In recent years, interest in satisfaction with love life (SWLL) has increased. Empirical evidence demonstrated that SWLL favors subjective well-being, physical and mental health, marital quality and stability. In this regard, the study aimed to examine evidence based on the internal structure validity, reliability, and measurement invariance of the Peruvian version of the Satisfaction with Love Life Scale (SWLLS). The participants were 323 older adults recruited from the region of San Martin (Peru) with an average age of 68.73 years (SD = 7.17). The sample comprised of 49.5% women and 50.5% men. The results supported the one-dimensional model and adequate reliability of the SWLLS. A multi-group analysis provided evidence of configural, metric, and scale invariance across genders. The findings verified the validity and reliability of the Peruvian version of the SWLLS, which can be used to measure SWLL. / Universidad del Norte

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Bakgrund: Sexualitet är en viktig del av att vara människa genom hela livet, trots detta ses sällan den äldre vuxna som en sexuell varelse. Forskning visar att sexualitet fortfarande är betydelsefullt hos äldre vuxna, trots detta så sjunker den sexuella aktiviteten med åldern. Det kan bero på kroppsliga hinder till sexuell hälsa där sjukvården kan hjälpa till. Att vårda den sexuella hälsan fungerar inte om det inte finns förståelse för begreppet sexualitet. Syfte: Att beskriva vårdpersonalens attityder och erfarenheter kring sexualitet hos äldre vuxna som vårdas på särskilt boende (SÄBO). Metod: Studien är en litteraturöversikt som analyserat tio artiklar av kvalitativ design. Resultat: Analysen gav ett resultat med två kategorier med två respektive tre underkategorier. Vårdpersonalens inre faktorer med underkategorierna; Fördomar som leder till obekväma känslor och Empati och öppenhet som bygger en stödjande roll. Vårdpersonalens yttre faktorer med underkategorierna; Familjen eller patienten, Den sjuka kroppens effekt och Boendestruktur, riktlinjer och ledning. Konklusion: För att beakta äldre vuxnas sexualitet krävs en personal som reflekterat över sin egna förförståelse av sexualitet för att eliminera fördomar. Det krävs också en ledning som stöttar och en verksamhet med tydliga riktlinjer. Detta bygger en miljö som är öppen och tillåtande, där sexuella frågor kan diskuteras. / Background: Sexuality is an important part of being human, through all ages. However, the older adult is rarely seen as a sexual being. Research shows that sexuality is still an important part of the older adult’s life, even if sexual activity drops with age. This can be related to problems with the ageing body, which healthcare can help with. To care for sexual health isn’t possible if there isn’t an understanding for the concept sexuality. Aim: To describe nursing staff’s experiences and attitudes towards sexuality in older adults in long term care. Method: The study is a literature review that analyzed ten articles with a qualitative design. Findings: The result contains two categories with two/three subcategories. Nursing staff’s inner factors with the subcategories; Prejudice that leads to uncomfortable feelings and Empathy and candidness that builds a supporting role. Nursing staff’s external factors with the subcategories; Family or patient, The effects of a sick body and Residential structure, guidelines and management. Conclusion: It takes a nursing staff that has reflected over their pre-understanding of sexuality to eliminate prejudice and be able to care för the older adult’s sexual health. It also requires a supportive management with clear guidelines. This will enable the topic of sexuality to be discussed.

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Objective: Chronic medical problems might amplify suicide risk in later life. Feelings of happiness may reduce this risk. We tested the hypothesis that happiness attenuates the association between number of self-reported chronic diseases and suicidal distress. Methods: A sample of 1,801 depressed, primary care patients, 60 years of age or older, entering a clinical trial, were assessed for the presence of positive emotion, suicidal distress and self-reported chronic medical problems. Results: Chronic medical problems are associated with suicide ideation and, as hypothesized, happiness attenuates the relationship between self-reported diseases and suicidal distress. Conclusions: Decreased risk for distressing thoughts of suicide in the context of medical illness is predicted by the presence of positive emotions. Our results suggest that treatments designed to help older primary care patients identify sources of joy and enhance happiness might decrease suicide risk.

