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Sialorrhoea Management Practices in Residential Older Adults Care Settings: A Qualitative Study
Author(s) -
Varley Li Ping,
Gooney Martina,
Denieffe Suzanne,
Murphy Annette
Publication year - 2021
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.13236
Subject(s) - medicine , multidisciplinary approach , health care , thematic analysis , qualitative research , nursing , focus group , social science , business , marketing , sociology , economics , economic growth
Aim The aim of this research was to explore both older adults’ and health care professionals’ experience and views of sialorrhoea management practices in older adult residential care settings. Background Sialorrhoea is quite a bothersome symptom among patients with certain neurological conditions. The complexity of sialorrhoea and its complications can be quite challenging for health care professionals. In the management of sialorrhoea, a multidisciplinary approach is proposed as an effective way of sialorrhoea management. Methods Thematic analysis of collected data via semi‐structured qualitative interviews with five focus groups involving 28 multidisciplinary health care members and 1 patient. Results The older adult and multidisciplinary health care professionals’ view of the management of sialorrhoea in residential care settings were established under three main themes: 1) ‘Sialorrhoea compromising patient's dignity’, 2) ‘Ad hoc local management’ and 3) ‘Further integration of care required’. Conclusion At present, there have been no comprehensive multidisciplinary sialorrhoea management strategies to meet the various needs of older adults with sialorrhoea. Implication for Nursing Management It is important to minimize the negative impact of sialorrhoea on the patients. The recognition of issues associated with sialorrhoea provides constructive scope for the health care professionals to further investigate and develop more effective integrated sialorrhoea care protocols.