Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/27296
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dc.contributor.authorForbat, Lizen_UK
dc.contributor.authorKunicki, Natalieen_UK
dc.contributor.authorChapman, Michaelen_UK
dc.contributor.authorLovell, Clareen_UK
dc.date.accessioned2018-05-29T12:17:11Z-
dc.date.available2018-05-29T12:17:11Z-
dc.date.issued2017-05-31en_UK
dc.identifier.urihttp://hdl.handle.net/1893/27296-
dc.description.abstractAims and objectives To identify the mechanisms of subcutaneous fluid administration in advanced illness. Background Hydration at end of life is a fundamental issue in quality care internationally. Decision‐making regarding the provision of artificial hydration in advanced illness is complicated by a paucity of evidence‐based guidance. Despite considerable attention given to the topic including two recent Cochrane reviews, there has been no focus in systematically identifying papers that report the mechanisms for delivering hydration subcutaneously. Consequently, there is a need to produce guidance on the site, mode, volume and rate of infusion, based on empirical evidence. Design Systematic review of papers reporting empirical research data. Methods Key databases (CENTRAL, Medline, EMBASE, Web of Science, CINAHL) were searched in September 2015, with no date limitations. Inclusion criteria focused on hypodermoclysis in adults within an advanced illness population. Selected studies were reviewed for quality and a risk‐of‐bias assessment was conducted for the included studies. Results Fourteen papers were included in the analysis; most (n = 8) were conducted in hospices with others (n = 6) in long‐stay units with a population affected by chronic conditions associated with ageing. Studies were of moderate or high quality. The site and mode of infusion were not well described in these papers, and rates of infusion varied widely allowing for little clear consensus to guide clinical practice in the administration of subcutaneous fluids. Conclusions Studies under‐report the mechanisms by which artificial hydration is provided, creating a paucity of evidence‐based guidance by which to practice. There is a need for evidence generated from nonmalignant populations to ensure applicability to the large number of people with other advanced illness. Relevance to clinical practice In the absence of sufficiently powered robust evidence, the mode of delivery of artificial hydration at end of life remains in the gloaming between evidence and unfounded habit.en_UK
dc.language.isoenen_UK
dc.publisherWileyen_UK
dc.relationForbat L, Kunicki N, Chapman M & Lovell C (2017) How and why are subcutaneous fluids administered in an advanced illness population: a systematic review. Journal of Clinical Nursing, 26 (9-10), pp. 1204-1216. https://doi.org/10.1111/jocn.13683en_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.rights.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_UK
dc.subjectadvanced illnessen_UK
dc.subjecthydrationen_UK
dc.subjecthypodermocylsisen_UK
dc.subjectpalliative careen_UK
dc.subjectsubcutaneousen_UK
dc.subjectsystematic reviewen_UK
dc.titleHow and why are subcutaneous fluids administered in an advanced illness population: a systematic reviewen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2999-12-31en_UK
dc.rights.embargoreason[JCN_subcut fluids.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.1111/jocn.13683en_UK
dc.identifier.pmid27982484en_UK
dc.citation.jtitleJournal of Clinical Nursingen_UK
dc.citation.issn1365-2702en_UK
dc.citation.issn0962-1067en_UK
dc.citation.volume26en_UK
dc.citation.issue9-10en_UK
dc.citation.spage1204en_UK
dc.citation.epage1216en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderAustralian Catholic Universityen_UK
dc.author.emailelizabeth.forbat1@stir.ac.uken_UK
dc.citation.date16/12/2016en_UK
dc.contributor.affiliationAustralian Catholic Universityen_UK
dc.contributor.affiliationAustralian Catholic Universityen_UK
dc.contributor.affiliationCanberra Hospitalen_UK
dc.contributor.affiliationCalvary Health Care ACTen_UK
dc.identifier.isiWOS:000399322200006en_UK
dc.identifier.scopusid2-s2.0-85013167400en_UK
dc.identifier.wtid909811en_UK
dc.contributor.orcid0000-0002-7218-5775en_UK
dc.date.accepted2016-12-03en_UK
dcterms.dateAccepted2016-12-03en_UK
dc.date.filedepositdate2018-05-28en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorForbat, Liz|0000-0002-7218-5775en_UK
local.rioxx.authorKunicki, Natalie|en_UK
local.rioxx.authorChapman, Michael|en_UK
local.rioxx.authorLovell, Clare|en_UK
local.rioxx.projectProject ID unknown|Australian Catholic University|en_UK
local.rioxx.freetoreaddate2266-11-17en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||en_UK
local.rioxx.filenameJCN_subcut fluids.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source0962-1067en_UK
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