Preventing dehydration

People living with dementia have a higher risk of being dehydrated.
There can be several reasons for this:
  • inability to explain their needs;
  • decreased thirst sensation;
  • not offered enough to drink; and,
  • swallowing problems in the late stage of dementia.
The person you care for needs to be encouraged to drink 8-10 glasses (1500-2000 millilitres) of fluid (water, iced
lollies, soup and juice, not including tea or coffee every day.

Severe dehydration
Ibrahim has Alzheimer’s disease, but he is able to eat and drink without assistance from his wife, Mariam. Ibrahim  likes to walk a lot. One hot afternoon, Mariam also notices that Ibrahim  seems very tired, walks very slowly and then collapses on the floor. Ibrahim is sent to the local hospital’s 
Emergency Department and is diagnosed with dehydration. After treatment in the hospital, Ibrahim  has recovered and is able to go home again.
3. Check your understanding
Severe dehydration.

How would you advise Mariam to deal with the situation after Ibrahim is discharged home?
Please select all the responses that you feel are appropriate.



3.Activity
Timetable for eating and drinking
The timetable below is for you to remind the person living with dementia to eat and drink. Give them the opportunity to choose what to drink.
Time of day Type of fluid (e.g. water) Amount of fluid (e.g. 3 glasses)
Morning - Noon



Noon - Dinnertime



Dinnertime - Bedtime



WARNING!

  • If the person you care for is not allowed fuids due to a heart condition, you need to follow the doctor’s order regarding how much to drink.