Home Care Patients Research Articles

Subcutaneous Levetiracetam Administration in Latino Patients on Home Care.

Background: Levetiracetam has a favorable pharmacology profile to be used subcutaneously. However, its subcutaneous use is still considered off-label as this is beyond its license. The evidence base for its safety, tolerability, and efficacy is limited to observational studies. Objectives: To report the safety and efficacy of subcutaneous levetiracetam in Latino patients on home care. Design: Observational retrospective case series study. Subjects: Consecutive sample of Latino adults with life-limiting illnesses. Methods: A case series framework with 4 domains (selection, ascertainment, causality, and reporting) to ensure reporting quality was used. Additionally, 8 relevant outcomes established in a previous comprehensive review, were collected and reported. Adverse reactions were documented using the Common Terminology Criteria for Adverse Events. Results: Fifteen Latino patients with oncological and non-oncological diagnoses received subcutaneous levetiracetam for a mean of 21days on home care. Levetiracetam was most frequently initiated subcutaneously due to loss of the oral route. The average dosage of subcutaneous levetiracetam was 1200mg. Only 1 patient required a dose adjustment, and only 2 patients experienced a total of 5 seizures during the therapy trial. No adverse reactions were reported. Conclusions: Subcutaneous levetiracetam appears to be effective and safe. This case series of Latino patients in home care expands the evidence of its use in the home care setting. The preliminary data reported by now on multiple case series warrants robust trials.

Evaluating understandability and actionability of online education materials for home-care patients with COVID-19 in Japan

ObjectiveIn Japan, educational materials on the home care of coronavirus disease 2019 (COVID-19) were developed owing to limited access to medical care during the pandemic. This study quantitatively evaluated the understandability, actionability, natural flow, and readability of 87 materials published by local governments in Japan for patients with COVID-19. Their understandability and actionability were rated using the Japanese version of the Patient Education Material Evaluation Tool for Printed Materials (PEMAT-P). Natural flow and readability were rated using Global Quality Score (GQS) and jReadability, respectively.ResultsOf the 87 materials, 55 (62.1%) were understandable and 33 (37.9%) were actionable according to the PEMAT-P. Regarding understandability, the materials used medical terms without providing definitions and lacked summaries. Regarding actionability, the materials did not demonstrate explicit steps or utilize visual aids to help the readers take action. The mean (SD) of GQS was 3.44 (0.98), indicating a moderate level of naturalness and comprehensiveness of the materials. The mean (SD) score for readability was 2.4 (0.6), indicating a “lower advanced” level. However, challenges regarding the materials’ plain language remained, such as defining medical terms, summarizing the content for understandability, and using charts and tables that encourage patients to act.

The role of functioning in predicting nursing home placement or death among older home care patients

Objective There have been few studies predicting institutionalization or death in home care settings. We examined risk factors for nursing home placement (NHP) and death among home care patients. Design A prospective one-year follow-up study. Settings and subjects Persons aged ≥65 years living in Eastern Finland and receiving regular home care services (n = 293). Main outcome measures Risk factors for NHP or death were investigated using Cox proportional hazards model. Explanatory variables included demographics, health status (Charlson Comorbidity Index, CCI), physical (Timed Up and Go, TUG), and cognitive (Mini-Mental State Examination, MMSE) functioning, Basic and Instrumental Activities of Daily Living (BADL, IADL) and mood (Geriatric Depression Scale, GDS-15). Results Of the 293 patients (mean age 82.6 years, 70.6% women), 27 (9.2%) moved to a nursing home and 25 (6.9%) died during the follow-up (mean 350 days). The combined outcome of NHP or death was predicted by BADL (HR 0.73, CI 95% 0.62–0.86), IADL (0.75, 0.65–0.87) MMSE (0.92, 0.87–0.96), and TUG (1.02, 1.01–1.03). NHP alone was predicted by BADL (0.62, 0.50–0.78), IADL (0.57, 0.45–0.73), and MMSE (0.88, 0.82–0.94) and mortality by TUG (1.02, 1.01–1.03). Conclusion Basic measures of functioning can be used to identify high-risk patients in home care. Decreasing BADL, IADL and MMSE predict NHP and longer TUG-times death within a year.

The risk and prevalence of pressure injuries in older people in the home care service: a cross-sectional study.

