Elderly people need to keep a healthy amount of fresh fluids flowing in and out of their bodies. Water flushes out wastes, regulates body temperature, carries nutrients to vital organs, and supports chemical balances. Staying well hydrated boosts energy. It also helps keep the skin moist, which is necessary for dry, aging skin. Signs of dehydration include dizziness, weakness, muscle cramps and general feelings of weakness.
The older generation is suffering from kidney problems, urinary tract infections, constipation and other health conditions linked to a chronic state of dehydration. And the elderly are especially affected by dehydration because many of the medications they take deplete the body’s water supply without their realizing it.
Hydration concerns the balance of your body’s water and fluids. Dehydration is your body suffering from a water and fluid imbalance. As you age dehydration happens easier because natural changes in your body change the way your kidneys manage fluids. Urinary tract infection risk increases. Some health complications impede thirst sensations that would normally alert you to consume fluids. You can imagine how highly critical it is for elderly people to maintain proper hydration. You should be aware of the symptoms of dehydration - more importantly if you are providing care for your parents or any elderly person. You should understand and follow the standard adequate intakes established by the Institute of Medicine in 2004. If you suspect you or someone else is having a series effect of dehydration consult your doctor or a health care professional to make sure there is no need for emergency treatment.
Water Intake for Seniors
Water is one of the most important fluids required by your body. It protects your kidneys, helps digestion and plays a role in regulating body temperature. People over age 60 tend to dehydrate easier because of inadequate water consumption and increased loss of stored water from kidney capacity changes. However, water intake may vary if you have specific health conditions like heart or kidney disease.
Figuring out the best source of water comes from evaluating people’s individual drinking habits. A good way to research your hydration needs is to search on-line and use a “water intake calculator” available on web sites. They use your weight, activity level and location to estimate how much fluid you need to drink per day.
Electrolyte Balance
Water is not the only fluid important to hydration and health. Electrolytes -- electrically charged ions that communicate functions between your nerves, muscles and organs -- are also important to hydration. The primary electrolytes include sodium, chloride, potassium, calcium and magnesium. These minerals work together to maintain fluid volume inside and outside of your cells as well as protect you from cardiovascular disease, heart rhythm abnormality and high blood pressure. A balanced diet including fresh fruits and vegetables or juices, sports drinks and tea can supply you with electrolytes.
Electrolyte Sources
Sports Drinks
- Sports drinks such as Gatorade are a quick and efficient way to replenish lost electrolytes, and are the most popular method for athletes. However, these drinks usually contain a large amount of sugar as well, so drink in moderation, or add a bit of water to dilute the drink.
Pedialyte
- Pedialyte is another choice for replacing lost electrolytes. Sold in grocery and drugstores, it is similar to sports drinks but does not contain large amounts of sugar. Because of this, Pedialyte is ideal for infants and children who are dehydrated due to sickness.
CVS Electrolyte
- CVS has a drink that provides a good source of elctrolytes.
Foods
- The BBC News article "Eat bananas and live longer" notes that "bananas, raisins, potatoes and dates" are all excellent sources of electrolytes. Avocados, brown rice, lima beans, apples and yams will all provide your body the minerals for a good electrolyte balance.
Food and Hydration
Water is not the only way to stay hydrated. Food can help supply you with adequate hydration. Some foods also include water: soups, yogurt, fruits such as watermelon, apples, oranges and tomatoes, and vegetables like lettuce, carrots and cucumbers. According to a 2007 hydration review in the "Journal of the American College of Nutrition," produce such as broccoli, lettuce, strawberries and watermelon have 91 to 100 percent water content. Apples, gelatin, grapes, citrus and milk have 80 to 90 percent water content and peas, frozen yogurt, eggs and fish have 70 to 79 percent water content. Eating a diet including these varied foods and drinking liquid beverages will help you stay hydrated and healthy.
Dehydration Precautions
Many things around you influence hydration. Climate changes can affect fluid retention. Adjust beverage intake based on outside temperature, activity level and medical conditions that may cause your heart to work harder to pump blood. According to the Texas Heart Institute, dehydration is a high risk in the elderly during seasons of extreme heat, especially for people with a heart condition. Medications may also impact your fluid balance. Consult your physician for hydration recommendations to prevent illness like heat stroke due to dehydration.
Alcoholic beverages don’t help your daily fluid intake. Alcohol inhibits the body’s anti-diuretic hormone (ADH) causing a loss of fluids. Black tea, green tea, caffeinated sodas and coffee have a dehydrating result. Health experts recommend starting your day with water. Your body becomes dehydrated while you sleep during the night. Hydration greatly benefits from drinking water first thing in the morning.
Some kidney or other medical conditions require that fluid intake be monitored. Also, if it appears your parents are steering clear of water, take the time to find out why. For example, you might find your dad is lowering his intake because getting to the bathroom is a hassle. Your mom may be cutting down her fluids because she fears incontinence. These indicate other health problems that will only be exacerbated by limiting their fluid intake. So, find out what’s going on first and then create a hydration strategy that suits your parents’ needs and lifestyles.
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| This is a picture of Susan in September 2012 before she went on a nine day period of not eating or drinking enough. She had no fat to burn. Susan really liked coffee and this was not any benefit to her hydration issues. For elderly people it dosen't take much to reach a fluid imbalance as explained in the column on the left next to her picture. Weight loss from not eating and dehydration are serious matters and if not handled properly it means a trip to the ER or can even result in death. Susan confessed she was trying to be "independent" by refusing to cooperate with the caregivers on duty while her son was gone on a business trip. She did not think of the consequences of her actions not eating or drinking enough. Wasting away down to 63 pounds resulted in serious consequences and a long stay in a rehab facility. Unfortunately, the caregivers at that time were not very good at their job. They did not have enough expereince or training to handle this situation properly. |
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