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A Quality Improvement project to initiate the Confusion Assessment Method (CAM) delirium screening tool at a Skilled Nursing Facility and Rehabilitation Center in East Tennessee -- by S. Joseph Jadav, Doctor of Nursing Practice Candidate at East Tennessee State University. Purpose/Aims: The aim of this project is to implement a delirium screening protocol in a skilled nursing and rehabilitation facility which will aid in early detection of signs and symptoms of delirium in older adults. This early detection followed by an early intervention can help reduce costs and decrease mortality rates with better outcomes. Processes: A CAM screening is conducted on each patient (male & female) for delirium for a period of four weeks. Data collection will comprise of the number of patients assessed and the total number of positive and negative delirium cases. It was determined that the proposed activity is not research involving human subjects according to United States Department of Health and Human Services (DHHS) regulations by the university’s Institutional Review Board (IRB). Results: The project is currently in the data collection phase. Limitations: Refusal to participate either by the patient or family in the screening. Conclusions: While nearly 80% of delirium cases in an acute care setting go undetected or undiagnosed, this project to implement a delirium screening protocol in a skilled nursing facility is even more imperative in early detection and early intervention.

Visual selective attention operates in space- and object-based frames of reference. Stimulus salience and task demands influence whether a space- or object-based frame of reference guides attention. I conducted two experiments for the present dissertation to evaluate age patterns in the role of inhibition in object-based attention. The biased competition account (Desimone & Duncan, 1995) proposes that one mechanism through which targets are selected is through suppression of irrelevant stimuli. The inhibitory deficit hypothesis (Hasher & Zacks, 1988) predicts that older adults do not appropriately suppress or ignore irrelevant information. The purpose of the first study was to evaluate whether inhibition of return (IOR) patterns, originally found in a laboratory setting, could be replicated with online data collection (prompted by the COVID-19 pandemic). Inhibition of return is a cognitive mechanism to bias attention from returning to previously engaged items. In a lab setting, young and older adults produced location- and object-based IOR. In the current study, both types of IOR were also observed within object boundaries, although location-based IOR from data collected online was smaller than that from the laboratory. In addition, there was no evidence of an age-related reduction in IOR effects. There was some indication that sampling differences or testing circumstances led to increased variability in online data.The purpose of the second study was to evaluate age differences in top-down inhibitory processes during an attention-demanding object tracking task. Data were collected online. I used a dot-probe multiple object tracking (MOT) task to evaluate distractor suppression during target tracking. Both young and older adults showed poorer dot-probe detection accuracies when the probes appeared on distractors compared to when they appeared at empty locations, reflecting inhibition. The findings suggest that top-down inhibition works to suppress distractors during target tracking and that older adults show a relatively preserved ability to inhibit distractor objects. The findings across both experiments support models of selective attention that posit that goal-related biases suppress distractor information and that inhibition can be directed selectively by both young and older adults on locations and objects in the visual field.

Proprioception is the sense of body position in space (Gilman, 2002; Goble, Coxon, et al., 2012), and can be evaluated using both clinical assessments and laboratory based tasks. To date, normal aging has been shown to lead to a decline in proprioceptive acuity as assessed via laboratory based proprioceptive matching tasks, while proprioceptive deficits have been assumed to be present in people with multiple sclerosis (PwMS) based on performance on clinical assessments. The objective of the current study was to determine if performance on clinical assessments and laboratory based proprioceptive matching tasks is similar across older adults (OA) and PwMS (Adamo et al., 2007; Goble, 2010; Herter et al., 2014; Jamali et al., 2017; Khan et al., 2018; Scherder et al., 2018). Twenty-four OA participants (70+ years old) and twenty PwMS from the Ottawa community were recruited to take part in this study. Proprioceptive sense was assessed using clinical assessments (i.e., superficial sensation, vibration sense and joint position sense) and laboratory based proprioceptive matching tasks. Analysis revealed that while OA performed better on the clinical assessments, PwMS were more accurate in the laboratory matching tasks. Furthermore, analysis of goal directed movements in the matching tasks, revealed that PwMS spent more time in the initial, planning stage of the movement compared to OA, who spent more time executing their movements. These results indicate that OA and PwMS do not demonstrate similar deficits across clinical assessments and laboratory based proprioceptive tasks, and in fact plan and execute their movements differently. Moreover, results also call into question the relationship between clinical and laboratory based assessments of proprioception.