Research Article
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Evaluation of Nutrition, Pressure Ulcer and Fall Risk Status and Related Factors in Individuals Receiving Home Health Care Services

Year 2024, Volume: 14 Issue: 3, 843 - 852, 30.09.2024
https://doi.org/10.33808/clinexphealthsci.1456039

Abstract

Objective: In this study, the aim is to evaluate the factors associated with nutrition, pressure ulcers, and fall risks in individuals receiving home health care.
Methods: A retrospective study was designed by examining the files of the patients registered in the Home Health Care. Mini Nutritional Assessment Short Form, Modified Norton Scale and Itaki Fall Risk Scale scores were recorded.
Results: The study included 334 patients. 197 (59%) of them were female and the mean age was 74.15±16.12 (min: 18, max: 101). The most common chronic diseases was hypertension (HT) (n=167, 50%), whereas the two most common comorbidities were DM and HT (n=77,23.1%). Patients receiving home health care were found to be at risk for malnutrition, pressure ulcers and falls. Being semi-bedridden and wheelchair bound were found to be predictors for the risk of developing pressure ulcers according to regression analysis results. Also it was
identified that the age and dependency levels of the patients receiving home health care explained 12% of the falling behaviours of the older people.
Conclusion: Necessary warnings should be given at every visit, so that receiving home health care should not be neglected in terms of risks and preventive measures should be taken for this patient group.

