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The institutionalized elderly: dry to the bone!

C A Armstrong-Esther¹, K D Browne, D C Armstrong-Esther

¹School of Nursing, University of Lethbridge, Alberta, Canada.

International Journal of Nursing Studies

|December 1, 1996

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Elderly patients consistently had low fluid intake, receiving less than recommended daily amounts. Nurses showed inadequate knowledge regarding elderly hydration needs, potentially leading to neglect.

Area of Science:

Gerontology
Nursing Science
Clinical Nutrition

Background:

Adequate fluid intake is crucial for elderly health, yet dehydration is a common issue in geriatric care.
Cognitive impairment, dependency, and incontinence can further complicate hydration management in older adults.

Purpose of the Study:

To assess the actual fluid intake of elderly patients across different care units.
To evaluate the knowledge of nurses regarding the fluid requirements and dehydration risks in the elderly.

Main Methods:

Direct observation and recording of fluid consumption for 57 elderly patients over three 24-hour periods.
A self-administered questionnaire completed by 47 nurses to assess their understanding of geriatric hydration.

Main Results:

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All monitored elderly patients consumed less fluid than the recommended 2000-2500 ml daily intake.
Patients with cognitive impairment, dependency, and incontinence had even lower fluid intake.
Nurses demonstrated inadequate knowledge concerning dehydration signs, complications, and elderly fluid needs.

Conclusions:

Elderly patients in the studied units are at risk due to insufficient fluid intake.
Gaps in nursing knowledge about geriatric hydration may contribute to inadequate patient care and potential neglect.