Hydration Status of Assisted Living Memory Care Residents
Journal of Gerontological Nursing
|March 28, 2019
Summary
Assisted living memory care residents often have inadequate water intake, increasing dehydration risk. New care standards are needed to improve hydration for this vulnerable population.
Area of Science:
- Gerontology
- Nursing
- Nutrition Science
Background:
- Assisted living memory care (ALMC) residents are a vulnerable population with potential hydration challenges.
- Maintaining adequate hydration is crucial for the health and well-being of older adults, particularly those with cognitive impairment.
Purpose of the Study:
- To evaluate the water intake and hydration status of residents in assisted living memory care units.
- To identify factors influencing water intake and the prevalence of dehydration in this population.
Main Methods:
- Observational study of 32 ALMC residents (mean age 86.5 years) over 12 hours.
- Data collection included food/fluid intake, type, timing, behaviors, chart review, and participant surveys.
- Hydration status assessed using laboratory osmolality results for 21 participants.
Main Results:
- Mean fluid intake was 1,160.16 mL, with water intake averaging 56.55% of recommended water intake (RWI).
- Only one participant met 100% RWI; 38.1% were categorized as having impending dehydration or dehydration.
- Fluid intake, Global Deterioration Scale (GDS) score, and meal assistance level predicted RWI.
Conclusions:
- Water intake among ALMC residents is frequently inadequate, posing a significant risk for dehydration.
- The findings support the need for developing and implementing specific care standards to enhance water consumption in ALMC settings.
- Interventions should consider cognitive status and level of assistance required during meals to improve hydration outcomes.
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