An exploration of hydration care for nursing home residents living with dementia

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Greene, Carolynn ORCID: https://orcid.org/0000-0002-1170-376X, Wilson, Jennie ORCID: https://orcid.org/0000-0002-4713-9662, Tingle, Alison and Loveday, Heather ORCID: https://orcid.org/0000-0003-2259-8149 (2021) An exploration of hydration care for nursing home residents living with dementia. Nursing and Residential Care, 23 (12). ISSN 1465-9301

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Official URL: https://doi.org/10.12968/nrec.2021.23.12.3

Abstract

Background
Older adults residing in nursing homes are vulnerable to dehydration. Residents living with dementia can experience additional challenges, making it difficult to independently consume sufficient fluids.

Aims
To describe the experience of hydration care for nursing home residents living with dementia.

Methods
Observations of hydration care were conducted between 06:00 and 22:45 on one care home unit. Twenty-two residents with dementia were eligible for observation. Conversations with staff and relatives provided further insights. Data were analysed using thematic analysis.

Findings
Hydration care provision was highly routinised with little flexibility. Residents received limited support to express individual choices, and staff missed opportunities to provide drinks. More fluid was consumed when care staff developed strategies to encourage fluid intake.

Conclusion
Key factors to optimise hydration care include providing individual support to encourage fluid intake and expression of choice; flexible care routines; and focus on communication and teamworking.

Item Type:	Article
Identifier:	10.12968/nrec.2021.23.12.3
Additional Information:	This document is the Accepted Manuscript version of a Published Work that appeared in final form in Nursing and Residential Care, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://doi.org/10.12968/nrec.2021.23.12.3.
Keywords:	Dementia care, Drinking, Hydration, Older persons, Residential care
Subjects:	Medicine and health > Health promotion and public health > Care homes Medicine and health > Nursing > Nursing practice
Related URLs:	Publisher
Depositing User:	Carolynn Greene
Date Deposited:	03 Dec 2021 11:53
Last Modified:	04 Nov 2024 11:18
URI:	https://repository.uwl.ac.uk/id/eprint/8465

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References

Bak, A., Wilson, J., Tsiami, A. and Loveday, H. (2018) Drinking vessel preferences in older nursing home residents: optimal design and potential for increasing fluid intake. British Journal of Nursing, 27(22). doi: 10.12968/bjon.2018.27.22.1298 [doi].

Bakker, R. (2003) ‘Sensory loss, dementia, and environments’, Generations, 27(1), pp. 46–51.

Barnes, S. et al. (2013) ‘Exploring the mealtime experience in residential care settings for older people: an observational study’, Health & Social Care in the Community, 21(4), pp. 442–450. doi: 10.1111/hsc.12033 [doi].

Braun, V. and Clarke, V. (2013) Successful Qualitative Research: A Practical Guide for Beginners. SAGE Publications. Available at: https://books.google.co.uk/books?id=PVbGngEACAAJ.

Chang, C.C. and Roberts, B. L. (2011) ‘Strategies for Feeding Patients with Dementia’, The American Journal of Nursing, 111(4), pp. 36–46. doi: 10.1097/01.naj.0000396553.01996.5e [doi].

Cowdell, F. (2006) ‘Preserving personhood in dementia research: a literature review’, International Journal of Older People Nursing, 1(2), pp. 85–94. doi: 10.1111/j.1748-3743.2006.00016.x [doi].

Easterling, C. S. and Robbins, E. (2008) ‘Dementia and dysphagia’, Geriatric Nursing, 29(4), pp. 275–285. doi: 10.1016/j.gerinurse.2007.10.015 [doi].

Evans, B. C., Crogan, N. L. and Shultz, J. A. (2005) ‘The meaning of mealtimes: connection to the social world of the nursing home’, Journal of Gerontological Nursing, 31(2), pp. 11–17. doi: 10.3928/0098-9134-20050201-05 [doi].

Fjær, E. G. and Vabø, M. (2013) ‘Shaping social situations: A hidden aspect of care work in nursing homes’, Journal of Aging Studies, 27(4), pp. 419–427. doi: 10.1016/j.jaging.2013.10.002 [doi].