References

  • World Health Organization. Home health care and community-based services: A handbook for professionals. World Health Organization, 2015 Available from: https://iris.who.int/bitstream/handle/10665/204893/B0021.pdf;jsessionid=654E85DA272768D88E211E81B908FB62?sequence=1 Accessed on: 23.08.2024
  • Vandiver T, Anderson T, Boston B, Bowers C, Hall N. Community-based home health programs and chronic disease: Synthesis of the literature. Prof Case Manag. 2018;23(1):25-31. DOI:10.1097/NCM.0000000000000242.
  • Türkiye İstatistik Kurumu. İstatistiklerle yaşlılar, 2019. https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2019-33712#:~:text=T%C3%9C%C4%B0K%20Kurumsal&text=Ya%C5%9Fl%C4%B1%20n%C3%BCfus%20olarak%20kabul%20edilen,9%2C1'e%20y%C3%BCkseldi. Accessed: 11.07.2024 (Turkish)
  • Arsava EM, Aydoğdu İ, Güngör L, Togay Işıkay C, Yaka E. Nutritional approach and treatment in patients with stroke, an expert opinion for Turkey. Turkish Journal Of Neurology. 2018;24(3):226-242. DOI:10.4274/tnd.92603
  • Guyonnet S, Rolland Y. Screening for malnutrition in older people. Clin Geriatr Med. 2015;31(3):429-437. DOI:10.1016/j.cger.2015.04.009
  • Nazemi L, Skoog I, Karlsson I, Hosseini S, Mohammadi MR, Hosseini M, Hosseinzade MJ, Mesbah-Namin SA, Baikpour M. Malnutrition, prevalence and relation to some risk factors among elderly residents of nursing homes in Tehran, Iran. Iran J Public Health. 2015;44(2):218-227.
  • Coleman S, Gorecki C, Nelson EA, Closs SJ, Defloor T, Halfens R, Farrin A, Brown J, Schoonhoven L, Nixon J. Patient risk factors for pressure ulcer development: Systematic review. Int J Nurs Stud. 2013;50(7):974-1003. DOI:10.1016/j.ijnurstu.2012.11.019.
  • Phelan EA, Ritchey K. Fall prevention in community-dwelling older adults. Ann Intern Med. 2018;169(11):ITC81. DOI:10.7326/AITC201812040
  • Hnizdo S, Archuleta RA, Taylor B, Kim SC. Validity and reliability of the modified John Hopkins Fall Risk Assessment Tool for elderly patients in home health care. Geriatr Nurs (Minneap). 2013;34(5):423-427. DOI:10.1016/j.gerinurse.2013.05.011
  • Cattelani L, Palumbo P, Palmerini L, Bandinelli S, Becker C, Chesani F, Chiari L. FRAT-up, a web-based fall-risk assessment tool for elderly people living in the community. J Med Internet Res. 2015;17(2):e41. DOI: 10.2196/jmir.4064.
  • Bayrak F, Ersoy S, Pala E. Ümraniye Durmuş Tanış aile sağlığı merkezine başvuran 65 yaş üzeri hastalarda malnütrisyon sıklığı ve ilişkili durumlar. Abant Med J. 2021;10(1):93-103. DOI:10.47493/abantmedj.2021.38. (Turkish)
  • Guigoz G, Vellas B, Garry P. Assessing the nutritional status of the elderly: The mini nutritional assessment as part of the geriatric evaluation. Nutr Rev. 1994;51(1):59-65. DOI: 10.1111/j.1753-4887.1996.tb03793.x.
  • Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: Developing the short-form mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci. 2001;56(6):M366-M372. DOI:10.1093/gerona/56.6.M366
  • Sarikaya D, Halil M, Kuyumcu ME, Kilic MK, Yesil Y, Kara O, Ozturk S, Gungor E, Karabulut E, Balam Yavuz B, Cankurtaran M, Ariogul S. Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr. 2015;61(1):56-60. DOI: 10.1016/j.archger.2015.04.006.
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  • Sağlık Bakanlığı, Sağlıkta Kalite Standartları, Sağlık Hizmetleri Genel Müdürlüğü Sağlıkta Kalite ve Akreditasyon Daire Başkanlığı. Itaki düşme riski ölçeği. https://dosyaism.saglik.gov.tr/Eklenti/60196/0/itaki-23012019pdf.pdf Accessed on: 10.07.2024 (Turkish)
  • Sauvage P, Touflet M, Pradere C, Portalier F, Michel JM, Charru P, Passadori Y, Fevrier R, Hallet-Lezy AM, Beauchêne F, Scherrer B. Pressure ulcers prevention efficacy of an alternating pressure air mattress in elderly patients: E²MAO a randomised study. J Wound Care 2017;26(6):304-312. DOI:10.12968/jowc.2017.26.6.304.
  • Sinyukov DA, Troy KL, Bowers MP, Padir T. Wheelchairs and other mobility assistance. Biomechatronics 2019:373–417. DOI: 10.1016/B978-0-12-812939-5.00013-6
  • Menard S. Applied logistic regression analysis. in: applied logistic regression analysis. Second Edition. SAGE University Paper; 2002:67-90.
  • Mastronuzzi T, Paci C, Portincasa P, Montanaro N, Grattagliano I. Assessing the nutritional status of older individuals in family practice: Evaluation and implications for management. Clinical Nutrition 2015;34(6):1184-1188. DOI:10.1016/j.clnu.2014.12.005
  • Tüzün S, Hacıağaoğlu N, Dabak MR. Malnutrition in home care patients. TJFMPC. 2019:159-166. DOI:10.21763/tjfmpc.569695 .
  • Adıgüzel E, Acar Tek N. Effect of some characteristics of nutritional status on quality of life in elderly individuals receiving home care service. Elderly Issues Research Journal 2018;11(1):19-25.
