Post on 19-Jan-2018
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transcript
Tim WallisKathryn Smith
First 12 reports published May 2011 –republished in October.
Inspection into whether elderly people receive essential standards of care in 100 hospitals in England, focusing on:
-treated with dignity and respect-whether nutritional needs being met
17 off 100 hospitals surveyed were not compliant with basic nutritional needs of patients
32 more were recommended to make improvements
Recurring concern: people not being given enough to drink
Chair of CQC to write to every hospital identified
14/11/11
“Scandal of NHS care for elderly”- “the Care Quality Commission found old people being
left unfed, without water”
- 13/10/11
“Too many hospitals in England are falling short in the most basic care they are giving elderly patients”
Included: All elderly patients on Lulworth, Brownsea, Acute Stroke Unit, Rockley and Lilliput. n=88
Excluded: patients NBM
One off spot check of the wards. No prior warning of survey
The Study
We said we we’re doing well, but could do better!
The Recommendations Presented the findings and recommendations to
senior medical and nursing staff
Repositioning table after all patient interactions – education of medical, nursing and cleaning staff
Educating relatives to encourage patients to drink
Visual and memory aids to prompt patients to drink water
The Poster…
The Poster
The Re-audit
Same Cohort of Patients: Posters had been on wards for > 2 months
Included: All elderly patients on Lulworth, Brownsea, Acute Stroke Unit, Rockley and Lilliput. n=83
Excluded: patients NBM
One off spot check of the wards. No prior warning of survey
The Result of Re-audit
An improvement but we can still do better
We unfortunately cannot give ourselves the gold medal yet…
Improved from 1/3 without fluids in easy reach to 1/4 without
Further education/training of hospital staff
? Water monitor NA to check all patients to have water QDS
Are there any times of day where it is better or worse than others? We have done the study at approximately 3pm both times
Further Changes
Red jugs for patients at high risk of dehydration
Poor sight Poor functional capability Dementia Delirium