Forbes-Thompson, S. et al. (2006) ‘An Exploration of Nursing Processes’, Western Journal of Nursing Research, 28(8), pp. 935–954. doi: 10.1177/0193945906287053 [doi].

Godfrey, H. et al. (2012) ‘An exploration of the hydration care of older people: a qualitative study’, International Journal of Nursing Studies, 49(10), pp. 1200–1211. doi: 10.1016/j.ijnurstu.2012.04.009 [doi].

Hubbard, G., Downs, M. G. and Tester, S. (2003) ‘Including older people with dementia in research: challenges and strategies’, Aging & mental health, 7(5), pp. 351–362. doi: 10.1080/1360786031000150685 [doi].

Hung, L. and Chaudhury, H. (2011) ‘Exploring personhood in dining experiences of residents with dementia in long-term care facilities’, Journal of Aging Studies, 25(1), pp. 1–12. doi: 10.1016/j.jaging.2010.08.007 [doi].

Ikeda, M. et al. (2002) ‘Changes in appetite, food preference, and eating habits in frontotemporal dementia and Alzheimer’s disease’, Journal of Neurology, Neurosurgery & Psychiatry, 73(4), pp. 371–376. doi: 10.1136/jnnp.73.4.371 [doi].

Jimoh, O. F. et al. (2019) ‘Beverage intake and drinking patterns—clues to support older people living in long-term care to drink well: DRIE and FISE studies’, Nutrients, 11(2). doi: 10.3390/nu11020447 [doi].

Leslie, M. et al. (2014) ‘Applying ethnography to the study of context in healthcare quality and safety’, BMJ Qual Saf, 23(2), pp. 99–105. doi: 10.1136/bmjqs-2013-002335 [doi].

McGreevy, J. (2016) ‘Implementing culture change in long-term dementia care settings’, Nursing Standard, 30(19), p. 44. doi: 10.7748/ns.30.19.44.s43 [doi].

Milte, R. et al. (2017) ‘Struggling to maintain individuality – Describing the experience of food in nursing homes for people with dementia’, Archives of Gerontology and Geriatrics, pp. 52–58. doi: 10.1016/j.archger.2017.05.002 [doi].

Mulhall, A. (2003) ‘In the field: Notes on observation in qualitative research’, Journal of Advanced Nursing, 41(3), pp. 306–313. doi: 10.1046/j.1365-2648.2003.02514.x [doi].

Persson, T. and Wästerfors, D. (2009) ‘“Such Trivial Matters:” How staff account for restrictions of residents’ influence in nursing homes’, Journal of Aging Studies, 23(1), pp. 1–11. doi: 10.1016/j.jaging.2007.09.005 [doi]

Philpin, S., Merrell, J., Warring, J., Hobby, D. and Gregory, V. (2014) ‘Memories, identity and homeliness: the social construction of mealtimes in residential care homes in South Wales’, Ageing and Society, 34(05), pp. 753–789. doi: 10.1017/s0144686x12001274 [doi].

Sura, L. et al. (2012) ‘Dysphagia in the elderly: management and nutritional considerations’, Clinical interventions in aging, 7, pp. 287–298. doi: 10.2147/CIA.S23404 [doi].

Wilson, J. et al. (2018) ‘Improving hydration of care home residents by increasing choice and opportunity to drink: A quality improvement study’, Clinical Nutrition. doi: 10.1016/j.clnu.2018.07.020 [doi].

Wilson, J. et al. (2020) ‘Improving fluid consumption of older people in care homes: an exploration of the factors contributing to under-hydration’, Nursing and Residential Care, 22(3), pp. 139–146. doi: 10.12968/nrec.2020.22.3.139 [doi].

Winterburn, S. (2009) ‘Residents’ choice of and control over food in care homes’, Nursing older people, 21(3). doi: 10.7748/nop2009.04.21.3.34.c7015 [doi].

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An exploration of hydration care for nursing home residents living with dementia

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