Staying Hydrated in Later Life

It’s easy to assume that thirst will tell us when we need to drink, but for many older people, that system doesn’t work as well anymore. As we age, several changes occur that increase the likelihood of dehydration:

• Reduced sense of thirst – Many older people simply don’t feel thirsty, even when their body needs water.

• Lower water reserves – Our bodies naturally hold less water in older age, which means we dehydrate more quickly.

• Side effects from medications – Diuretics, laxatives, and some antidepressants can cause the body to lose more fluid.

• Health or mobility limitations – Conditions like dementia, stroke, or arthritis may make it harder to recognise the need for a drink, or physically get to one.

• Fear of incontinence – Some people avoid drinking so they don’t need the toilet as often, particularly at night.

All of these factors increase the risk of becoming dehydrated without even realising it.

If you’re a carer or family member, knowing what to look for can help prevent bigger health issues.

Early symptoms:

• Dry mouth

• Headaches

• Tiredness or low energy

• Strong-smelling or dark urine

• Muscle cramps

• Poor concentration

• Constipation

• Reduced urination

Severe symptoms:

• Confusion or delirium

• Dizziness or fainting

• Eyes that appear less full than usual

• No sweating

• Rapid but weak pulse

• Low blood pressure

A simple home test is to gently pinch the skin on the back of the hand, if it doesn’t return to normal quickly, it could be a sign of dehydration.

Making hydration part of a regular routine is more effective than relying on thirst. Here are practical steps that work well for many of our clients in Enfield:

1. Drink little and often

Encourage sipping water throughout the day, after waking, with meals, during TV breaks, and before bedtime.

2. Make it easy

Keep water within reach, by the armchair, bedside, or in the kitchen. Easy-grip bottles, straws, or spill-proof cups can help.

3. Add flavour

Many people dislike plain water. Add slices of lemon, cucumber, or a splash of low-sugar squash. Herbal teas count too.

4. Eat your water

Some foods naturally contain high water content. Include:

• Watermelon

• Cucumber

• Celery

• Strawberries

• Lettuce

• Peaches

• Tomatoes

• Broth-based soups

These can be especially helpful for people who forget to drink.

5. Dress for the temperature

In warm weather, wear light, breathable fabrics like cotton or linen to reduce fluid loss through sweat.

Hydration can be especially difficult for those living with memory loss, tremors, or swallowing difficulties.

Support might include:

• Reminders and encouragement throughout the day

• Using easy-to-hold cups or lidded beakers

• Serving fluids in clear containers so they’re easy to see

• Thickening liquids if swallowing is a challenge (as advised by a speech therapist)

We’ve seen time and again how keeping hydration on track can reduce hospital admissions and improve comfort for people living with these conditions.

At Home Instead Enfield, we often support families with hydration routines as part of home care visits. Simple steps we take include:

• Offering drinks during and after meals

• Serving hydrating snacks like jelly, yoghurt, or fruit

• Keeping drinks in sight and within reach

• Encouraging movement to prompt fluid intake

• Monitoring for symptoms of dehydration

• Noting medication changes and their effects on fluid balance

Carers can also help keep track of fluid intake by using a daily log or hydration chart, which is especially helpful in shared caregiving situations.

Staying well hydrated doesn’t have to mean big lifestyle changes, it just takes awareness, planning, and sometimes a bit of support.

If you or someone you love needs help staying hydrated at home, preparing meals, or staying active in later life, Home Instead Enfield is here to help. Our care professionals are trained to recognise the signs of dehydration and gently encourage daily routines that support wellbeing.

From meal preparation to regular check-ins and companionship, our tailored support helps older people stay safe, comfortable, and confident at home.

To speak to a member of our team, visithomeinstead.co.uk/enfield or call us directly to find out how we can help.