If a doctor orders increased fluid intake for an older resident, what is the best approach?

The best approach, which involves giving most of the fluid before 5:00 pm, is correct because it aligns with the physiological needs of older adults and helps manage their fluid intake effectively. Older individuals often have reduced thirst sensation and may not consume adequate fluids throughout the day if not prompted. Administering most fluids earlier in the day ensures they are well-hydrated while minimizing the need for nighttime trips to the bathroom, which can disrupt their sleep and lead to falls or injuries.

Timing fluid intake appropriately is crucial to support kidney function while also respecting the resident's comfort and dignity. By encouraging increased hydration during the daylight hours, caregivers can help maintain hydration levels and support overall health, particularly in older adults who might be more susceptible to dehydration and related complications.

In contrast, other strategies present significant drawbacks. Encouraging fluid intake only during meals does not ensure adequate hydration throughout the day. Providing fluids only at bedtime could increase nighttime awakenings and discomfort. Limiting fluid intake to avoid bathroom trips is counterproductive, as it may lead to dehydration, which can cause serious health issues, particularly in older populations.