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Reducing
Avoidable Hospitalizations Due to UTIs
Urinary tract infections
(UTIs) remain a significant driver of care complications and hospital
admissions each year in the United States, especially for older adults.
As the second most common type
of infection, UTIs are very common in the U.S. In fact, about 10 in 25 women
and 3 in 25 men will experience UTI symptoms during their lifetime. In older
adults, UTIs are the third leading cause for hospitalization for infection and
impact many home health care patients each year.
Further complicating the
picture for this patient population is the fact that symptoms of a urinary
tract infection in older populations often present atypically, especially in
those with Alzheimer’s and other forms of dementia. To avoid costly hospital stays,
it’s important to follow current evidence-based practices to identify and
manage UTIs in elderly populations.
Common UTI
Symptoms
Common risk factors for UTI in
older adults include previous history of UTI, multiple comorbidities, exposure
to infectious pathogens (more common in long-term care facilities), reduced
immunity (common with aging) and urinary catheter use. Of identified
infections, Escherichia coli (E. coli) is the most common cause.
Monitoring for the following
signs of UTI in older adults can support proactive diagnosis:
Classic UTI
Symptoms
Because UTIs affect different
parts of the urinary system, symptoms might present differently:
·
Infection in the kidneys can come with back or
side pain
·
Infection in the bladder can come with pelvic
pressure, lower belly discomfort and frequent, painful urination
·
Infection in the urethra can come with burning
during urination and possible discharge
·
In cases of severe infection, fever and chills,
nausea, vomiting, and abnormal urine odor can be late symptoms.
·
For some older adults, these classic symptoms
might be harder to recognize because of a suppressed immune response.
UTI Symptoms Specific to Older
Adults
For older adults, symptoms
might also include:
Mental status changes like
confusion or unusual behavior
·
Incontinence
·
Agitation
·
Lethargy
·
Falling
·
Urinary retention
·
Decreased mobility
·
Decreased appetite
How to Avoid
UTIs in Elderly Populations
Late signs of UTI are cause
for alarm, with 25% of sepsis cases attributable to UTIs. Some tips for helping
prevent UTIs in vulnerable populations include:
1. Understand common risks in
older adults.
A person’s health history can
reveal a lot about their likelihood of experiencing a UTI. For example,
diabetes can impact the immune system’s response to defense against germs.
Bladder incontinence—common in older populations—can also increase the risk of
a UTI.
2. Encourage adequate fluid
intake.
Research supports increasing
hydration (if not on a fluid restricted diet) as a strategy for reducing risk
of UTI. Staying hydrated can also help improve immune response.
3. Avoid urinary tract
irritants.
Coffee, alcohol, highly acidic
foods and carbonated soft drinks are common urinary tract irritants that should
be avoided during a UTI. However, if someone is prone to UTIs, it’s best
practice to avoid these irritants in general.
4. Encourage proper hygiene.
In addition to taking daily
showers, regularly changing underwear and washing clothes consistently, those
who require incontinence briefs should change several times a day.
5. Avoid urinary catheters.
Catheter-acquired urinary
tract infections (CAUTIs) are a significant source of infection and related
healthcare costs each year in the United States. Initiatives to reduce the use
of catheters have shown large reductions in the rate of infection.
Reducing
Avoidable Hospitalization
If a UTI does occur,
partnering with a home health provider that prioritizes a strong evidence-based
UTI protocol can help ensure patients avoid hospitalization. At Amedisys, our
UTI protocol includes advanced molecular testing for rapid identification of
urinary pathogens with more accurate results and targeted treatment
recommendations. In addition to proactive management of UTI symptoms, our
nurses provide education on proper hygiene, symptoms of UTI to watch for and
measures to prevent UTIs. This includes support for coexisting conditions that
increase the risk of UTI, with resources like our home health diabetes care
program to help patients lead healthier lives.
To help prevent UTIs in your
patients, we created a resource highlighting just what you need to know so that
you can do your job more efficiently. Download and print out a copy of Reducing
Avoidable Hospitalizations Due to UTIs.
