A three-dimensional approach to hydration of elders: administration, clinical staff, and in-service education.

Adequate hydration in older adults is a common yet complex problem requiring a comprehensive approach. Facility-wide involvement is critical for the success of a hydration program. This article addresses a systematic, three-dimensional strategy with administration, clinical staff, and in-service education activities. An assessment tool, administrative and education guidelines, and a "creative brainstorming" sheet are provided for the nursing home facility interested in initiating a program for the prevention of dehydration and promotion of adequate hydration.