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QAH Hospital Portsmouth Hospitals NHS Trust Encourage hydration through colour! Toni Kingston Registered Nurse Portsmouth Hospitals

Reducing Undernutrition - Spreading the responsibility, 17 November 2016, Presentation by Toni Kingston Registered Nurse Portsmouth Hospitals

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Page 1: Reducing Undernutrition - Spreading the responsibility, 17 November 2016, Presentation by Toni Kingston Registered Nurse Portsmouth Hospitals

QAH Hospital

Portsmouth Hospitals NHS Trust

Encourage hydration through colour!

Toni Kingston

Registered Nurse

Portsmouth Hospitals

Page 2: Reducing Undernutrition - Spreading the responsibility, 17 November 2016, Presentation by Toni Kingston Registered Nurse Portsmouth Hospitals

QAH Hospital

Portsmouth Hospitals NHS Trust

Increasing rates of older people – how we have adapted

care

Page 2 3/16/2017

Page 3: Reducing Undernutrition - Spreading the responsibility, 17 November 2016, Presentation by Toni Kingston Registered Nurse Portsmouth Hospitals

QAH Hospital

Portsmouth Hospitals NHS Trust

Improving oral intake

Page 3 3/16/2017

Page 4: Reducing Undernutrition - Spreading the responsibility, 17 November 2016, Presentation by Toni Kingston Registered Nurse Portsmouth Hospitals

QAH Hospital

Portsmouth Hospitals NHS Trust

Food? What about Fluid?

Page 4 3/16/2017

Page 5: Reducing Undernutrition - Spreading the responsibility, 17 November 2016, Presentation by Toni Kingston Registered Nurse Portsmouth Hospitals

QAH Hospital

Portsmouth Hospitals NHS Trust

The Trial

Page 5 3/16/2017

Two wards next to each other, of the same number of beds.

One ward using the existing drinking glasses

The other with the new improved drinking glasses.

Water given and was measured on both wards over 9 days

The water being thrown out from the jugs during the handover

period was measured

The amount assumed to be consumed was then calculated

Page 6: Reducing Undernutrition - Spreading the responsibility, 17 November 2016, Presentation by Toni Kingston Registered Nurse Portsmouth Hospitals

QAH Hospital

Portsmouth Hospitals NHS Trust

The drawback

Turnover in the wards is great so on an individual level we

could not assume to capture individual data.

However we were able to see the total amount given to patients

over that 9 day period.

Page 6 3/16/2017

Fluid offered (ml)

Fluid Drunk (ml)

Fluid wasted (ml)

% actually consumed

Lilac ward- Control

4700 1415 3285 30%

Red ward – Active group

9050 7370 1680 81%

Page 7: Reducing Undernutrition - Spreading the responsibility, 17 November 2016, Presentation by Toni Kingston Registered Nurse Portsmouth Hospitals

QAH Hospital

Portsmouth Hospitals NHS Trust

Results

Fluid offered Fluid Drunk Fluid wasted % consumed

Red ward – active

9050ml 7370ml 1680ml 81%

Lilac ward - control

4700ml 1415ml 3285ml 30%

Page 7 3/16/2017

Page 8: Reducing Undernutrition - Spreading the responsibility, 17 November 2016, Presentation by Toni Kingston Registered Nurse Portsmouth Hospitals

QAH Hospital

Portsmouth Hospitals NHS Trust

The solution!

Page 8 3/16/2017

Page 9: Reducing Undernutrition - Spreading the responsibility, 17 November 2016, Presentation by Toni Kingston Registered Nurse Portsmouth Hospitals

QAH Hospital

Portsmouth Hospitals NHS Trust Page 9 3/16/2017

Page 10: Reducing Undernutrition - Spreading the responsibility, 17 November 2016, Presentation by Toni Kingston Registered Nurse Portsmouth Hospitals

QAH Hospital

Portsmouth Hospitals NHS Trust Page 10 3/16/2017