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One of the most persistent and potentially dangerous problems that disabled seniors with late stage Dementia have to live with are multiple UTI bacteria which permanently exist in their urinary tract. Here is my personal experience as a Caregiver.

There can be several reasons why this happens. With our mom, the reason had been partially due to kidney stones. And her weakened immune system had not been strong enough to render these residing organisms completely harmless even with the aid of antibiotics. So, these bacteria ended up ever present in certain localized areas in the body.

This situation is especially true for, what I consider, “special needs” seniors with two or more other physical ailments. These types of people are essentially confined to the bed. They have to be turned and fed by g-tube. And most often Nursing Homes are not the ideal place for them. The majority of them do not talk. They have contractures and they are incontinent. More important, they are totally dependent on the care of a live-in primary caregiver. It is for these reasons that they are considered “special needs”.

The goal then becomes not to get rid of the infections, but to manage and control their severity. If these germs are not treated and/or properly managed, they can cause some real damage like kidney failure or death.

Understand, however, that many bacteria reside in the body with symbiotic relationships. It is when certain ones unintentionally are allowed to compromise their unique living arrangements that they then can create damage.

First, what are UTI? According to The National Kidney and Urologic Diseases Information Clearinghouse, it is an infection in the urinary tract. 1 in 5 women will experience UTIs in her lifetime. These infections are caused by microbes which are organisms too small to be seen without a microscope. This includes fungi, viruses, and bacteria. However, bacteria are the most common cause of UTIs. There are basically three kinds of UTIs:

* Urethritis is an infection in the urethra.

* Cystitis is an infection in the bladder.

* Pyelonephritis is an infection in the kidneys

So, what are some of the names of the bacteria which can cause so much damage in the body? Three of the most recognized are: (a) Escherichia coli, (b) Klebsiella pneumoniae, (c) Streptococcus epidermidis.

Managing them can be tricky and a real inconvenience. Every time my mom had urine samples done at the hospital or clinic, two of these bacteria are always more prominent in my mom’s urine than some others: Escherichia coli and Klebsiella. Her doctors had decided years ago to keep her on a low dose maintenance of antibiotics at home to control them.

They also become resistant to certain antibiotics. Whenever these germs occasionally did manage to progress to a more dangerous level-for whatever reasons-they required us to take our mother to the hospital for a few rounds of intravenous antibiotics. That usually stabilized any potential harm.

At home, however, we eventually had learned how to manage these infections in our mom by way of monitoring, early detection, proper hydration and vitamin intake. These routines should be performed daily to ascertain that the level of bacteria growth in her system remains low.

MONITORING THE URINE:

(1) Visually check the adult underwear throughout the day. Whenever it becomes full and ready to be discarded, always check the color, odor and volume of the urine.

(2) Make a note of it in a daily care journal. Usually, foul smelling urine, bad color and/or low urine volume mean that the status of severity has increased.

(3) Remember. All three of these areas of concern (color, odor and volume) might not progress at the same rate. Only one area might be noticeably dominant.

(4) Always consider these three areas in relationship to each other. Check the urine often.

When the odor is noticeably foul and/or strong, chances are likely that the infection has multiplied to a dangerous level.

Lemon yellow is the normal color of urine. Light, medium or dark tea colors signifies guarded caution. Rust or Red colors means full alert-SOME APPROPRIATE AND TIMELY ACTION MUST BE TAKEN!!

The volume of urine is important as well. Water in; water out! If there is not sufficient amount of urine in the adult underwear, it might mean that your senior could be withholding voiding for fear of pain which means the infection has elevated. It could also mean possible blockage-especially if the senior has kidney stones. You may need to call your doctor if that condition continues-especially if it is accompanied by higher body temperatures or other related symptoms.

EARLY DETECTION IS KEY:

(1) When looking at the color of the urine in a soiled adult underwear, make note of first signs of discoloration and odor.

(2) Journalize the advent of the change and watch its progress.

(3) Choke off the growth, if possible. Sometimes simply giving the patient more water or some kind of acidic juice can slow the growth of the germ.

(4) Continue to maintain daily ingestion of maintenance antibiotic. Your daily recordings is your early detection tool.

PROPER HYDRATION:

(a) The Institute of Medicine determined that an adequate intake (AI) for men is roughly 3 liters (about 13 cups) of total beverages a day. The (AI) for women is 2.2 liters (about 9 cups) of total beverages a day. So how much water is enough to employ as a tool to control constant UTIs in the urine.

(b) Too much water can cause hyponatremia. It is a condition where more than normal amounts of sodium is flushed out of the system from drinking too much water. Marathon runners can experience this condition when drinking excessive amounts of H20.

(c) We discussed with our mom’s urologist about finding a workable consumption of water to help treat UTIs and to help flush out Kidney stones. Water can be a useful tool in managing UTIs. Remember: Each doctor often has a different opinion. At home, we had been following different doctors’ advice for years and found that every one of them has a different opinion to offer.

(d) Ultimately it depends on the caregiver to take notes, closely monitor his love one’s water-infection relationship and act accordingly. It has been my experience to hear doctors tell us one way and then blame us if it doesn’t ‘pan out”.

