Aims: This study explored how anxiety, depression, trauma-related stress, quality of life (QoL) and information-seeking habits changed among residents of a nursing home during the early months of the COVID-19 pandemic. The first evaluation was carried out at the very beginning of the pandemic, a time when no infections had yet been detected in the facility. The second assessment took place five months later, after the first confirmed case had occurred inside the nursing home. Methods: The same group of residents was assessed twice, following a repeated-measures comparative approach. This study was conducted in a municipal nursing home, and evaluations were performed at two distinct time points. The first assessment took place in March 2020, shortly after national restriction measures were introduced and before any COVID-19 cases had occurred within the facility. The second assessment was conducted in the following months after the first in-house transmission, reflecting the early progression of the pandemic within the institutional setting. Psychological status was measured using the Geriatric Depression Scale (GDS), Geriatric Anxiety Scale (GAS), Impact of Events Scale (IES), Coronavirus Anxiety Scale (CAS), and EQ-5D, all administered face-to-face to eligible participants. Results: Across the five-month interval, there was a marked rise in anxiety and trauma-related stress (GAS increased from 3 to 12, p

Objectives: Inappropriate medication use is highly prevalent in nursing home residents and contributes to adverse drug events, falls, and increased healthcare utilization. The Turkish Inappropriate Medication use in oldEr adults (TIME) criteria provide a comprehensive framework for identifying both potentially inappropriate medications and prescribing omissions. We aimed to evaluate the outcomes of a Medication Therapy Management (MTM) intervention by use of TIME criteria among nursing home residents in Türkiye. Methods: This single-arm before–after observational study included 232 adults aged 60–110 years residing in the Bursa Metropolitan Municipality Nursing Home. Medication use patterns were evaluated using the TIME criteria and prescriptions were optimized through a Medication Therapy Management (MTM) intervention. Fall frequency and healthcare utilization outcomes were recorded during the 1 year before and after MTM implementation. Results: Following implementation of the Medication Therapy Management (MTM) approach based on TIME criteria, the median number of medications increased from 5 (IQR: 3–8) to 8 (IQR: 5–10) over one year (p < 0.001). During the post-implementation period, fall frequency, emergency department visits, family medicine visits, and non-geriatric specialist visits were lower compared with the pre-intervention year, whereas hospitalization rates did not significantly change. Conclusions: Among nursing home residents, the total number of medications was higher and fall frequency and selected healthcare utilization measures were lower during the year following implementation of MTM based on TIME criteria. These findings suggest that MTM-guided prescription optimization may be associated with changes in clinical and healthcare utilization outcomes; however, the absence of a control group precludes causal inference, and randomized controlled trials are required to confirm these associations.