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“Sleep is a golden chain that ties health and our bodies together”. Ageing is universal phenomenon. The quality and quantity of sleep decreases with age. In this study objectives are: 1) To assess the quality of sleep-in elderly people. 2) To evaluate the effectiveness of hot water foot bath therapy on quality of sleep among elderly people. 3) To rule out association between quality of sleep among elderly people with their selected demographic variable. Material and Method: A quasi experimental research design and nonprobability purposive sampling technique was adopted to achieve the goal of the study. The tool consists of two parts, first part consists the demographic data of sample and second part consist of Standardized tool PSQI scale. The sample was 50 old age people living in selected old age home at Anand district. Descriptive and inferential statistics method were used for analysis. Result: The finding related to effectiveness of hot water foot bath Therapy in old age people - the majority of moderate sleep disturbance is old age people is (60%) The majority of mild sleep disturbance in old age people is (40%). The chi- square used to determine association between pre-test score with selected demographic variable like age, gender, marital status, education, weight, family history, addiction, dietary pattern. There is significant association between pre-test sleep disturbance score and selected demographic variable with p< 2.01 level of significant including age, gender, marital status, education, weight, family history, addiction, dietary pattern.

“Sleep is a golden chain that ties health and our bodies together”. Ageing is universal phenomenon. The quality and quantity of sleep decreases with age. In this study objectives are: 1) To assess the quality of sleep-in elderly people. 2) To evaluate the effectiveness of hot water foot bath therapy on quality of sleep among elderly people. 3) To rule out association between quality of sleep among elderly people with their selected demographic variable. Material and Method: A quasi experimental research design and nonprobability purposive sampling technique was adopted to achieve the goal of the study. The tool consists of two parts, first part consists the demographic data of sample and second part consist of Standardized tool PSQI scale. The sample was 50 old age people living in selected old age home at Anand district. Descriptive and inferential statistics method were used for analysis. Result: The finding related to effectiveness of hot water foot bath Therapy in old age people - the majority of moderate sleep disturbance is old age people is (60%) The majority of mild sleep disturbance in old age people is (40%). The chi- square used to determine association between pre-test score with selected demographic variable like age, gender, marital status, education, weight, family history, addiction, dietary pattern. There is significant association between pre-test sleep disturbance score and selected demographic variable with p< 2.01 level of significant including age, gender, marital status, education, weight, family history, addiction, dietary pattern.

“Sleep is a golden chain that ties health and our bodies together”. Ageing is universal phenomenon. The quality and quantity of sleep decreases with age. In this study objectives are: 1) To assess the quality of sleep-in elderly people. 2) To evaluate the effectiveness of hot water foot bath therapy on quality of sleep among elderly people. 3) To rule out association between quality of sleep among elderly people with their selected demographic variable. Material and Method: A quasi experimental research design and nonprobability purposive sampling technique was adopted to achieve the goal of the study. The tool consists of two parts, first part consists the demographic data of sample and second part consist of Standardized tool PSQI scale. The sample was 50 old age people living in selected old age home at Anand district. Descriptive and inferential statistics method were used for analysis. Result: The finding related to effectiveness of hot water foot bath Therapy in old age people - the majority of moderate sleep disturbance is old age people is (60%) The majority of mild sleep disturbance in old age people is (40%). The chi- square used to determine association between pre-test score with selected demographic variable like age, gender, marital status, education, weight, family history, addiction, dietary pattern. There is significant association between pre-test sleep disturbance score and selected demographic variable with p< 2.01 level of significant including age, gender, marital status, education, weight, family history, addiction, dietary pattern.

“Sleep is a golden chain that ties health and our bodies together”. Ageing is universal phenomenon. The quality and quantity of sleep decreases with age. In this study objectives are: 1) To assess the quality of sleep-in elderly people. 2) To evaluate the effectiveness of hot water foot bath therapy on quality of sleep among elderly people. 3) To rule out association between quality of sleep among elderly people with their selected demographic variable. Material and Method: A quasi experimental research design and nonprobability purposive sampling technique was adopted to achieve the goal of the study. The tool consists of two parts, first part consists the demographic data of sample and second part consist of Standardized tool PSQI scale. The sample was 50 old age people living in selected old age home at Anand district. Descriptive and inferential statistics method were used for analysis. Result: The finding related to effectiveness of hot water foot bath Therapy in old age people - the majority of moderate sleep disturbance is old age people is (60%) The majority of mild sleep disturbance in old age people is (40%). The chi- square used to determine association between pre-test score with selected demographic variable like age, gender, marital status, education, weight, family history, addiction, dietary pattern. There is significant association between pre-test sleep disturbance score and selected demographic variable with p< 2.01 level of significant including age, gender, marital status, education, weight, family history, addiction, dietary pattern.

