 edition 1968, as the national back pain association, 2010, charity times awards 2011 https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiZ9pzTqu7uAhVl4XMBHS1HAmUQFjABegQIAhAE&usg=AOvVaw2c5enwHwaPnBjKszod6rux

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[if 424 not_equal=”Regular Issue”] Regular Issue[/if 424] Open Access Article

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International Journal of Geriatric Nursing

ISSN: 2581-9062

Editors Overview

ijgn maintains an Editorial Board of practicing researchers from around the world, to ensure manuscripts are handled by editors who are experts in the field of study.

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    Nickson Das, Sharma khushbu, Parmar Meet, Patel Devansh, Parera Ripal, Patel Janvi, Pathan Muskan, Muniya Nehal

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  1. Assistant Professor, Student,HOD Fundamentals of Nursing Department, Dinsha Patel College of Nursing, Nadiad, Kheda District,, Dinsha Patel College of Nursing, Nadiad, Kheda District,Gujarat, Gujarat,India, India
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Abstract

nIntroduction- Sleep is a condition of body and mind that recurs for several hours every night in which the sympathetic and parasympathetic system is relatively inactive, that eyes closed, the postural muscles relaxed, and consciousness practically sling. Back care was formed in 1968 as national back pain association. Back care is registered charity that aims to reduce encumbrance of back pain by providing information and support. Encouraging best practises and providing research funding. Cleaning and massaging the back while paying close attention to pressure points is known as back care. A back massage in particular comforts and soothes the client, promoting skin stimulation and emotional relaxation. Aim: The purpose of the current study is to evaluate how back treatment affects older patients’ sleep quality and their sleeping habits. • To evaluate the impact and developments of geriatric back care. • To ascertain the relationship between back care practises and sleep quality. Objective: (1) to assess the sleeping pattern among geriatric people of Nadiad city. (2) To assess the effectiveness of the back care among geriatric of Nadiad city. (3) To find out the association of the quality of sleep with demographic variables among geriatric people of Nadiad city. (4) To find out the comparison between experimental group and control group on quality of sleep among geriatric people of Nadiad city. (5) To find out the association between experimental group and control group on quality of sleep among geriatric people of Nadiad city. Methodology: Quantitative Research (Design) Quasi experimental control group design. The physical, social, and cultural location where the study is being conducted might be considered the research context. In quantitative research, meaning making is primarily the emphasis, and participants are observed in their natural environments. The samples are chosen from the city of Nadiad. The number of individuals or observations included in a study is referred to as the sample size. The sample size for the study was 30 experimental group and 30 control group of Nadiad city. Prior to data collection written setting permission obtain from CDHO (Chief District Health Officer) of Kheda district, for the data collection researcher were selected to areas of Nadiad city which were namely mission road and ST Nagar, Nadiad. The total sample size was 60 samples. The tool consists following section-01 Socio demographic variable, section-02 checklist, section-03 Pittsburgh sleep quality Index. Results: Out of 60, 60 (100%) were belong age 60–65 (10.8%), 66–70 (24.3%), 71–75 (16.2%), 76–80 (29.7%), were females 7 (18.9%), male (18.9%), where married samples (37.8%), unmarried (5.4%), widow (37.8%), were social class of samples includes upper class (13.5%), upper middle class (29.7%), middle class (37.8%), where sleeping problem (10.8%), where physical activity (81.1%), bed time sleep (81.1%), night time walking, Yes (10.8%), No (70.3%), some factorsaffect sleep (81.1%), where medical disorder (81.1%). Conclusion: The current study’s objective is to evaluate the impact of back care on geriatric residents of Nadiad city’s sleep quality. The study’s pre-experimental pre-test post-test group design included 60 samples, which were chosen using a practical sampling technique. The content validity and reliability of the tool was done, which suggested that the tool was reliable, the pilot study was conducted among 5 samples and the feasibility of the study was established. Based on the objectives, the data analysis was done by calculating the mean, percentage, standard deviation, Mann-Whitney and t-test. Result revealed that an average assessment of sleep quality before back care was effective back care in geriatric people. This suggests that back treatment is significantly effective in raising senior patients’ sleep quality.n

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Keywords: Rapid Eye Movement, Chief District Health Officer, t-test: hypothesis test, statistic, Quasi: Partly , Mean: Average

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References

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1. Dictionary Oxford languages sleep. https://www.google.com/search?client=ms-android oppo&q=What+is+sleep+definition&sa=X&ved=2ahUKEwiVg7nvutXuAhU4ILcAHcDrA_IQ1QIwGXoECBQQAQ&cshid=1612621617385&biw=360&bih=628&dpr=2
2. 2021 edition 1968, as the national back pain association, 2010, charity times awards 2011 https://www.google.com/url sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiZ9pzTqu7uAhVl4XMBHS1HAmUQFjABegQIAhAE&usg=AOvVaw2c5enwHwaPnBjKszod6rux
3. The importance of sleep for older adults, Frederick MD 21703 according to MaikenNedergaard M.D, D.MSC, co -director. https://www.google.com/url?sa=t&source=web&rct=j&url=https:// www.asbury.org/blog/sleep-benefits-for-seniors/&ved=2ahUKEwj5xM-jvtXuAhVN63MBHR_mAWkQFjADegQIMBAE&usg=AOvVaw2vad_QBkuwN2JMU4mrcdG7
4. American academy of sleep medicine website. Insomnia- overview and facts. Sleepeducation. Org// essentials- in -sleep/ insomnia. Updated march 4, 2015. Accessed April 9,2020. https://medlineplus.gov/ency/patientinstructions/000757.html
5. Miner, b, &kryger, M.H(2017). Sleep in the aging population sleep medicine clinics,12(1), 31-38.https/doi.org/ 10.1016/ j. jsmc 2016. 10.008.https://www.sleepfoundation.org/aging-and-sleep#:~:text=Conditions%20that%20commonly%20affect%20sleep,and%20pain%2C%20such%20as%20arthritis.&text=Sleep%20issues%20may%20also%20be,five%20or%20more%20medications.
6. According to census 2011 by 2026 expected grow elderly in India 2016 the ministry of social justice and empowerment. https://www.amtamassage.org/find-massage-therapist/25-reasons-to-get-a-mass
7. British medical research charity 1968 as the national back pain association (256751).https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiz6dDt9sHzAhXBzDgGHdeVBaEQFnoECBkQAQ&usg=AOvVaw2c5enwHwaPnBjKszod6rux&cshid=1633940632483
8. An elderly woman at a ringing cedars settlement in Russia. Wikipedia ageing.https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/Old_age&ved=2ahUKEwiM-6mrttXuAhWryjgGHbogAGkQFjAJegQILhAB&usg=AOvVaw2 _mPB_c7yzS9OpzdYWN9DN&cshid=1612620433277
9. Melinda smith, M.A, lawreneerabinson, last updated 2020, sleep disorder and problem.https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.helpguide.org/articles/sleep/sleep-disorders-and-problems.htm&ved=2ahUKEwjYutSvre7uAhU9xjgGHdKs CBUQFjAZegQIFxAH&usg=AOvVaw3WceVjK4pdsfeX_COHbd2t&cshid=1613476894955
10. 2021 edition 1968, as the national back pain association, 2010, charity times awards 2011 https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiZ9pzTqu7uAhVl4XMBHS1HAmUQFjABegQIAhAE&usg=AOvVaw2c5enwHwaPnBjKszod6rux

