By Amy Sheridan, Seasons Program Director

As the summer temperatures climb, it is increasingly important to remain hydrated. We know that hydration is important for our health and well-being. It supports our digestion, brain health, sleep, oral hygiene, skin and soft tissue integrity, and muscle strength. For a person with no cognitive change, there are several creative ways to remind oneself to drink more water. A person living with dementia or cognitive changes, however, may not recognize they are thirsty, they are sweating, or how hot it is outside, and oftentimes doesn’t have the cognitive ability to keep up with a reminder system.

It is recommended for adults to have at least 8-10 cups of liquid each day.

Dry lips are often the first sign of dehydration. Other common signs are otherwise unexplained fatigue, headaches, constipation, or urine that is darkly colored. A person who is well hydrated will have pale yellow urine without a noticeable odor.

Assisting someone living with cognitive changes or dementia to remain hydrated is a part of their care and is just as important (if not more important) as ensuring they are eating enough. Some tips and tricks to assist with this are:

• Having a drink available to the person at all times
• Encouraging taking drinks while eating
• Using a clear cup where the contents can be identified easily
• Ensuring the cup is easy to handle and has a familiar cup shape and design
• Make sure the temperature of the liquid is to their liking
• Encourage foods that have a high water content- fresh fruit, vegetables, smoothies
• Avoid constantly drinking dehydrating liquids- tea, coffee, alcohol, or ensure these liquids are supplemented with lots of plain water

If a person living with cognitive changes or dementia continues to refuse to drink, it is important to identify external factors that may be affecting their desire to drink liquids.

• Is the person in an uncomfortable or overwhelming situation or setting? If so, removing them from the situation if possible and allowing them to relax for a moment to rehydrate and rest is important.
• Are they visibly distressed? Pushing liquids on someone when they are otherwise upset may make them feel overwhelmed. Getting them to a state of calm, then offering liquids is ideal.
• Does the person often choke on liquids and therefore, is hesitant to drink? Talking to their doctor about swallowing concerns is important, and thickened liquids may be prescribed.
• Do they not seem to enjoy the taste of plain water? Flavoring with lemon or other fresh fruit may spark their interest. It is important to try to avoid artificial flavorings as these have been proven to be unhelpful in the brain health of persons living with cognitive changes or dementia.

Seasons Adult Day Health Services is here to provide support not only for your loved one living with cognitive changes but also for care partners.

To learn more about Seasons Adult Day Health Services and how our center may be a great fit for you and your loved one, contact our Family Support Manager, Christin Cardani, at 989-633-3767.