Korean Journal of Occupational Therapy

Article

A Free Water Protocol in Inpatient Rehabilitation : Feasibility and Care Outcomes

Author
Stephanie Scibilia, A.M. Barrett, Christina Piscopo, Uri Adler, Ickpyo Hong, Kimberly Hreha
Information
pp. 157~164 / 2020 Vol.28 No.2
e-ISSN2671-4450
p-ISSN1226-0134
Received2020-01-31
Accepted2020-03-11
DOIhttps://doi.org/10.14519/kjot.2020.28.2.12
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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.

Keywords

Dysphagia Free Water Protocol Inpatient rehabilitation Swallowing