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Old 11-29-2011, 08:33 PM   #1
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Uti

Well found the problem with my moms agitation she has already received some antibiotics by the time I arrive this afternoon I guess that is good mews I know I could tell right away when I got there she was so much calmer and relaxed. That's the good news now to deal with the how and why she got the infection. Probley letting her sit to long wet. Dam them all to h@ll. One more thing to keep an eye on

 
Old 11-29-2011, 11:39 PM   #2
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Re: Uti

I am so glad you found the reason and I can't believe that I didn't mention a UTI. They are so notorious for causing that kind of behavior. As soon as the antibiotic starts working she will feel better almost immediately.

Not enough fluids and improper cleaning techniques. You might want to ask the doctor what bacteria caused the infection. If they did a culture they can tell you. E-coli is the culprit many times and many times that is a fecal problem. Not cleaning the front area towards the back or letting her sit in the feces. If she is not getting enough to drink that will also cause UTI because there is not enough fluid present to flush the urinary tract. So change her as soon as she has a BM and push push push those fluids.

I know how you feel jags! I am fighting much the same battle. If it was not for two good caregivers that have mom 5 days a week..... I would be a nutcase. It is the weekends and nights I have problems with.... oh and the Coordinator! I help and compliment the good ones and stay on top of the others. Having worked in the business, with Dad in a facility, and now with Mom in a facility... keep your eyes peeled. Sometimes things just slip through in the hustle and bustle of the day. Sometimes care managers just get lazy. Sometimes it's oversight and sometimes it's negligence. But whatever it is, it is up to us to make sure it doesn't keep happening.

Hang in there... hopefully the antibiotics will give you back sweet moments with your Mom

Love, deb

 
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Old 11-30-2011, 09:05 AM   #3
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Re: Uti

Deb you got a point. The director of my FIL's home told me it was common for older people to get UTI and the nurse said maybe it was the bladder urine (he has residual urine.) It seems they don't think it is thier problem about cleaning and drinking enough fluid. However I know it is hard for them to handle my FIL. Surely there is some reason for UTI.

Nina

 
Old 11-30-2011, 09:25 AM   #4
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Re: Uti

Nina, it can be for a multitude of reasons but those are two common ones with the elderly. The bacteria that causes a UTI is important in knowing where it came from.... and how to treat it. If the UTI is E-Coli then it is more than likely from cleaning techniques, and it is not treated well with the antibiotic of choice for UTI. They need to treat it with an antibiotic that is effective for E-Coli.

Hydration is a major problem with the elderly in general and can be even worse in a care facility setting. Our loved ones with dementia can not fix themselves something to drink or sometimes even ask for it. So it is up to the care staff to be sure that they drink adequate amounts. This is so very often over looked. Drinks are offered with meals, which may or may not be consumed. Perhaps some drink at snack time but liquids are rarely offered at other times.

I always check the color of Mom's urine. If she is dehydrated her urine will tend to be darker. This tells you that the urine is concentrated and there is not enough fluids present. When the urinary tract is not flushed adequately you are more susceptible to infection... from any germ that might be there and there are always germs there! Add on the compromised immune system of those with dementia and there you go.

Yes urine retention can be a problems as well. And sometimes we just don't know the reason. But the parts we can do something about is proper, timely cleaning and hydration

Love, deb

 
Old 11-30-2011, 10:40 AM   #5
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Re: Uti

okay so the color is important, how about the smell of strong urine, is that also a clue? the other day when helping my mom I noticed a really strong smell to her urine, the nurse who was with me also stated the same thing, she never said anything about uti.my mom was not showing any signs of aggression. \Now that I think about it, could that have been a big clue...

 
Old 11-30-2011, 05:15 PM   #6
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Re: Uti

Jags, that is another big clue. Color and smell. They are both also signs of dehydration and should let the staff know to push fluids. When the elements of the urine are concentrated you get the darker color and the stronger smell. Don't you just love those light bulb moments

Love, deb

 
Old 11-30-2011, 07:32 PM   #7
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Re: Uti

you guys are the best. thanks for all the info,,, i feel like i am on a big learning curve..

 
Old 11-30-2011, 08:13 PM   #8
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Re: Uti

I do consider this a huge on the job learning experience. Nobody know until you are thrust into care giving for this disease. You can read books all day but it is only by doing that you get it. There are the medical issues, the disease progression, the psychological issues, the personal emotional issues, the physical issues of placement and safety, family and relationship issues... WHEW... and I know I have missed many. That is why I say... if you can do this then you can do anything!!! It is a test of patience, courage, commitment, endurance, and love!

Love, deb

 
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