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SECTION 11 Hydration

SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

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Page 1: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

SECTION 11Hydration

Page 2: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

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Page 3: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Hydration

► Daily fluid requirements► Dehydration and stroke► Hydration and urinary incontinence► Hydration and constipation

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Page 4: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

The average adult can live for weeks without food, but only for days without water.

► People need at least 6 to 8 cups of non-caffeinated fluids daily to stay hydrated

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Daily fluid requirements

Page 5: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Daily fluid requirements

Measure AmountCups 6 8

Ounces 48 64Litres 1.5 2

Millilitres 1500 2000

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Page 6: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Fluids in common foods

Food Serving Size Fluid Content Jellied dessert ½ cup 120 mLPudding ½ cup 100 mLIce cream or sherbet ½ cup 60 mLPopsicle 1 popsicle 90 mLYogurt ½ cup 90 mLCanned Fruit ½ cup 100 mLSoup 1½ cups 165 mLSimple conversion for daily fluid requirement 1 cup = 250 mL

½ cup = 125 mL

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Page 7: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Key point

Help the survivor stay hydrated.

Find out the survivor’s favourite non-caffeinated drinks.

Make them available and encourage the survivor to drink during the day.

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Page 8: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Dehydration and stroke

Dehydration is a health risk that rapidly becomes life-threatening. When people are dehydrated they may lose physical, mental, and cognitive function. They have an increased risk of:

o Infectiono Fallso Constipation and fecal impactiono Urinary tract infection

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Page 9: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Dehydration and strokeIncreased risks for stroke survivors who:► Have swallowing problems may fear choking

and avoid drinking fluids. ► Fear of incontinence may decrease their fluid

intake in an attempt to prevent accidents.► Are on a thickened fluid diet and do not take all

the fluids provided► Refuse fluids at meals or snacks► Need help with eating and drinking► Lack the feeling of being thirsty

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Page 10: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Dehydration and stroke

Increased risks for stroke survivors who (cont’d):► Are unable to communicate that they are thirsty► Have memory problems or are forgetful► Have an illness that increases fluid loss, such as

vomiting, diarrhea, or fever and sweating

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Page 11: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Signs of dehydration

Watch carefully for these signs of dehydration:► Decreased urine output► Dark, concentrated, or strong-smelling urine► Frequent urinary tract or bladder infections► Thick, stringy saliva► Constipation► Dizziness when sitting up or standing► Confusion or a change in mental status

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Page 12: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Signs of dehydration

Watch carefully for these signs of dehydration (cont’d):

► Weight loss of 3.5 pounds (1.5 kg) in less than 7 days

► Fever► Decreased skin elasticity

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Page 13: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Signs of dehydration

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Page 14: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

► Encourage the survivor to drink enough fluids► Sip fluids during the day, rather than drinking large

amounts at once► Drink water, the preferred liquid. Consider providing

the required amount of water in a container► Limit caffeine intake to 2 to 3 cups or less► Provide gentle reminders to drink.► Try to give them liquids they prefer. ► Offer a variety of liquids

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How you can help

Page 15: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Key point

Dehydration is potentially life-threatening.

It is vital to encourage survivors to consume enough fluids.

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Page 16: SECTION 11 Hydration. 2 ► Daily fluid requirements ► Dehydration and stroke ► Hydration and urinary incontinence ► Hydration and constipation 3

Upon reflection

What are three things you can do to help a stroke survivor stay hydrated?

 

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