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Volume 5
Issue 2
Received June 20, 2022
Accepted July 20, 2022
Published September 21, 2022

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Read More
IJGN

Geriatric Health Care In India: A Review

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u00a0Reena N, Nelson Jewas,

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With declines in fertility and increases in longevity, the population is aging and this trend is expected to continue throughout the next several decades. As a result of the number and diversity elders, there will be significant medical and social challenges which much be addressed in order to provide optimal care for the geriatric population. Medical challenges include increasing numbers of patients living with one or more chronic conditions. Socially, assessing health literacy and adjusting plans of care accordingly, optimizing living arrangements, and working to reduce poverty will be critical to improving the health and quality of life of elders.

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Volume :u00a0u00a05 | Issue :u00a0u00a01 | Received :u00a0u00a0May 21, 2022 | Accepted :u00a0u00a0May 24, 2022 | Published :u00a0u00a0May 26, 2022n[if 424 equals=”Regular Issue”][This article belongs to International Journal of Geriatric Nursing(ijgn)] [/if 424][if 424 equals=”Special Issue”][This article belongs to Special Issue Geriatric Health Care In India: A Review under section in International Journal of Geriatric Nursing(ijgn)] [/if 424]
Keywords Longevity, Geriatric population, Hypotension; Comorbidities, Coronary syndrome

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References

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1. Khan S, Itrat M. Current Issues in Geriatric Health Care in India-A Review. J Comm Med Health Care 2016; 1 (1): 1003–1006.
2. General R. Census Commissioner, India. Census of India. 2011; 2000.
3. Paul NS, Asirvatham M. Geriatric health policy in India: The need for scaling-up implementation. J Fam Med Prim Care 2016; 5: 242–7.
4. World Health Organization. World report on ageing and health. World Health Organization; 2015 (2): 22 141–3
5. Lena A, Ashok K, Padma M et al. Health and social problems of the elderly: A cross-sectional study in Udupi Taluk, Karnataka. Ind J Comm Med 2009; 34 (2): 131–4.
6. Kalyani R, Golden S, Cefalu W. Diabetes and Aging: Unique Considerations and Goals of Care. Diabetes Care 2017; 40 (4): 440–3.
7. Biswas B, Ganguly S, Dabkara D, Ghosh J, Srivastava P, Mehta P, Patel A, Bhethanabhotla S, Batra A, Pramanik R, Gupta VG. How we treat lung cancer during SARS-Cov-2 (COVID-19) pandemic in India?. Indian Journal of Medical and Paediatric Oncology. 2020 41 (02): 149–52.
8. Dhargave P, Sendhilkumar R. Prevalence of risk factors for falls among elderly people living in long-term care homes. J Clin Gerontol Geriatrics 2016; 7 (3): 99–103.
9. Vieira E, Palmer R, Chaves P. Prevention of falls in older people living in the community. BMJ 2016; i: 1419.
10. Miner B, Kryger M. Sleep in the Aging Population. Sleep Medicine Clinics 2017; 12 (1): 31–8.
11. Burnes D, Pillemer K, Caccamise P et al. Prevalence of and Risk Factors for Elder Abuse and Neglect in the Community: A Population-Based Study. J Am Geriatrics Soc 2015; 63 (9): 1906–12.
12. Velayutham B, Kangusamy B, Joshua V et al. The prevalence of disability in elderly in India – Analysis of 2011 census data. Disability and Health J 2016; 9 (4): 584–92.
13. Shraddha K, Prashantha B, Prakash B. Study on morbidity pattern among elderly in urban population of Mysore, Karnataka, India. Int J Med Bio Res 2012; 1 (3): 215–23.
14. Das SK, Biswas A, Roy J et al. Prevalence of major neurological disorders among geriatric population in the metropolitan city of Kolkata. JAPI 2008; 56: 175–81.
15. Mozaffarian D, Benjamin EJ, Go AS et al. On behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics–2016 update: a report from the American Heart Association. Circulation 2016; 133 (4): e38-e360.
16. Nilsson P. Blood pressure strategies and goals in elderly patients with hypertension. Experimental Gerontol 2017; 87: 151–2.
17. Sumantri S, Setiati S, Dewiasty E. relationship between metformin and frailty syndrome in elderly people with type 2 diabetes. Acta Medica Indonesia 2014; 46 (3): 183–8.
18. Aryana I, Kuswardhani R. Sarcopenia in Elderly. Int J Geriatrics Gerontol 2018; 2018 (01): 1–4.
19. Roque MV, Bouras EP. Epidemiology and management of chronic constipation in elderly patients. Clin Interventions Aging 2015; 10: 919–30.
20. Adhikari P. Geriatric health care in India-Unmet needs and the way forward. Arch Med Health Sci 2017; 5: 112–4
21. Nath A, Ingle G. Geriatric health in India: Concerns and solutions. Ind J Comm Med 2008; 33 (4): 214–9.
22. Mallath M, Taylor D, Badwe R et al. The growing burden of cancer in India: epidemiology and social context. The Lancet Oncology 2014; 15 (6): e205–12.
23. Hsu C, Best J, Davis J et al. Aerobic exercise promotes executive functions and impacts functional neural activity among older adults with vascular cognitive impairment. Br J Sports Med 2017; 52 (3): 184–91.
24. Shaw C, Wagg A. Urinary incontinence in older adults. Medicine 2017; 45 (1): 23–7.
25. Benign Prostatic Hyperplasia (BPH) Guideline – American Urological Association [Internet]. Auanet.org. 2019. Available from: https://www.auanet.org/guidelines/benign-prostatichyperplasia -(bph)-guideline#x8216.
26. Srinivasan S, Rudd K, Laiwala R et al. Managing Sleep in Older Adults with Neurocognitive Disorder: Non-Pharmacologic Approaches Across the Care Continuum. Am J Geriatric Psych 2018; 26 (3): S36.
27. Fried LP, Tangen CM, Walston J et al. Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001; 56 (3): M146–56.
28. Ofori-Asenso R, Chin K, Mazidi M et al. Global Incidence of Frailty and Prefrailty Among Community-Dwelling Older Adults. JAMA Network Open 2019; 2 (8): e198398.

