|
KMID : 0603920200280020157
|
|
Journal of Korean Academy of Occupational Therapy
2020 Volume.28 No. 2 p.157 ~ p.164
|
|
|
A Free Water Protocol in Inpatient Rehabilitation : Feasibility and Care Outcomes
|
|
Scibilia Stephanie
Barrett A. M.
Piscopo Christina
Adler Uri
Hong Ick-Pyo
Hreha Kimberly
|
|
|
Abstract
|
|
|
Objectives: Free Water Protocols (FWPs) are implemented selectively because of mixed evidence on the benefits associated with their use. This retrospective study examines the implementation a long-standing clinical program and descriptively reports rehabilitation and quality care outcomes.
Methods: Data were collected over 6 years (n = 575). Inpatient rehabilitation setting. Variables included in this study were age, medical diagnoses, rate of acute care hospital transfers, discharge destinations, length of time on FWP.
Results: Cohort consisted of older adults (M = 68.43, SD = 15.11), with diagnosis of stroke (60.2%), brain injury (19.1%), spinal cord injury (7.3%), cardiac (1%), orthopedics (5%), other (13.1%). Acute care hospital transfers occurred in 6% as descriptively compared to national average (14%). Additionally, participants tolerated FWP for days (M = 14.1, SD = 14.4) and most went home following rehabilitation
Discussion: This retrospective study concludes the feasibility of implementing a FWP in a rehabilitation facility and reports descriptive outcomes. Experimental research is required for conclusions to be made regarding effectiveness of the FWP for dysphagia.
|
|
|
KEYWORD
|
|
|
Dysphagia, Free Water Protocol, Inpatient rehabilitation, Swallowing
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|