This study aimed to understand the risk of developing pressure injuries (PIs) and their prevalence rate in older adults in Italy who received public funded home care services and who were often living alone. In May 2019, a cross-sectional study was performed according to the STROBE (STrengthening the Reporting of OBservational studies in Epidemiology) guidelines. The data collection included demographic variables, a PI risk assessment using the Braden Scale score, the type of mobility devices available, the wound description detailing the PI category, body location and ongoing treatment. Data analysis was conducted using non-parametric descriptive statistics. Of the 2223 patients who participated in the study, the risk of developing a PI as measured with the Braden Scale sore was: 'absent' for 37.7%; 'mild' for 25.8%; 'moderate' for 13.8%; 'high' for 15.5%; and 'severe' for 7.1% of patients. The PI prevalence in the sample of home care service patients was 26%, of which 46% were inpatients with a Braden Scale score of <14. Of the PIs that developed during the study, 65% of these developed in patients in home care and of these, 81% had a Braden Scale score of ≤9. PIs developed not only during hospitalisation but at home. Assessing the commitment of patients and caregivers to PI prevention and treatment strategies in home care services could be key to reducing PI prevalence, hospital admissions for PIs, related complications for older people living at home, and the severity of the PI category.

Determining The Effect of Education Given to Home Patient Care Program Students on Patient Privacy

Hasta mahremiyeti, hasta ya da sağlıklı bireyin tanı, tedavi ve sağlık bakım esnasında sağlık hizmeti aldığı bireylere açıklamak zorunda kaldığı ancak; toplumdaki diğer bireylerden gizli tutulmasını istediği yaşam alanıdır. Dolayısıyla sağlık ekibinde tüm personelin bu konuda dikkatli olması önemlidir. Bu araştırmada amaç, evde hasta bakımı programı öğrencilerine hasta mahremiyeti konusunda verilen eğitimin etkisinin belirlenmesidir. Yarı deneysel olarak tasarlanan araştırma Ekim 2022-Ocak 2023 tarihleri arasında bir meslek yüksekokulunun evde hasta bakımı programı öğrencileri (n=30) ile klinik uygulama alanlarında yürütüldü. Öğrencilere yüz yüze ve hasta başında hasta mahremiyeti ile ilgili eğitim verildi. Veriler, “Öğrenci Tanıtıcı Bilgi Formu” ve “Hasta Mahremiyet Ölçeği” ile eğitim öncesi ve sonrası değerlendirme ile toplandı. Öğrencilerin eğitim öncesi %20’sinin, eğitim sonrası ise %83.3’ünün hasta mahremiyeti hakkında bilgi sahibi olduğu bulundu. Öğrencilerin eğitim sonrası Hasta Mahremiyet Ölçeği’nden aldıkları puanın eğitim öncesi aldıkları puana göre istatistiksel olarak anlamlı derecede yüksek olduğu saptanmıştır (p

Assessing suffering of patients on cancer treatment and of those no longer treated using ESAS–Total Care (TC)

AimThe aim of the study was to assess the suffering of patients on oncologic treatment and of those no longer on treatment. Preliminarily, we aimed to confirm the psychometric properties of Edmonton Symptom Assessment System–Total Care (ESAS-TC) in different stages of the disease. The ESAS-TC screens physical and psychological symptoms, but also spiritual pain, discomfort deriving from financial problems associated with illness, and suffering related to social isolation.MethodsA sample of consecutive advanced cancer patients on oncologic therapies treated at the Internistic and Geriatric Supportive Care Unit (IGSCU) of Istituto Nazionale dei Tumori, Milano, and of terminal patients no longer on treatment and cared for by the Fondazione ANT palliative home care team were asked to fill the ESAS-TC. In order to strengthen the previous validation study of the ESAS-TC, 3-ULS (to assess social isolation), JSWBS (to assess spiritual well-being), COST-IT (to assess financial distress), and KPS (to assess functional status) were administered too.ResultsThe questionnaires were self-reported by 108 patients on treatment (52% >60 years old, female 53%, and 61% with KPS 90–100) and by 94 home care patients (71% >60 years old, female 51%, and 68% with KPS 10–50). The sound psychometric characteristics of ESAS-TC were confirmed. Patients on treatment showed lower total ESAS-TC score (19.3 vs 52.7, p<.001) after controlling for age and functional status, and lower financial distress (p.<001). Financial distress, spiritual suffering, and social isolation, after controlling for age, showed a significantly higher score in home care patients.ConclusionsOnly through an adequate routine assessment with validated tools is it possible to detect total suffering, the “Total pain” of patients, and treat it through a multidisciplinary approach. The study confirms the reliability and validity of the Italian version of ESAS-TC and the importance of supportive and early palliative care fully integrated with oncological treatment.

