Cited by 110Geriatric Care and Nursing HomesDysphagia Assessment and ManagementElectrolyte and hormonal disorders

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Maintaining oral hydration in older adults: A systematic review

Hodgkinson, Brent, Evans, David, Wood, Jacky·2003·International Journal of Nursing Practice

DOI 10.1046/j.1440-172x.2003.00425.x

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Abstract

Dehydration is the most common fluid and electrolyte imbalance in older adults. The objectives were to identify the factors that increase the risk of dehydration in older adults, how best to assess the risk and manage oral fluid intake. Data sources included Medline, CINAHL, Cochrane Library, Embase and Current Contents, which were searched until February 2002. Randomized controlled trials for management of adequate fluid intake were undertaken. Cohort and case control studies were used for the identification of risk factors for dehydration. Studies of assessment tools for the identification of dehydration were also considered. Results show that there is no clear determination of the risk factors for dehydration and decreased fluid intake. The recommended daily intake of fluids should be not less than 1600 mL/24 h in order to ensure adequate hydration. A fluid intake sheet and urine specific gravity might be the best methods of monitoring daily fluid intake. Regular presentation of fluids to bedridden older adults can maintain adequate hydration status. In conclusion, more research is required to determine the optimum method of maintaining adequate oral hydration in older adults.

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Authors: Hodgkinson, B., Evans, D., & Wood, J.
Affiliations: The University of Adelaide (AU)
Royal Adelaide Hospital (AU)
Corresponding author: Hodgkinson, Brent
ORCID: Hodgkinson, Brent
Evans, David
Venue: International Journal of Nursing Practice
Publisher: Wiley
Published: 2003-06
Volume: 9
Issue: 3
Pages: S19-28
ISSN: 1322-7114 (ISSN-L)
1440-172X
DOI: 10.1046/j.1440-172x.2003.00425.x
OpenAlex: W1964079739
Cited by: 110
References: 32
Citations by year: 2026: 5 · 2025: 2 · 2024: 6 · 2023: 6 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 7 · 2018: 7 · 2017: 6 · 2016: 7 · 2015: 8 · 2014: 5 · 2013: 6 · 2012: 9
FWCI: 0.76
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 11 d)
Locations: International Journal of Nursing Practice (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
Health Sciences › Medicine › Nephrology › Electrolyte and hormonal disorders
Keywords: dehydration, older adults, oral hydration, fluid intake, risk factors, dehydration assessment, urine specific gravity, fluid intake monitoring, bedridden patients, electrolyte imbalance
MeSH terms: Activities of Daily Living, Aged, Dehydration, Fluid Therapy, Geriatric Nursing, Humans, Nursing Assessment, Research Design, Risk Factors, Water-Electrolyte Balance, Clinical Nursing Research, Rehydration Solutions, Geriatric Assessment

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Maintaining oral hydration in older adults: A systematic review

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