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Article

Pilot of a Charter to Improve Management of Medicines and Oral Care for Residents with Dysphagia in Care Homes

1
Patients Association, Harrow HA1 3YJ, UK
2
Royal College of Speech and Language Therapists, London SE1 1NX, UK
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College of Human and Health Sciences, Swansea University, Singleton Park, Swansea SA2 8PP, UK
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Elvington Medical Practice, Elvington, York YO41 4LD, UK
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Lewisham and Greenwich NHS Trust, Queen Elizabeth Hospital, London SE18 4QH, UK
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School of Pharmacy, University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK
*
Author to whom correspondence should be addressed.
Geriatrics 2018, 3(4), 78; https://doi.org/10.3390/geriatrics3040078
Received: 21 September 2018 / Revised: 5 November 2018 / Accepted: 7 November 2018 / Published: 15 November 2018
(This article belongs to the Special Issue Dysphagia in Older and Frail Adults)
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. View Full-Text
Keywords: dysphagia; care home; covert administration; charter dysphagia; care home; covert administration; charter
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MDPI and ACS Style

Morris, J.E.; Hollwey, F.; Hansjee, D.; Power, R.A.; Griffith, R.; Longmore, T.; Smithard, D.G.; Dann-Reed, E.; Wright, D.J. Pilot of a Charter to Improve Management of Medicines and Oral Care for Residents with Dysphagia in Care Homes. Geriatrics 2018, 3, 78. https://doi.org/10.3390/geriatrics3040078

AMA Style

Morris JE, Hollwey F, Hansjee D, Power RA, Griffith R, Longmore T, Smithard DG, Dann-Reed E, Wright DJ. Pilot of a Charter to Improve Management of Medicines and Oral Care for Residents with Dysphagia in Care Homes. Geriatrics. 2018; 3(4):78. https://doi.org/10.3390/geriatrics3040078

Chicago/Turabian Style

Morris, Jacqueline E., Frances Hollwey, Dharinee Hansjee, Rachel A. Power, Richard Griffith, Timothy Longmore, David G. Smithard, Eleanor Dann-Reed, and David J. Wright. 2018. "Pilot of a Charter to Improve Management of Medicines and Oral Care for Residents with Dysphagia in Care Homes" Geriatrics 3, no. 4: 78. https://doi.org/10.3390/geriatrics3040078

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