In this episode of the #theEDDMpodcast, I speak about hospital acquired deconditioning and dehydration, the physical and mental impacts of dehydration, and how EDDM principles can help. With each episode we will also have time for shout outs, pledges and examples of best practice so make sure you post yours on social media with the #EDDM and #theEDDMpodcast! And we always finish off by mobilising our minds in the EDDM brainteasers - an opportunity for you to win a sought after EDDM badge!

Read show notes at https://www.theeddmproject.co.uk/theeddmpodcast

Key facts:

A study of hospitalized community‐dwelling older people at 6 months after discharge showed that 43% needed continuing help with medications, 24% were still unable to walk a quarter of a mile, and 45% were still unable to drive (1).
An early study noted that 36% of hospitalized older patients had high levels of anxiety and depression; and 1 month after discharge, half of them remained anxious and depressed (1).
In response to stressors, the body releases the stress hormone cortisol in a process known as allostasis. Prolonged allostasis or allostatic overload can cause further reconditioning and adverse patient outcomes (1).
Participants from a qualitative study exploring the lived experiences of deconditioning in hospital in Ontario in Canada, described insufficient activities in hospital leading to boredom and mental and physical deconditioning. Patients were frustrated with experiencing deconditioning and their decline in function seemed to impact their sense of self and identity (2).

Resources:

Hospital‐associated deconditioning: Not only physical, but also cognitive https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9303382/
A qualitative study exploring the lived experiences of deconditioning in hospital
in Ontario, Canada https://pubmed.ncbi.nlm.nih.gov/33750320/#:~:text=Results%3A%20A%20total%20of%2080,sense%20of%20self%20and%20identity.
Lack of meaningful activity on acute physical hospital wards: Older people’s experiences https://journals.sagepub.com/doi/abs/10.1177/0308022617735047?journalCode=bjod
Donate2Motivate https://www.donate2motivate.co.uk/


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