Thickened Liquids = Substandard Oral Fluid Intake = Dehydration. Is It Really That Simple?

2016 ◽  
Vol 1 (13) ◽  
pp. 67-71
Author(s):  
Anne McGrail
Keyword(s):  
Oral Fluid ◽  
Fluid Intake ◽  
Positive Response ◽  
Respiratory Health ◽  
Liquid Viscosity ◽  
Primary Reason ◽  
Thickened Liquids ◽  
Dysphagia Research ◽  
Functional Deficits

“Thickened liquids” generally elicits a negative reaction to those who have had experience with them. The altered taste, texture, and consistency of thickened liquids has long been thought to be the primary reason for substandard fluid intakes in patients with dysphagia who are restricted to thickened liquids. However, recent studies suggest that individuals who have no restrictions on liquid consistency also exhibit substandard fluid intake. Factors including functional deficits post-stroke, environmental barriers, and the amount of fluids offered have been reported to influence oral fluid intake for hospitalized individuals regardless of liquid viscosity. While thickened liquids have received criticism for contributing to dehydration, another treatment in dysphagia, the “Water Protocol,” has generated a positive response in improving not only quality of life, but also hydration while maintaining respiratory health. Despite recent studies suggesting that aspirating water does not result in adverse events in individuals who are known to aspirate, there are many unreported variables that could alter the outcomes. Dysphagia severity, or more specifically, aspiration characteristics, may influence how well an individual tolerates a water protocol. Understanding the variables that can influence outcomes in dysphagia research is crucial before a treatment can be considered efficacious.

scholarly journals Endometrial adenocarcinoma metastatic to the pituitary gland: a case report and literature review

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052092451
Author(s):  
Hongquan Du ◽  
Aihua Jia ◽  
Yuan Ren ◽  
Mingyong Gu ◽  
Haomin Li ◽  
...  
Keyword(s):  
Pituitary Gland ◽  
Diabetes Insipidus ◽  
Oral Fluid ◽  
Fluid Intake ◽  
Endometrial Adenocarcinoma ◽  
Posterior Lobe ◽  
Laboratory Findings ◽  
Pituitary Metastases ◽  
Pituitary Metastasis

Pituitary metastases are rare, and metastatic pituitary lesions originating from endometrial adenocarcinoma are extremely rare. These lesions can be mistaken for pituitary adenomas and their diagnosis can be very difficult. Pituitary metastases mostly affect the posterior lobe and patients may develop diabetes insipidus. Patients with endometrial cancer complicated with diabetes, including poor glycemic control, may also suffer from thirst, making it more difficult to diagnose diabetes insipidus. A 68-year-old woman who was being followed-up for primary endometrial adenocarcinoma was admitted for gradually worsened polyuria and polydipsia. Her laboratory findings were compatible with diabetes insipidus. Magnetic resonance imaging revealed thickening of the pituitary stalk, involvement of the superior pituitary gland, and disappearance of hyperintensity in the posterior lobe, indicating pituitary metastasis. Increased urine output and oral fluid intake in a patient with a diagnosis of carcinoma may indicate possible pituitary metastasis, and the hormonal insufficiency should be corrected to improve the patient’s quality of life.

Respiratory health impacts quality of life for adults with OI

2019 ◽  
Author(s):  
Elizabeth Yonko ◽  
Erin Carter ◽  
Robert Sandhaus ◽  
Cathleen Raggio
Keyword(s):  
Quality Of Life ◽  
Respiratory Health ◽  
Health Impacts

Агрономическая эффективность промышленной (голландской) технологии возделывания картофеля

2018 ◽  
Author(s):  
C. Coy ◽  
A.V. Shuravilin ◽  
O.A. Zakharova
Keyword(s):  
Heavy Metals ◽  
Regression Analysis ◽  
Positive Response ◽  
Growth Yield ◽  
Correlation And Regression Analysis ◽  
Yield And Quality ◽  
Quality Of Products ◽  
High Degree ◽  
The Impact

Приведены результаты исследований по изучению влияния промышленной технологии возделывания картофеля на развитие, урожайность и качество продукции. Выявлена положительная реакция растений на подкормку K2SO4 в период посадки. Корреляционно-регрессионный анализ урожайности и качества клубней выявил высокую степень достоверности результатов опыта. Содержание нитратов и тяжелых металлов в клубнях было ниже допустимых величин.The results of studies on the impact of industrial technology of potato cultivation on growth, yield and quality of products. There was a positive response of plants to fertilizer K2SO4 in the period of planting. Correlation and regression analysis of yield and quality of tubers revealed a high degree of reliability of the results of experience. The contents of nitrates and heavy metals in tubers was below the permissible values.

