Fluid Imbalance in Geriatrics: The Need for Optimal Hydration. | Department of Endocrinology, Diabetes & Metabolism
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Fluid Imbalance in Geriatrics: The Need for Optimal Hydration.

  1. Consultant Endocrinologist, Bharti Hospital, Karnal, Haryana.
  2. Professor, Department of Endocrinology Diabetes &amp
  3. Metabolism, Christian Medical College, Vellore, Tamil Nadu.
  4. Professor and Head, Endocrine &amp
  5. Diabetes Unit, Department of Medicine, Christian Medical College, Ludhiana, Punjab.
  6. Director, Diabetes, Obesity &amp
  7. Thyroid Center, Gwalior, Madhya Pradesh.
  8. Head of Medical Affairs, Southern Asia.
  9. Therapy Area Head, Medical Affairs, Johnson &amp
  10. Johnson Consumer Health Pvt Ltd, Mumbai, Maharashtra, India
  11. Corresponding Author.

The Journal of the Association of Physicians of India Vol. 71 · Issue 7 · pp. 11-12

PMID 37449694 DOI 10.59556/japi.71.0283

Cite This Article

Sanjay Kalra, Nitin Kapoor, Jubbin J Jacob, Navneet Agarwal, Priti Thakor, Harshad Malve. Fluid Imbalance in Geriatrics: The Need for Optimal Hydration. The Journal of the Association of Physicians of India. 2023;71(7):11-12. doi:10.59556/japi.71.0283

Abstract

In the elderly, increased morbidity and mortality are often linked to fluid and electrolyte imbalances due to age-related physiological changes, hence monitoring and maintaining healthy hydration levels is important for the geriatric patient population. Patients recuperating from an illness at home maybe likely to neglect proper fluid intake and energy management, which hampers their timely recovery. In elderly patients with concurrent illnesses and therapies, dehydration is a common condition that often remains unnoticed despite persistent disease symptoms. Oral nutritional supplements such as scientifically formulated oral rehydration therapies (ORTs) have been recommended in such cases. These supplements can be further suggested by nutritional counseling, diet modification, nursing interventions, and educating the patients. The main aim of this review is to generate a greater understanding of the fluid intake requirements for the elderly, thus contributing to the prevention of the negative effects of dehydration. This review comprehensively highlights the need for treatment, recovery from illness to supportive care to address a patient's needs. Maintaining an optimal hydration level aids the efficacy of therapy in elderly patients. Hospitalized patients are considered to be at risk of dehydration, whereas patients at home completely ignore the need for fluid and energy management, leading to hospital readmissions and delayed recovery. Guidelines are available for treating, managing, and maintaining ideal hydration levels, these are considered to be imperative in managing elderly patients with chronic illnesses.

Keywords

  • Humans
  • Aged
  • Dehydration
  • Fluid Therapy
  • Geriatrics
  • Drinking
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