Encouraging older adults to drink more water can often feel like a challenge, particularly if they don’t feel thirsty, worry about frequent trips to the bathroom, or simply resist being told what to do by other people - even a doctor.
Yet staying well-hydrated is crucial for everyone, especially older people, as dehydration can lead to confusion, put strain on the kidneys and heart, and, in severe cases, result in hospitalisation.
Older adults are more susceptible to dehydration for several reasons. They may not feel the urge to drink as regularly, or may be affected by medications that decrease fluid retention. Natural age-related declines in kidney function, along with bouts of illness or digestive issues like diarrhoea, can also increase the risk of dehydration. While a daily intake of around 1.7 litres of fluid is typically recommended for older adults, this amount can seem daunting to many, especially when presented as plain water.
To make hydration more appealing, there are several strategies you can try beyond offering plain water. For example, having a regular supply of chilled, bottled, or filtered water in easy-to-access spots around the home can be helpful. Adding variety to their fluid intake can also make it less tedious - options like diluted fruit juices, flavoured cordials, and low-sugar squashes provide tasty alternatives to water. For a cooler treat, ice lollies or adult versions of slushes can be refreshing options that add fluids in a fun way.
There’s also been discussion about whether caffeine in tea and coffee contributes to or detracts from hydration, but in moderation, these beverages may still be hydrating. Additionally, certain foods can boost fluid intake, such as watermelon, cucumber, and soups, all of which are high in water content. Products like Jelly Drops, which resemble flavoured candies but are 95% water, offer an innovative way to supplement hydration as well.
The presentation of drinks can make a difference too. Serving non-alcoholic drinks in cocktail glasses or wine glasses can add a bit of novelty and fun. Some care facilities serve beverages in ‘sippy cups’ or spill-proof cups with lids and straws, which can be more practical for individuals with limited mobility or shaky hands. If your relative is comfortable with these, it may be worthwhile to take these cups for hospital stays, where standard jugs of water may be unappealing or difficult to handle.
If your relative lives in a care home, it’s essential to ask about their hydration plan, which might include regular offers of drinks and periodic weight checks to monitor for signs of dehydration. For those living independently with caregiver support, communication with the care provider can ensure they’re aware of the need for regular, enjoyable fluid options. In hospital settings, it can help to inform the care team of any specific needs, like a preference for certain drinks or cup styles, to make hydration easier.
While encouraging better hydration may require a bit of creativity, these small efforts can significantly enhance the comfort and health of older adults. Engaging their preferences and making fluids a more enjoyable part of daily life can ensure they stay hydrated without feeling pressured.