Elderly patient does not want fluids, what do you do as a SN? - page 2
Hi. I just finished a case study on an elderly woman living outside of an assisted living situation. However, next semester I will be working with real elderly people living in an assisted living... Read More
Aug 7, '07Joined: Mar '04; Posts: 657; Likes: 229I'm all for coaxing a little but not to the point of alienation. Some with dementia say no to everything, or they say no one minute and say yes the next.
Aug 13, '07Joined: Nov '02; Posts: 6,102; Likes: 9,247Quote from iceyspotsI just read a very interesting article about a study done by a gerontologist. He had hundreds of subjects in his study about dehydration and thirst in the elderly.yes some patients need a little coaxing, especially with the elderly population. I've learned how to influence them a little more to get them to drink and eat.
He says that along with many other senses which diminish as one ages, the sense of thirst does as well. Instead of asking them if they were thirsty or wanted water, he just offered a cold glass and asked them to take just one sip. Once the water was tasted, it triggered the desire to drink more.
I'm not sure it'd work with everyone but you might want to give it a try.
Or to try another tack--I had a patient who didn't like to drink because she really didn't like to have to get up to pee. When I explained that the less water she drank the greater the chance of dehydration, urinary tract infections, mental status changes, and WRINKLES she started to drink more! Believe me...it was the threat of wrinkles that changed her mind.