Evde Sağlık Hastalarının Profili ve Hastalara Verilen Sağlık Hizmetinin Değerlendirilmesi- İstanbul İli Örneği

Aim: Examining the profiles of home health patients and evaluating the service are effective in improving patient outcomes, reducing hospitalizations and reducing health care costs. The aim of this study is to determine the profile of home health patients and to evaluate the health services provided to the patients. Method: The research is a descriptive retrospective study. This research was made by scanning the files of 21 410 patients who received service from the home health services unit in Istanbul, Turkey in 2022. Results: In the study, 67.48% of the patients receiving home health services were women and 55.10% were between the ages of 66-85. In the study, it was seen that 45.18% of home health patients had neurological and psychiatric diseases, 23.57% had endocrine diseases and 18.45% had cardiovascular diseases. In the services provided, it was determined that patient examination was first (43.89%), patient education practices were second (27.55%) and blood sampling (9.76%) were applied in third place. Conclusion: Most of the home health patients are women and elderly patients. It is recommended that the education program services given to home care patients should be increased and that education programs should be prepared in accordance with the patient profile and about the most common chronic diseases, with the feature of improving the prognosis. In order to achieve the desired goal in home care services, it is recommended to develop care protocols and guidelines

Telenursing and Remote Patient Monitoring in Cardiovascular Health.

Background: Since the decline in death rates from cardiovascular diseases has slowed down recently, promoting cardiovascular health in patients and the general public has become more important than ever, particularly for elder and rural patients. This study is a collaborative effort between a regional health network in Virginia and associated organizations to implement and assess telenursing and remote patient monitoring (RPM) to help home care patients better manage their own cardiovascular related diseases and promote sustainable health delivery options. Method: Eighty cardiovascular patients with diabetes, congestive heart failure, or both who had a recent disease-related hospital stay were enrolled in the RPM program to receive services, including care coordination, coaching, referral for behavioral health, and aging-related services for 90+ days. The program used telenursing and RPM through home care monitoring equipment to coach patients on effective measures to stay compliant with posthospitalization regimens, track and evaluate readmissions, and assess physiological status and mental health. Result: There was a decline in hospital admissions of 65%, 85% for observations and related inpatient services for enrolled CVD patients in the RPM program. In addition, the longer the patient was enrolled the less likely they were to readmit. The program saved ∼$615,127 in patient claims costs and had net savings of $390,296, ∼173% of the total program expenses. Discussion: Evidence showed that 90+ day enrollments are sufficient for realization of readmissions and Emergency Department reductions, increased health care access, and lower costs. This resulted from consistent monitoring using the technology to alert nurses and care coordinators who were able to respond and facilitate patients accessing care in the most helpful and generally less costly care environment. Conclusion: The study has confirmed that care coordination and RPM are effective in supporting self-management of chronic conditions and cost reductions through telenursing and RPM.

Comparison of prehospital stroke care at private homes and residential care settings

Background: Suspected stroke is a common scenario among care home residents, who are typically older and have more complex health needs than the general population. Aims: The aim of this study was to describe the care of suspected stroke patients according to their residential status. Methods: Retrospective secondary analysis was carried out using a clinical record dataset from a UK ambulance service that described the care of patients labelled as having a suspected stroke between December 2021 and April 2022. Findings: Care home patients were older (median age 86 (interquartile range (IQR) 79–91) years) than those in their own homes (median age 75 (IQR 63–83) years; P≤0.001), with more comorbidities (median of five (IQR 3–6) versus median of three (IQR 2–5); P≤0.001) and taking more medications (median of six (IQR 4–9) versus median of four (IQR 1–7); P≤0.001). They were more likely to have difficulties completing the face, arms, speech, time test (17/170 (10%) versus 39/1305 (3%); P≤0.001) and present with facial droop (85/153 (55.6%) versus 506/1266 (40%); P≤0.001). Ambulance on-scene time was longer at care homes (median 41 (IQR 32–49.5) minutes versus median 35 (IQR 27–45) minutes; P≤0.001). Conclusion: Clinician awareness of characteristics associated with residential settings may be important for delivering emergency stroke care. Research is needed to optimise ambulance assessment for care home patients.

Impact of the COVID-19 pandemic on antipsychotic prescribing in individuals with autism, dementia, learning disability, serious mental illness or living in a care home: a federated analysis of 59 million patients’ primary care records in situ using OpenSAFELY

BackgroundThe COVID-19 pandemic affected how care was delivered to vulnerable patients, such as those with dementia or learning disability.ObjectiveTo explore whether this affected antipsychotic prescribing in at-risk populations.MethodsWith the approval...