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[if 424 not_equal=”Regular Issue”] Regular Issue[/if 424] Open Access Article

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International Journal of Geriatric Nursing

ISSN: 2581-9062

Editors Overview

ijgn maintains an Editorial Board of practicing researchers from around the world, to ensure manuscripts are handled by editors who are experts in the field of study.

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    Reena N, Nelson Jewas

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  1. PhD Scholar, Research Guide,Department of Nursing, Mansarovar Global University, Bhopal, Department of Nursing, Mansarovar Global University, Bhopal,Madhya Pradesh, Madhya Pradesh,India, India
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Abstract

nWith declines in fertility and increases in longevity, the population is aging and this trend is expected to continue throughout the next several decades. As a result of the number and diversity elders, there will be significant medical and social challenges which much be addressed in order to provide optimal care for the geriatric population. Medical challenges include increasing numbers of patients living with one or more chronic conditions. Socially, assessing health literacy and adjusting plans of care accordingly, optimizing living arrangements, and working to reduce poverty will be critical to improving the health and quality of life of elders.n

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Keywords: Longevity, Geriatric population, Hypotension; Comorbidities, Coronary syndrome

n[if 424 equals=”Regular Issue”][This article belongs to International Journal of Geriatric Nursing(ijgn)]

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References

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1. Khan S, Itrat M. Current Issues in Geriatric Health Care in India-A Review. J Comm Med Health Care 2016; 1 (1): 1003–1006.
2. General R. Census Commissioner, India. Census of India. 2011; 2000.
3. Paul NS, Asirvatham M. Geriatric health policy in India: The need for scaling-up implementation. J Fam Med Prim Care 2016; 5: 242–7.
4. World Health Organization. World report on ageing and health. World Health Organization; 2015 (2): 22 141–3
5. Lena A, Ashok K, Padma M et al. Health and social problems of the elderly: A cross-sectional study in Udupi Taluk, Karnataka. Ind J Comm Med 2009; 34 (2): 131–4.
6. Kalyani R, Golden S, Cefalu W. Diabetes and Aging: Unique Considerations and Goals of Care. Diabetes Care 2017; 40 (4): 440–3.
7. Biswas B, Ganguly S, Dabkara D, Ghosh J, Srivastava P, Mehta P, Patel A, Bhethanabhotla S, Batra A, Pramanik R, Gupta VG. How we treat lung cancer during SARS-Cov-2 (COVID-19) pandemic in India?. Indian Journal of Medical and Paediatric Oncology. 2020 41 (02): 149–52.
8. Dhargave P, Sendhilkumar R. Prevalence of risk factors for falls among elderly people living in long-term care homes. J Clin Gerontol Geriatrics 2016; 7 (3): 99–103.
9. Vieira E, Palmer R, Chaves P. Prevention of falls in older people living in the community. BMJ 2016; i: 1419.
10. Miner B, Kryger M. Sleep in the Aging Population. Sleep Medicine Clinics 2017; 12 (1): 31–8.
11. Burnes D, Pillemer K, Caccamise P et al. Prevalence of and Risk Factors for Elder Abuse and Neglect in the Community: A Population-Based Study. J Am Geriatrics Soc 2015; 63 (9): 1906–12.
12. Velayutham B, Kangusamy B, Joshua V et al. The prevalence of disability in elderly in India – Analysis of 2011 census data. Disability and Health J 2016; 9 (4): 584–92.
13. Shraddha K, Prashantha B, Prakash B. Study on morbidity pattern among elderly in urban population of Mysore, Karnataka, India. Int J Med Bio Res 2012; 1 (3): 215–23.
14. Das SK, Biswas A, Roy J et al. Prevalence of major neurological disorders among geriatric population in the metropolitan city of Kolkata. JAPI 2008; 56: 175–81.
15. Mozaffarian D, Benjamin EJ, Go AS et al. On behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics–2016 update: a report from the American Heart Association. Circulation 2016; 133 (4): e38-e360.
16. Nilsson P. Blood pressure strategies and goals in elderly patients with hypertension. Experimental Gerontol 2017; 87: 151–2.
17. Sumantri S, Setiati S, Dewiasty E. relationship between metformin and frailty syndrome in elderly people with type 2 diabetes. Acta Medica Indonesia 2014; 46 (3): 183–8.
18. Aryana I, Kuswardhani R. Sarcopenia in Elderly. Int J Geriatrics Gerontol 2018; 2018 (01): 1–4.
19. Roque MV, Bouras EP. Epidemiology and management of chronic constipation in elderly patients. Clin Interventions Aging 2015; 10: 919–30.
20. Adhikari P. Geriatric health care in India-Unmet needs and the way forward. Arch Med Health Sci 2017; 5: 112–4
21. Nath A, Ingle G. Geriatric health in India: Concerns and solutions. Ind J Comm Med 2008; 33 (4): 214–9.
22. Mallath M, Taylor D, Badwe R et al. The growing burden of cancer in India: epidemiology and social context. The Lancet Oncology 2014; 15 (6): e205–12.
23. Hsu C, Best J, Davis J et al. Aerobic exercise promotes executive functions and impacts functional neural activity among older adults with vascular cognitive impairment. Br J Sports Med 2017; 52 (3): 184–91.
24. Shaw C, Wagg A. Urinary incontinence in older adults. Medicine 2017; 45 (1): 23–7.
25. Benign Prostatic Hyperplasia (BPH) Guideline – American Urological Association [Internet]. Auanet.org. 2019. Available from: https://www.auanet.org/guidelines/benign-prostatichyperplasia -(bph)-guideline#x8216.
26. Srinivasan S, Rudd K, Laiwala R et al. Managing Sleep in Older Adults with Neurocognitive Disorder: Non-Pharmacologic Approaches Across the Care Continuum. Am J Geriatric Psych 2018; 26 (3): S36.
27. Fried LP, Tangen CM, Walston J et al. Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001; 56 (3): M146–56.
28. Ofori-Asenso R, Chin K, Mazidi M et al. Global Incidence of Frailty and Prefrailty Among Community-Dwelling Older Adults. JAMA Network Open 2019; 2 (8): e198398.

