Urinary Tract infections are not uncommon for elderly patients. In fact, the population that is most likely to suffer from UTI's are the elderly. It is vital that the diagnosis of urinary tract infections in elderly patients is clinically accurate and precise as a misdiagnosis is common based upon the atypical symptoms associated with a UTI and the link to confusing and delirious behaviours synomous with geriatric patients. This is important in order to achieve optimum patient safety, effective communication and care. Thus, this essay will discuss by using a systematic enquiry the link between older persons and the prominent age related factors of confusion and challenging behavior that is elucidated through UTI's management, treatment and …show more content…
A Urinary Tract Infection is an infection that effects any part of the urinary tract and is usually caused by micro-organisms, particularly bacteria. UTI's are very common especially with the elderly and women. As with most infections the …show more content…
Older patients who do not suffer with these confused and delirious behaviours are much more able to communicate their medical wants and needs as well as self monitor their health whilst others that do suffer these behaviours find this process far more difficult, in turn reducing their overall safety due to challenging communication. Patients who do present with confused and delerious tendancies often portray symptoms very similar to that of a UTI, for instance incontinence It can be concluded that older patients who have such behaviour and present all of the symptoms relating to that of UTI must undergo further investigation to prevent misdiagonosis and ineffective treatment such as antibiotics. However the diagnosis is often more difficult with a high risk of health professionals misdiagnosing the patient based upon the assumption that the patient is suffering from a UTI based upon the prevalence of delirium and therefore treating the patient accordingly. This treatment is most often through unnecessarily prescribing antibiotics that are becoming less effective due to antibiotic resistance.One of the most common misdiagonosis has to do with bacteria within the urine. Asymptomatic bacteriueria (ASB) is common within older
Discussion Post Week ten NURS 6501, N-21 Urinary tract infections (UTIs) are usually caused by bacteria and are common. Symptoms of both upper and lower infections are similar; therefore, it is important for advanced practice nurses (APNs) to be able to determine the pathophysiology of upper and lower UTIs. The purpose of this discussion is to evaluate the similarities and differences between upper and lower UTIs, clinical manifestations, treatments, and factors affecting all of these things. UTIs are infections that may occur anywhere in the urinary tract such as the urethra, bladder, ureters, and kidneys. Typically UTIs are caused by bacteria from the gut flora and are inflammation of the urinary epithelium.
Specific Case This semester I cared for resident JT. JT is diagnosed with dementia, which is a form of chronic confusion. Evidence from JT’s physical assessment that supports this diagnosis is her mental status. In her patient chart, it states that JT is alert with confusion.
Streptococcus is often known as bacteria, that can affect a person’s throat. Often time’s people are unaware that this bacterium can also affect genital areas. Strep group B is commonly found in the vaginal, anal and rectal area of the body. This bacterium can affect 25 % of people, including pregnant women.
The challenge still lies in the severe under-reporting of urinary incontinence issues. After all, seniors cannot get help if nobody knows there is a problem. If your senior loved one may be having trouble with urinary incontinence, it is important that they have their situation investigated. A full third of overactive bladder issues may be linked to lower urinary tract infections. Not only could the bladder problem be quickly reversed with a UTI treatment, but the pain and discomfort of the UTI would be addressed as well.
Mrs. McGoldrick is an 81-year-old patient with chronic diseases - like diabetes and repeated heart attacks - and was admitted to the hospital for a urinary tract infection. She was also cited to have indications of
Pyelonephritis can be defined as an acute sudden, and severe bacterial infection (an infection caused by the abundant growth of bacteria) of the kidney’s (organs that play a role in regulating fluid balance, and also filter out waste in the blood through the urine). Although this is an acute (experiences at a severe or dangerous degree) disease (a disorder of a structure or function in the human body) it can be very harmful to the body. Just the acute form of pyelonephritis can start in the lower urinary tract (where the urine is produced and discharged out of the body), such as in the bladder (where urine is collected to be excreted) and end up traveling to the kidney’s, causing the kidneys to swell (to become inflamed) and can actually cause renal scarring (thick, irregular scars that are a characteristic of pyelonephritis) if not treated properly.
The chlamydia bacteria depend on host cells for nutrients that they need for survival. They invade these host cells and infect them. However, they stop dividing if the human cells are starved of nutrients. Once the host cells start to receive nutrients again and conditions improve, the bacteria will again start to divide and multiply.4 People with this disease usually have few or no symptoms so they don’t know that they have it.
So, what is the definition of health care associated infections? They are infections that patients acquire while being hospitalized to receive treatment for their conditions either medical or surgical. Many of the HCAIs are preventable. In the modern healthcare, there are many types of invasive procedures that is used to treat patients to help them recover, also some devices are used, and all can be a potential risk for transmitting an infection to the patient while receiving the treatment. Instruments used during surgery can be a source of Infection, catheters are a source of urinary tract infections, and ventilators are a source of respiratory tract infections.
In conclusion it is clear that ageism exists within health care facilities and evidently has the potential to significantly impact upon seniors which notably effects the quality of care delivered by health care workers. However, these issues that were explained and described in this essay can be decreased and furthermore prevented through implementing the correct, relevant and necessary education and communication skills in order to enhance and elaborate knowledge of ageism in the healthcare
There are two classes of circumstance where decisions about medical treatment need to be taken for “incompetent” patients: ● When a patient is temporarily incompetent, e.g. if he or she is unconscious ensuing an accident or severe medical circumstance. ● When a patient is unlikely ever to be able to make a competent decision about his or her treatment, e.g. severe dementia or learning disability or been in the permanent vegetative
4- The DSM –IV Criteria for enuresis. 5- Client assessment database. 6-Eitological factors: psychodynamics, biological factors 7- Pharmacologic therapies
Bacterial Vaginosis What is Bacterial Vaginosis? Bacterial Vaginosis (BV) is the most common vaginal infection in women of childbearing age and it is caused by an overgrowth of bacteria in the vagina. How does BV occur? Normally, there is a certain amount of bacteria in the vagina that is considered healthy bacteria called Lactobacilli.
Urinary incontinence, the loss of bladder control, can also be called enuresis is a problem with many different age groups. This is caused by sympathetic dysfunction. Sympathetic dysfunction affects many systems of the body such as the the cardiovascular, reproductive, and even urinary. Enuresis is a medical term used more towards children meaning involuntary urination, referred to bedwetting most of the time (Silverthorn, 2013). The International Continence Society defines incontinence as “a condition in which involuntary loss of urine is a social or hygienic problem and is objectively demonstrated (Viktrup, 1993).
On the other hand, according to Institut Pasteur this bacterial infection was first introduced in the 1800’s and in 2002 this infection was reintroduced. In the same manner, that it states in the cosmopolitan age, “Globalization bringing “new” or revived infections”. Furthermore, the time for dying is unclear and it could happen whether is too early or too late according to the value of society. Amy Carter died when she was only 15 years old and the doctors weren’t aware she was dying even though she asked the doctors if she will die, the day she was discharged from the
As a nursing student, I need to ensure I am performing my tasks, including perineal care, to the highest standard, and addressing areas of concern that I observe during my shifts. As mentioned by Marshall & Bailey (2008), incontinence can greatly impact the quality of life of a patient, as well as increases their risk of potential perineal skin breakdown. Improper perineal care following incontinence can lead to painful skin irritation, UTIs, and pressure sores. Frequent monitoring, and management of incontinence are the first steps in appropriate management. Seeing as I was diligent in observing and reporting the incident of improper perineal care, I was able to follow these crucial first steps in preventing a potential UTI in this geriatric patient.