  • Kiesswetter E, Colombo MG, Meisinger C, Peters A, Thorand B, Holle R, Ladwig KH, Schulz H, Grill E, Diekmann R, Schrader E, Stehle P, Sieber CC, Volkert D. Malnutrition and related risk factors in older adults from different health-care settings: An enable study. Public Health Nutr. 2020;23(3):446-456. DOI:10.1017/S1368980019002271.
  • Özturk GZ, Egici MT, Bukhari MH, Toprak D. Association between body mass index and activities of daily living in homecare patients. Pak J Med Sci. 2017;33(6). DOI:10.12669/pjms.336.13748
  • Norman K, Haß U, Pirlich M. Malnutrition in older adults—recent advances and remaining challenges. Nutrients 2021; 13(8):2764. DOI:10.3390/nu13082764.F
  • Fearon K, Strasser F, Anker SD, Bosaeus I, Bruera E, Fainsinger RL, Jatoi A, Loprinzi C, MacDonald N, Mantovani G, Davis M, Muscaritoli M, Ottery F, Radbruch L, Ravasco P, Walsh D, Wilcock A, Kaasa S, Baracos VE. Definition and classification of cancer cachexia: An international consensus. Lancet Oncol. 2011;12(5):489-495. DOI:10.1016/S1470-2045(10)70218-7.
  • Alencherry B, Laffin LJ. treatment of hypertension in patients with diabetes mellitus: A contemporary approach. Curr Cardiol Rep. 2021;23(3):14. DOI: 10.1007/s11886-021-01443-0.
  • Porter-Armstrong AP, Moore ZE, Bradbury I, McDonough S. Education of healthcare professionals for preventing pressure ulcers. Cochrane Database of Systematic Reviews 2018 ; 25;5(5):CD011620.DOI:10.1002/14651858.CD011620.pub2
  • Coleman S, Gorecki C, Nelson EA, Closs SJ, Defloor T, Halfens R, Farrin A, Brown J, Schoonhoven L, Nixon J. Patient risk factors for pressure ulcer development: Systematic review. Int J Nurs Stud. 2013;50(7):974-1003. DOI:10.1016/j.ijnurstu.2012.11.019.
  • Çetiner M, Akkaya Arı S, Eşkut N, Ocak Ö, Canbaz Kabay S, Özışık Karaman HI. Evaluation of clinical features and the factors related to nutrition in home care patients with pressure ulcer. Fam Pract Palliat Care 2021;6(1):7-12. DOI:10.22391/fppc.776139.
  • Biçer EK, Güçlüel Y, Türker M, Kepiçoglu NA, Sekerci YG, Say A. Pressure ulcer prevalence, incidence, risk, clinical features, and outcomes among patients in a Turkish hospital: A cross-sectional, retrospective study. Wound Manag Prev. 2019;65(2):20-28.
  • Firth J, Waxman R, Law G, Nelson EA, Helliwell P, Siddle H, Otter S, Butters V, Baker L, Hryniw R, Bradley S, Loughrey L, Alcacer-Pitarch B, Davies S, Tranter J. The predictors of foot ulceration in patients with rheumatoid arthritis. Clin Rheumatol. 2014;33(5):615-621. DOI: 10.1007/s10067-013-2428-7.
  • Chiari P, Forni C, Guberti M, Gazineo D, Ronzoni S, D'Alessandro F. Predictive factors for pressure ulcers in an older adult population hospitalized for hip fractures: A prognostic cohort study. PLoS One 2017;12(1):e0169909. DOI:10.1371/journal.pone.0169909.
  • Nadzri N, Hamzaid NA, Chung TY. Design and development of a wheelchair seating pressure relief reminder system for pressure ulcer prevention among paraplegics. J Med Eng Technol. 2021;45(7):574-581. DOI:10.1080/03091902.2021.1936238
  • Demirci Şahin A, Seyrek S, Ertürk A, Artantaş Baydar A. Evde bakım hastalarında bası yaralarına yaklaşım: En uygun yaklaşım koruyucu hekimlik. Konuralp Tıp Dergisi 2017;9(1):14-18. DOI:10.18521/ktd.286610 (Turkish)
  • The National Pressure Injury Advisory Panel. Wheelchair seating pocket guide. https://cdn.ymaws.com/npiap.com/resource/resmgr/events/NPIAP_Permobil_WC_Seating_Po.pdf . Accessed: 10.07.2024
  • Field LB, Hand RK. Differentiating malnutrition screening and assessment: A nutrition care process perspective. J Acad Nutr Diet. 2015;115(5):824-828. DOI:10.1016/j.jand.2014.11.010
  • Ülger Z, Halil M, Kalan I, Yavuz BB, Cankurtaran M, Güngör E, Arioğul S. Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr. 2010;29(4):507-511. DOI:10.1016/j.clnu.2010.01.006.
  • Alhaug J, Gay CL, Henriksen C, Lerdal A. Pressure ulcer is associated with malnutrition as assessed by Nutritional Risk Screening (NRS 2002) in a mixed hospital population. Food Nutr Res. 2017;61(1):1324230. DOI:10.1080/16546628.2017.1324230
  • Yatabe MS, Taguchi F, Ishida I, Sato A, Kameda T, Ueno S, Takano K, Watanabe T, Sanada H, Yatabe J. Mini nutritional assessment as a useful method of predicting the development of pressure ulcers in elderly inpatients. J Am Geriatr Soc. 2013;61(10):1698-1704. DOI:10.1111/jgs.12455.
  • World Health Organisation. WHO global report on falls prevention in older age. Published online 2007. https://iris.who.int/bitstream/handle/10665/43811/9789241563536_eng.pdf?sequence=1 Accessed 10.07.2024.
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Year 2024, Volume: 14 Issue: 3, 843 - 852, 30.09.2024
https://doi.org/10.33808/clinexphealthsci.1456039