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Volume 5
Issue 1
Received May 21, 2022
Accepted May 24, 2022
Published May 26, 2022

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IJGN

An Interventional Study to Assess the Effect of Back Care on Quality of Sleep among Geriatric People of Nadiad City

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u00a0Nickson Das, Sharma khushbu, Parmar Meet, Patel Devanshi, Parera Ripal, Patel Janvi, Pathan Muskan, Muniya Nehal,

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nJanuary 10, 2023 at 5:08 am

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Introduction: Sleep is a condition of body and mind that recurs for several hours every night in which the sympathetic and parasympathetic system is relatively inactive, that eyes closed, the postural muscles relaxed, and consciousness practically sling. Back care was formed in 1968 as national back pain association. Back care is registered charity that aims to reduce encumbrance of back pain by providing information and support. Encouraging best practises and providing research funding. Cleaning and massaging the back while paying close attention to pressure points is known as back care. A back massage in particular comforts and soothes the client, promoting skin stimulation and emotional relaxation. Aim: The purpose of the current study is to evaluate how back treatment affects older patients’ sleep quality and their sleeping habits. • To evaluate the impact and developments of geriatric back care. • To ascertain the relationship between back care practises and sleep quality. Objective: (1) to assess the sleeping pattern among geriatric people of Nadiad city. (2) To assess the effectiveness of the back care among geriatric of Nadiad city. (3) To find out the association of the quality of sleep with demographic variables among geriatric people of Nadiad city. (4) To find out the comparison between experimental group and control group on quality of sleep among geriatric people of Nadiad city. (5) To find out the association between experimental group and control group on quality of sleep among geriatric people of Nadiad city. Methodology: Quantitative Research (Design) Quasi experimental control group design. The physical, social, and cultural location where the study is being conducted might be considered the research context. In quantitative research, meaning making is primarily the emphasis, and participants are observed in their natural environments. The samples are chosen from the city of Nadiad. The number of individuals or observations included in a study is referred to as the sample size. The sample size for the study was 30 experimental group and 30 control group of Nadiad city. Prior to data collection written setting permission obtain from CDHO (Chief District Health Officer) of Kheda district, for the data collection researcher were selected to areas of Nadiad city which were namely mission road and ST Nagar, Nadiad. The total sample size was 60 samples. The tool consists following section-01 Socio demographic variable, section-02 checklist, section-03 Pittsburgh sleep quality Index. Results: Out of 60, 60 (100%) were belong age 60–65 (10.8%), 66–70 (24.3%), 71–75 (16.2%), 76–80 (29.7%), were females 7 (18.9%), male (18.9%), where married samples (37.8%), unmarried (5.4%), widow (37.8%), were social class of samples includes upper class (13.5%), upper middle class (29.7%), middle class (37.8%), where sleeping problem (10.8%), where physical activity (81.1%), bed time sleep (81.1%), night time walking, Yes (10.8%), No (70.3%), some factorsaffect sleep (81.1%), where medical disorder (81.1%). Conclusion: The current study’s objective is to evaluate the impact of back care on geriatric residents of Nadiad city’s sleep quality. The study’s pre-experimental pre-test post-test group design included 60 samples, which were chosen using a practical sampling technique. The content validity and reliability of the tool was done, which suggested that the tool was reliable, the pilot study was conducted among 5 samples and the feasibility of the study was established. Based on the objectives, the data analysis was done by calculating the mean, percentage, standard deviation, Mann-Whitney and t-test. Result revealed that an average assessment of sleep quality before back care was effective back care in geriatric people. This suggests that back treatment is significantly effective in raising senior patients’ sleep quality.

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Volume :u00a0u00a05 | Issue :u00a0u00a02 | Received :u00a0u00a0June 20, 2022 | Accepted :u00a0u00a0June 20, 2020 | Published :u00a0u00a0September 21, 2022n[if 424 equals=”Regular Issue”][This article belongs to International Journal of Geriatric Nursing(ijgn)] [/if 424][if 424 equals=”Special Issue”][This article belongs to Special Issue An Interventional Study to Assess the Effect of Back Care on Quality of Sleep among Geriatric People of Nadiad City under section in International Journal of Geriatric Nursing(ijgn)] [/if 424]
Keywords Rapid Eye Movement, Chief District Health Officer, t-test: hypothesis test, statistic, Quasi: Partly, Mean: Average

