Dehydration in PWP can occur any time of year not just in hot weather. A PWP sitting in a hot centrally heated room are as prone to dehydration as a person sitting in direct sunlight in Summer. When I am in clinic I ask PWP “do you ever feel thirsty?” often the answer is no. Take this scenario onto a ward or even at home . They don’t ask for fluids and no one offers them fluids then they simply dehydrate. Alcohol tea and coffee dehydrate so drinking water in between helps. Many people simply do not like drinking water and are unlikely to change their habits. Juice diluted with water can be an alternative. soup ice cubes ice lollies are all good sources of fluid as are fresh fruits.

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