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Hello,
I understand your frustration! My grandma who has dementia also does not drink like to drink water. When I first arrive for the day to take care of her, I open a water bottle and give it to her. She takes a couple of small sips and that’s it for hours! And she hands it back to me so I put it on the table next to her so she can reach it easily. During the day, I will remind her that it’s there, but she just looks at it and goes, “yeah...”. She definitely does not drink enough water. She has even got mad at me for reminding her about the water. So I really don’t know what to do. Maybe try putting the water in a different container? I think my grandma sometimes doesn’t like the plastic water bottle and would prefer a cup instead. I haven’t tried it yet because she spills a lot and is messy with food but maybe it’s worth the try. As they say, you can lead a horse to water but you can’t make it drink!
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Careblazer310 Feb 2020
This is identical to what happens when I am with my MIL. What I’m learning from everyone here is that it is common and sometimes there is nothing that can be done.
my MIL won’t drink water, only ginger ale and only a few sips.
she won’t eat very much now but at least she will have some soup but only at meal times will she eat. So fruit and other hydrating foods are only an option if they are offered to her at AL at meal times.
I pray everyday that we don’t go to the emergency room again. It’s very traumatizing for her and time consuming for me and the other family members. We do our best!
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watermelon has lost of water and so does cantelope and other fruits it helps some
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The things that worked for my parents were the flavored packets, Minute man and Cystal light are two, that you can put in water, and the flavored popsicles. My aunt was in assisted living and they would come and leave a small pitcher of water up on the chest of drawers where she couldn't even reach it! Crazy. She fell at least once from being dehydrated. So I don't know if the staff would give the flavored water if you bought the packets, but it would be worth a try. Dealing with the UTI's alone is bad enough.
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I agree that dehydration starts many other issues like UTI's, dizziness, headaches, confusion, and blood pressure. Flavored beverages might be more enticing to them or foods like jello, soups, fruits like watermelon or cantelope. My Mom didn't like to drink because she was incontintent and if she drank, then she would complain that she would have to go to the bathroom more; she didn't realize that not doing that one thing of getting hydrated causes many other issues.
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Does not dehydration lead to high lactic acidosis which is dangerous to internal organs?
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Careblazer310 Mar 2020
I don’t know about that but I can tell
you that MIL dehydration and lack of drinking has led to UTI, Pneumonia, low kidney function and excessive low blood pressure.
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Did you talk about end of life before the dementia? If they ever said something like, if I can't do such and such anymore just shoot me, then I would get hospice in and let them do what they want. Thirst is a natural instinct for self-preservation, so if someone is refusing to drink to the point of dehydration, that is the choice they are making. I am not saying this to be callous. It just seems to me that pushing ensure and water are postponing a natural death.
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Ricky6 Mar 2020
It is not a “choice” to not drink fluids. Elderly people do not know or do not feel if they are thirsty, and therefore do not drink.
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I not sure if you have them where you live but a young man by the name of Lewis hornby come up with jelly drops I seen the video a few years ago , truly amazing they eat these chocolate sized gummy drops that a loaded with water so that they get the water needed to stay hydrated . You can find him on YouTube check them out , even if they dont have them available you can make them yourself or someone else could there are lots of recipes for water drops , gummy drops made from agar which has a high volume of water when mixed . I have been meaning to make them myself for my mum as it is so important that people stay hydrated and we cant get them here so I will be making them . Every care facility and hospital should be having these on board as they are one of the best and most important things i have seen when it comes to hydration.
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We have had the same issue for about 5 years. My father is 94. He has had several low blood pressure incidents, bowel obstructions and a fall due to dehydration. He does not eat fruit. Period. Fruit flavored anything. He eats no vegetables except onions in cooked food. Nothing green. No tomatoes. He will only drink whiskey and beer.

He has a tremor, so he uses a straw. Because of the tremor, he will not eat soup. The closest "wet" food was a chunky soup, but the doctor said it is too much sodium. He used to drink Boost every day, but now doesn't like that either.

The furthest I got was refusing to give him his whiskey or beer until he drank a glass of water. That backfires cause if he gets annoyed he stops eating altogether. 5 years ago he got depressed and would not eat or drink and went from 130 to 110 pounds. I told him if he did not want to live, we should get hospice for him. When the man came in and explained that he was there because Dad wanted to die, Dad changed his mind. We got him on antidepressants (mirtazipine) which got him eating again.

The advice here to try to feed her foods that are high in water content is really the best. Ice pops are usually well received. I look for chocolate ice pops or sometimes the Dollar store has rootbeer.

Otherwise, I think that on many levels, Dad behaves like a toddler. Maybe you can offer rewards if she drinks? Does she have any favorite foods or activities? If she drinks a glass of water, she gets a ride, you will do her nails, get her her favorite movie or listen to her favorite music. You don't have to make it a threat. Just say "I was going to read you your book /give you your magazine/give you this cookie. We can start right after you finish your water."

We moved my brother in with Dad to be there full time. That makes it easier to keep up and plead/cajole/reward.
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