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1. Dictionary Oxford languages sleep. https://www.google.com/search?client=ms-android-oppo&q=What+is+sleep+definition&sa=X&ved=2ahUKEwiVg7nvutXuAhU4ILcAHcDrA_IQ1QIwGXoECBQQAQ&cshid=1612621617385&biw=360&bih=628&dpr=2
2. 2021 edition 1968, as the national back pain association, 2010, charity times awards 2011 https://www.google.com/url sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiZ9pzTqu7uAhVl4XMBHS1HAmUQFjABegQIAhAE&usg=AOvVaw2c5enwHwaPnBjKszod6rux
3. The importance of sleep for older adults, Frederick MD 21703 according to MaikenNedergaard M.D, D.MSC, co -director. https://www.google.com/url?sa=t&source=web&rct=j&url=https:// www.asbury.org/blog/sleep-benefits-for-seniors/&ved=2ahUKEwj5xM-jvtXuAhVN63MBHR_mAWkQFjADegQIMBAE&usg=AOvVaw2vad_QBkuwN2JMU4mrcdG7
4. American academy of sleep medicine website. Insomnia- overview and facts. Sleepeducation. Org// essentials- in -sleep/ insomnia. Updated march 4, 2015. Accessed April 9,2020. https://medlineplus.gov/ency/patientinstructions/000757.html
5. Miner, b, &kryger, M.H(2017). Sleep in the aging population sleep medicine clinics,12(1), 31-38.https/doi.org/ 10.1016/ j. jsmc 2016. 10.008.https://www.sleepfoundation.org/aging-and-sleep#:~:text=Conditions%20that%20commonly%20affect%20sleep,and%20pain%2C%20such%20as%20arthritis.&text=Sleep%20issues%20may%20also%20be,five%20or%20more%20medications.
6. According to census 2011 by 2026 expected grow elderly in India 2016 the ministry of social justice and empowerment. https://www.amtamassage.org/find-massage-therapist/25-reasons-to-get-a-mass
7. British medical research charity 1968 as the national back pain association (256751).https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiz6dDt9sHzAhXBzDgGHdeVBaEQFnoECBkQAQ&usg=AOvVaw2c5enwHwaPnBjKszod6rux&cshid=1633940632483
8. An elderly woman at a ringing cedars settlement in Russia. Wikipedia ageing.https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/Old_age&ved=2ahUKEwiM-6mrttXuAhWryjgGHbogAGkQFjAJegQILhAB&usg=AOvVaw2 _mPB_c7yzS9OpzdYWN9DN&cshid=1612620433277
9. Melinda smith, M.A, lawreneerabinson, last updated 2020, sleep disorder and problem.https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.helpguide.org/articles/sleep/sleep-disorders-and-problems.htm&ved=2ahUKEwjYutSvre7uAhU9xjgGHdKs CBUQFjAZegQIFxAH&usg=AOvVaw3WceVjK4pdsfeX_COHbd2t&cshid=1613476894955
10. 2021 edition 1968, as the national back pain association, 2010, charity times awards 2011 https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiZ9pzTqu7uAhVl4XMBHS1HAmUQFjABegQIAhAE&usg=AOvVaw2c5enwHwaPnBjKszod6rux

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ISSN: 2581-9062

Editors Overview

ijgn maintains an Editorial Board of practicing researchers from around the world, to ensure manuscripts are handled by editors who are experts in the field of study.

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    Nickson Das, Sharma khushbu, Parmar Meet, Patel Devanshi, Parera Ripal, Patel Janvi, Pathan Muskan, Muniya Nehal

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  1. Assistant Professor,HOD, Student, Student, Student, Student, Student, Student, Student,Fundamentals of Nursing Department, Dinsha Patel College of Nursing, Nadiad, Kheda District, Dinsha Patel College of Nursing, Nadiad, Kheda District, Dinsha Patel College of Nursing, Nadiad, Kheda District, Dinsha Patel College of Nursing, Nadiad, Kheda District, Dinsha Patel College of Nursing, Nadiad, Kheda District, Dinsha Patel College of Nursing, Nadiad, Kheda District, Dinsha Patel College of Nursing, Nadiad, Kheda District, Dinsha Patel College of Nursing, Nadiad, Kheda District,Gujarat, Gujarat, Gujarat, Gujarat, Gujarat, Gujarat, Gujarat, Gujarat,India, India, India, India, India, India, India, India
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nIntroduction: Sleep is a condition of body and mind that recurs for several hours every night in which the sympathetic and parasympathetic system is relatively inactive, that eyes closed, the postural muscles relaxed, and consciousness practically sling. Back care was formed in 1968 as national back pain association. Back care is registered charity that aims to reduce encumbrance of back pain by providing information and support. Encouraging best practises and providing research funding. Cleaning and massaging the back while paying close attention to pressure points is known as back care. A back massage in particular comforts and soothes the client, promoting skin stimulation and emotional relaxation. Aim: The purpose of the current study is to evaluate how back treatment affects older patients’ sleep quality and their sleeping habits. • To evaluate the impact and developments of geriatric back care. • To ascertain the relationship between back care practises and sleep quality. Objective: (1) to assess the sleeping pattern among geriatric people of Nadiad city. (2) To assess the effectiveness of the back care among geriatric of Nadiad city. (3) To find out the association of the quality of sleep with demographic variables among geriatric people of Nadiad city. (4) To find out the comparison between experimental group and control group on quality of sleep among geriatric people of Nadiad city. (5) To find out the association between experimental group and control group on quality of sleep among geriatric people of Nadiad city. Methodology: Quantitative Research (Design) Quasi experimental control group design. The physical, social, and cultural location where the study is being conducted might be considered the research context. In quantitative research, meaning making is primarily the emphasis, and participants are observed in their natural environments. The samples are chosen from the city of Nadiad. The number of individuals or observations included in a study is referred to as the sample size. The sample size for the study was 30 experimental group and 30 control group of Nadiad city. Prior to data collection written setting permission obtain from CDHO (Chief District Health Officer) of Kheda district, for the data collection researcher were selected to areas of Nadiad city which were namely mission road and ST Nagar, Nadiad. The total sample size was 60 samples. The tool consists following section-01 Socio demographic variable, section-02 checklist, section-03 Pittsburgh sleep quality Index. Results: Out of 60, 60 (100%) were belong age 60–65 (10.8%), 66–70 (24.3%), 71–75 (16.2%), 76–80 (29.7%), were females 7 (18.9%), male (18.9%), where married samples (37.8%), unmarried (5.4%), widow (37.8%), were social class of samples includes upper class (13.5%), upper middle class (29.7%), middle class (37.8%), where sleeping problem (10.8%), where physical activity (81.1%), bed time sleep (81.1%), night time walking, Yes (10.8%), No (70.3%), some factorsaffect sleep (81.1%), where medical disorder (81.1%). Conclusion: The current study’s objective is to evaluate the impact of back care on geriatric residents of Nadiad city’s sleep quality. The study’s pre-experimental pre-test post-test group design included 60 samples, which were chosen using a practical sampling technique. The content validity and reliability of the tool was done, which suggested that the tool was reliable, the pilot study was conducted among 5 samples and the feasibility of the study was established. Based on the objectives, the data analysis was done by calculating the mean, percentage, standard deviation, Mann-Whitney and t-test. Result revealed that an average assessment of sleep quality before back care was effective back care in geriatric people. This suggests that back treatment is significantly effective in raising senior patients’ sleep quality.n