scholarly journals Quality of Care Provided by Family Caregivers of Older People With Dementia: Measurement and Interpretations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 152-152
Author(s):  
Afeez Hazzan
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Primary Reason ◽  
People With Dementia ◽  
High Level ◽  
The Impact ◽  
The Relationship

Abstract Family caregivers of older people living with dementia are relatives, friends, or neighbors who provide assistance related to this condition, but who are unpaid for the services they provide. Although caregiving could be personally rewarding, many caregivers report a high level of strain. Compared to caregivers of older adults who do not have dementia, family caregivers of older people living with dementia report lower quality-of-life (QoL). In a published systematic review examining the relationship between family caregiver QoL and the quality of care provided, only one study was found to be somewhat relevant. The study suggested that the primary reason for an absence of research into the link between family caregiver QoL and quality of care was the absence of a questionnaire for measuring quality of care in dementia. Therefore, any attempt to investigate the impact of caregiver QoL on the care provided to older people with dementia must first address the lack of an instrument to measure quality of care. To address this issue, we interviewed approximately 20 family caregivers in order to elicit feedback on measurements and interpretation of the quality of care provided by family caregivers of older people living with dementia. Content analysis of the interview transcripts revealed that the quality of relationships with family, caregiver availability to provide or supervise care, and availability of paid or volunteer help are important for the quality of care provided. These results have important implications, particularly for the development of an instrument to measure quality of care in dementia.

Adults face increased asthma risk after infant RSV bronchiolitis and reduced respiratory health-related quality of life after RSV pneumonia

2014 ◽  
Vol 103 (8) ◽  
pp. 850-855 ◽  
Author(s):  
Katri Backman ◽  
Eija Piippo-Savolainen ◽  
Hertta Ollikainen ◽  
Heikki Koskela ◽  
Matti Korppi
Keyword(s):  
Quality Of Life ◽  
Respiratory Health ◽  
Health Related Quality ◽  
Asthma Risk ◽  
Related Quality ◽  
Health Related

Successful rescue of severe hypernatraemia (196 mmol/L) by treatment with hypotonic fluid

2007 ◽  
Vol 44 (5) ◽  
pp. 491-494 ◽  
Author(s):  
Jinny Jeffery ◽  
Ruth M Ayling ◽  
Richard J S McGonigle
Keyword(s):  
Oral Fluid ◽  
Fluid Intake ◽  
Case Reports ◽  
Pure Water ◽  
Plasma Osmolality ◽  
Urine Osmolality ◽  
Urinary Sodium Excretion ◽  
Sodium Concentration ◽  
Chronic Renal Impairment ◽  
Hypotonic Fluid

Hypernatraemia over 160 mmol/L is considered to be severe. This case reports a patient who developed extreme hypernatraemia with a serum sodium concentration of 196 mmol/L. The patient was known to have chronic renal impairment and was admitted with acute deterioration of renal function secondary to dehydration. This was considered to be secondary to poor oral fluid intake (related to depression) and lithium-induced nephrogenic diabetes insipidus with salt-losing nephropathy. The patient had a high urinary sodium excretion but was also in a pure water losing state as evidenced by an inappropriately low urine osmolality for the plasma osmolality and was successfully treated with hypotonic intravenous fluid and desmopressin.

scholarly journals POJOK BACA (BALANCE CAIRAN) UNTUK SURVIVOR HEMODIALISIS

2018 ◽  
Vol 2 (2) ◽  
pp. 138
Author(s):  
Eska Dwi Prajayanti
Keyword(s):  
Kidney Failure ◽  
Fluid Intake ◽  
Fluid Overload ◽  
Hemodialysis Patients ◽  
Fluid Restriction ◽  
End Stage Renal Failure ◽  
Severity Of The Disease ◽  
The Right ◽  
End Stage

Background: Management of end-stage renal failure patients one of the treatments is hemodialysis. Complications that arise with respect to fluid overload in patients with kidney failure can be prevented through effective and efficient fluid intake restrictions. Efforts to create restrictions on fluid intake in patients with kidney failure can be done through monitoring fluid intake per day. Fluid restriction program in patients in order to prevent complications and maintain quality of life, it is necessary to analyze practices related to intervention in controlling the amount of fluid intake through recording the amount of fluid taken and urine released every day. Pojok Balance Cairan (BACA) is one way to help hemodialysis patients learn how to calculate fluid needs in their body and help determine dietary settings for hemodialysis patients where in the reading corner will be explained related to how to calculate fluid balance and how the right diet in patients hemodialysis according to the severity of the disease. Method of implementation: lectures and demonstrations. Conclusion: POJOK BACA can prolong the life of patients undergoing hemodialysis because it can reduce the risk of complications that arise such as shortness of breath.Keywords: Hemodialysis, Liquid, Pojok Baca

scholarly journals Role of frequency volume chart for the assessment of urinary incontinence in men

