Dehydration is a potentially dangerous state of a reduction of the amount of water in the body, which is associated with increased mortality, morbidity and disability (Hooper et al., 2014; WHO, 2011). While severe dehydration (10% loss of body weight) is life threatening, even a fluid loss equivalent to 1-2% of body weight can have an adverse effect on physical and mental performance, particularly in older people in hospitals (Jéquier and Constant, 2010). However, there are no exact figures on the dehydration status of the general UK population. This is partly due to a lack of dehydration focus or information as a public health issue for the development of sustainable strategies in hydration policy
Despite dehydration is a …show more content…
Report by Dr Wilson on behalf of the parliamentary hydration forum (2014) found that nurses are uncertain about aspects of their role and accountability. The report also raises the main challenge for nursing staff as well as patients including poor recognition of dehydration and working on urgent dehydration profile reform particularly in older people. Cook (2005) has argued the complexities of managing hydration in patients and pointed out the role of the nurse in hydration management has been ill-defined in the literature. Soon after, Mentes (2006) highlighted greater awareness should be raised for holistic, individualized hydration care, particularly for elderly in clinical settings. Hence, Nurse-driven multi- strategy based approach is found to improve regulated and inspected care issues through the recognition and compliance with …show more content…
Using critiquing frameworks provides a systematic basis to identify if research is well designed and constructed; if there are any limitations and if the research can be applied to local practice (Glasper and Rees, 2013; Steen and Roberts, 2011). While the chosen studies were of different designs, a comprehensive, structured checklist from CASP with appropriate modifications was used to examine the quality and critique the integrity of the chosen papers (Appendix C). Unfortunately, it cannot overcome the problem of publication bias and the ‘grey literature’ (Bowling and Ebrahim,