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Feasibility of using risk prompts to prevent falls, dehydration and pulmonary aspiration in nursing homes: a clinical study protocol

dc.contributor.authorDuarte, Márcia
dc.contributor.authorBouça-Machado, Raquel
dc.contributor.authorDomingos, Josefa
dc.contributor.authorGodinho, Catarina
dc.contributor.authorFerreira, Joaquim F.
dc.date.accessioned2019-10-11T13:07:12Z
dc.date.available2019-10-11T13:07:12Z
dc.date.issued2018-01
dc.description.abstractBackground Evidence has shown a relationship between dehydration, falls, and pulmonary aspiration among older adults in nursing homes, all of which contribute to loss of independence and quality of life. It is believed that improving communication among healthcare professionals in nursing homes (physicians, nurses, rehabilitation team, psychologist, social workers, dieticians and medical assistants) decreases the number of adverse events in institutionalized patients. This study will evaluate the feasibility of using a set of written signs, designed to caution against the risk of falls, dehydration, and pulmonary aspiration, and will enable the proposal of tailored interventions to manage these events in nursing homes. Methods/Design All patients from Campus Neurológico Sénior (CNS) nursing home, at risk of falls and/ordysphagia and/or dehydration will be invited to participate in the study. Patients will undertake a screeningrisk assessment and the corresponding risk prompts will be attributed. Study duration will be a minimum ofthree months per participant, including daily record of falls, dehydration and pulmonary aspiration eventsand monthly interview assessments, conducted by a member of the research team. Data of the events that occur will be compared with historical data extracted retrospectively from medical and nursing charts. This study has been approved by the Ethics Committee of the Medical Academic Center of Lisbon, Faculty of Medicine, University of Lisbon (Ref. 176/15). All participants will give their written informed consent before entering the study. Discussion This study is unique in evaluating the feasibility of a communication system in preventing the three major risks in nursing home. Thoughtful selection and display of proper risk prompts in nursing homes could be an essential step along a path toward efficient communication of risks among healthcare teams. We expect that the displays will be easily applicable given their simplicity, low complexity, and minimal physical requirements.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPilot Feasibility Stud. 2018; 4: 39. doi: 10.1186/s40814-018-0236-1pt_PT
dc.identifier.doi10.1186/s40814-018-0236-1pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/29946
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMCpt_PT
dc.relation.publisherversionhttps://doi.org/10.1186/s40814-018-0236-1pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectNursing homespt_PT
dc.subjectFallspt_PT
dc.subjectDysphasiapt_PT
dc.subjectPulmonary aspirationpt_PT
dc.subjectChokingpt_PT
dc.subjectDehydrationpt_PT
dc.titleFeasibility of using risk prompts to prevent falls, dehydration and pulmonary aspiration in nursing homes: a clinical study protocolpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titlePilot and Feasibility Studiespt_PT
oaire.citation.volume4(39)pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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