As we grow older, many daily activities that were once simple can become more difficult, including preparing healthy meals. For seniors, proper nutrition is essential to maintain energy, supporting the immune system, managing chronic conditions, and staying independent. Thats why meal preparation isnt just a convenience, its a lifeline.Key Benefits of Meal Preparation for Seniors1. Ensures Balanced, Nutritious MealsHaving meals prepared in advance ensures that seniors are eating regularly and get the essential nutrients their bodies need. It prevents reliance on unhealthy processed foods or skipping meals altogether.2. Supports Chronic Condition ManagementMany seniors live with conditions like diabetes, high blood pressure, or heart disease. Proper meal planning allows for dietary restrictions to be met, helping control symptoms and reduce complications.3. Reduces the Risk of MalnutritionMalnutrition is a silent threat among older adults, especially those living alone. Meal preparation helps safeguard against this by promoting consistent, nourishing eating habits.4. Promotes Independence and DignitySeniors who struggle with cooking may feel frustrated or dependent. Having meals planned and readywhether through caregiver support or meal delivery servicesallows them to eat well without feeling like a burden.5. Encourages Social EngagementWhen meal prep includes shared cooking or mealtimes, it creates opportunities for connection. Eating with a companion improves mood, reduces loneliness, and often encourages better eating habits.6. Saves Energy and Prevents AccidentsShopping, standing at the stove, lifting pots, or cutting ingredients can be physically taxing and even dangerous. Meal preparation helps minimize fatigue and reduces the risk of falls or burns in the kitchen. Meal Preparation OptionsThere are several ways to incorporate meal prep into a seniors routine: Family or caregiver assistance for shopping, cooking, and portioning meals Meal delivery services that offer senior-friendly, diet-conscious options Community programs such as Meals on Wheels Group cooking sessions at senior centers that combine nutrition with social interaction Freezer meal prepping once a week or month to ensure ready-made meals are always available Meal preparation is about more than just food, its about health, safety, and quality of life. For seniors, having access to nutritious, well-planned meals means more energy, better health, fewer hospital visits, and the ability to stay independent longer.
As we age, our bodies and minds go through a variety of changes, many of which can increase the likelihood of falling. For older adults, falls are not just a minor mishap; they can lead to serious injuries, loss of independence, and a lower quality of life. Understanding why seniors are more vulnerable to falls is the first step in creating safer environments and developing effective prevention strategies.The Aging Body and Increased Fall RiskSeveral age-related factors contribute to an increased risk of falls among seniors. These include physical, sensory, and cognitive changes that often occur gradually but can have a significant impact.1. Decreased Muscle Strength and FlexibilityWith age, muscles naturally weaken, and joints may become stiffer. This can reduce balance, coordination, and reaction time, making it harder to prevent a fall when tripping or slipping.2. Poor Balance and Gait ChangesChanges in the way a person walksoften due to arthritis, neurological conditions, or previous injuriescan lead to an unsteady gait. Seniors may shuffle their feet, walk slower, or have trouble lifting their legs, all of which increase fall risk.3. Vision DeclineVision plays a critical role in balance and spatial awareness. Conditions like glaucoma, cataracts, or macular degeneration make it difficult to judge distances, see steps clearly, or identify hazards in dim lighting.4. Hearing LossHearing is connected to balance. Inner ear problems or age-related hearing loss can lead to vertigo or dizziness, making it harder for seniors to stay upright.5. Chronic Health ConditionsMany seniors live with chronic diseases such as: Diabetes (which can cause nerve damage and numbness in the feet) Heart disease (leading to dizziness or fatigue) Parkinsons disease or Alzheimers (affecting movement, memory, and decision-making) These conditions can impair coordination and increase confusion, both of which heighten fall risk.6. Medication Side EffectsOlder adults often take multiple medications, which can interact and cause side effects such as dizziness, low blood pressure, drowsiness, or blurred visionall potential contributors to falls.7. Cognitive ImpairmentSeniors with dementia or other cognitive disorders may have poor judgment, forget to use walkers or canes, or become disoriented, all of which increase their chances of falling.8. Low Physical Activity LevelsWhen seniors become less active, muscles weaken and balance deteriorates. A sedentary lifestyle can quickly lead to frailty, making even routine movements more hazardous. What Can Be Done?Awareness is the first step. By understanding why seniors are more prone to falls, families, caregivers, and seniors themselves can take proactive steps such as: Regular balance and strength exercises Home safety modifications Routine vision and hearing checks Medication reviews with a doctor Use of mobility aids as needed Falling doesnt have to be a normal part of aging. By recognizing the reasons behind increased fall risk in seniors, we can create supportive environments that promote confidence, mobility, and independence. With the right strategies in place, seniors can continue living full, active, and safe.
