Urinary Tract Infections in Geriatric Patients
  • Category: Health
  • Topic: Illness , Medicine , Nursing

The patient under observation is a 76-year-old female, admitted on March 23, 2023, suffering from bilateral flank pain and ambulatory dysfunction. The patient reported severe pain while urinating, specifically in the form of a burning sensation. Upon conducting a urinalysis, elevated levels of white blood cells, nitrates, and +1 bacteria were found, which confirmed the suspected urinary tract infection (UTI). Other symptoms included slight confusion and poor concentration attributed to the patient's previous diagnosis of dementia, cellulitis, hypothyroidism, and HTZ.

The UTI is caused by bacterial infection and commonly affects women because the anatomical structure of the female urethra is shorter, making it easier for bacteria to enter. The use of the urine culture and urinalysis tests aid in the diagnosis of a UTI. Symptoms of a UTI include urinary urgency, frequency, hematuria, and a burning sensation, all of which were reported by the patient (Elimination Concept). Other signs also include altered neurological status such as confusion or delirium, which were evident in the patient due to her dementia.

The patient's CT scan displayed generalized atrophy and white matter ischemic changes. Despite the presence of numerous comorbidities, the focus of interdisciplinary interventions was solely on the UTI and its symptoms. Medications, IVs, and consults were ordered and performed with supportive data indicating the effectiveness of the interventions. The patient is being monitored until placement within a step-down facility is available and is awaiting a consult with social work.

In conclusion, a focus on the identification, diagnosis, and treatment of the patient's UTI, along with close monitoring and interdisciplinary interventions, can lead to the effective management and resolution of the patient's primary issues. The information presented in this report is based on a thorough assessment and diagnosis, which includes vital signs, PMH/PSH, laboratory tests, and imaging studies, all of which facilitate the assessment of patient status and development of appropriate interventions.

Your task is to rephrase the entire content using better language and unique expressions while keeping the meaning of the original text. The following are the sources of the content:

1. Bono MJ, Leslie SW, Reygaert WC. Urinary Tract Infection. [Updated 2022 Nov 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470195/

2. Centers for Disease Control and Prevention. (2021, October 6). Urinary tract infection. Centers for Disease Control and Prevention. Retrieved March 24, 2023, from https://www.cdc.gov/antibiotic-use/uti.html

3. Alpay Y, Aykin N, Korkmaz P, Gulduren HM, Caglan FC. Urinary tract infections in geriatric patients. Pak J Med Sci. 2018 Jan-Feb;34(1):67-72. doi: 10.12669/pjms.341.14013. PMID: 29643881; PMCID: PMC5857032.

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