About two-thirds of the human body includes water, and thus, drinking enough water is necessary. In addition, the water need for adults increase considerably with the progression of age. Therefore, older adults require higher water intake to maintain optimal health.
Medical practitioners recommend that older adults with functional kidneys drink a minimum of 2.5-3 liters of water every day. However, patients undergoing hemodialysis have to restrict their water intake to avoid health complications.
Due to aging, individuals overlook their thirst and often lack their drive for drinking water combined with the rapid water loss rates in the aged, which puts them at the highest risk for dehydration.
Due to extreme physiological changes happening in their bodies, there will be rapid dehydration for older adults. They also perform less physical activities due to limited mobility and do not feel thirsty.
Medications for common health conditions like hypertension, diabetes, cardiac diseases, and other disorders often increase dehydration among the aged.
With age, the subcutaneous fat deposits diminish and adversely affect the temperature regulation in the body.
In addition, rate of perspiration in older adult varies. These require the elderly to drink copious amounts of fluids to balance thermoregulation.
Lower fluid intake also results in problems like urinary tract infections and constipation in older adults. Some older adults also suffer from neurological disorders like dementia, swallowing difficulties, and Alzheimer’s. These conditions hinder cognitive abilities and cause many elders to consume much less water than required.
Risks of not having enough water
Reduced fluid consumption is the prime cause of dehydration in the aged population. Dehydration can severely affect the health of individuals and cause significant complications that are otherwise preventable. Some of the common signs of inadequate hydration include dry mouth and eyes, reduced urge to urinate, passing dark-colored cloudy urine, and sinking eye.
Older adults with dehydration need hospitalization and can even die if not corrected promptly. Some related health issues are as follows:
Low blood pressure
Weakness
Kidney stones
Urinary tract infections
Constipation
Heatstroke
Muscle and joint aches
Fatigue
Dizziness
Loss of temperature homeostasis
Development of more pressure sores
Kidney injury
Hampering of cognitive abilities
Improving water intake in older adults
Reduced hydration causes a wide array of health issues for older adults. However, it is preventable easily by increasing fluid intake. Keeping this in mind, some ways to promote adequate water intake in older adults are listed.
Monitoring
Older people need constant monitoring for any symptoms of dehydration. They often do not feel thirsty and forget to hydrate themselves. The caregivers must recognize their needs carefully to assure older people about their concerns of not reaching the washroom soon enough and help them do so.
Offering fluids at regular intervals
To tackle dehydration due to reduced thirst, caregivers should encourage them to drink adequate water by setting up routines. For example, they could physically bring water often and make sure the elders drink it completely.
Keeping water within easy reach
Due to reduced mobility, it becomes difficult for older people to arrange for fluids and even drink them. Therefore, caregivers should keep water close to them so that they can reach and drink easily.
Variety
Often seniors experience distaste for food and drinks in general. Sometimes giving more options help them choose drinks that they enjoy more, ensuring they drink more readily. Tea, coconut water, fruit juices, and smoothies are great alternatives. However, alcohol consumption or beverages high in sugar like sodas should be avoided. Instead of only sweet fluids, soups can be an excellent way for seniors to consume more water. They could also switch between hot and cold drinks to keep the monotony at bay.
Consuming foods with higher water content
Besides drinking, one can consume water through watery food items. For example, caregivers can give wet foods like yogurts and jellies or fresh watery fruits and vegetables like watermelon.
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