“Sleep is a golden chain that ties health and our bodies together”. Ageing is universal phenomenon. The quality and quantity of sleep decreases with age. In this study objectives are: 1) To assess the quality of sleep-in elderly people. 2) To evaluate the effectiveness of hot water foot bath therapy on quality of sleep among elderly people. 3) To rule out association between quality of sleep among elderly people with their selected demographic variable. Material and Method: A quasi experimental research design and nonprobability purposive sampling technique was adopted to achieve the goal of the study. The tool consists of two parts, first part consists the demographic data of sample and second part consist of Standardized tool PSQI scale. The sample was 50 old age people living in selected old age home at Anand district. Descriptive and inferential statistics method were used for analysis. Result: The finding related to effectiveness of hot water foot bath Therapy in old age people - the majority of moderate sleep disturbance is old age people is (60%) The majority of mild sleep disturbance in old age people is (40%). The chi- square used to determine association between pre-test score with selected demographic variable like age, gender, marital status, education, weight, family history, addiction, dietary pattern. There is significant association between pre-test sleep disturbance score and selected demographic variable with p< 2.01 level of significant including age, gender, marital status, education, weight, family history, addiction, dietary pattern.

“Sleep is a golden chain that ties health and our bodies together”. Ageing is universal phenomenon. The quality and quantity of sleep decreases with age. In this study objectives are: 1) To assess the quality of sleep-in elderly people. 2) To evaluate the effectiveness of hot water foot bath therapy on quality of sleep among elderly people. 3) To rule out association between quality of sleep among elderly people with their selected demographic variable. Material and Method: A quasi experimental research design and nonprobability purposive sampling technique was adopted to achieve the goal of the study. The tool consists of two parts, first part consists the demographic data of sample and second part consist of Standardized tool PSQI scale. The sample was 50 old age people living in selected old age home at Anand district. Descriptive and inferential statistics method were used for analysis. Result: The finding related to effectiveness of hot water foot bath Therapy in old age people - the majority of moderate sleep disturbance is old age people is (60%) The majority of mild sleep disturbance in old age people is (40%). The chi- square used to determine association between pre-test score with selected demographic variable like age, gender, marital status, education, weight, family history, addiction, dietary pattern. There is significant association between pre-test sleep disturbance score and selected demographic variable with p< 2.01 level of significant including age, gender, marital status, education, weight, family history, addiction, dietary pattern.

Objectives: Objective of the study is to analyze critical value reporting data to find frequency of critical reporting, distribution of critical values across reportable range and across hospital segments and reasons for failure in critical reporting.Material and Method: The critical value reporting data for various analysts were collected from LIS for 1 year. The data were analyzed in computer spreadsheets.Result and Discussion: Of 548786 test results analyzed, about 10% results were critical. Total Billirubin (20.14 %), Indirect Billirubin (18 %), Glucose (18%) and Sodium (13.6 %),Potassium (11.8%) contributed most to the critical values. 29% of urea, 13.29 % of Glucose ,15.37% of Indirect Billirubin, 13.71% of Sodium, 13.29% of Glucose and 11.6 % of total analyzed potassium were critical. On a per test basis, inpatient tests were 3.6 times more likely to result in a critical callback than outpatient tests. The number of critical values per year per bed was 176.34 for ICU beds and 29.36 for non-ICU beds and 5.0 for Emergency Department.Conclusion: The high proportion of reported critical value of urea is due to practice of reflex testing in the laboratory whenever Creatinine is in abnormal range. The high proportion of reported critical value of Indirect Billirubin is due to present of PICU, NICU in Hospital. Major reasons for failure of notification of critical alert are incomplete detail on request form, transfer of patient to Ward or ICU, phone is engaged or phone not picked up by care giver.

Objectives: Objective of the study is to analyze critical value reporting data to find frequency of critical reporting, distribution of critical values across reportable range and across hospital segments and reasons for failure in critical reporting.Material and Method: The critical value reporting data for various analysts were collected from LIS for 1 year. The data were analyzed in computer spreadsheets.Result and Discussion: Of 548786 test results analyzed, about 10% results were critical. Total Billirubin (20.14 %), Indirect Billirubin (18 %), Glucose (18%) and Sodium (13.6 %),Potassium (11.8%) contributed most to the critical values. 29% of urea, 13.29 % of Glucose ,15.37% of Indirect Billirubin, 13.71% of Sodium, 13.29% of Glucose and 11.6 % of total analyzed potassium were critical. On a per test basis, inpatient tests were 3.6 times more likely to result in a critical callback than outpatient tests. The number of critical values per year per bed was 176.34 for ICU beds and 29.36 for non-ICU beds and 5.0 for Emergency Department.Conclusion: The high proportion of reported critical value of urea is due to practice of reflex testing in the laboratory whenever Creatinine is in abnormal range. The high proportion of reported critical value of Indirect Billirubin is due to present of PICU, NICU in Hospital. Major reasons for failure of notification of critical alert are incomplete detail on request form, transfer of patient to Ward or ICU, phone is engaged or phone not picked up by care giver.