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My dad has been in a memory care facility for 1 year now, and has adjusted well, he joins in on all of the activities, and he has a friend that he walks with every day. I recently returned from a 5-day vacation, first one without a backup to visit my dad at his memory care facility (usually I have one of my 2 sisters come into town and visit him as I usually do). Within a few days of my return, I had to take him to the hospital per the request of the on-duty med tech for rectal bleeding. After being evaluated at the hospital it was also discovered my dad was dehydrated. I usually visit him after dinner for a couple of hours about 5 times a week. During our visit I do have him drink 2 glasses of water and he has no issue with it.
I shared the discharge paperwork from the hospital with the director and head nurse and asked them for detail on their hydration program as that is one of the items they were proud of. They responded that there is a glass of water provided for every meal and every snack throughout the day which would be 6 glasses of water. They also stated that they don't force the residents to drink the water, which I understand. However, my dad has never refused a glass of water that I have provided him.
Is there anything I can ask the memory care facility to do to ensure my dad is receiving his water intake? I have a drs. note from his dr. stating that he needs 6-8 glasses of water a day.

Its not possible to force a resident to drink water any more than its possible to force them to shower or do anything else. Otherwise, there would be lawsuits up the wazoo from family members accusing staff members of forcing XYZ against a residents will.

Fwiw, my mother lived in Memory Care for 3 yrs refusing to drink any liquids but coffee, a diuretic, the whole time. She was dehydrated a few times when she went to the ER, but told them the same thing she told me: water made her pee and that was too big an aggravation for her to deal with, with Depends and everything.

Mom died at 95+ of nothing dehydration related. I also brought her lots of sweets and junk food. These elders have nothing to live for, with dementia wreaking havoc on them. Let dad be. If drinking less water causes his life to be shortened by a month or two, so be it. I prayed daily for God to take my mother out of her misery, tbh.

Good luck to you.
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Reply to lealonnie1
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Make sure its mentioned at the quarterly care meeting so that it gets into the notes. You can also put up a large sign where he can read it: "Dad, if the staff asks you to drink water, please drink it! Love (your name)" and the staff can then point to it if he pushes back. We did this with my MIL in LTC when she was uncooperative with her own care.

In the end, if the facility is understaffed, they can only do so much per resident. Six to 8 glasses of water a day seems like a lot for a senior. My 96-year physically active Mom barely drinks anything in the course of a day: 1 cup of coffee for breakfast, a 1/2 can of Coke for lunch and small glass of Pellegrino or beer or wine with dinner. No liquids after than. Maybe she drinks a tiny glass when she takes her few pills in the morning. She's done this for decades.
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Reply to Geaton777
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I had one CNA that worked for us private duty in addition to her 30 hour a week nursing home job tell me that she thought many of the "Covid Deaths"
were actually deaths by dehydration because the nursing home was so short of staff. i.e. The resident tested positive for Covid, the nursing home was extremely understaffed and the resident died. The CNA thought a lot of these deaths were due to dehydration because she could not get around to every resident with water.

Sometimes the CNA's don't have the time to push fluids.
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Reply to brandee
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Geaton777 23 hours ago
I totally believe this. My MIL was confused before and during covid. After the facility put her in hospice (because she had covid) she had a full recovery and was far less confused afterwards and I think it was because they were making sure she was drinking fluids. They may have had more staff at the hospice facility. All I know is that we were amazed that she came out "better" than before she almost died from covid.
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I would say the water is placed in front of him. Its up to him to drink it. The aide does not feed it to him. If he refuses, by law he can't be forced. All you can do is ask that he be prompted.

My Mom was in LTC most of the day in the common room. She was given something to drink by an aide. When I went back to her room one time, the aide was filling up a Styrofoam cup with ice and water. I asked her why? My Mom is out in the common area till bedtime.

I think if everyone of us went to the hospital, they would say we are dehydrated. I don't drink water. I don't crave drinks at all. I have something with my meals but rarely drink in between. I have to force myself to have a bottle of water next to me when home.
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Reply to JoAnn29
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Since your dad is in memory care and not assisted living, is it safe to assume that he has some memory issues? As a former CNA I have worked with patients with dementia in homes,hospitals,and as a private aide in facilities when family members needed to have an extra pair of eyes on their loved one. I can see no reason why the facility can't appoint or assign someone to make sure that your dad drinks water during the day, especially since he is so agreeable to it .Unfortunately the CNAs that work there are so busy that it might be difficult to ensure that someone does this religiously. It would be better for him to drink water throughout the day than to drink it before bedtime. I would address this with the director and also whoever is in charge of the nurses and see what they will do. If this does not work out, I would advise either having family members stagger visits so that he gets prompting and reminders earlier in the day, or finding a way to hire a private pay CNA to make sure that he's taking in enough fluids everyday. One other thing I'd like to mention is that hydration doesn't only have to come from water... Watermelon, cucumbers, etc , also offer alternative source of hydration. Gatorade would be advisable only on a very temporary basis as it is very high in sugar and sodium.
I first would do my best to put a plan in place with the powers that be in the facility and see what they do to help your dad.
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Reply to Hrmgrandcna
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His facility should keep records of how much water dad receives. My husband's memory care notes that info in their computer records for each person. They also enter the percent of each meal that each person eats. I can see those records any time I wish. Perhaps your dad's facility uses the same method, so ask them.
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Reply to Fawnby
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Next time you visit, bring Dad a case of assorted Gatorade drinks. Personally I hate drinking plain water, especially without ice!

Juicy fruits help with hydration, like oranges, watermelon, or cantaloupe. He sounds like he's doing great, so I wouldn't push anything on him.
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Reply to Dawn88
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Dehydration happens. My dad was on a 24/7 feeding tube and still got dehydrated enough to be sent to the hospital more than once. They said it is a delicate balance between overwhelming the kidneys and keeping them hydrated. Mom told me today one of the staff members was strongly encouraging her to drink water. They do drinks with each meal and with medicines and snacks. I think if it happens again, you can ask that liquids be documented for a couple days and the record be given to you.
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Reply to JustAnon
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