The aim of this clinical trial is to evaluate the effectiveness of a hydration educational program executed through a robot in comparison with the usual hydration program in terms of fluid intake and general health status of the residents. The main question to be answered is whether the use of robotics through a humanoid robot increases the hydration of institutionalized older people. Participants: * The intervention group will receive a hydration plan executed by the robot and the control group will receive the center\'s usual hydration plan. * Healthcare personnel will receive reminders from the robot to record fluid intake through it. In the control group, health personnel will perform the fluid intake record in paper format and at the end of the shift, as usual.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
57
The humanoid robot will execute an educational hydration plan that will be integrated into the usual dynamics of the residence. In order to increase the fluid intake of the residents, stimulation activities will be proposed that will be carried out by the robot such as reminders, interactive activities and positive reinforcement. It will also allow the daily recording fluid intake of each residents. This intervention will last two months.
The center's usual hydration plan
Residència i Centre de Dia per a Gent Gran Balàfia II
Lleida, Lleida, Spain
Daily fluid intake
Amount in milliliters (ml)
Time frame: From enrollment to the end of intervention at 8 weeks
Urine color
Urine color chart (Armstrong, 2000). Values = 1 - 8. Dehydration: scores \>= 4
Time frame: 8 weeks
Serum osmolarity
Serum osmolarity: \[1,86\*(Na+K)+1,15\*Glucose+urea+14)\]. Dehydration \> 300mOsm/kg
Time frame: 8 weeks
Blood Urea Nitrogen
BUN = Urea/2.1428. Dehydration \> 20mg/dl
Time frame: 8 weeks
Number of urinary infections
Obtained through a urine sample and evaluated with the Combur-Test.
Time frame: 8 weeks
Dry Skin
Skin turgor: if skin remains elevated after being pulled up and released
Time frame: 8 weeks
Cognitive status
The Mini Cognitive Examination (MEC) (Values = 0 - 30). Cognitive impairment: scores \<= 23
Time frame: 8 weeks
Cognitive status
Global Deterioration Scale (GDS). Values = 1 - 7. Dementia: scores \>= 3
Time frame: 8 weeks
Risk of falls
Downton scale. Values = 0 - 11. Risk of falls: scores \> 2
Time frame: 8 weeks
Illnesses
Diseases that the participant currently presents
Time frame: 8 weeks
Pharmacological treatment
Number of medicines taken by the participant per day and type of medicine.
Time frame: 8 weeks
Efficacy and safety of swallowing
Volume-Viscosity swallow test (V-VST): identify clinical signs of impaired efficacy (labial seal, oral and pharyngeal residue, and piecemeal deglutition) and impaired safety of swallow (voice changes, cough and decrease in oxygen saturation ≥3%). It starts with nectar viscosity and increasing bolus volume, then liquid and finally pudding viscosity
Time frame: 8 weeks
Nutritional status
Assessed through the Mini Nutritional Assessment (MNA). Values = 0 - 30. Malnutrition: scores \< 17
Time frame: 8 weeks
Risk of pressure ulcers
Braden Scale. Values = 6 - 23. Risk of pressure ulcers: scores \< 19
Time frame: 8 weeks
Functional status
Barthel index. Values = 0 - 100. Functional impairment: scores \< 90
Time frame: 8 weeks
Hospital admissions
Number of hospital admissions
Time frame: 8 weeks
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