Prevalence of Urinary Tract Infections in the Geriatric Healthcare Setting
A urinary tract infection (UTI) is defined as an infection of the kidneys, ureters, or bladder caused by microorganisms that either ascend from the urethra (95% of cases) or that spread to the kidney from the bloodstream (5%). About 7 million American patients visit health care providers each year because of Urinary tract infections. These infections commonly occur in otherwise healthy women, men with prostatic hypertrophy or bladder outlet obstruction, children with congenital anatomical abnormalities of the urinary tract, and patients with indwelling bladder catheters. (Taber’s Version 20 pg.2273) Urinary tract infections account for up to one-third of all nursing home – associated infections, making them the most common. Nursing interventions such as proper catheter care,
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The most common cause of urinary tract infections is residual urine in the bladder or high bladder pressures, both of which could be reduced with intermittent catheterization. Long-term indwelling catheters begin acquiring bacteria soon after they are inserted, and the likelihood of infection increases by as much as 6% each day that it is in place (Management of Urinary Tract Infection in the Community, 2014). Urinary tract infections can be extremely dangerous in elderly patients because they often do not show the normal signs or symptoms, instead of fever or painful urination, elderly patients may have a sudden onset of confusion, general feelings of discomfort, and/or incontinence. The symptoms that elderly patients show for a simple urinary tract infection can easily be diagnosed as things that are much more serious, such as dementia. Improper diagnoses such as these could potentially create a situation where the patient was not being given the proper medication to control the urinary tract infection, which could cause kidney damage if untreated for long periods of
We also evaluated the proportion of residents requiring assistance in their activities of daily living (ADLs) according to the KATZ scale. Within our cohort of residents ≥65 years old, the majority of residents with CHD needed assistance with 3-4 ADLs (p=0.18) (Figure 1). However, this was found this to not be statistically significant.
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
2013). Inappropriate use of urinary catheter in patients as stated by the CDC includes patients with incontinence, obtaining urine for culture, or other diagnostic tests when the patient can voluntarily void, and prolonged use after surgery without proper indications. Strategies used focused on initiating restrictions on catheter placement. Development of protocols that restrict catheter placement can serve as a constant reminder for providers about the correct use of catheters and provide alternatives to indwelling catheter use (Meddings et al. 2013). Alternatives to indwelling catheter includes condom catheter, or intermittent straight catheterization. One of the protocols used in this study are urinary retention protocols. This protocol integrates the use of a portable bladder ultrasound to verify urinary retention prior to catheterization. In addition, it recommends using intermittent catheterization to solve temporary issues rather than using indwelling catheters. Indwelling catheters are usually in for a longer period. As a result of that, patients are more at risk of developing infections. Use of portable bladder ultrasound will help to prevent unnecessary use of indwelling catheters; therefore, preventing
Catheter Acquired Urinary Tract Infections (CAUTIs) has become to be classified as one among the leading infections which most individuals end up being susceptible to acquire while at the hospital. Healthcare-associated or acquired infections (HAIs) are a significant cause of illness, death, and more often than not, have resulted to cost the tax payers potentially high medical expenses in most health care settings. ("Agency for Healthcare Research and Quality," para. 1) Due to this, 1 out of every 20 patients will end up with CAUTI within the US hospitals and this has caused Agency for healthcare research and quality (AHRQ) to embark on nationwide plans to help in the eradication and control of CAUTI incidences. ("Agency
Cystitis more commonly known as a urinary tract infection (UTI) or bacteriuria is a chronic infectious disease defined as inflammation of the urinary tract including the bladder and urinary tissue. Signs and symptoms develop due to aggravated epithelial tissue that line the bladder and urinary tract effected by the bacteria infecting them. There is a greater prevalence in women than in men, however when men develop a UTI they are at greater risk for complications such as pyelonephritis or septicemia (Lehne 2013). Bauman (2013) states that 32% of women will experience cystitis in their lifetime. Lehne (2013) states that up to 35% of sexually active females will develop a urinary tract infection each year and that up to 50% of females in nursing homes have cystitis at any given time.
