- Loses the awareness of being thirsty.
- Simply forgets to drink during the day or with meals.
- Purposely doesn't drink because using the bathroom afterward is a physical challenge (either to use the commode or to get there in time, or both) or is something the person doesn't want to have to do in public.
- Offer liquids throughout the day; don't wait for the person to ask.
- Don't just hand over a glass; stand by and make sure the drink is actually sipped.
- Vary the types of beverages offered: water, juice, milk, hot chocolate, cider. Even coffee, tea, and soda are okay in moderation (about a cup a day) if the person prefers them. The latest thinking is that a cup or two a day doesn't pose a diuretic effect that would lead to dehydration. For someone not consuming enough liquids, liquids in any form are probably beneficial.
- Do, however, curb caffeinated beverages if fear of getting to the bathroom on time is an issue, as caffeinated drinks can cause frequent urination.
- Issue mild reminders during the meal: "Have a sip of water . . . try the iced tea."
- Leave athletic water bottles around the house or carry them around during the day. However, many older people aren't in the habit of drinking this way, so if it doesn't work, don't press the point.
- Serve fruit, which contains a lot of water, especially watermelon, melon, and citrus.
- Be sure you know the symptoms of dehydration: increased confusion or lethargy, complaints of headache, dry skin or mouth, feeling warm to the touch. Call the doctor, who may recommend a rehydration solution (such as Pedialyte). If you can't rehydrate the person by getting him to take liquids, and you don't see a change in symptoms, he may need IV (intravenous) hydration.
- Know that diarrhea and vomiting increase the risk of dehydration, so monitor the person especially closely when he's ill, and notify the doctor if you suspect dehydration.
Dementia Signage for the Home
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