2.50
Hdl Handle:
http://hdl.handle.net/10755/160790
Type:
Presentation
Title:
Hydration Status of Elderly Medical-Psychiatric Patients
Abstract:
Hydration Status of Elderly Medical-Psychiatric Patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Forsyth, Diane, RN, PhD
P.I. Institution Name:Winona State University
Title:Master's in Nursing
Contact Address:31512 County Rd 11, Houston, MN, 55943, USA
Contact Telephone:507-896-2252
Co-Authors:D.L. Forsyth, P. Gaspar, Graduate Program in Nursing, Winona State University, Rochester, MN; S.M. Ellenbecker, P. Stimpert, L.K. Smith, Nursing, Mayo Clinic, Rochester, MN; M.I. Lapid, Psychiatry & Psychology, Mayo Clinic, Rochester, MN;
Hydration for elderly patients, especially those receiving Electroconvulsive Therapy (ECT) whose intake is often restricted for several hours prior to ECT, is important because of the multiple risks dehydration creates. Purposes of this study were to determine hydration status of this group of patients and compare 2 measures (invasive:serum osmoality and non-invasive:bio-electrical impedance) of hydration. A physiological model of hydration was used to guide the study. Consent was obtained prior to ECT treatment. Age, medical diagnosis, anthropometric measurements, and cognitive status were obtained by chart review. Bio-electrical impedance measurements were taken prior to the restoration of oral intake following ECT with a simultaneous blood draw (within 2 hours of BIA measurement). Thirteen subjects, 3 males and 10 females, from a Medical-Psychiatric Unit of an acute care facility participated. Ages ranged from 66 to 89 (M=75.3) years of age. Mean serum osmolality was 290.15 (sd=5.81) and percent of body water ranged from 34.82% to 49.29% (M=41.96; sd=5.28). Standards for determining dehydration used were: equal or greather than 300 mOs for serum osmolality and less than or equal to 45% for percent body water. While none of the subjects were categorized as dehydrated, based on serum osmolality, 8 (61.5%) subjects were categorized as dehydrated based on percent body water. There was no significant association between serum osmolality and the BIA measure of hydration. There were trends that indicated a diagnosis of diabetes and a lower cognitive score (MMSE) may be risk factors of dehydration and are worthy of further exploration. These findings indicate the importance of hydration among this elderly group, who have depression and are at further risk for numerous problems related to dehydration. A question is raised regarding the BIA being a reflection of current hydration status as compared to osmolality.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleHydration Status of Elderly Medical-Psychiatric Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160790-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Hydration Status of Elderly Medical-Psychiatric Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Forsyth, Diane, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Winona State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Master's in Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">31512 County Rd 11, Houston, MN, 55943, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">507-896-2252</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">dforsyth@winona.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">D.L. Forsyth, P. Gaspar, Graduate Program in Nursing, Winona State University, Rochester, MN; S.M. Ellenbecker, P. Stimpert, L.K. Smith, Nursing, Mayo Clinic, Rochester, MN; M.I. Lapid, Psychiatry &amp; Psychology, Mayo Clinic, Rochester, MN;</td></tr><tr><td colspan="2" class="item-abstract">Hydration for elderly patients, especially those receiving Electroconvulsive Therapy (ECT) whose intake is often restricted for several hours prior to ECT, is important because of the multiple risks dehydration creates. Purposes of this study were to determine hydration status of this group of patients and compare 2 measures (invasive:serum osmoality and non-invasive:bio-electrical impedance) of hydration. A physiological model of hydration was used to guide the study. Consent was obtained prior to ECT treatment. Age, medical diagnosis, anthropometric measurements, and cognitive status were obtained by chart review. Bio-electrical impedance measurements were taken prior to the restoration of oral intake following ECT with a simultaneous blood draw (within 2 hours of BIA measurement). Thirteen subjects, 3 males and 10 females, from a Medical-Psychiatric Unit of an acute care facility participated. Ages ranged from 66 to 89 (M=75.3) years of age. Mean serum osmolality was 290.15 (sd=5.81) and percent of body water ranged from 34.82% to 49.29% (M=41.96; sd=5.28). Standards for determining dehydration used were: equal or greather than 300 mOs for serum osmolality and less than or equal to 45% for percent body water. While none of the subjects were categorized as dehydrated, based on serum osmolality, 8 (61.5%) subjects were categorized as dehydrated based on percent body water. There was no significant association between serum osmolality and the BIA measure of hydration. There were trends that indicated a diagnosis of diabetes and a lower cognitive score (MMSE) may be risk factors of dehydration and are worthy of further exploration. These findings indicate the importance of hydration among this elderly group, who have depression and are at further risk for numerous problems related to dehydration. A question is raised regarding the BIA being a reflection of current hydration status as compared to osmolality.</td></tr></table>en_GB
dc.date.available2011-10-26T23:10:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:10:42Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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