Underrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking

Abstract Thirst is distressing but overlooked by healthcare professionals. Patients experience thirst due to comorbidities, physical or cognitive limitations, and iatrogenesis. Nasogastric tube (NGT) use and nil-by-mouth(NBM) orders are common practices that can lead to thirst. However, thirst in th...

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Autores principales:	Vanda Ho, Gordon Goh, Xuan Rong Tang, Kay Choong See
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d1a16b7255464f5bafb83d96ba9b7935
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spelling	oai:doaj.org-article:d1a16b7255464f5bafb83d96ba9b79352021-12-02T14:34:03ZUnderrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking10.1038/s41598-021-93048-42045-2322https://doaj.org/article/d1a16b7255464f5bafb83d96ba9b79352021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93048-4https://doaj.org/toc/2045-2322Abstract Thirst is distressing but overlooked by healthcare professionals. Patients experience thirst due to comorbidities, physical or cognitive limitations, and iatrogenesis. Nasogastric tube (NGT) use and nil-by-mouth(NBM) orders are common practices that can lead to thirst. However, thirst in these populations has never been formally studied. We aim to examine prevalence of recognition and treatment of thirst among NGT + NBM and NBM patients. Our descriptive study was conducted intermittently over 25 weeks, across 1.5 years, in 12 adult general medicine wards of a tertiary hospital. Cognitively intact NGT + NBM or NBM inpatients, defined as Abbreviated Mental Test score ≥ 8, were studied. One-time questionnaire was administered. Variables included: demography, co-morbidities, clinical condition, feeding route, thirst defined by thirst distress and/or intensity ≥ 3, pain, hunger and volume status. 88 NGT + NBM and NBM patients were studied. 69.3% suffered from thirst. Thirsty patients experienced significant thirst-related distress (mean score ± SD: 5.7 ± 2.5). Subjects with previous stroke and who were euvolemic tended towards thirst. 13.6% were asked about thirst by doctors or nurses. Thirst was a major source of patient distress in our study. We suggest that thirst needs to be actively identified and targeted to achieve person-centred care.Vanda HoGordon GohXuan Rong TangKay Choong SeeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Vanda Ho Gordon Goh Xuan Rong Tang Kay Choong See Underrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking
description	Abstract Thirst is distressing but overlooked by healthcare professionals. Patients experience thirst due to comorbidities, physical or cognitive limitations, and iatrogenesis. Nasogastric tube (NGT) use and nil-by-mouth(NBM) orders are common practices that can lead to thirst. However, thirst in these populations has never been formally studied. We aim to examine prevalence of recognition and treatment of thirst among NGT + NBM and NBM patients. Our descriptive study was conducted intermittently over 25 weeks, across 1.5 years, in 12 adult general medicine wards of a tertiary hospital. Cognitively intact NGT + NBM or NBM inpatients, defined as Abbreviated Mental Test score ≥ 8, were studied. One-time questionnaire was administered. Variables included: demography, co-morbidities, clinical condition, feeding route, thirst defined by thirst distress and/or intensity ≥ 3, pain, hunger and volume status. 88 NGT + NBM and NBM patients were studied. 69.3% suffered from thirst. Thirsty patients experienced significant thirst-related distress (mean score ± SD: 5.7 ± 2.5). Subjects with previous stroke and who were euvolemic tended towards thirst. 13.6% were asked about thirst by doctors or nurses. Thirst was a major source of patient distress in our study. We suggest that thirst needs to be actively identified and targeted to achieve person-centred care.
format	article
author	Vanda Ho Gordon Goh Xuan Rong Tang Kay Choong See
author_facet	Vanda Ho Gordon Goh Xuan Rong Tang Kay Choong See
author_sort	Vanda Ho
title	Underrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking
title_short	Underrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking
title_full	Underrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking
title_fullStr	Underrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking
title_full_unstemmed	Underrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking
title_sort	underrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/d1a16b7255464f5bafb83d96ba9b7935
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Underrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking

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