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Keywords: Rapid Eye Movement, Chief District Health Officer, t-test: hypothesis test, statistic, Quasi: Partly, Mean: Average

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1. Dictionary Oxford languages sleep. https://www.google.com/search?client=ms-android-oppo&q=What+is+sleep+definition&sa=X&ved=2ahUKEwiVg7nvutXuAhU4ILcAHcDrA_IQ1QIwGXoECBQQAQ&cshid=1612621617385&biw=360&bih=628&dpr=2
2. 2021 edition 1968, as the national back pain association, 2010, charity times awards 2011 https://www.google.com/url sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiZ9pzTqu7uAhVl4XMBHS1HAmUQFjABegQIAhAE&usg=AOvVaw2c5enwHwaPnBjKszod6rux
3. The importance of sleep for older adults, Frederick MD 21703 according to MaikenNedergaard M.D, D.MSC, co -director. https://www.google.com/url?sa=t&source=web&rct=j&url=https:// www.asbury.org/blog/sleep-benefits-for-seniors/&ved=2ahUKEwj5xM-jvtXuAhVN63MBHR_mAWkQFjADegQIMBAE&usg=AOvVaw2vad_QBkuwN2JMU4mrcdG7
4. American academy of sleep medicine website. Insomnia- overview and facts. Sleepeducation. Org// essentials- in -sleep/ insomnia. Updated march 4, 2015. Accessed April 9,2020. https://medlineplus.gov/ency/patientinstructions/000757.html
5. Miner, b, &kryger, M.H(2017). Sleep in the aging population sleep medicine clinics,12(1), 31-38.https/doi.org/ 10.1016/ j. jsmc 2016. 10.008.https://www.sleepfoundation.org/aging-and-sleep#:~:text=Conditions%20that%20commonly%20affect%20sleep,and%20pain%2C%20such%20as%20arthritis.&text=Sleep%20issues%20may%20also%20be,five%20or%20more%20medications.
6. According to census 2011 by 2026 expected grow elderly in India 2016 the ministry of social justice and empowerment. https://www.amtamassage.org/find-massage-therapist/25-reasons-to-get-a-mass
7. British medical research charity 1968 as the national back pain association (256751).https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiz6dDt9sHzAhXBzDgGHdeVBaEQFnoECBkQAQ&usg=AOvVaw2c5enwHwaPnBjKszod6rux&cshid=1633940632483
8. An elderly woman at a ringing cedars settlement in Russia. Wikipedia ageing.https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/Old_age&ved=2ahUKEwiM-6mrttXuAhWryjgGHbogAGkQFjAJegQILhAB&usg=AOvVaw2 _mPB_c7yzS9OpzdYWN9DN&cshid=1612620433277
9. Melinda smith, M.A, lawreneerabinson, last updated 2020, sleep disorder and problem.https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.helpguide.org/articles/sleep/sleep-disorders-and-problems.htm&ved=2ahUKEwjYutSvre7uAhU9xjgGHdKs CBUQFjAZegQIFxAH&usg=AOvVaw3WceVjK4pdsfeX_COHbd2t&cshid=1613476894955
10. 2021 edition 1968, as the national back pain association, 2010, charity times awards 2011 https://www.google.com/url?sa=t&source=web&rct=j&url=https://en.m.wikipedia.org/wiki/BackCare&ved=2ahUKEwiZ9pzTqu7uAhVl4XMBHS1HAmUQFjABegQIAhAE&usg=AOvVaw2c5enwHwaPnBjKszod6rux

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Volume 5
Issue 2
Received June 20, 2022
Accepted June 20, 2020
Published September 21, 2022

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End of Life Care of Elderly – The Neglected Counterpart in Indian Context

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The modern health care strives to promote optimum health and wellbeing with special emphasis to geriatric population but the End-of-Life Care for elderly remains obscure with limited research evidence pertaining to ageing population. The term often revolves around cancer patients in the palliative dimension. End of life care for elderly in the Indian context with its unique social, cultural, economic, and legal complexities have not been adequately explored. The spiritual socio-cultural, economic, and care perspectives are important to address when the health care spectrum is becoming more concerned about the growing population of elderly. An overview of the possible challenges and specific strategies to deal with this issue can empower nurses and other health care professional to perceive the depth of situation. How to overcome these challenges and barrier of End-of-Life care is that the health care professionals must prepare the patient and family well in advance by instituting measures like, truthful communication, financial and legal advices, safeguarding the values and preferences and acknowledging autonomy in decision making. Death and dying of elderly, conceived in perspectives of Indian cultures is explained in this review

