Assuring Quality of Care in Nursing Homes – Hydration Monitoring Solution

Dehydration is associated with poor outcomes such as falls, constipation, urinary tract infections, increased hospitalisation and mortality. Dehydration in older people is one of the top 10 common reasons for hospital admission and has a significant financial impact on the healthcare system. Yet dehydration in older people can be easily prevented or treated with an appropriate hydration programme.

Most care homes have nutrition policies, but the hydration policies vary significantly. Hydration status needs to be monitored regularly in order to prevent dehydration. However, current monitoring systems are time consuming, labour intensive and vary in different care homes.

This project saw the introduction of a standardised hydration policy across all 18 care homes in North Tyneside CCG and the development of a mobile hydration monitoring app. (Hydr8) which was then trialled in 5 nursing homes in North Tyneside.  In the Hydr8 monitoring system, each resident has their own profile on the Hydr8 app. where their fluid intake is recorded. The cumulative total can be viewed at a glance, with an infographic displaying the percentage of hydration status attained. Residents at risk of becoming under or over hydrated can be easily identified and a standardised protocol then guides staff as to the appropriate response. Data from all residents is relayed back to a central data store and is then accessible to the care home manager, care home provider, CCG and authorised clinicians.

Project Resources

Assuring Quality of Care in Nursing Homes – Hydration Monitoring Solution: Case Study

PowerPoint From November 2014 Workshop

PowerPoint from September 2015 Workshop

(Case study uploaded 1st December 2016)

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