Health Literacy of Caregivers.

Caregivers have an important role in supporting the health of individuals who are dependent for cognitive or physical reasons. Health literacy levels of caregivers affect quality of care and health outcomes. The purpose of this descriptive study was to assess health literacy in the caregivers of home care patients. The participants were caregivers aged 18 to 65 (N = 140). Data collected included sociodemographic characteristics, The Lawton Instrumental Activities of Daily Living Scale and The Adult Health Literacy Scale. The mean age of participants in the study was 48 years and 74% were women. The health literacy score was 16.77±3.31. A significant relationship was found between health literacy and education level (p = .000), working status (p = .012), and perception of income (p = .016). Education level was the only predictor of health literacy by logistic regression analysis. Studies aimed at determining health knowledge, skill deficiencies, and education needs of caregivers can provide important information to protect and improve the health of individuals in need of care and increase their quality of life.

Smart Nursing: The Use of Technology to Support Homecare Nurses with Their Care of the Elderly.

The demand for homecare services is on the rise, while simultaneously there is a shortage of homecare nurses who are burdened with increasingly heavier workloads. The introduction of assistive technologies has the potential to assist elderly individuals as well as (informal) caregivers. This study aims to facilitate nursing care with technology, within the framework of a proper daily structure for elderly people. Initially, a needs assessment was performed with homecare nurses to identify the most relevant daily structure patterns. Subsequently, a prototype comprising of a test setup and a mobile application was developed, followed by a case study involving participation from homecare nurses, informal caregivers, and patients. Both subjective experiences and standardized outcome measures (System Usability Scale, Usefulness Satisfaction and Ease of Use Scale and User Experience Questionnaire) revealed highly positive attitudes towards the test setup and application. Future research endeavours should focus on scaling up the technology and expanding its availability to other caregivers.

Complications and risk factors on midline catheters’ follow-up about non-ICU patients: study protocol for a multicentre observational study (the midDATA study)

IntroductionThe midline catheter (MC) is an increasingly popular device used commonly for patients with difficult venous access or those who require infusion for more than 6 days. Little is known...

HUBUNGAN KUALITAS PELAYANAN KESEHATAN BERBASIS HOME CARE DENGAN KEPUASAN PASIEN DI WILAYAH KERJA PUSKESMAS LAYANG

Background: Quality of service can be said to be qualified if it gives satisfaction to patients. As time goes by, with increasing levels of education and people's incomes, the demands of the community to obtain quality health services are also increasing. Purpose: This study aims to determine the relationship between the quality of home care-based health services and patient satisfaction in the work area of the Layang Public Health Center, Makassar City. Methods: This type of research is quantitative with a cross sectional study approach. The population in this study were 159 home care patients in the working area of the Layang Health Center in Makassar City. The sampling technique used simple random sampling with a total sample of 60 respondents. Data collection was carried out using a questionnaire/checklist sheet. The research results were analyzed using SPSS. Results: In general, from the research results of each research variable, it was found that the majority of respondents expressed satisfaction with the quality of Home Care services in the work area of the Layang Health Center. The results of the correlation analysis using the chi-square test (p &lt; 0.05) showed that there was a relationship between the dimensions of technical competence (p = 0.000), human relations (p = 0.02), and accuracy time (p = 0.000) with patient satisfaction. That is, the better the quality of services provided, the higher the resulting patient satisfaction. Conclusion: There is a relationship between the dimensions of technical competence, human relations, safety, continuity, and timeliness of possession with patient satisfaction. It is hoped that the Layang Health Center can improve the quality of services provided to home care patients, especially in the timeliness of patient examinations.

Out-of-pocket costs burden for cancer treatment toxicities and symptoms management in Italy: A prospective, multicenter pilot study.