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Volume :u00a0u00a04 | Issue :u00a0u00a02 | Received :u00a0u00a0September 20, 2021 | Accepted :u00a0u00a0October 3, 2021 | Published :u00a0u00a0October 30, 2021n[if 424 equals=”Regular Issue”][This article belongs to International Journal of Geriatric Nursing(ijgn)] [/if 424][if 424 equals=”Special Issue”][This article belongs to Special Issue End of Life Care of Elderly – The Neglected Counterpart in Indian Context under section in International Journal of Geriatric Nursing(ijgn)] [/if 424]
Keywords End of Life care, Elderly, Legitimacy, Meditation, Non-maleficence

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1. Naik B, Biradar S. End-of-life care policy: An integrated care plan for the dying. Indian Journal of Critical Care Medicine. 2015 Apr 1;19(4):240.
2. Sharma H, Jagdish V, Anusha P, Bharti S. End-of-life care: Indian perspective. Indian Journal of Psychiatry. 2013 Jan;55(Suppl 2):S293.
3. Macaden SC, Salins N, Muckaden M, Kulkarni P, Joad A, Nirabhawane V, Simha S. End of life care policy for the dying: Consensus position statement of Indian Association of Palliative Care. Indian journal of palliative care. 2014 Sep;20(3):171.
4. Jayaram R, Ramakrishnan N. Cost of intensive care in India. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine. 2008 Apr;12(2):55.
5. Angus DC, Barnato AE, Linde-Zwirble WT, Weissfeld LA, Watson RS, Rickert T, et al. Use of intensive care at the end of life in the United States: An epidemiologic study. Crit Care Med 2004;32:638-43.
6. Kapadia F, Singh M, Divatia J, Vaidyanathan P, Udwadia FE, Raisinghaney SJ, et al. Limitation and withdrawal of intensive therapy at the end of life: Practices in intensive care units in Mumbai, India. Crit Care Med 2005;33:1272-5
7. Chaturvedi SK. Spiritual issues at end of life. Indian J Palliat Care 2007;13:48 52. Available from: http://www.jpalliativecare.com/text. asp?2007/13/2/48/38899. [Last cited 2012 Jun 28].
8. Firth S. End of life: A Hindu view. Lancet 2005; 366:682 6.
9. Bauer Wu S, Barrett R, Yeager K. Spiritual perspectives and practices at the end of life: A review of the major world religions and application to palliative care. Indian J Palliat Care 2007;13:53 8.
10. Srivastava V. Euthanasia: a regional perspective. Annals of neurosciences. 2014 Jul;21(3):81.
11. Narayanasamy A. Palliative care and spirituality. Indian J Palliat Care 2007;13:32 41.
12. Gielen J, Broeckaert B. End of life ethics in a Hindu context: An analysis of the difficulties related to the determination of the Hindu attitude. Eur J Palliat Care, Abstracts of the tenth congress of the EAPC 2007;153
13. Bullock K. The influence of culture on end-of-life decision making. Journal of social work in end-of-life & palliative care. 2011 Feb 28;7(1):83-98.
14. Firth S. End of life: A Hindu view. Lancet. 2005;366:682–6.
15. Bülow HH, Sprung CL, Reinhart K, Prayag S, Du B, Armaganidis A, et al.The world’s major religions’ points of view on end-of-life decisions in the intensive care unit. Intensive Care Med. 2008;34:423–30.
16. Kamaka ML. Designing a cultural competency curriculum: asking the stakeholders. Hawaii medical journal. 2010 Jun;69(6 Suppl 3):31.
17. Tjernberg J, Bökberg C. Older persons’ thoughts about death and dying and their experiences of care in end-of-life: a qualitative study. BMC nursing. 2020 Dec;19(1):1-0.
18. Sprung CL, Woodcock T, Sjokvist P, Ricou B, Bulow HH, Lippert A, et al. Reasons, considerations, difficulties and documentation of end-of-life decisions in European intensive care units: The Ethicus Study. Intensive Care Med. 2008;34:271–7.
19. Mani RK, Amin P, Chawla R, Divatia JV, Kapadia F, Khilnani P, et al. ISCCM position statement: Limiting life-prolonging interventions and providing palliative care towards the end of life in Indian intensive care units. Indian J Crit Care Med. 2005;9:96–107.
20. Mani RK. End of life care in India. Intensive Care Med. 2006;32:1066–8.
21. Barnett VT, Aurora VK. Physician beliefs and practices regarding end of life care in India. Indian J Crit Care Med. 2008;12:109–15.
22. Economist Intelligence Unit.Commissioned by LIEN Foundation. The quality of death: ranking end of life care across the world.
23. Curtis JR, Vincent JL. Ethics and end-of-life care for adults in the intensive care unit. The lancet. 2010 Oct 16;376(9749):1347-53.
24. Sharma H, Jagdish V, Anusha P, Bharti S. End-of-life care: Indian perspective. Indian Journal of Psychiatry. 2013 Jan;55(Suppl 2):S293.
25. Mani RK, Amin P, Chawla R, Divatia JV, Kapadia F, Khilnani P, Myatra SN, Prayag S, Rajagopalan R, Todi SK, Uttam R. Guidelines for end-of-life and palliative care in Indian intensive care units: ISCCM consensus Ethical Position Statement. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine. 2012 Jul;16(3):166.
26. Novak B, Kolcaba K, Steiner R, Dowd T. Measuring comfort in caregivers and patients during late end-of-life care. American Journal of Hospice and Palliative Medicine®. 2001 May;18(3):170-80.

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[if 424 not_equal=”Regular Issue”] Regular Issue[/if 424] Open Access Article

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International Journal of Geriatric Nursing

ISSN: 2581-9062

Editors Overview

ijgn maintains an Editorial Board of practicing researchers from around the world, to ensure manuscripts are handled by editors who are experts in the field of study.

