Written By Katie Gilstrap
Q: I hear that UTIs can be dangerous in older adults. How will I know if my mom has one, and what do I do?
Urinary tract infections (UTI) aren’t just a nuisance—they can cause serious health problems, and older adults tend to be susceptible. Here is a caregiver’s guide to understanding, identifying and preventing UTIs:
What are the warning signs?
Typical symptoms include burning while urinating and an increased need to urinate. Older adults may also exhibit additional symptoms that are often confused with dementia, depression or Alzheimer’s disease, including: confusion, lethargy and diminished appetite.
How can UTIs be prevented?
Hydration, hydration, hydration: Many older adults do not drink enough fluid on a routine basis because they fear urinary leakage. Timed voiding (emptying the bladder every 2 hours with or without an urge to urinate) can be very helpful. Increase physical activity and take steps to avoid constipation.
How should they be treated?
A short course of antibiotics is usually prescribed by the primary care physician. Recurring UTIs are common, and many physicians may prescribe treatment over the phone without necessitating an office visit.
What can I do?
Family caregivers should make a note of symptoms and their association with a UTI as it may contribute to early detection and avoidance of complications.
For more information on managing UTIs, visit liftcaregiving.com.
Rashmi Chandekar M.D., an assistant professor in the Division of Geriatric Medicine at Virginia Commonwealth University Health System and a PACE physician, contributed to this article.