Dehydration. Evaluation and management in older adults. Council on Scientific Affairs, American Medical Association

OBJECTIVE--To review published literature regarding dehydration in older individuals and formulate a consensus on the evaluation and treatment of this unrecognized cause of hospitalizations, morbidity, and mortality. DATA SOURCES AND STUDY SELECTION--The literature concerning dehydration in the elderly population from MEDLINE was reviewed from 1976 through 1995. Search terms included dehydration, elderly, evaluation, hospitalization, and [...]

By |2013-01-31T18:32:27+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

Monitoring hydration status in elderly veterans.

Dehydration is a common water and electrolyte disorder in long-term care residents. Practical methods to detect and monitor dehydration are needed. This study determined whether urine color measured by a urine color chart reflects hydration status. The study employed a repeated measures design with two observations during a 10-hour period. Urine color was compared to [...]

By |2013-01-31T18:32:27+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

Use of a urine color chart to monitor hydration status in nursing home residents.

To determine whether urine color, as measured by a color chart, might be a valid indicator of hydration status in frail nursing home residents, this study tested the associations between urine color and urine specific gravity. This is a descriptive correlational study set in seven nursing homes in eastern Iowa. Ninety-eight nursing home residents > [...]

By |2013-01-31T18:32:27+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

24-h hydration status: parameters, epidemiology and recommendations.

Hydration of individuals and groups is characterised by comparing actual urine osmolality (Uosm) with maximum Uosm. Data of actual, maximum and minimum Uosm in infants, children and adults and its major influencing factors are reviewed. There are remarkable ontogenetic, individual and cultural differences in Uosm. In the foetus and the breast-fed infant Uosm is much [...]

By |2013-01-31T18:32:27+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

CRITERIA FOR MEASUREMENT OF DEHYDRATION.

This Position Stand provides guidance on fluid replacement to sustain appropriate hydration of individuals performing physical activity. The goal of prehydrating is to start the activity euhydrated and with normal plasma electrolyte levels. Prehydrating with beverages, in addition to normal meals and fluid intake, should be initiated when needed at least several hours before the [...]

By |2013-01-31T18:32:27+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

Physician misdiagnosis of dehydration in older adults

INTRODUCTION: Dehydration is a difficult clinical diagnosis in older adults because the physical signs of dehydration are often confusing. The clinical consequences of a diagnosis of dehydration are critical, since dehydration implies increased morbidity and mortality and aggressive rehydration can improve clinical outcome. The diagnosis is a sentinel event for nursing homes, and often is [...]

By |2013-01-31T09:55:09+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments