Critical Appraisal literature
Assessment task 2
Critical Appraisal literature
By: Gurjant Singh
30410705
NURBN 1015
Berwick Campus
Clinical question: Does hydration practices and encouraging elderly to drink more fluid improve their fluid intake?
Cook, G., Hodgson, P., Hope, C., Thompson, J., & Shaw, L. (2019). Hydration practices in residential and nursing care homes for older people. Journal of Clinical Nursing, 28(78), 12051215. https://doi.org/10.1111/jocn.14727
Relevance
The information provided in this article is about the process of hydration. It has been noted that most of the residential-aged people are not consuming a lot of fluids. The research aims to find ways of increasing fluid intake when it comes to older people who are living in residential aged care. The main aim is to improve their hydration status. The article provides some of the solutions when it comes to assisting the aged residential people to consume more fluids. Some of the strategies identified include social interaction where the residents are encouraged to drink their fluids. Other strategies used include providing the fluids in routine practice and other social activities. The intended audience is the carers and the aged people in residential areas. The information provided here is very appropriate as it allows for an effective literature review when it comes to answering the research purpose and question.
Source
The publishers are also renowned researchers from various prestigious learning institutions. They are experienced authors who have contributed widely to the field. The researchers are affiliated with the Gateshead Health NHS Foundation Trust in the UK and hence qualify imperatively to write on the topic of discussion.
Reliability
The article provides an accurate analysis of some of the methods that can be used to enhance fluid intake for residential-aged people. The researchers have borrowed much from previous studies and their findings are also in tandem with previous research done on the same topic.
Purpose
The main purpose of the research is to provide some of the strategies that can be used to influence residential-aged people to consume more fluids. This is because their fluid intake is usually very low. The researcher's view is not biased and is very objective in helping the aged people.
Summary
The survey consisted of 29 responses which were received from 81 care homes. A second survey conducted was based on semi-structured interviews on the practitioner's experience and perception when it comes to hydration practices. The results indicate that the practices named were practiced in care homes but none of the care homes conducted all the practices at once. The article is relevant as it helps in supporting residents to achieve their daily hydration requirements.
Bunn, D., Jimoh, F., Wilsher, S. H., & Hooper, L. (2015). Increasing fluid intake and reducing dehydration risk in older people living in long-term care: A systematic review. Journal of the American Medical Directors Association, 16(2), 101113. https://doi.org/10.1016/j.jamda.2014.10.016
Relevance
The main aim of the article was to assess the efficacy of interventions and other environmental factors when it comes to increasing fluid intake while reducing dehydration risk for the elderly and aged people who are living in residential care facilities.
Source
The publishers have done research from various prestigious research institutions in the UK notably the Norwich Medical School. The researchers are coming from various schools of medicine and department of medicine. They are experienced authors who have contributed widely to the field. The researchers are affiliated with the Faculty of Medicine and Health Sciences at the University of East Anglia in the UK and hence qualify imperatively to write on the topic of discussion.
Reliability
The article provides an accurate analysis of some of the methods that can be used to enhance fluid intake for residential-aged people in relation to environmental status. The researchers have cited from previous studies and their findings are also in conjunction with previous findings done on the same topic.
Purpose
The main purpose of conducting the research was to come up with targeted interventions that could help optimise hydration care for the aged and frail people who are living in residential care home settings. The researcher's view is impartial and there is no bias.
Summary
The methodology included a literature review on the topic with the inception date being 2013. Thirteen electronic databases were used for the research. Inclusion criteria involved intervention and observational studies for aged people 65 years and above. The results indicated a wide range of intervention measures that have been applicable and have always yielded success when it comes to dealing with aged people in residential homes.
Wilson, J., Bak, A., Tingle, A., Greene, C., Tsiami, A., Canning, D., Myron, R., & Loveday, H. (2019). Improving hydration of care home residents by increasing choice and opportunity to drink: A Quality Improvement Study. Clinical Nutrition, 38(4), 18201827. https://doi.org/10.1016/j.clnu.2018.07.020
Relevance
The main aim of the article was to find out how to solve the cases of insufficient provision of fluids and lack of assistance to help the aged people drink the fluids that affected their daily fluid supplements. The article is related to the topic of discussion as it aims at solving the hydration issues faced by residential-aged people in terms of hydration. The intended audience is the carers, practitioners, and the aged people in residential areas. The information provided here is appropriate as it allows for an effective literature review when it comes to answering the research purpose and question.
Source
The researchers have previous other research from prestigious research institutions in the UK notably the Richard Wells Research Centre. Their experience has contributed widely to the field. The researchers are affiliated with the National Institute for Health Research in the UK and hence qualify imperatively to write on the topic of discussion.
Reliability
The article provides an accurate analysis of some of the methods that can be used to enhance fluid intake for residential-aged people.
Purpose
The main purpose of conducting the research was to come up with targeted interventions that could help optimise hydration care for the old people who are living in residential care home setting. The researcher's view is not biased and is done for the improvement of fluid intake in elderly people.
Summary
The methodology included using a Plan Do Study Act cycle technique to evaluate and test intervention methods that could help the aged in care homes improve their fluid intake. The amount of fluid intake was captured. Long-term intervention processes were studied in terms of laxative and antibiotic consumption for a sample of six residents monthly. The results indicated that the aged people who increasingly took fluids of excess of 1500 ml for 3 months reduced their intake of laxatives. However, barriers in terms of organization affected the study process.
