Understanding Thickened Fluids in Aged Care Facilities

Exploring the adequacy of thickened fluids in residential aged care settings, a study examined staff perceptions, preparation factors, adherence to IDDSI standards, and issues related to dysphagia. Findings revealed barriers, enablers, and the importance of staff education and support in ensuring the proper preparation of thickened drinks for residents with swallowing difficulties.

• Aged care
• Dysphagia
• IDDSI standards
• Thickened fluids
• Staff perceptions

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Uploaded on Sep 16, 2024 | 0 Views

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1. THICKENED FLUIDS IN RESIDENTIAL AGED CARE FACILITIES Are we getting the recipe right? Yingying He1, Dr Renee Clapham2,3,4, Cara Hill5, Dr Megan Keage6, Stephanie Giao6, Xinyue Liu6, Alesha Sayner2,3,7 1. West Wimmera Health Service, 2. Ballarat Health Services/Grampians Health, 3. Deakin University/Deakin Rural Health, 4. St Vincent s Hospital, 5. Barwon Health, 6. The University of Melbourne, 7. University of Canberra yingying.he@wwhs.net.au

2. Background Questions Management Staff perceptions Factors for preparation Do drinks adhere to IDDSI? Issue Thickened drinks (3 levels) Dysphagia

3. Method Survey Observation Staff perceptions Current processes Confidence Staff prepared drink Speech Pathologist observed IDDSI tests

4. Results - Survey Barriers Enablers Other 6% (n=3) Other 15% (n=7) Time to learn about IDDSI framework 6% (n=3) Knowing a resident s current drink thickness 20% (n=9) Education for IDDSI framework & changes 15% (n=7) Using IDDSI terminology 21% (n=10) Education on how to manually thicken drinks 34% (n=16) Knowing what the drink thickness levels mean 23% (n=11) Encouragement from care staff colleagues 26% (n=12) Knowing how to make appropriate thickened drinks 28% (n=13) Encouragement from other staff 30% (n=14) Availability of thickener Encouragement from Dietitian 30% (n=14) 30% (n=14) 53% (n=25) Time to manually thicken drinks Encouragement from Speech Pathologist 40% (n=19) 0% 10% 20% 30% 40% 50% 0% 10% 20% 30% 40% 50% Percentage of participants (n=number of participants) Percentage of participants (n=number of participants)

5. Results - Observations Drink thickness vs Drink meets IDDSI criteria Prepared drink meets IDDSI criteria 92% (n=12) 100% 90% 65% (n=11) 80% 58% (n=7) 28.6% (12 drinks) 70% Percentage of observations 60% 42% (n=5) 71.4% (30 drinks) 35% (n=6) 50% 40% 30% 8% (n=1) 20% 10% 0% Target drink thickness

6. Conclusion Alternative products Thickeners Pre-thickened drinks Staff education Direct Indirect

7. Questions