Subcutaneous rehydration in patients in terminal phase of dementia
Authors:
Jan Chalany
Authors place of work:
Psychiatrická nemocnice v Kroměříži
Published in the journal:
Čas. Lék. čes. 2015; 154: 14-18
Category:
Original Article
Summary
Background.
Dehydration among seniors is not rare. It is both medical and nursing problem, leading to many complications. Attention is paid to ways of rehydration among seniors in terminal phase of dementia. Aim to evaluate frequency of complications due to subcutaneous rehydration in patients with terminal phase of dementia and to evaluate nurses’ opinion in relation to this method of rehydration.
Methods.
Observational study has been designed in women psychogeriatric wards, Mental hospital Kroměříž, from June 2012 – December 2013, evaluating frequency of complications due to subcutaneous rehydration – local oedema, local infection, local erythema (60 patients group) and evaluating nurses opinion in relation to this method of rehydration (18 nurses group). Methods: observation, interview.
Results.
No complications of subcutaneous dehydration was found in 58 cases (96.6%), in 1 case local oedema (1.7%) and in 1 case (1.7%) local erythema manifested. Nurses reported effortles-sness of subcutaneous rehydration together with sparing of their working time and comfort to a patient in comparison with intravenous rehydration therapy.
Conclusion.
Subcutaneous rehydration seems to be an appropriate method of rehydration in patients with terminal phase of dementia.
Keywords:
dehydration – subcutaneous rehydration – dementia – palliative approach
Zdroje
1. Kalvach Z, el al. Geriatrie a gerontologie. 1. vyd. Praha: Grada Publishing 2004.
2. Currow D, Clark K. Emergencies in palliative and supportive care. 1. vyd. New York: Oxford University Press 2006.
3. Topinková E. Geriatrie pro praxi. 1. vyd. Praha: Galén 2005.
4. Kubešová HM, et al. Benefits and pitfalls of cardiovascular medication in seniors. Wiener klinische Wochenschrift 2013; 125(15–16): 425–436.
5. Lužný J, et al. Does gerontopsychiatry belong to medicine? Cross-sectional study monitoring polymorbidity in hospitalized gerontopsychiatric patients. Biomedical Papers of Medical Faculty of University Palacky Olomouc Czech Republic 2010; 154(1): 89–92.
6. Lužný J. Hodnocení bolesti u klientů se středně těžkou a těžkou demencí. Ošetřovatelství a porodní asistence 2013; 4(4): 678–683.
7. Lužný J. Gerontopsychiatrie. 1. vyd. Praha: Triton 2012.
8. Ferry M. Strategies for ensuring good hydration in the elderly. Nutrition Review 2005; 63(62): S22–29.
9. Schols JM, et al. Preventing and treating dehydration in the elderly during periods of illness and warm weather. Journal of Nutrition and Healthy Ageing 2009; 13(2): 150–157.
10. Schonbeck SL, McBride K. Hypodermoclysis: easy, safe, cost-effective. Journal of Practical Nursing 2010; 60(1): 7–8.
11. Humphrey P. Hypodermoclysis: an alternative to i.v. infusion therapy. Nursing 2011; 41(11): 16–17.
12. Scales K. Use of hypodermoclysis to manage dehydration. Nursing for Older People 2011; 23(5): 16–22.
13. Van der Steen JT, et al. White paper defining optimal palliative care in older people with dementia: A Delphi study and recommendations from the European Association for Palliative Care. Palliative Medidine 2014; 28(3): 197–209.
14. Mitchell SL, et al. The clinical course of advanced dementia. New England Journal of Medicine 2009; 361(16): 1529–1538.
15. Volicer L. Is percutaneous endoscopic gastrostomy really better? Journal of the American Geriatrics Society 2002; 50(11): 1907–1911.
16. Torke AM. Building the evidence base for palliative care and dementia. Palliative Medicine 2014; 28(3): 195–196.
17. Kabelka L. Paliativní péče v České republice v roce 2011. Klinická onkologie 2011; 24(3): 231–232.
18. Lužný J, Ivanová K. Quality of life in hospitalized seniors with psy-chiatric disorders (a cross-sectional study from the Kromeriz District, Czech Republic). Biomedical Papers of Medical Faculty of University Palacky Olomouc Czech Republic 2009; 153(4): 315–318.
19. Holmerová I, et al. Dignity and palliative care in dementia. Journal of Nutrition Health and Aging 2007; 11(6): 489–494.
20. Lužný J. Kvalita života u pacientů s demencí. Česká a slovenská neurologie a neurochirurgie. 2013; 76/109(1): 90–95.
21. Lužný J, Juríčková L. Prevalence of elder abuse and neglect in seniors with psychiatric morbidity – example from central moravia, Czech republic. Iranian Journal of Public Health 2012; 41(8): 27–32.
22. Adams DM, Winslade WJ. Consensus, clinical decision making, and unsettled cases. Journal of Clinical Ethics 2011; 22(4): 310–327.
23. Buck HG. Refusing artificial nutrition and hydration in advanced illness. Nursing 2012; 42(9): 12–13.
24. Gove D, et al. Recommendations on end-of-life care for people with dementia. Journal of Nutrition Health and Aging 2010; 14(2): 136–139.
25. Dev R, et al. Is there a role for parenteral nutrition or hydration at the end of life? Current Opinion on Supportive and Palliative Care 2012; 6(3): 365–370.
26. Šťastná V, et al. Naše zkušenosti se subkutánní rehydratací. Česká geriatrická revue 2009; 7(1): 46–48.
27. Garret D. Use of hypodermoclysis to manage dehydration. How can subcutaneous fluids be used in the care of older people who are dehydrated? Nursing for Older People 2013; 25(4): 12–18.
28. Stiles E. Providing artificial nutrition and hydration in palliative care. Nursing Standards 2013; 27(20): 35–42.
29. Lužný J. Nefarmakologické ovlivnění kognitivních funkcí u klientů s demencí. Ošetřovatelství a porodní asistence 2011; 2(4): 312–318.
Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistČlánok vyšiel v časopise
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