Nursing practice and oral fluid intake of older people with dementia

Ullrich, Sandra and McCutcheon, Helen (2008) Nursing practice and oral fluid intake of older people with dementia. Journal of Clinical Nursing, 17 21: 2910-2919. doi:10.1111/j.1365-2702.2007.02274.x

Author Ullrich, Sandra
McCutcheon, Helen
Title Nursing practice and oral fluid intake of older people with dementia
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
Publication date 2008-11-01
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2007.02274.x
Open Access Status Not Open Access
Volume 17
Issue 21
Start page 2910
End page 2919
Total pages 10
Place of publication Chichester, West Sussex United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Aim.  This paper describes the findings of a descriptive study about what nurses do to ensure that older people with dementia have adequate hydration.

Background.  Frail nursing home residents, particularly those who cannot accurately communicate their thirst as a result of Alzheimer’s disease and who depend on nursing staff for their fluid intake, are at risk of dehydration. While the interventions that promote nutrition in older people with dementia are documented, the specific interventions for improving oral hydration in older people with dementia remain poorly studied and understood.

Design.  Observational study.

Methods.  Ten care workers and seven residents were observed for the types of behavioural nursing interventions and assistance provided to residents when promoting oral fluid intake. Observational data were compared with resident-care plans to determine whether what was carried out by care workers was consistent with what was being documented.

Results.  Care workers provided a wide variety of behavioural interventions to the residents when promoting oral fluid intake. The resident-care plans did not sufficiently represent the specific interventions implemented by care workers.

Conclusions.  A more rigorous approach is required in defining the specific behavioural interactions practised by care workers, which promote oral fluid intake in older people with dementia. Nurses determined the content of care documented in care plans, yet they were not the predominant implementers of that care. Care plans need to be accurate in terms of the specific nursing actions that respond to the level of assistance required by the resident, both behaviourally and physically.

Relevance to clinical practice.  Sound knowledge and reflective practices should be implemented by care workers of the nursing interventions that promote adequate oral fluid intake. Care plans should serve a dual purpose and facilitate communication between staff members and provide sufficient flexibility to allow for the contribution of novel ways in which to promote oral fluid intake while also being educative.
Keyword Dementia
Nursing interventions
Oral hydration
Older people
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 8 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 11 times in Scopus Article | Citations
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Created: Mon, 16 Nov 2015, 10:47:45 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work