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

Document Type



Master of Science (MS)


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



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.



This document is currently not available here.



Rights Statement

Rights Statement

In Copyright. URI:
This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).