Abstract

References

  • World Health Organization. Home health care and community-based services: A handbook for professionals. World Health Organization, 2015 Available from: https://iris.who.int/bitstream/handle/10665/204893/B0021.pdf;jsessionid=654E85DA272768D88E211E81B908FB62?sequence=1 Accessed on: 23.08.2024
  • Vandiver T, Anderson T, Boston B, Bowers C, Hall N. Community-based home health programs and chronic disease: Synthesis of the literature. Prof Case Manag. 2018;23(1):25-31. DOI:10.1097/NCM.0000000000000242.
  • Türkiye İstatistik Kurumu. İstatistiklerle yaşlılar, 2019. https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2019-33712#:~:text=T%C3%9C%C4%B0K%20Kurumsal&text=Ya%C5%9Fl%C4%B1%20n%C3%BCfus%20olarak%20kabul%20edilen,9%2C1'e%20y%C3%BCkseldi. Accessed: 11.07.2024 (Turkish)
  • Arsava EM, Aydoğdu İ, Güngör L, Togay Işıkay C, Yaka E. Nutritional approach and treatment in patients with stroke, an expert opinion for Turkey. Turkish Journal Of Neurology. 2018;24(3):226-242. DOI:10.4274/tnd.92603
  • Guyonnet S, Rolland Y. Screening for malnutrition in older people. Clin Geriatr Med. 2015;31(3):429-437. DOI:10.1016/j.cger.2015.04.009
  • Nazemi L, Skoog I, Karlsson I, Hosseini S, Mohammadi MR, Hosseini M, Hosseinzade MJ, Mesbah-Namin SA, Baikpour M. Malnutrition, prevalence and relation to some risk factors among elderly residents of nursing homes in Tehran, Iran. Iran J Public Health. 2015;44(2):218-227.
  • Coleman S, Gorecki C, Nelson EA, Closs SJ, Defloor T, Halfens R, Farrin A, Brown J, Schoonhoven L, Nixon J. Patient risk factors for pressure ulcer development: Systematic review. Int J Nurs Stud. 2013;50(7):974-1003. DOI:10.1016/j.ijnurstu.2012.11.019.
  • Phelan EA, Ritchey K. Fall prevention in community-dwelling older adults. Ann Intern Med. 2018;169(11):ITC81. DOI:10.7326/AITC201812040
  • Hnizdo S, Archuleta RA, Taylor B, Kim SC. Validity and reliability of the modified John Hopkins Fall Risk Assessment Tool for elderly patients in home health care. Geriatr Nurs (Minneap). 2013;34(5):423-427. DOI:10.1016/j.gerinurse.2013.05.011
  • Cattelani L, Palumbo P, Palmerini L, Bandinelli S, Becker C, Chesani F, Chiari L. FRAT-up, a web-based fall-risk assessment tool for elderly people living in the community. J Med Internet Res. 2015;17(2):e41. DOI: 10.2196/jmir.4064.
  • Bayrak F, Ersoy S, Pala E. Ümraniye Durmuş Tanış aile sağlığı merkezine başvuran 65 yaş üzeri hastalarda malnütrisyon sıklığı ve ilişkili durumlar. Abant Med J. 2021;10(1):93-103. DOI:10.47493/abantmedj.2021.38. (Turkish)
  • Guigoz G, Vellas B, Garry P. Assessing the nutritional status of the elderly: The mini nutritional assessment as part of the geriatric evaluation. Nutr Rev. 1994;51(1):59-65. DOI: 10.1111/j.1753-4887.1996.tb03793.x.
  • Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: Developing the short-form mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci. 2001;56(6):M366-M372. DOI:10.1093/gerona/56.6.M366
  • Sarikaya D, Halil M, Kuyumcu ME, Kilic MK, Yesil Y, Kara O, Ozturk S, Gungor E, Karabulut E, Balam Yavuz B, Cankurtaran M, Ariogul S. Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr. 2015;61(1):56-60. DOI: 10.1016/j.archger.2015.04.006.
