•Won’t drink. Although some residents can drink safely, they don’t. They may fear incontinence or may never have consumed many fluids. Educate those with incontinence concerns, suggesting Kegel exercises; medication should be provided when necessary. For those who have never enjoyed drinking, encourage frequent small amounts of fluid and provide preferred beverages during activities.
• End of life. Hydration at the end of life should be based on advanced directives or the preferences of the patient or family. (See “Oral Complications at the End of Life,” A New Look at the Old, July 2004.)