Sunday, November 18, 2012

Fluid Intake and Dehydration

Dehydration and lack of fluids are often a problem with many different illnesses.  Ice chips are great for those that every single drop counts.  +Gatorade  is great for fluid intake.  +Crystal Light is also a great choice that counts as a water.  +Jello also counts as a fluid.  Carbonated and flavored water is great as it feels like drinking a soda, but it is water.  Popsicles and italian ice count as fluids.  Be cautious (if your loved one is not diabetic) to not get too many products with artificial sweeteners, as artificial sweeteners can cause diarrhea if overused.  No matter what mode of fluid you are trying to get down your loved ones, one thing is certain, it can be frustrating.  I can't sugar coat it for you, you will have to be persistent, patient, and sometimes sneaky.  Utilize every opportunity to encourage fluids.  If you have a loved one with neurological illness, they may refuse or say no, but often it is because their processing hasn't kicked in fully.  If you offer fluid and get refusal, try again in 15 to 30 seconds and give a directive.  Asking is often ineffective and confusing.  Rather than saying, "Would you like some water?" Phrase it by using their name and a directive like this: "Mom, take a sip of water."  Their name gets their attention and they do not have to try to process what you want them to do because you told them.  This seems so incredibly simple, but you would be surprised how helpful that little bit of information can help. Another helpful tip is to use a small med cup, such as the one that comes on the top of a cough syrup bottle, to push fluids.  Offering in a small amount is not as overwhelming and every ounce counts. Be aware that dehydration can actually mimic dementia or worsen an existing case of dementia, so the more fluids the better the presence of mind.

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