Monday, March 05, 2018

Aging and Dehydration


What is dehydration? Simply put “Dehydration occurs when more water and fluids leave the body than enter it” (Crosta, 2017).  Studies show that even mild dehydration (1-3% of body weight) can impair many aspects of brain function (Leech, 2017).

Research has also shown that between 6-30% of people over age 65 are hospitalized for some form of dehydration.  The major cause is the lack of fluid intake.  This is often attributed to patients not having the sensation of “thirst”, and not recognizing the signs/symptoms of dehydration such as a sense of dizziness, dry mouth, headache, or a feeling of tiredness.  Another reason noted by patients is their desire to avoid frequent, inconvenient trips to the bathroom, and lastly a fear associated with spontaneous incontinence or loss of bladder control.  (Konings, F., Mathijssen, J., Schellingerhout, J., Kroesbergen, I., Goede de, J., & Goor de, I. (2015).

The benefits of proper hydration aid the body in getting rid of waste - through urination, perspiration and bowel movements.  Proper hydration also keeps body temperature normal, lubricates and cushions joints, and assists in protecting sensitive tissues.

How much fluid should adults drink per day? About 15.5 cups (3.7 liters) of fluids for men and about 11.5 cups (2.7 liters) of fluids a day for women (Mayo Clinic Staff,1998-2018).   Tips to encourage/increase hydration are as follows:  make it a game/encourage the use of colored drinking glasses, incorporate more fluids into other foods such as soups and less sugary beverages like vegetable juices and non-caffeinated beverages such as herbal teas and fruit juices, and making fluids easily accessible.

References
Crosta, P (2017, December 20). What you should know about dehydration. Retrieved from https://www.medicalnewstoday.com/articles/153363.php
Konings, F., Mathijssen, J., Schellingerhout, J., Kroesbergen, I., Goede de, J., & Goorde, I. (2015).  Prevention of dehydration in independently living elderly people    at risk: A study protocol of a randomized controlled trial. International Journal    of Preventive Medicine6103. doi:10.4103/2008-7802.167617
Leech, J. (2017, June 4). 7 Science-based health benefits of drinking enough water.  Retrieved from https://www.healthline.com/nutrition/7-health-benefits-of-water  
Mayo Clinic Staff. (2018). Water: How much should you drink per day? Retrieved from https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/water/art-20044256


The author, Patricia M. Cuddy, is a student currently enrolled in the Master of Health Administration program at St. Joseph’s College.  Ms. Cuddy has worked in healthcare for 24 years as a registered, licensed Radiology Technologist, Clinical Manager of Radiology, and is currently working in Human Resources.



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