Morris, Jacqueline, Hollwey, Frances, Hansjee, Dharinee, Power, Rachel, Griffith, Richard, Longmore, Timothy, Smithard, David, Dann-Reed, Eleanor and Wright, David (2018) Pilot of a charter to improve management of medicines and oral care for residents with dysphagia in care homes. Geriatrics, 3 (4):78. ISSN 2308-3417 (Print), 2308-3417 (Online) (doi:https://doi.org/10.3390/geriatrics3040078)

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Abstract

Research in care homes has demonstrated that medication management practices in patients with dysphagia and those receiving medicines covertly may be inappropriate, illegal, and potentially cause harm. This paper presents the results of a feasibility study piloting a resident and healthcare professional best practice charter to improve such practices in care home residents with dysphagia. A charter was developed through a multi-professional expert panel, implemented in one care home, and then piloted in 22 homes in England, Wales, and Northern Ireland. A website was setup and developed iteratively to support the process. Care home staff and residents provided initial feedback on the implementation process and on perceived outcomes six months post implementation. A total of 16 (88.9%) out of 18 respondents from nine homes for six months reported a positive response to the charter. More than 80% of responses regarding the implementation process, impact on staff confidence, and perceived usefulness of the charter were positive. Perceived effectiveness and usefulness could, however, be further improved especially the perceived effect on frequency of medication review, which is reliant on external stakeholder involvement. The charter and supporting website were well received with respondents believing that it was useful, staff showing more confidence, and residents having enhanced care. Approaches to enhancing the charter’s effectiveness were identified.

Item Type:	Article
Uncontrolled Keywords:	dysphagia, care home, covert administration, charter
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Chronic Illness and Ageing Faculty of Education, Health & Human Sciences > School of Health Sciences (HEA)
Related URLs:	Publisher Publisher http://pubmed.ncbi.nlm.nih.gov/31011113/
Last Modified:	22 Nov 2021 12:55
URI:	http://gala.gre.ac.uk/id/eprint/34428

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