2018 ◽  
Vol 6 (10) ◽  
pp. 3346
Author(s):  
Debasis Samaddar ◽  
Dilip Kumar Pal
Keyword(s):  
Urinary Incontinence ◽  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Male Patient ◽  
Lower Urinary Tract ◽  
Oral Fluid ◽  
Fluid Intake ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Background: This study was conducted to evaluate the role of FVC (frequency volume chart) in the male patient with urinary incontinence. That will definitely help to evaluate patient’s objective lower urinary tract symptoms including incontinence and guide to manage those symptoms. But there are less number of reported studies showing role of FVC in men with urinary incontinence.Methods: Male patient (19-60 years) presenting with incontinence symptoms from 1st February 2018 to 30th July 2018, were enrolled in the study. They were asked to record the time and volume of each oral fluid intake, voided volume for 3 consecutive days and put tick in the column of incontinence in the FVC if present.Results: Total 205 male patients presented with incontinence symptoms were evaluated, they were divided into 3 age groups (19-32, 33-46 and 47-60 years). Mean incontinence were found 2.65 (19-32 years). 2.99 (33-46 years) and 3.13 (47-60 years). In 47-60 years group total oral fluid intake is positively correlated with frequency (p <0.05) but not in other groups. Correlation of Nocturia with incontinence (p >0.05) and frequency with incontinence (p >0.05) were not statistically significant in any age groups.Conclusions: The FVC is the registration of voiding parameters by patient in his own environment. Assessment of lower urinary tract symptoms based on a history alone is not accurate, value of FVC are found to be consistent and accurate, so it will guide us to initiate management in male with urinary incontinence and also help to assess treatment responsiveness.

scholarly journals Clinical experience of effective use of palliative targeted therapy in a patient with EGFR-negative lung adenocarcinoma

2019 ◽  
pp. 142-145
Author(s):  
L. M. Kogonia ◽  
E. V. Markarova ◽  
G. A. Stashuk ◽  
M. M. Byakhova ◽  
M. M. Akhmetov
Keyword(s):  
Quality Of Life ◽  
Targeted Therapy ◽  
Lung Adenocarcinoma ◽  
Clinical Experience ◽  
Positive Response ◽  
Target Therapy ◽  
Palliative Therapy ◽  
Response To Therapy ◽  
Effective Use

The article describes the experience in effective use of the second-generation EGFR II blocker in palliative target therapy of EGFRnegative lung adenocarcinoma. The use of afatinib in the fifth-line palliative therapy of EGFR-negative lung adenocarcinoma allowed us to achieve a significant positive response to therapy in the lungs and improve the patient’s quality of life.

scholarly journals COVID 19: prioritise autonomy, beneficence and conversations before score-based triage

2020 ◽  
Author(s):  
Esther Peiying Ho ◽  
Han-Yee Neo
Keyword(s):  
Critical Care ◽  
Older People ◽  
Epidemiological Data ◽  
Adverse Outcomes ◽  
Best Interest ◽  
Health Crisis ◽  
Therapeutic Goals ◽  
Functional Deficits ◽  
Situational Pressure

Abstract At the start of the COVID-19 pandemic, mounting demand overwhelmed critical care surge capacities, triggering implementation of triage protocols to determine ventilator allocation. Relying on triage scores to ration care, while relieving clinicians from making morally distressing decisions under high situational pressure, distracts clinicians from what is essentially deeply humanistic issues entrenched in this protracted public health crisis. Such an approach will become increasingly untenable as countries flatten their epidemic curves. Decisions regarding intensive care unit admission are particularly challenging in older people, who are most likely to require critical care, but for whom benefits are most uncertain. Before applying score-based triage, physicians must first discern if older people will benefit from critical care (beneficence) and second, if he wants critical care (autonomy). When deliberating beneficence, physicians should steer away from solely using age-stratified survival probabilities from epidemiological data. Instead, decisions must be based on individualised risk-stratification that encompasses evidence-based predictors of adverse outcomes specific to older adults. Survival will also need to be weighed against burden of treatment, as well as longer term functional deficits and quality-of-life. By identifying the robust older people who may benefit from critical care, clinicians should proceed to elicit his values and preferences that would determine the treatment most aligned with his best interest. During these dialogues, physicians must truthfully convey the emergent clinical reality, discern the older person’s therapeutic goals and discuss the feasibility of achieving them. Given that COVID-19 is here to stay, these conversations aimed at achieving goal-cordant care must become a new clinical norm.

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