12105 Background: Financial Toxicity (FT) refers to the financial burden and stress experienced by cancer patients as a result of the high costs associated with their treatment and care. This burden can significantly impact patients and families, affecting not only their financial well-being but also their physical and mental health. With the increasing cost of cancer care, FT has become a primary concern for those affected by the disease. Although there have been plenty of studies on the cost of cancer drugs and policy issues relating to curbing these increasing costs, studies on addressing FT in individual patients for drug-related toxicity and symptom management are still lacking. Methods: From January to October 2022, we conducted a cross-sectional, descriptive study to identify patient-administered drugs used to manage cancer treatment toxicities or cancer-associated symptoms. We recognize six common symptoms (anorexia/cachexia, fatigue, nausea and vomiting, pain, constipation, and diarrhea). All social and demographic data, including information on gender, age, performance status, education, and income, have been gathered and recorded. We collected information about the type of cancer disease and active treatment (on/off). Symptom assessment and financial distress were analyzed by administering the PERSONS and COST questionnaires, respectively, at the time of enrollment. Results: A total of 211 patients were enrolled and completed the questionnaires. 28/211 patients (13%) do not take any medications to control symptoms. Of the remaining 183 taking at least one prescription for managing these symptoms, 90% (165) pay for at least part of these drugs. Most frequently, patients assumed medicines for controlling pain (45%) and constipation (28%). Unlike all the other drug categories, these medicines correlate with financial distress (p &gt; 0.0001 and p &gt; 0.001). None of the following variables (age, type of tumor, and work situation) significantly interacted with COST and PERSONS at the univariate analyses. In contrast, a lower level of education significantly associates with the worst COST and PERSONS scores (p &gt; 0.0001). As expected, patients in palliative home care have a higher mean score for symptom burden than those without home care and, surprisingly, a higher financial distress score. Conclusions: Our results identify cancer pain and constipation as the most incident and challenging problems associated with cancer diagnosis and treatment. Moreover, they ultimately lead to a higher financial hardship due to patient self-prescribing and out-of-pocket purchases of over-the-counter drugs to control them. In our population, a lower education level is an independent risk factor for developing financial distress.

"Studi Kualitatif tentang Tingkat Kepuasan Pasien Home Care di Jawa Barat: Evaluasi Layanan, Tantangan, dan Harapan ke Depan"

This study aims to evaluate the level of patient satisfaction with home care services in West Java. The research method used is qualitative study with survey and face-to-face techniques on 10 home care patients and 10 patient families in West Java. The results of the study showed that patients and patient families were very satisfied with the home care services because they provided comfort and fulfilled patient needs. In addition, healthcare workers who worked in the field of home care felt connected and useful in providing personal care focused on the patient. However, the study also identified several challenges in home care services, such as coordination between healthcare workers and families, as well as accessibility and quality of home care services. Therefore, support and cooperation from various parties, such as patient families, the community, and the government, are needed to improve the quality of home care services and ensure that patients receive the best care at home.

The Relationship of Physitherapy Services Quality at The Homecare Level to Patient Satisfaction in Practice Independent Physiotherapy Malang Raya

In 2021 there will be an increase in population in Indonesia with East Java being the second most populous in Indonesia and Malang Raya being one of the cities with the highest number of people according to data from the Ministry of Health. This increase in population has resulted in the phenomenon of the emergence of many independent health service clinics, one of which is an independent physiotherapy clinic, especially with homecare services to meet the needs of public health services. Providing independent health services needs to pay attention to service quality for patient satisfaction. So it is necessary to know whether there is a relationship between the quality of service at the independent clinic and the satisfaction of service users or patients. This study used an observational approach with a cross-sectional design with 37 respondents or samples in filling out two questionnaires for each variable, namely the servqual questionnaire and the medrisk questionnaire for 5 weeks of study. The results of the Shapiro-Wilk test for service quality at independent physiotherapy clinics were 0.059&gt;0.005 and patient satisfaction levels were 0.078&gt;0.005, which means that the data were normally distributed. The Pearson correlation test is 0.000 &lt;0.005, which means there is a relationship between the two variables. There is a strong relationship between the quality of physiotherapy services at the homecare level and patient satisfaction in the Malang Raya self-help physiotherapy practice as seen from the Pearson correlation value of 0.618. For future researchers, this research can be continued by increasing research time and making the data in this study a good reference for students, educators, and physiotherapy colleagues.

