Free Water Protocol

Clinical Question

In patients with dysphagia what are the benefits and complications of implementing the Free Water Protocol?

Critically Appraised Topic

The practicing Speech Pathology members of the Adult Swallowing EBP group wished to explore the use of the Frazier Free Water Protocol with adult patients with dysphagia with in the aim of improving quality of life and fluid intake, whilst minimising pulmonary complications. This followed on from the Oral Hygiene Critically Appraised Topic (2009) PDF Format

Critically Appraised Papers

Karagiannis MJP, Chivers L, Karagiannis C (2011) ‘Effects of oral intake of water in patients with oropharyngeal dysphagia’, BMC Geriatrics, 11:9

Scott, A., & Benjamin, L. (2010). Implementation of a free fluid protocol in an aged care facility. In Roddam, H., & Skeat, J. (Eds). Embedding evidence based practice in speech and language therapy. West Sussex: Wiley-Blackwell

Garon, B. R., Engle, M., & Ormiston, C. (1997). A Randomised Control Study to Determine the Effects of Unlimited Oral Intake of Water in Patients with Identified Aspiration. J Neuro Rehab, 11 (3), 139 – 148

Carlaw, C., Finlayson, H., Beggs,K., Visser, T., Marcoux, C., Coney, D., & Steele, C.M. (2011). Outcomes of a pilot water protocol project in a rehabilitation setting. Dysphagia, (published on-line)

Panther, K., (2005) The Frazier Free Water Protocol. Swallowing and Swallowing Disorders. March p4-9

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