Increasing Fluid Intake in Nursing Home Residents by Offering Larger Portions with Medications

Document Type

Thesis

Degree

Master of Science (MS)

Major/Program

Dietetics and Nutrition

First Advisor's Name

Victoria Castellanos

First Advisor's Committee Title

Committee Chair

Second Advisor's Name

Michele Ciccazzo

Third Advisor's Name

Nancy S. Wellman

Date of Defense

3-1-2002

Abstract

The objective of this study was to determine if offering larger portions of fluids with medications, i.e., at “med pass,” would increase fluid intake in nursing home residents.

In a Latin square design, thirty-four residents of a 180-bed nursing facility received 4 and 8 oz servings of water and juice during distribution of medication. Fluid remains were weighed after 90 minutes. Larger portions and juice offerings were both found to increase fluid intake. Average fluid intakes increased from 80 to 140 mL when 8 oz servings of fluid were served instead of 4 oz servings (ps <.01). When juice was served in place of water, average intakes increased from 90 to 130 mL (ps <.01). Evaluation of the interaction between portion size and fluid type revealed that juice potentiated the increased intakes seen with 8 oz portions of fluid (ps <.01). Providing larger servings of fluid and offering juice with medications can be effective strategies to increase fluid intake in nursing home residents.

Identifier

FI15101556

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