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‘I’ve never drunk very much water and I still don’t, and I see no reason to do so’: a qualitative study of the views of community-dwelling older people and carers on hydration in later life
BACKGROUND: dehydration is associated with significant adverse outcomes in older people despite being largely preventable and treatable. Little research has focused on the views of community-dwelling older people on hydration, healthy drinking and the perceived importance of drinking well in later l...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6911653/ https://www.ncbi.nlm.nih.gov/pubmed/31819953 http://dx.doi.org/10.1093/ageing/afz141 |
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author | Bhanu, Cini Avgerinou, Christina Kharicha, Kalpa Bauernfreund, Yehudit Croker, Helen Liljas, Ann Rea, Jennifer Kirby-Barr, Maggie Hopkins, Jane Walters, Kate |
author_facet | Bhanu, Cini Avgerinou, Christina Kharicha, Kalpa Bauernfreund, Yehudit Croker, Helen Liljas, Ann Rea, Jennifer Kirby-Barr, Maggie Hopkins, Jane Walters, Kate |
author_sort | Bhanu, Cini |
collection | PubMed |
description | BACKGROUND: dehydration is associated with significant adverse outcomes in older people despite being largely preventable and treatable. Little research has focused on the views of community-dwelling older people on hydration, healthy drinking and the perceived importance of drinking well in later life. OBJECTIVES: to understand community-dwelling older people and informal carers’ views on hydration in later life and how older people can be supported to drink well. METHODS: qualitative study using interviews and a focus group exploring hydration and nutrition in later life (24 older people at risk of malnutrition and dehydration, 9 informal carers) and thematic analysis. RESULTS: this article presents the findings on hydration alone. Four themes are presented: perceptions of healthy drinking, barriers to and facilitators of drinking in later life and supporting older people to drink well. The perceived importance of adequate hydration in later life was polarised. Concerns about urinary incontinence and knowledge gaps were significant barriers. Consideration of individual taste preference and functional capacity acted as facilitators. Distinct habitual drinking patterns with medications and meals exist within individuals. Many relied on thirst at other times or when fluid demands are greater (such as hot weather), a known unreliable prompt in later life. CONCLUSIONS: older people could be supported to drink well by building upon existing habitual drinking patterns. Primary care and public health should consider individual barriers, facilitators and tailored education. A multidisciplinary approach to promote hydration should be incorporated into care for older people with more complex needs. |
format | Online Article Text |
id | pubmed-6911653 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-69116532019-12-19 ‘I’ve never drunk very much water and I still don’t, and I see no reason to do so’: a qualitative study of the views of community-dwelling older people and carers on hydration in later life Bhanu, Cini Avgerinou, Christina Kharicha, Kalpa Bauernfreund, Yehudit Croker, Helen Liljas, Ann Rea, Jennifer Kirby-Barr, Maggie Hopkins, Jane Walters, Kate Age Ageing Qualitative Paper BACKGROUND: dehydration is associated with significant adverse outcomes in older people despite being largely preventable and treatable. Little research has focused on the views of community-dwelling older people on hydration, healthy drinking and the perceived importance of drinking well in later life. OBJECTIVES: to understand community-dwelling older people and informal carers’ views on hydration in later life and how older people can be supported to drink well. METHODS: qualitative study using interviews and a focus group exploring hydration and nutrition in later life (24 older people at risk of malnutrition and dehydration, 9 informal carers) and thematic analysis. RESULTS: this article presents the findings on hydration alone. Four themes are presented: perceptions of healthy drinking, barriers to and facilitators of drinking in later life and supporting older people to drink well. The perceived importance of adequate hydration in later life was polarised. Concerns about urinary incontinence and knowledge gaps were significant barriers. Consideration of individual taste preference and functional capacity acted as facilitators. Distinct habitual drinking patterns with medications and meals exist within individuals. Many relied on thirst at other times or when fluid demands are greater (such as hot weather), a known unreliable prompt in later life. CONCLUSIONS: older people could be supported to drink well by building upon existing habitual drinking patterns. Primary care and public health should consider individual barriers, facilitators and tailored education. A multidisciplinary approach to promote hydration should be incorporated into care for older people with more complex needs. Oxford University Press 2020-01 2019-12-10 /pmc/articles/PMC6911653/ /pubmed/31819953 http://dx.doi.org/10.1093/ageing/afz141 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Qualitative Paper Bhanu, Cini Avgerinou, Christina Kharicha, Kalpa Bauernfreund, Yehudit Croker, Helen Liljas, Ann Rea, Jennifer Kirby-Barr, Maggie Hopkins, Jane Walters, Kate ‘I’ve never drunk very much water and I still don’t, and I see no reason to do so’: a qualitative study of the views of community-dwelling older people and carers on hydration in later life |
title | ‘I’ve never drunk very much water and I still don’t, and I see no reason to do so’: a qualitative study of the views of community-dwelling older people and carers on hydration in later life |
title_full | ‘I’ve never drunk very much water and I still don’t, and I see no reason to do so’: a qualitative study of the views of community-dwelling older people and carers on hydration in later life |
title_fullStr | ‘I’ve never drunk very much water and I still don’t, and I see no reason to do so’: a qualitative study of the views of community-dwelling older people and carers on hydration in later life |
title_full_unstemmed | ‘I’ve never drunk very much water and I still don’t, and I see no reason to do so’: a qualitative study of the views of community-dwelling older people and carers on hydration in later life |
title_short | ‘I’ve never drunk very much water and I still don’t, and I see no reason to do so’: a qualitative study of the views of community-dwelling older people and carers on hydration in later life |
title_sort | ‘i’ve never drunk very much water and i still don’t, and i see no reason to do so’: a qualitative study of the views of community-dwelling older people and carers on hydration in later life |
topic | Qualitative Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6911653/ https://www.ncbi.nlm.nih.gov/pubmed/31819953 http://dx.doi.org/10.1093/ageing/afz141 |
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