Dehydration: why is it still a problem?

Reports from organisations such as the Care Quality Commission have identified many hospital patients, particularly older people, are suffering from dehydration. A range of national initiatives have emphasised the importance of hydration and nutrition, and offered guidance to help address shortcomings, yet the problems persist. This article examines the interplay of factors that affect the assessment and identification of dehydration, and its prevention. It also offers strategies to help nurses to ensure patients receive adequate hydration.