Nutritional Status and Medication Treatment in Home-dwelling Older Adults

Study Overview
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Brief Summary
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The project Nutrition and Medication management in home-dwelling older adults consist of two separate studies witch are described in the same study protocol. This is the first study in this Project. The second study is described separately; Identification: 2017/12883-2 Malnutrition is common in older adults. The causes are many and include adverse drug effects. Loss of appetite, nausea, or dry mouth are adverse drug effects, which may contribute to malnutrition. Knowledge about possible relations between drug treatment and nutritional status is scarce. The objectives of the project is to describe nutritional status, drug treatment and the prevalence of potentially inappropriate medication in home-dwelling elderly receiving home care service in two Norwegian municipalities.

Detailed Description
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Recruitment by a the home nurse service. An informed content from the participant (or a close relative for those not able to give an informed consent) is required. A nurse will visit the participants and ask for information about six items concerning: food intake, weight loss, mobility, psychological stress, neuropsychological problems. The height and weight will be measured. A photo of the medicine prescription card will be taken. The investigators have created an online solution for collection of these sensitive data, including photos of the medication prescription card. The data will automatically be stored in a secure database at the University of Oslo (TSD), for further analyses.

Official Title
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Nutrition and Medication Management in Home-dwelling Older Adults. Study I: Nutritional Status and Medication Treatment in Home-dwelling Older Adults. A Cross-sectional Study

Conditions
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Malnutrition, Aged, Polypharmacy

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Home-dwelling Be admitted to home-nursing service, every second week or more often. Age 70 or older Medication administrated by home nursing service. Informed consent by patient or close relative (next of kin) Exclusion Criteria: • Patient or next of kin denies inclusion

Ages Eligible for Study
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Minimum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Home-dwelling older adults<br>Older adults (70 +) receiving regular health care from the home nursing service. Setting is two rural municipalities in southern Norway. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nutritional status | By use of Mini Nutritional Assessment Short Form (MNA-SF).Maximum value 14, minimum value 0. 0 -7 points indicates malnutrition. 8-11 points indicate risk for malnutrition. 12-14 points indicates well nourished. The higher score a better outcome. | week 1 | 
| Potential Inappropriate medication | Prevalence of potential Inappropriate medication due the Norwegian General Practise Nursing home( NORGEP) criteria. A: Single criteria; Regular use should be avoided. B: Combination criteria; Combinations to avoid C: Deprescribing (discontinue) criteria: Need for continued use should be reassessed: See Protocol page 19-20; Attachment 1. | week 1 | 
| Drugs with high risk for causing nausea, loss of appetite and dry mouth | Prevalence of drugs with high risk for causing nausea, loss of appetite and dry mouth, according to a list we have made( Nause-Appetite-Dry mouth list) see Protocol page 21-23,attachment 2 | week 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nutritional status, Polypharmacy, Home-dwelling, Potentially inappropriate medication use