Maintaining oral hydration in older adults in surgical wards: a best practice implementation project

Seah, Kwang Hui; Low, Amanda Pei Shan; Low, Jian Ying; Luk, Grace Kar Sin; Chia, Hui Xian; Goh, Mien Li

doi:10.1097/xeb.0000000000000289

Cited by 2 publications

(1 citation statement)

References 26 publications

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“…Social factors such as dining alone and being around unfamiliar dining areas and cutlery also contributed to poor intake. On the other hand, serving meals in a communal dining area, having trained staff to assist patients, decorations resembling patients’ homes such as table cloths and allowing residents to choose their favourite beverages did show improvement in overall intake 4 10–13…”

Section: Introductionmentioning

confidence: 99%

Development of a dysphagia cup to improve patients’ fluid intake and reduce caregiver burden

et al. 2022

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Ensuring that the elderly drink adequate fluids to meet their recommended daily allowance is often a challenge, especially among the elderly in hospitals and long-term care settings. The complex interplay of biological, medical and psychosocial factors that cause the elderly to become dehydrated is difficult to tackle especially in care settings where there is a staff shortage and heavy workload. The team realised that 90% of the elderly inpatients in the general ward of a teaching hospital in Singapore were not drinking enough to meet their needs, despite the hot and humid weather. Reasons which contributed to inadequate fluid intake included human resources, environmental, patient and system factors. Strategies were put in place to improve fluid intake but were not successful, due to staff shortage and time constraints. The team ended up innovating and producing a dysphagia cup to improve fluid intake, promote independence among patients while encouraging them to drink more, improve nursing efficiency, reduce caregiver burden and reduce aspiration risk. The cup was able to meet all the expectations with good feedback from the care team, patients and their families.

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Section: Introductionmentioning

confidence: 99%

Development of a dysphagia cup to improve patients’ fluid intake and reduce caregiver burden

et al. 2022

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Promoting oral and dental healthcare among the elderly in a residential care home in Isfahan: a best practice implementation project

Vedaei¹,

Iranmanesh²,

Tahani³

et al. 2022

International Journal of Evidence-Based Healthcare

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Introduction: Oral health is an important aspect of general health, which affects the wellbeing and quality of life of older adults. Residents in aged care facilities often suffer from overall dental neglect and insufficient oral healthcare, leading to moderate-to-high levels of oral diseases. Furthermore, physical or mental health concerns may result in difficulties in maintaining good oral health. Objectives: This implementation project aims to audit and improve the oral healthcare status of the elderly living in a residential care home in Isfahan, Iran using the JBI evidence summary. Methods: The methods are preimplementation and postimplementation design using audit and feedback with a situational analysis to guide implementation planning. Seven evidence-based quality indicators were used to measure preintervention compliance with the best practice. Situational analysis was used to identify and target barriers through locally developed practice change strategies following which a repeat audit was conducted at 4 months. Four nursing staff, 11 caregivers, and 38 residents were interviewed for both the baseline and the follow-up audit. Results: Compliance rates improved for all seven criteria except the use of a soft-bristled toothbrush (criterion 6). All eight categories of criterion 2 measuring assessment of oral health improved by at least 10%, with the largest improvements in saliva assessment and gingiva assessment. Criterion 1 (oral health training for caregivers) reached the greatest compliance rate (100%). Conclusion: The implemented strategies included improving knowledge and changing the attitudes of the caregivers through organizing educational sessions. These strategies were developed to address process and structural barriers to best practice and were helpful for staff uptake of evidence.

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Maintaining oral hydration in older adults in surgical wards: a best practice implementation project

Cited by 2 publications

References 26 publications

Development of a dysphagia cup to improve patients’ fluid intake and reduce caregiver burden

Development of a dysphagia cup to improve patients’ fluid intake and reduce caregiver burden

Promoting oral and dental healthcare among the elderly in a residential care home in Isfahan: a best practice implementation project

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