Long Term Care Newsletter
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HAPPY NEW YEAR!! Welcome to the Office of Inspector General, Division of Health Care's January 2014 edition of the Long Term Care Provider Newsletter. This newsletter is a valuable vehicle to update you on current events affecting Long Term Care.
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Hydration and Health |
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Managing Correct Fluid Balance
 Based on the regulation, 42 CFR 483.25, F327 Hydration, the facility must provide each resident with sufficient fluid intake to maintain proper hydration and health. The intent of the regulation is to assure that the resident receives sufficient amount of fluids based on individual needs to prevent dehydration.
During the survey process, surveyors will make observations and conduct interviews and record reviews to determine if the facility assessed the resident to identify current hydration status, potential risk factors, and developed a plan of care to address identified risk factors with specific interventions.
Risk Factors that may lead to dehydration include but are not limited to:
- Prevalence of fecal impaction
- Urinary tract infection
- Weight loss; Prevalence of tube feeding
- Activities of Daily Living (ADL) decline; Dependence on staff for fluid intake; Dysphagia and/or refusing fluids; Limited fluid intake or decreased thirst sensation
- Pressure ulcers
- Elevated temperature and/or infectious processes; Vomiting/diarrhea
- Medications such as diuretics, laxatives
Read More on Hydration related Care Plan Interventions and Deficient Practices
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