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The Effects Of Unlimited Oral Intake On Patients With Identified Aspiration

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Debate & concerns
• Teamwork is critical to implementing this type of water protocol.
• Ensuring pristine oral hygiene is critical for this type of protocol to work efficiently and effectively.
• Implementations across whole facilities and not just on a case-by-case basis can be problematic.
• Compliance of patients and families to remain on a modified diet of thickened liquids only can be difficult, especially after leaving facilities.
• Patients who are on a thickened liquids diet only may face dehydration which can cause more problems than aspiration of water alone.
• Allowing patients to consume water as they wish may increase in their quality of life.
• Individuals on a modified thickened liquid diet or feeding tube may aspirate …show more content…

Critique: This was a very small study done and did not provide a representative sample of the dysphagia population, only studying patients whom had suffered a CVA. The sample size of this study was limited due to the numerous subjects who declined participation after education of the protocol or because they did not meet the inclusion criteria. Even though there were no instances of aspiration pneumonia in the group who was allowed the free water protocol, this study is limited in it’s clinical significance. It is important to note however, that patients who were involved in the FWP study group had a much higher patient satisfaction compared to their modified diet of thickened liquids counterparts.

Pooyania, S. , Vandurme, L. , Daun, R. and Buchel, C. (2015) Effects of a Free Water Protocol on Inpatients in a

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