Quote from GLORIAmunchkin72
No. Not even a PRN for Imodium. I hope for his sake that he "flushed out the irritants". I just thought that people that age and that frail cannot afford too many days of the runs. They don't drink that well.
No one said that frail elderly patients should be allowed to go on having loose stools indefinitely, or that they should be left to their own devices to take in sufficient fluids. It's just that diarrhea, in general, tends to be over-treated---we tend to mask the symptom, rather than deal with the cause or let the body in its wisdom rid itself of the offending substance. Then, when the case is severe and meds are really needed, they often don't work.
Where I work, we usually give a new complaint of diarrhea 24 hours to resolve; in the meantime, we take 8 oz. of water to the resident every 2 hrs. and vigorously encourage them to drink at least two glasses with meals. We also treat any nausea or fever they may be having, and if the "ring of fire" develops, we take care of that too. Naturally, if there is vomiting along with the loose stools and they can't keep even clear liquids down, we don't wait---we notify the MD that same day with a heads-up, or send them to the local urgent care center.