title: Use of a Modified Frazier Water Protocol in Critical Illness Survivors With Pulmonary Compromise and Dysphagia: A Pilot Study.
abstract: Limited information is available regarding use of the Frazier free water protocol (FWP) with hospitalized patients who have dysphagia and have survived a critical illness with compromised pulmonary status. This pilot study used a two-group nonequivalent comparison group design to evaluate the FWP in 15 adults admitted to a respiratory care unit (RCU) with dysphagia concerns. Inclusion criteria included recommendation for a modified diet with thickened liquids by a dysphagia therapist and ability to follow the specific free water guidelines. The 15 control participants were chosen from a retrospective chart review of consecutive RCU admissions that met the same inclusion criteria. The intervention group for whom the free water guidelines were implemented did not differ significantly from the control group in rate of development of aspiration pneumonia, χ²(30) = .01, p = 1.00.
authors.affiliation: Shari Bernard, OTD, OTR/L, SCFES, is Manager, Outpatient Therapy Services, Mayo Clinic, Physical Medicine and Rehabilitation, Rochester, MN; bernard.shari@mayo.edu.
authors.forename: Shari
authors.initials: S
authors.lastname: Bernard
authors.affiliation: Vicki Loeslie, DNP, RN, CNP, is Nurse Practitioner/Physician Assistant Supervisor, Mayo Clinic, Critical Care Medicine, Rochester, MN.
authors.forename: Vicki
authors.initials: V
authors.lastname: Loeslie
authors.affiliation: Jeffrey Rabatin, MD, is Physician, Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Rabatin