(e) The key to this water technique of controlling UTIs is to make scheduled visits to the doctor and/or clinic and have complete blood work done. Lab reports will show current changes in the levels of sodium or potassium in the bloodstream. Thus, water can indeed be a useful flushing technique in controlling the growth of permanently residing or recurrent infections in the urinary tract.

VITAMIN INTAKE:

(1) Vitamin C is a good source of ascorbic acid. When the urinary tract is coated with a sufficient amount of acid, germs find a difficult time sticking to the surface. Vitamin C can limit bacteria growth.

(2) Cranberry juice is often praised by doctors and nurses as the number one juice which inhibits the growth of UTIs. What they fail to also mention is that if your ailing senior has kidney stones, cranberry juice often exacerbate the condition as it creates stones as well. Remember: Cranberry juice is not the only juice that contains ascorbic acid. Lime, lemon or a simple vitamin C tab can be an adequate substitute for Cranberry juice.

(3) Make sure that vitamin C is a daily part of your Senior’s diet.

So yes. These diseases can be a menace! Everyone’s body is different. However chronic or ever present UTIs can be managed with a plan that should be collaborated between the primary caregiver and the doctor. Talk with him or her about a water and low dose antibiotic regimen. It worked for my mom.

The best way to present a new idea is to do it fast and to do it early.

Your first paragraph is one of the most crucial parts of your article. This is where readers decide whether to continue reading or to move on to the next interesting thing they see on the Internet. Without anything compelling to keep them glued to your website, you run the risk of being quickly dismissed. Some people will tell you it’s best to save the big idea for the end. That’s when you sum up all your major points so that they all nicely close on one compelling idea at the end. That’s fine if you’re writing a scientific paper, but we don’t think it’s going to work for a blog article.

People won’t stick around if you’re going to keep them waiting till the end. Whereas if you stimulate their mind and appeal to their emotions first thing in your article, they’re a lot more likely to read up to the last word.

An Idea Needs Support, No Matter How Compelling It Is

The thing is, a great idea will always have its detractors. It’s human nature to want to stick with the old and tested. Even when your readers are deeply fascinated by what you offer them, there will still be that little voice inside their head that tells them to be wary of this new and compelling idea. This is why you still need to provide support in the body of your article.

There are three ways to do this.

One, you can show them factual evidence that supports your ideas. If you did a lot of research, there’s no way you’re not going to incorporate facts into your article. Plus, people can easily verify factual evidence by going on Google and doing the research themselves.

Two, you can tell them stories that make your idea come to life. People love stories. Stories have been around perhaps since man’s discovery of fire. When people read or listen to stories, their defenses are down. It’s like connecting with another human being in a deep and touching way. When you tell them a story as evidence for how good your idea is, it’s easier to convince them.

And three, you can ask experts to give a testimonial to your idea. People trust the experts. They have years of experience behind them and they know what they’re doing. Naturally, when experts say they believe in what you’re offering, people will come flocking to you to try out what you can offer them.

If There’s a Simpler Way to Say It…

We know a lot of esteemed authors, prominent bloggers and writing coaches have been saying this over and over again. “KISS! Keep it simple, stupid!” Another version is “Keep it short and simple.” The idea stays the same, though. It’s been said so often that it has become one giant cliché by now. Sadly, not many writers seem to take this advice seriously. There seems to be a myth persistently going around that a good writer uses big words and long sentences. Supposedly, writers are seen to be more intelligent when they pepper their work with words readers have to look up the dictionary for.

On the contrary, it only makes you look like an amateur. An amateur whose articles nobody likes to read because they’re just too difficult to absorb.

We’re saying this not because we’ve been writing books and other things for quite some time. We’re saying this because it’s true. You can ask any other seasoned writer out there. They’d tell you the same thing. Ditch those words that your readers cringe at and go for words they can easily understand. And it’s not only other writers who agree with us.

There’s a new idea in psychology that supports the idea that people prefer simple things to complicated ones. It’s called cognitive fluency. Apparently, it’s an evolutionary concept that helped our ancestors decide which ones to pay attention to. We know they didn’t have much time to figure out what to think when a saber-tooth tiger bared its teeth at them. Seeing those giant fangs told gave them the familiar pang of fear that made them bolt for their lives.

The same idea applies when people read something. They don’t have a lot of time to figure out what you’re trying to say in your convoluted article. They’d rather have the big idea presented to them in words their minds can easily understand. Put yourself in your readers’ shoes. Do you honestly want to look up from what you’re reading to consult a dictionary? We know you don’t. You would rather look for another article that talks about the same thing but in a way that’s easier to read.

Is Your Article Readable Enough?

One way to gauge how easy it is to read your article is to run it through the Flesch-Kincaid Readability Tests. The tests take a look at the length of your words and sentences to predict how easy it is for human readers to read your article. Generally, you want your article to be completely understandable to fifth to seventh graders. This is measured by the Flesch-Kincaid Grade Level, which is patterned after the US grading system. A score of somewhere between 5.0 and 7.0 indicates that students in the fifth to seventh grades will easily understand your articles.

On the other hand, the Flesch-Kincaid Reading Ease indicates how easy or difficult it is to read your article. The higher your score, the easier it is to read your article. You would want your score to be above 60, which is the score that indicates that fifth-graders can easily understand your writing. If you go lower than that, go over your article and give it a good slashing.