These 4 Simple Actions May Deliver Big Payoffs for Mens HealthIts been 12 months since the last Mens Health Month. Have you seen your doctor?June is a great time to make an appointment for a physical with your primary care provider, and its also an ideal month to educate yourself about some of the issues that impact mens health. For example, did you know that men tend to die five years earlier, on average, than women? Or that men face higher risks for health conditions such as lung cancer, heart disease and HIV? And theyre also at risk for sex-specific cancers, including prostate cancer and testicular cancer (learn about those facts and more via the Office of Disease Prevention and Health Promotion).There are many simple actions men can take to benefit their health, this month and every month. Here are four ways to get started.Tip 1If you dont have a primary care doctor, select one. Establishing a relationship with a doctor is important. That person can help you feel better when youre sick, and they can offer advice on how to feel and stay your healthiest. And yet, according to a survey by the Cleveland Clinic, many men arent taking actions to stay healthy. Nearly two in five Gen Z men dont have a primary care provider (PCP). And when it comes to annual physicals, just 32% of millennials and Gen Z men get them, compared to 61% of Gen X and Baby Boomers. A primary care doctor can test your cholesterol and blood pressure, keep you up-to-date on immunizations and advise you on which screenings you need. A PCP visit is like a one-stop shop for your health!Tip 2If youre worried about your mental health, talk to a professional. Its tough to ask for help, and the statistics show that men, in particular, struggle when it comes to addressing their mental health challenges. According to the Anxiety and Depression Association of America, nearly one in 10 men experience some sort of anxiety or depression, but fewer than half seek treatment. If you find that youre feeling unhappy or irritable, and youre avoiding or not getting pleasure from activities you usually enjoy, talk to your doctor or connect with a therapist and share the way youre feeling. They may be able to help.Tip 3Strengthen your support system. Research shows that social connections are important for your mental and physical health; in fact, people with strong social connections may actually live longer. Prioritize connecting with old friends and open your mind to ways to meet new ones. Itll be good for all involved!Tip 4Practice good health habits. There are everyday actions you can take that are known to be good for your health. Those include regular exercise (aim for 30 minutes of movement, five times a week); eating a healthy diet filled with lean proteins, whole grains and lots of fresh fruits and vegetables; finding outlets to manage your stress, such as yoga or deep breathing; getting enough sleep; quitting tobacco; and moderating how much alcohol you drink (the US guidelines recommend two drinks a day or less for men and one a day or less for women).Making healthy choices isnt hard, but you may need to adjust to some changes in your routine. Before long, those healthy choices may make you feel good enough that you wouldnt want to choose any other way.Contact Blue Cross Blue Shield of Alabama located in Mobile at 251-344-2115.
Whether youre recovering from surgery or illness, or living with an ongoing condition like diabetes or heart problems, Amedisys Home Health Care in Thomasville is here to help. We can help you recover, manage your condition and live as independently as possible. Following the plan of care developed with your doctor, our home health care team can deliver the care you need where you need it most: at home.With Amedisys Home Health Care in Thomasville, youll work with an experienced team that understands the challenges youre facing and is passionate about helping you get better. You and your family will have peace of mind knowing youre being cared for by highly trained, carefully screened home health care professionals.
Whether youre recovering from surgery or illness, or living with an ongoing condition like diabetes or heart problems, Amedisys Home Health Care in Monroeville is here to help. We can help you recover, manage your condition and live as independently as possible. Following the plan of care developed with your doctor, our home health care team can deliver the care you need where you need it most: at home.With Amedisys Home Health Care in Monroeville, youll work with an experienced team that understands the challenges youre facing and is passionate about helping you get better. You and your family will have peace of mind knowing youre being cared for by highly trained, carefully screened home health care professionals.
Amedisys Home Health in Mobile provides in-home health care for people managing chronic illness or recovering from a surgery or injury. We make visits to patient's homes in cities throughout Mobile County. These include Mobile, Theodore, Semmes, Grand Bay, Saraland, Wilmer, Eight Mile, Irvington, Prichard, Satsuma, Dauphin Island and other communities within about 50 miles of our care center. Call us at (251) 380-0492 to find out if we provide home health care in your area.