Moreover, the elderly often experience diminished thirst sensation which leads to a reduced fluid consumption⁷ ⁸.
Also as a consequence of aging, the kidneys have a reduced ability to concentrate urine and retain water during water deprivation⁹. In addition, aging kidneys are less able to conserve or excrete sodium¹⁰.
Insufficient fluid intakes can also be the result of limitations such as reduced swallowing capacity, decreased mobility, or comprehension and communication disorders. Disease-related factors, such as incontinence can increase water losses. Dehydration may also be caused by warm temperature, inadequate staffing in institutions, or use of laxatives or diuretics¹.
SOME STRATEGIES FOR ENCOURAGING FLUIDS CONSUMPTION ⁹ ¹¹
- Offer fluids regularly during the day
- Make liquids readily available all day (at bedside or chairside in geriatric institutions) by placing containers such as small bottle of water or sippy cups
- Encourage consumption of fluids with medication
- Provide preferred beverages
- Prescribe and safeguard a minimum intake of 1.5 L in periods of increased risk for dehydration"
I took a hydration test associated with this article and it said I was under hydrated.
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