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Hydration And Acute Confusion In Long-Term Care Residents... Including Commentary By Lindgren Cl And Mills Em With Author Response, Kennith Culp, J. Mentes, B. Wakefield
Hydration And Acute Confusion In Long-Term Care Residents... Including Commentary By Lindgren Cl And Mills Em With Author Response, Kennith Culp, J. Mentes, B. Wakefield
Kennith R. Culp
Although it is generally appropriate for a healthy adult to consume 2000 to 2500 ml per day, the literature does not address evaluating any standard. The objective here was to develop a weight-based hydration management intervention and evaluate the impact of this on the incidence of acute confusion (AC) using an N = 98. The intervention consisted of a fluid intake goal based on 100 ml per kg for the first 10 kg, 50 ml/kg for the next 10 kg, and 15 ml for the remaining body weight. The treatment group received instruction and assistance on the fluid goal and …
Risk Factors And Outcomes Associated With Hospital Admission For Dehydration, B. Wakefield, J. Mentes, J. Holman, Kennith Culp
Risk Factors And Outcomes Associated With Hospital Admission For Dehydration, B. Wakefield, J. Mentes, J. Holman, Kennith Culp
Kennith R. Culp
The hospital admission rate for dehydration is one of the Agency for Healthcare Research and Quality Prevention's Quality Indicators, which are considered screening tools for potential quality issues. Thus, admission for dehydration may reflect the quality of care provided in community settings. Using a case-control design, this study estimated the incidence, risk factors, and outcomes of dehydration in adults admitted to the hospital. The overall prevalence rate for three International Classification of Diseases codes for dehydration at admission was 0.55%. Cases and controls differed significantly on a number of clinical variables at admission, including weight, body mass index, pulse, blood …
Reducing Hydration-Linked Events In Nursing Home Residents... Including Commentary By Godkin D, J. Mentes, Kennith Culp
Reducing Hydration-Linked Events In Nursing Home Residents... Including Commentary By Godkin D, J. Mentes, Kennith Culp
Kennith R. Culp
The authors used a quasi-experimental treatment and control group design with 49 participants from four nursing homes to test the effectiveness of an 8-week hydration intervention in reducing hydration-linked events (HLEs). A Kaplan Meier survival curve with log rank test was calculated to determine incidence and time to occurrence of a HLE. Incidence of and time to a HLE did not differ between the treatment and control groups over an 8-week period (p > .05). However, treatment group participants were found to be more frail, more cognitively impaired and more at risk for acute confusion than the control group participants. Although …
Use Of A Urine Color Chart To Monitor Hydration Status In Nursing Home Residents, J. Mentes, B. Wakefield, Kennith Culp
Use Of A Urine Color Chart To Monitor Hydration Status In Nursing Home Residents, J. Mentes, B. Wakefield, Kennith Culp
Kennith R. Culp
To determine whether urine color, as measured by a color chart, might be a valid indicator of hydration status in frail nursing home residents, this study tested the associations between urine color and urine specific gravity. This is a descriptive correlational study set in seven nursing homes in eastern Iowa. Ninety-eight nursing home residents > or =65 years of age participated. Exclusion criteria for the study included: unstable congestive heart failure or diabetes, documented renal disease, hyponatremia (serum sodium or =50 ml/min) had significant associations between average urine color and average Usg. Females with mild renal impairment (CrCl between 30 and …
Postadmission Dehydration: Risk Factors, Indicators, And Outcomes, B. Wakefield, J. Mentes, J. Holman, Kennith Culp
Postadmission Dehydration: Risk Factors, Indicators, And Outcomes, B. Wakefield, J. Mentes, J. Holman, Kennith Culp
Kennith R. Culp
Detecting and treating dehydration in hospitalized patients is critical because of the adverse outcomes associated with this condition. Using a case-control design, this study estimated the incidence, risk factors, and outcomes of dehydration in hospitalized adults. The overall incidence rate for developing one of three ICD-9 codes for dehydration during a hospital stay was 3.5%. Cases and controls differed significantly on a number of clinical variables on admission; a large percentage of patients may have had dehydration on admission to the hospital. Mortality rates at 30 and 180 days postdischarge were significantly higher when dehydration was present. Patients may be …
Clinical Profile Of Acute Confusion In The Long-Term Care Setting, P. Cacchione, Kennith Culp, J. Laing, Toni Tripp-Reimer
Clinical Profile Of Acute Confusion In The Long-Term Care Setting, P. Cacchione, Kennith Culp, J. Laing, Toni Tripp-Reimer
Kennith R. Culp
Aspects of acute confusion (AC) including risk factors, behavior patterns, and outcomes are not well documented in long-term care (LTC) residents. The purpose of this prospective study was to describe the clinical profile of AC in LTC including risk factors, behavior patterns, etiologies, and 3-month outcomes. Seventy-four elderly LTC residents were assessed for AC, depression, and global cognitive impairment. Risk factors associated with AC included hearing deficits, depression, pulmonary disorders, and abnormal serum sodium or potassium levels. Behavior patterns of acutely confused residents included hyperactive (n = 9, 31%), hypoactive (n = 8, 28%), and mixed (n = 7, 24%). …