We keep hydration top-of-mind
during the warm summer months, but it's just as important to stay hydrated once
the weather turns cooler. According to CMS tag F327, facilities must "provide
each resident with sufficient fluid intake to maintain proper hydration and
health."1
To determine how much fluid a resident should consume on a daily basis, CMS recommends multiplying the resident’s body weight in kg (2.2 lbs = 1 kg) by 30 cc, except for residents with renal or cardiac distress (these individuals can be harmed by having an excess of fluids in their bodies). Using drinking cups with gradation marks can help you keep track of how much liquid a resident is consuming.
The following strategies from CMS can help residents stay hydrated throughout the day1:
To determine how much fluid a resident should consume on a daily basis, CMS recommends multiplying the resident’s body weight in kg (2.2 lbs = 1 kg) by 30 cc, except for residents with renal or cardiac distress (these individuals can be harmed by having an excess of fluids in their bodies). Using drinking cups with gradation marks can help you keep track of how much liquid a resident is consuming.
The following strategies from CMS can help residents stay hydrated throughout the day1:
- Offer a variety of fluids (water, fruit juice, milk,
etc.) between meals and encourage residents as appropriate
- Serve additional beverages with meals to help increase
fluid intake
- Make sure filled water pitchers and drinking cups are
easily accessible to residents
- Offer alternate fluid sources, such as popsicles,
gelatin and ice cream
Reference
1 State Operations Manual. Appendix PP – Guidance to Surveyors for Long Term Care Facilities. Rev. 70, 01-07-11. Available at: http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_pp_guidelines_ltcf.pdf. Accessed Septmeber 25, 2013.
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