The Antibiotic Stewardship program works to protect our patients from antibiotic resistance. Did you know that your dietary department along with nursing can play a role to decrease the use of antibiotics? How? Through improving hydration we can help reduce urinary tract infections from occurring.

How much fluid is enough? A person weighing 150# needs around 2000ml (68 fl oz) each day. Fluid can be consumed through drinking liquids and through consuming water-rich foods.

An old woman in a wheelchair

Some Barriers to Good Hydration

  • Older individuals often forget to drink and have a declined sense of thirst
  • Swallowing difficulties make it harder to drink and come with risks such as aspiration
  • Thickened liquids can be less palatable
  • Individuals may purposely limit their fluid intake for fear of incontinence
A bottle of water

Solutions to Increase Hydration

  • Ensure fluids are accessible at all times for your patients. Provide extra fluid with med pass. Add an extra water pass time to your staff’s routine.
  • Supply a variety of beverages during activities like lemonade, hot chocolate, tea, juice, or water with fruit
  • Provide high water content foods with meals such as watermelon, tomatoes, bell peppers, & side salads
  • Encourage milk intake at multiple meals such as breakfast and dinner
  • Offer popsicles, milkshakes, or smoothies for snack
  • For those patients that require thicken liquid, use thickener packets to thicken their favorite beverages instead of only offering the beverages that are premade – such as juice, coffee, tea, lemonade, soda, etc..
  • Explain to patients that decreasing fluid intake does not decrease incontinence

Need help with your Hydration Program? Let us know!

Kind regards,
Suzan Jackovatz RDN, LD & Briana Johnson RDN, LD
Grace Nutrition Consulting, LLC

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Grace Nutrition Consulting

Briana Johnson, RDN, LD