  • Ek A, Unosson M, Bjurulf P. The modified norton scale and the nutritional state. Scand J Caring Sci. 1989;3(4):183-187. DOI:10.1111/j.1471-6712.1989.tb00290.x
  • Sağlık Bakanlığı, Sağlıkta Kalite Standartları, Sağlık Hizmetleri Genel Müdürlüğü Sağlıkta Kalite ve Akreditasyon Daire Başkanlığı. Itaki düşme riski ölçeği. https://dosyaism.saglik.gov.tr/Eklenti/60196/0/itaki-23012019pdf.pdf Accessed on: 10.07.2024 (Turkish)
  • Sauvage P, Touflet M, Pradere C, Portalier F, Michel JM, Charru P, Passadori Y, Fevrier R, Hallet-Lezy AM, Beauchêne F, Scherrer B. Pressure ulcers prevention efficacy of an alternating pressure air mattress in elderly patients: E²MAO a randomised study. J Wound Care 2017;26(6):304-312. DOI:10.12968/jowc.2017.26.6.304.
  • Sinyukov DA, Troy KL, Bowers MP, Padir T. Wheelchairs and other mobility assistance. Biomechatronics 2019:373–417. DOI: 10.1016/B978-0-12-812939-5.00013-6
  • Menard S. Applied logistic regression analysis. in: applied logistic regression analysis. Second Edition. SAGE University Paper; 2002:67-90.
  • Mastronuzzi T, Paci C, Portincasa P, Montanaro N, Grattagliano I. Assessing the nutritional status of older individuals in family practice: Evaluation and implications for management. Clinical Nutrition 2015;34(6):1184-1188. DOI:10.1016/j.clnu.2014.12.005
  • Tüzün S, Hacıağaoğlu N, Dabak MR. Malnutrition in home care patients. TJFMPC. 2019:159-166. DOI:10.21763/tjfmpc.569695 .
  • Adıgüzel E, Acar Tek N. Effect of some characteristics of nutritional status on quality of life in elderly individuals receiving home care service. Elderly Issues Research Journal 2018;11(1):19-25.
  • Kiesswetter E, Colombo MG, Meisinger C, Peters A, Thorand B, Holle R, Ladwig KH, Schulz H, Grill E, Diekmann R, Schrader E, Stehle P, Sieber CC, Volkert D. Malnutrition and related risk factors in older adults from different health-care settings: An enable study. Public Health Nutr. 2020;23(3):446-456. DOI:10.1017/S1368980019002271.
  • Özturk GZ, Egici MT, Bukhari MH, Toprak D. Association between body mass index and activities of daily living in homecare patients. Pak J Med Sci. 2017;33(6). DOI:10.12669/pjms.336.13748
  • Norman K, Haß U, Pirlich M. Malnutrition in older adults—recent advances and remaining challenges. Nutrients 2021; 13(8):2764. DOI:10.3390/nu13082764.F
  • Fearon K, Strasser F, Anker SD, Bosaeus I, Bruera E, Fainsinger RL, Jatoi A, Loprinzi C, MacDonald N, Mantovani G, Davis M, Muscaritoli M, Ottery F, Radbruch L, Ravasco P, Walsh D, Wilcock A, Kaasa S, Baracos VE. Definition and classification of cancer cachexia: An international consensus. Lancet Oncol. 2011;12(5):489-495. DOI:10.1016/S1470-2045(10)70218-7.
  • Alencherry B, Laffin LJ. treatment of hypertension in patients with diabetes mellitus: A contemporary approach. Curr Cardiol Rep. 2021;23(3):14. DOI: 10.1007/s11886-021-01443-0.
  • Porter-Armstrong AP, Moore ZE, Bradbury I, McDonough S. Education of healthcare professionals for preventing pressure ulcers. Cochrane Database of Systematic Reviews 2018 ; 25;5(5):CD011620.DOI:10.1002/14651858.CD011620.pub2
  • Coleman S, Gorecki C, Nelson EA, Closs SJ, Defloor T, Halfens R, Farrin A, Brown J, Schoonhoven L, Nixon J. Patient risk factors for pressure ulcer development: Systematic review. Int J Nurs Stud. 2013;50(7):974-1003. DOI:10.1016/j.ijnurstu.2012.11.019.
  • Çetiner M, Akkaya Arı S, Eşkut N, Ocak Ö, Canbaz Kabay S, Özışık Karaman HI. Evaluation of clinical features and the factors related to nutrition in home care patients with pressure ulcer. Fam Pract Palliat Care 2021;6(1):7-12. DOI:10.22391/fppc.776139.
  • Biçer EK, Güçlüel Y, Türker M, Kepiçoglu NA, Sekerci YG, Say A. Pressure ulcer prevalence, incidence, risk, clinical features, and outcomes among patients in a Turkish hospital: A cross-sectional, retrospective study. Wound Manag Prev. 2019;65(2):20-28.
  • Firth J, Waxman R, Law G, Nelson EA, Helliwell P, Siddle H, Otter S, Butters V, Baker L, Hryniw R, Bradley S, Loughrey L, Alcacer-Pitarch B, Davies S, Tranter J. The predictors of foot ulceration in patients with rheumatoid arthritis. Clin Rheumatol. 2014;33(5):615-621. DOI: 10.1007/s10067-013-2428-7.
  • Chiari P, Forni C, Guberti M, Gazineo D, Ronzoni S, D'Alessandro F. Predictive factors for pressure ulcers in an older adult population hospitalized for hip fractures: A prognostic cohort study. PLoS One 2017;12(1):e0169909. DOI:10.1371/journal.pone.0169909.
  • Nadzri N, Hamzaid NA, Chung TY. Design and development of a wheelchair seating pressure relief reminder system for pressure ulcer prevention among paraplegics. J Med Eng Technol. 2021;45(7):574-581. DOI:10.1080/03091902.2021.1936238
  • Demirci Şahin A, Seyrek S, Ertürk A, Artantaş Baydar A. Evde bakım hastalarında bası yaralarına yaklaşım: En uygun yaklaşım koruyucu hekimlik. Konuralp Tıp Dergisi 2017;9(1):14-18. DOI:10.18521/ktd.286610 (Turkish)
  • The National Pressure Injury Advisory Panel. Wheelchair seating pocket guide. https://cdn.ymaws.com/npiap.com/resource/resmgr/events/NPIAP_Permobil_WC_Seating_Po.pdf . Accessed: 10.07.2024
  • Field LB, Hand RK. Differentiating malnutrition screening and assessment: A nutrition care process perspective. J Acad Nutr Diet. 2015;115(5):824-828. DOI:10.1016/j.jand.2014.11.010
  • Ülger Z, Halil M, Kalan I, Yavuz BB, Cankurtaran M, Güngör E, Arioğul S. Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr. 2010;29(4):507-511. DOI:10.1016/j.clnu.2010.01.006.
  • Alhaug J, Gay CL, Henriksen C, Lerdal A. Pressure ulcer is associated with malnutrition as assessed by Nutritional Risk Screening (NRS 2002) in a mixed hospital population. Food Nutr Res. 2017;61(1):1324230. DOI:10.1080/16546628.2017.1324230
  • Yatabe MS, Taguchi F, Ishida I, Sato A, Kameda T, Ueno S, Takano K, Watanabe T, Sanada H, Yatabe J. Mini nutritional assessment as a useful method of predicting the development of pressure ulcers in elderly inpatients. J Am Geriatr Soc. 2013;61(10):1698-1704. DOI:10.1111/jgs.12455.
  • World Health Organisation. WHO global report on falls prevention in older age. Published online 2007. https://iris.who.int/bitstream/handle/10665/43811/9789241563536_eng.pdf?sequence=1 Accessed 10.07.2024.
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There are 49 citations in total.

