Use of Oral Hydration Protocols for Dysphagic Patients Following Stroke

Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses
Holly GoroffM Reding

Abstract

The aim of the study was to describe the use of oral hydration protocols for dysphagic patients following stroke. We reviewed inpatient records for patients able to take food and liquids orally within 30 days of an ischemic stroke. Orders were hierarchically defined with three levels of liquid consistency modification (LCM) and six levels of augmented hydration orders (AHOs). Change from admission to discharge in hydration and functional independence measure (FIM) scores across LCM and AHO groups was assessed. Length of stay, admission FIM, discharge FIM, and change in FIM scores were all significantly related to LCM and AHO group assignment. Need for supplemental intravenous hydration was low (6.9%) over the 2-year study period and was significantly related to both LCM and AHO group assignment. The association of LCM and AHO interventions with functional outcomes and need for intravenous fluids helps to validate their clinical utility.

References

Sep 1, 1994·Neurology·K L DePippoM L Lesser
Oct 12, 2000·Scandinavian Journal of Rehabilitation Medicine·M G Stineman, G Maislin
Oct 3, 2003·Topics in Stroke Rehabilitation·Divakara Kedlaya, Murray E Brandstater
Sep 18, 2004·Neurorehabilitation and Neural Repair·Matthew ChurchillMichael Reding
May 17, 2005·Archives of Physical Medicine and Rehabilitation·Masayuki Iizuka, Mike Reding
Oct 27, 2007·Journal of the American College of Nutrition·Ann C Grandjean, Nicole R Grandjean
Feb 16, 2012·Clinical Neurology and Neurosurgery·Jon W SchrockKristin Drogell
Jan 12, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Shihab MasrurLee H Schwamm
Feb 1, 2014·The British Journal of Nutrition·Natalie A MasentoCarien M van Reekum
Feb 13, 2014·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Giuseppe FaracoCostantino Iadecola
May 13, 2014·Journal of Evaluation in Clinical Practice·Jo MurrayIngrid Scholten
Oct 28, 2014·ACSM's Health & Fitness Journal·Shaun K Riebl, Brenda M Davy
Mar 5, 2015·International Journal of Environmental Research and Public Health·Susana RodriguesPedro Moreira
May 6, 2016·Stroke; a Journal of Cerebral Circulation·Carolee J WinsteinUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Related Papers

Scandinavian Journal of Rehabilitation Medicine
H G Dickson, F Köhler
Österreichische Krankenpflegezeitschrift
A Brachner
© 2022 Meta ULC. All rights reserved