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    Namitha Subrahmanyam, Isha M. Aboobacker

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  1. Professor, Assistant Professor,Department of Obstetrics and Gynecology, Malankara Orthodox Syrian Church (M.O.S.C.) College of Nursing, Kolenchery, Kochi, Department of Medical Surgical Nursing, Malankara Orthodox Syrian Church (M.O.S.C.) College of Nursing, Kolenchery, Kochi,Kerala, Kerala,India, India
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Abstract

nThe modern health care strives to promote optimum health and wellbeing with special emphasis to geriatric population but the End-of-Life Care for elderly remains obscure with limited research evidence pertaining to ageing population. The term often revolves around cancer patients in the palliative dimension. End of life care for elderly in the Indian context with its unique social, cultural, economic, and legal complexities have not been adequately explored. The spiritual socio-cultural, economic, and care perspectives are important to address when the health care spectrum is becoming more concerned about the growing population of elderly. An overview of the possible challenges and specific strategies to deal with this issue can empower nurses and other health care professional to perceive the depth of situation. How to overcome these challenges and barrier of End-of-Life care is that the health care professionals must prepare the patient and family well in advance by instituting measures like, truthful communication, financial and legal advices, safeguarding the values and preferences and acknowledging autonomy in decision making. Death and dying of elderly, conceived in perspectives of Indian cultures is explained in this reviewn

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Keywords: End of Life care, Elderly, Legitimacy, Meditation, Non-maleficence

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Full Text

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References

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1. Naik B, Biradar S. End-of-life care policy: An integrated care plan for the dying. Indian Journal of Critical Care Medicine. 2015 Apr 1;19(4):240.
2. Sharma H, Jagdish V, Anusha P, Bharti S. End-of-life care: Indian perspective. Indian Journal of Psychiatry. 2013 Jan;55(Suppl 2):S293.
3. Macaden SC, Salins N, Muckaden M, Kulkarni P, Joad A, Nirabhawane V, Simha S. End of life care policy for the dying: Consensus position statement of Indian Association of Palliative Care. Indian journal of palliative care. 2014 Sep;20(3):171.
4. Jayaram R, Ramakrishnan N. Cost of intensive care in India. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine. 2008 Apr;12(2):55.
5. Angus DC, Barnato AE, Linde-Zwirble WT, Weissfeld LA, Watson RS, Rickert T, et al. Use of intensive care at the end of life in the United States: An epidemiologic study. Crit Care Med 2004;32:638-43.
6. Kapadia F, Singh M, Divatia J, Vaidyanathan P, Udwadia FE, Raisinghaney SJ, et al. Limitation and withdrawal of intensive therapy at the end of life: Practices in intensive care units in Mumbai, India. Crit Care Med 2005;33:1272-5
7. Chaturvedi SK. Spiritual issues at end of life. Indian J Palliat Care 2007;13:48 52. Available from: http://www.jpalliativecare.com/text. asp?2007/13/2/48/38899. [Last cited 2012 Jun 28].
8. Firth S. End of life: A Hindu view. Lancet 2005; 366:682 6.
9. Bauer Wu S, Barrett R, Yeager K. Spiritual perspectives and practices at the end of life: A review of the major world religions and application to palliative care. Indian J Palliat Care 2007;13:53 8.
10. Srivastava V. Euthanasia: a regional perspective. Annals of neurosciences. 2014 Jul;21(3):81.
11. Narayanasamy A. Palliative care and spirituality. Indian J Palliat Care 2007;13:32 41.
12. Gielen J, Broeckaert B. End of life ethics in a Hindu context: An analysis of the difficulties related to the determination of the Hindu attitude. Eur J Palliat Care, Abstracts of the tenth congress of the EAPC 2007;153
13. Bullock K. The influence of culture on end-of-life decision making. Journal of social work in end-of-life & palliative care. 2011 Feb 28;7(1):83-98.
14. Firth S. End of life: A Hindu view. Lancet. 2005;366:682–6.
15. Bülow HH, Sprung CL, Reinhart K, Prayag S, Du B, Armaganidis A, et al.The world’s major religions’ points of view on end-of-life decisions in the intensive care unit. Intensive Care Med. 2008;34:423–30.
16. Kamaka ML. Designing a cultural competency curriculum: asking the stakeholders. Hawaii medical journal. 2010 Jun;69(6 Suppl 3):31.
17. Tjernberg J, Bökberg C. Older persons’ thoughts about death and dying and their experiences of care in end-of-life: a qualitative study. BMC nursing. 2020 Dec;19(1):1-0.
18. Sprung CL, Woodcock T, Sjokvist P, Ricou B, Bulow HH, Lippert A, et al. Reasons, considerations, difficulties and documentation of end-of-life decisions in European intensive care units: The Ethicus Study. Intensive Care Med. 2008;34:271–7.
19. Mani RK, Amin P, Chawla R, Divatia JV, Kapadia F, Khilnani P, et al. ISCCM position statement: Limiting life-prolonging interventions and providing palliative care towards the end of life in Indian intensive care units. Indian J Crit Care Med. 2005;9:96–107.
20. Mani RK. End of life care in India. Intensive Care Med. 2006;32:1066–8.
21. Barnett VT, Aurora VK. Physician beliefs and practices regarding end of life care in India. Indian J Crit Care Med. 2008;12:109–15.
22. Economist Intelligence Unit.Commissioned by LIEN Foundation. The quality of death: ranking end of life care across the world.
23. Curtis JR, Vincent JL. Ethics and end-of-life care for adults in the intensive care unit. The lancet. 2010 Oct 16;376(9749):1347-53.
24. Sharma H, Jagdish V, Anusha P, Bharti S. End-of-life care: Indian perspective. Indian Journal of Psychiatry. 2013 Jan;55(Suppl 2):S293.
25. Mani RK, Amin P, Chawla R, Divatia JV, Kapadia F, Khilnani P, Myatra SN, Prayag S, Rajagopalan R, Todi SK, Uttam R. Guidelines for end-of-life and palliative care in Indian intensive care units: ISCCM consensus Ethical Position Statement. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine. 2012 Jul;16(3):166.
26. Novak B, Kolcaba K, Steiner R, Dowd T. Measuring comfort in caregivers and patients during late end-of-life care. American Journal of Hospice and Palliative Medicine®. 2001 May;18(3):170-80.

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Regular Issue Open Access Article

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International Journal of Geriatric Nursing

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[if 344 not_equal=””]ISSN: 2581-9062[/if 344]

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Volume 4
Issue 2
Received September 20, 2021
Accepted October 3, 2021
Published October 30, 2021

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