September 24, 2009

Dehydration In The Elderly

As a Delaware attorney who is outraged by nursing home abuse, I am especially concerned that the elderly are well cared for. In a previous article, I talked about malnutrition in nursing homes. Well, like malnutrition, dehydration can lead to a variety of serious health problems. For our bodies to function properly, we need water. Most of our body systems and organs are drastically affected by water deprivation. For example, we need water to regulate our body temperature, to maintain blood pressure, and to eliminate bodily waste.

Dehydration occurs when we lose more water than we take in. It’s that simple. And dehydration can occur more easily with the elderly, especially those in nursing homes because of inadequate care. Causes of dehydration include: (1) diarrhea, (2) the effects of medication, (3) inability to perceive thirst, (4) physical inability to drink or swallow, and (5) embarrassment related to incontinence.

Nursing homes have a responsibility to provide their residents with adequate hydration. Ways to prevent dehydration include assisting the person with drinking, offering fluids at mealtime and in between meals, and looking for the signs and symptoms of dehydration. Nursing homes have to provide proper training to their employees to recognize the signs and symptoms of dehydration. So what are the signs of dehydration? They include:

dark yellow urine
sunken eyes
ashen skin
dry skin
bleeding gums
urinary tract infection
weight loss
low urine output
constipation
dizziness
dry or sticky mouth and tongue
inability to sweat or produce tears

Some of the complications of dehydration are kidney failure, coma, shock, electrolyte abnormalities, and other heat related diseases.

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August 28, 2009

Malnutrition in Nursing Homes

When elderly people are abused, studies show that their risk of dying more than doubles. As a Delaware attorney, I'm extremely concerned about how many elderly people are subjected to abuse in nursing homes. There are many types of abuse. There’s physical abuse, emotional abuse, sexual abuse, neglect, and financial exploitation. This is the first in a series of articles about elder abuse in nursing homes. In this article, let’s talk about malnutrition, which is one form of neglect.

Malnutrition can occur if you don’t eat enough food or if you don’t get the right vitamins in your diet. If malnutrition isn’t treated, it can cause mental or physical disability, illness, and sometimes death.

Federal law requires nursing homes to assess the nutritional status of its residents at the time of admission and at regular intervals of at least every three months. The nutritional assessment should identify whether the resident is at her ideal body weight and whether the resident is at risk for malnutrition and dehydration. The nursing home is required to provide for the resident’s nutritional health based on the nutritional assessment. This includes providing “well-balanced, palatable meals.”

What are the signs of malnutrition? They can vary, but common signs are fatigue, dizziness and weight loss. Other signs include:

clothes fit more loosely than usual
there are cracks around the mouth
lips and mouth look pale
dentures no longer fit
hair has been thinning or growing more sparse
wounds seem to take longer to heal
the resident appears confused (not as a result of a disease such as Alzheimer's)
the skin is breaking down
the eyes look sunken

If you suspect that an elderly person is being abused, neglected, or exploited in Delaware, call this hotline: (800) 223-9074.

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