This study aimed to determine the relationship between chronic diseases and nutrition in the older adults in a nursing home. In 2014 and 2019, we investigated older people aged 60 years and over living in a nursing home in Izmir and who agreed to participate and could perform self-care. A 26-item questionnaire that focuses on sociodemographic, socioeconomic and chronic disease characteristics, and the Turkish version of Mini Nutritional Assessment Test-Short Form were applied using the face-to-face method. In 2014, 68.9% of the older had no malnutrition risk, 23% had malnutrition risk, and 8.1% had malnutrition. The women had a higher malnutrition risk and actual malnutrition than men (P<0.05). Malnutrition was most common in 75-84 years of age. In 2019, 41.6% of the older had malnutrition risk, whereas 7.8% had actual malnutrition. No difference was found between malnutrition and malnutrition risk, between women and men and between age and sex (P>0.05). At both times, malnutrition risk increased in those with chronic disease (P<0.05). At least one chronic disease (high blood pressure, heart disease, diabetes, etc.) was found in 67.6% of the older. Meanwhile, 70.1% had been previously hospitalized for some reason. Malnutrition risk increases with old age. An adequate and well-balanced diet is important for protecting health and increasing longevity and quality of life in old age. Older people and nursing home employees need to be trained on the relationship and risks of chronic disease and malnutrition.
The basic principals of rehabilitation for shoulder stabilization are the restoration of glenohumeral compression stability, scapulohumeral motion synchrony, and the proprioceptive mechanism. The principals of rehabilitation applied following surgical treatment of patients with shoulder instability do not differ from those applied for non-operative patients. Recent advances in surgical techniques and suture materials have improved the quality of healing tissues and allowed early institution and acceleration of rehabilitation programs. There are many different rehabilitation protocols constructed according to the type of instability and surgical procedures, but when a postoperative rehabilitation program is outlined, the patient's age, previous activity level, expectations, and compliance with and response to treatment should also be taken into consideration.