Details

Primary Language English
Subjects Health and Community Services, Aged Health Care
Journal Section Articles
Authors

Yağmur Gökseven Arda 0000-0002-0003-9832

Guzın Zeren Ozturk 0000-0001-7730-2929

Saliha Büşra Aksu 0000-0003-0432-6801

Early Pub Date September 27, 2024
Publication Date September 30, 2024
Submission Date March 21, 2024
Acceptance Date September 4, 2024
Published in Issue Year 2024 Volume: 14 Issue: 3

Cite

APA Gökseven Arda, Y., Zeren Ozturk, G., & Aksu, S. B. (2024). Evaluation of Nutrition, Pressure Ulcer and Fall Risk Status and Related Factors in Individuals Receiving Home Health Care Services. Clinical and Experimental Health Sciences, 14(3), 843-852. https://doi.org/10.33808/clinexphealthsci.1456039
AMA Gökseven Arda Y, Zeren Ozturk G, Aksu SB. Evaluation of Nutrition, Pressure Ulcer and Fall Risk Status and Related Factors in Individuals Receiving Home Health Care Services. Clinical and Experimental Health Sciences. September 2024;14(3):843-852. doi:10.33808/clinexphealthsci.1456039
Chicago Gökseven Arda, Yağmur, Guzın Zeren Ozturk, and Saliha Büşra Aksu. “Evaluation of Nutrition, Pressure Ulcer and Fall Risk Status and Related Factors in Individuals Receiving Home Health Care Services”. Clinical and Experimental Health Sciences 14, no. 3 (September 2024): 843-52. https://doi.org/10.33808/clinexphealthsci.1456039.
EndNote Gökseven Arda Y, Zeren Ozturk G, Aksu SB (September 1, 2024) Evaluation of Nutrition, Pressure Ulcer and Fall Risk Status and Related Factors in Individuals Receiving Home Health Care Services. Clinical and Experimental Health Sciences 14 3 843–852.
IEEE Y. Gökseven Arda, G. Zeren Ozturk, and S. B. Aksu, “Evaluation of Nutrition, Pressure Ulcer and Fall Risk Status and Related Factors in Individuals Receiving Home Health Care Services”, Clinical and Experimental Health Sciences, vol. 14, no. 3, pp. 843–852, 2024, doi: 10.33808/clinexphealthsci.1456039.
ISNAD Gökseven Arda, Yağmur et al. “Evaluation of Nutrition, Pressure Ulcer and Fall Risk Status and Related Factors in Individuals Receiving Home Health Care Services”. Clinical and Experimental Health Sciences 14/3 (September 2024), 843-852. https://doi.org/10.33808/clinexphealthsci.1456039.
JAMA Gökseven Arda Y, Zeren Ozturk G, Aksu SB. Evaluation of Nutrition, Pressure Ulcer and Fall Risk Status and Related Factors in Individuals Receiving Home Health Care Services. Clinical and Experimental Health Sciences. 2024;14:843–852.
MLA Gökseven Arda, Yağmur et al. “Evaluation of Nutrition, Pressure Ulcer and Fall Risk Status and Related Factors in Individuals Receiving Home Health Care Services”. Clinical and Experimental Health Sciences, vol. 14, no. 3, 2024, pp. 843-52, doi:10.33808/clinexphealthsci.1456039.
Vancouver Gökseven Arda Y, Zeren Ozturk G, Aksu SB. Evaluation of Nutrition, Pressure Ulcer and Fall Risk Status and Related Factors in Individuals Receiving Home Health Care Services. Clinical and Experimental Health Sciences. 2024;14(3):843-52.

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