Urinary Tract Infection, also known as UTI, occurs in two common locations, the bladder and kidneys. The kidneys are important organs that aid in filtering out waste products from blood and maintaining water distribution throughout the body. The waste products are filtered out via bladder, which is the reason of the bladder being the second site for the infection. A normal human being has two kidneys, one on left and right side, a bean shaped organ, and is located at the back of the abdomen. “Each kidney is about 11.5 cm long, 5-7.5 cm broad, 5 cm thick, and weight about 150 grams” (HealthInfoNet, Paragraph 2). Furthermore, a bacterium named Escherichia coli lives in both the kidneys and the GI tract. E. coli is part of the human body and produces
...urses are at the bedside 24 hours a day they can greatly impact patient outcomes and decrease the overall mortality rate of sepsis by using the evidence-based practices outlined in the Surviving Sepsis Campaign.
A study conducted by the Centers for Disease Control and Prevention shows that “annually approximately 1.7 million hospitalized patients acquire infections while being treated for other medical conditions, and more than 98,000 of these patients will die as a result of their acquired infection” (Cimiotti et al., 2012, p. 486). It was suggested that nursing burnout has been linked to suboptimal patient care and patient dissatisfaction. Also, the study shows that if the percentage of nurses with high burnout could be reduced to 10% from an average of 30%, approximately five thousand infections would be prevented (Cimiotti et al., 2012). In summary, increasing nursing staffing and reduction burnout in RNs is a promising strategy to help control urinary and surgical infections in acute care facilities (Cimiotti et al.,
To start off, Non-gonococcal Urethritis (NGU) refers to an infection from the tube that runs from your bladder through the penis in men or the labia in women which passes the urethra. Normally, it is caused by gonorrhea but mostly chlamydia that is a sexually transmitted disease. There are multiple different ways how Non-gonococcal Urethritis is caused. An infection with chlamydia is half the case of NGU. Chlamydia is a bacterium type of germ that may be contacted threw sexual intercourse with an infected person. Perhaps, it can be passed down in to and out of vaginal, anal, or oral sex. There are other bacterial viruses that can be the cause of this disease. No cause can be found in 3 to maybe 10 cases. Sexually transmitted infections cannot be recognized by tests if it is not shown. Also, it is not attainable to know which cases are caused by an infection and the ones that are not.
Nursing diagnosis Hospital acquired infections are spread by numerous routes including contact, intravenous routes, air, water, oral routes, and through surgery. The most common types of infections in hospitals include urinary tract infections (32%), surgical site infections (22%), pneumonia (15%), and bloodstream infections (14%). a. (book). The most common microorganisms associated with the types of infections are Esherichila coli, Enterococcus species, Staphylococcus auerus, Coagulase-negative staphylococci, or Pseudomonas aeruginosa. Urinary tract infections occur when one or more microorganisms enter the urinary system and affect the bladder and/or the kidneys.
Most people don’t think about dehydration; let alone elderly dehydration. It is a common problem, in the aging, and often recognition along with treatment may be delayed; contributing to a high mortality rate. (Lavizzo-Mourey, 1987) By recognizing a potential problem early, you may save an older adult from a debilitating complication. (Hamilton, 2001) The prevention of elderly dehydration will deter illness and increases life expectancy, along with decreasing unnecessary hospitalization and cost.
As the population of the United States ages and lifespan increases, the U.S. is being faced with challenges that could either hurt the country or benefit it if plans are executed correctly. By the year 2050, more than thirty-two million Americans will be over the age eighty and the share of the 80-plus generation will have doubled to 7.4 percent. Health care and aging population has become a great deal considering the impact it is having on the U.S. The United States is heading into another century with an outstanding percentage of people within the aging population. Today’s challenges involving health care and the aging populations are the employees of health professions being a major percentage of the aging population, the drive into debt, and prevention and postponement of disease and disability.
can block the urinary tract. This blockage will probably cause a lot of pain. If
A urinary tract infection is a very common infection that can happen to anybody. A urinary tract infection usually occurs when bacteria enters the urethra and multiples in the urinary system. The Urinary tract includes the kidneys, the thin tubes that carry urine from the kidneys to the bladder (ureters), and the main tube that carries the urine from the bladder (urethra). Women, men, and children are all immune to this infection. Women have the highest chances of getting it. In the Urinary tract, the main links of the ureters help get rid of any bacteria that tries to enter the urine, and the bladder helps prevent urine from backing up into the kidneys.
Hospital-acquired bladder infections. These infections, occur in people in a medical care facility, such as a hospital or nursing home. Most often they happen in those who have had a urinary catheter placed through the urethra and into the bladder to collect urine, a common practice before surgical procedures, for some diagnostic test, or as a means of urinary drainage for older adults or people confined to bed.