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Hydration Management
Hydration Management


 
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Hydration Management


Water is an essential component of body composition. However, hydration problems rarely involve body water alone, but rather are a water and electrolyte problem. Older individuals are at increased risk for hydration problems for a variety of reasons. First, as an individual ages their total body water decreases from 50-70% to 40-50% of body weight. Second, older individuals tend to lose muscle cells, which increases the proportion of fat cells to muscle cells. Third, the risk of hydration problems is further increased with another age-related change involving the hormonally regulated thirst mechanism.


The purpose of this evidence-based guideline is to help health care providers in all settings determine adequate oral fluid intake for elders and to use strategies that will improve and maintain hydration. Ultimately, this guideline focuses on the prevention of dehydration through careful assessment, identification of elders at risk for hydration problems, and implementation of individualized nursing interventions based on a risk profile. Written 1998; Revised 2011.


Toolkit Included in Guideline:

  • Hydration Assessment Form
  • Armstrong Urine Color Chart
  • 24-Hour Intake and Output Record
  • Comparisons of Common Oral Fluids
  • Knowledge Assessment Test
  • Process Evaluation Monitor
  • Nursing Outcomes Classification: Fluid Balance – 0601
  • Outcomes Monitor

Permission to Copy & Copyright Notice:


To obtain permission to copy a guideline toolkit click HERE
and fill out the form presented to you. Once you've submitted this form, please allow up to 6 to 10 business for your request to be reviewed. At that time, we will contact you by email to inform you of our decision.

Before you proceed, please note we do not grant permission to use and/or copy any one individual tool not developed under the Barbara and Richard Csomay Center for Gerontological Excellence. For individual tool use, please contact the author/publisher of that tool.

By purchasing and downloading permissions for the Guideline and Toolkit you agree to the following terms:

  1. Guideline and Toolkit are for private, internal, non-commercial use only (unless special permissions are obtained).
  2. If the Guideline and Toolkit will be distributed online, it must be password protected and unavailable to the general public.
  3. Guideline and Toolkit cannot be modified without expressed consent from author(s) and/or publisher.
  4. You must give appropriate credit when using materials from the Guideline and Toolkit by using the citation on the Contact Information (or Contact Resource) page of the Guideline and place the following copyright notice at the bottom of the page, " ©2018 the University of Iowa, College of Nursing, Barbara and Richard Csomay Center for Gerontological Excellence. All rights reserved. Do not copy or reproduce without permission."
  5. You may not reprint and/or redistribute materials from the Guideline or Toolkit for any of your own publications. Please email Csomay-Center@uiowa.edu if you wish to obtain permission to use material from the Guideline or Toolkit in a publication.

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