CYBER ATTACKS FOR DATA BREACH AND POSSIBLE DEFENSE STRATEGIES IN INTERNET OF HEALTHCARE THINGS ECOSYSTEM

The widespread use of the Internet and the increase in Internet of Things (IoT) equipment paved the way for the development of user-friendly systems. The inclusion of many electronic systems in the IoT ecosystem, especially in homes, has improved remote control and monitoring features. In general, within the concept of smart home, voice, control and joint movements are used as command center and WIFI, Bluetooth, Zigbee and GSM etc. technologies are used for communication. Regular monitoring of some health problems of individuals occurs in some situations that require instant intervention. In this context, individuals in need of home care or under surveillance at home are checked with Internet of Healthcare Things equipment in the company of experts. The rapid spread of the IoT ecosystem has also increased data production. Especially sensitive health data is at the beginning of critical data and requires security measures to be taken. In this study, the IoT devices used for home patient care have been evaluated for the sources of data leaks and possible security measures that may be experienced in the process from the data owner to the data storage stage. In order to identify possible risks and threats, 4 different target scenarios were created. These scenarios include home internet connection resources, data transfer, data storage and access. 8 different attacks (Deauth, DDOS, brute force, hashcat, Man-in-the-middle, Injection, Short Address Attack, Smart Contract Overflow) were applied to these possible scenarios where data leakage could occur. In addition, recently, blockchain applications and smart contract transmissions are preferred for data security. Among the attack scenarios, Short Address Attack and Smart Contract Overflow are attack methodologies used for blockchain security. In particular, denial of service was encountered in all attacks on wireless networks. Configuration errors, wrong product selection, use of weak passwords and default configurations in the IOT ecosystem seem to be the main sources of data leaks. As a result, the study includes possible attacker scenarios and possible vulnerabilities have been extracted within the scope of real scenarios. In addition, the measures to be taken against these vulnerabilities were evaluated and recommendations were given to take maximum security measures to prevent data leaks from within the IoT ecosystem.

Implementing the interRAI Check-Up Comprehensive Assessment: Facilitating Care Planning and Care Coordination during the Pandemic.

Long-stay home care patients are a large population of older adults with multi-morbidity and frailty. The COVID-19 pandemic posed challenges to executing care coordination and completing in-home assessments due to provincial mandates restricting in-person care. We evaluated the implementation of the interRAI Check-Up Self-Report instrument administered by phone and video. We report on a mixed-methods study, which involved the collection and analysis of survey and focus group data. Care coordinators from two regions in Ontario who had implemented the Check-Up at least once between March 2020 to September 2021 were recruited via convenience sampling. A total of 48 survey respondents and 7 focus group participants consented to the study. Advantages of completing the Check-Up over the telephone or video call included: reduced travel time, reduced risk of disease transmission, familiarity with the assessment questions, and reduced time spent administering the assessment. Limitations most frequently reported were: the inability to see the living environment, hearing impairments, inability to observe non-verbal responses or cues, language barriers, difficulty building rapport, and difficulty understanding the patient. The Check-Up was advantageous in providing sufficient information to create a care plan when administered over the phone and by video. Implementation of the Check-Up assessment was facilitated by familiarity and alignment with other interRAI assessments. Our results indicate that population characteristics need to be taken into consideration for administration of self-report style of assessments.

65 YAŞ VE ÜSTÜ EVDE SAĞLIK HASTALARINDA UYGUNSUZ İLAÇ KULLANIMININ VE GÜNLÜK YAŞAM AKTİVİTELERİNİN DEĞERLENDİRİLMESİ

Introduction: This study aims to evaluate potentially inappropriate medication (PIM) use, the association of PIM use, and activities of daily living in 65 years and older home care patients. Method: The study included 322 patients aged 65 and over who applied to Home Care Unit. Consent was obtained from those who agreed to participate in the study. A questionnaire containing demographic data, drug use information, and Katz Daily Living Activities Index was used which was prepared by the researcher in this study. The drugs used by the patients were evaluated according to the 2015 Beers criteria and inappropriate active substances were detected. The data were defined by statistical analyzes such as mean, percentage, standard deviation, and frequency. Chi-squared test and Student's t-test were used in the analysis. The significance level was accepted as p&amp;lt;0.05. Results: The mean age of the patients was 80.2±8.2 years, and 63.4% (n=204) were female. 70.5% (n=227) of the elderly have three or more chronic diseases. The most common diseases were hypertension (56.2%), diabetes (30.0%), and heart failure (29.8%). 79.2% (n=255) of the group uses four or more drugs. 83.3% (n=260) of the patients get help to use the drugs. 51.6% (n=166) of the patients were fully dependent on activities of daily living and 3.4% (n=11) were fully independent, the level of dependency increases with age (p&amp;lt;0.05). The PIM rate was 61.5% in patients. PIM use was found to be significantly higher in those with more disease, in those who used more drugs, and in females (p&amp;lt;0.05). No relationship was found between inappropriate medication use and addiction level. Conclusion: In this study, it was found that more than half of home care patients aged 65 and over had inappropriate drug use. It was determined that inappropriate medication use increased with polypharmacy, and polymorbidity, and there was no correlation between addiction levels.