Identify and treat correctable causes of dehydration, such as vomiting and diarrhea.
• Measure the fluid intake and, when possible, the output in vulnerable older people.
• If measuring urinary output is not possible (when residents are incontinent, for example), teach CNAs to observe the color of urine.
• Provide glasses and cups that are not too large or heavy for residents to handle and have straws available at the bedside.
• Advise CNAs to offer a small amount of fluid each time they enter a resident’s room. • Instruct CNAs to encourage residents to drink 8 oz. at each meal, between meals, and at bedtime, for a total daily intake of approximately 50 oz., unless fluids are being restricted for a therapeutic reason.
• Offer a variety of a patient’s preferred liquids.
• Have frozen “juice bars” on the unit that are accessible to residents and families.
• During hot weather, be on the lookout for excessive fluid loss and make sure to replace it.
• Offer inservice education on the importance of adequate hydration.
• Provide positive feedback to CNAs and other staff who provide fluids, especially when they give them to residents who cannot drink independently.—Jeanie Kayser-Jones, PhD, RN, FAAN
Identify and treat correctable causes of dehydration, such as vomiting and diarrhea. • Measure the fluid intake and, when possible, the output in vulnerable older people.• If measuring urinary output is not possible (when residents are incontinent, for example), teach CNAs to observe the color of urine.• Provide glasses and cups that are not too large or heavy for residents to handle and have straws available at the bedside.• Advise CNAs to offer a small amount of fluid each time they enter a resident’s room. • Instruct CNAs to encourage residents to drink 8 oz. at each meal, between meals, and at bedtime, for a total daily intake of approximately 50 oz., unless fluids are being restricted for a therapeutic reason.• Offer a variety of a patient’s preferred liquids.• Have frozen “juice bars” on the unit that are accessible to residents and families.• During hot weather, be on the lookout for excessive fluid loss and make sure to replace it.• Offer inservice education on the importance of adequate hydration.• Provide positive feedback to CNAs and other staff who provide fluids, especially when they give them to residents who cannot drink independently.—Jeanie Kayser-Jones, PhD, RN, FAAN
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