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

Stephanie Scibilia; A.M. Barrett; Christina Piscopo; Uri Adler; Ickpyo Hong (홍익표); Kimberly Hreha

doi:10.14519/kjot.2020.28.2.12

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

Korean Journal of Occupational Therapy
Abbr : Korean J of Occup Ther
2020, 28(2), pp.157-164
DOI : 10.14519/kjot.2020.28.2.12
Publisher : Korean Society Of Occupational Therapy
Research Area : Medicine and Pharmacy > Working Therapeutics
Received : January 31, 2020
Accepted : March 11, 2020
Published : June 30, 2020

Stephanie Scibilia ¹, A.M. Barrett ², Christina Piscopo ³, Uri Adler ³, Ickpyo Hong ⁴, Kimberly Hreha ⁵

¹Massachusetts General Hospital
²Center for Visual and Neurocognitive Rehabilitation
³Kessler Institute for Rehabilitation
⁴연세대학교
⁵University of Texas Medical Branch

Accredited

ABSTRACT

Objectives: Free Water Protocols (FWPs) are implemented selectively because of mixed evidence on the benefitsassociated with their use. This retrospective study examines the implementation a long-standing clinicalprogram and descriptively reports rehabilitation and quality care outcomes. Methods: Data were collected over 6 years (n = 575). Inpatient rehabilitation setting. Variables included in thisstudy were age, medical diagnoses, rate of acute care hospital transfers, discharge destinations, length of timeon 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 transfersoccurred in 6% as descriptively compared to national average (14%). Additionally, participants tolerated FWP fordays (M = 14.1, SD = 14.4) and most went home following rehabilitationDiscussion: This retrospective study concludes the feasibility of implementing a FWP in a rehabilitation facility andreports descriptive outcomes. Experimental research is required for conclusions to be made regardingeffectiveness of the FWP for dysphagia.

KEYWORDS

Dysphagia, Free Water Protocol, Inpatient rehabilitation, Swallowing

Citation status

* References for papers published after 2023 are currently being built.

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Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81

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

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* References for papers published after 2023 are currently being built.

Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81

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

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KEYWORDS

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