--001a113739784d56a50528b03830 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: quoted-printable Hello Mr Thomas, Is this article is intented for the caregivers only? I'm asking because the French vocabulary is quite specialised. Karine 2016-01-04 16:06 GMT-05:00 Timothy Thomas : > that's great thanks > > On Mon, Jan 4, 2016 at 4:04 PM, Karine Labelle > wrote: > >> Hello Mr Thomas, >> >> Thank you! I will be able to deliver Wednesday. Is that ok? >> >> Karine >> >> 2016-01-04 14:56 GMT-05:00 Timothy Thomas : >> >>> Hi Karine, >>> >>> Thank you for the message. Happy New Year to you as well. It's good >>> timing because I have an article for you to translate. >>> >>> UTI's in the Elderly >>> >>> Urinary tract infections are very common in the elderly and especially >>> in women. Because of the female anatomy, and their short urethra, femal= es >>> are more vulnerable. In the elderly, a sudden change in behaviour is th= e >>> best indicator of a urinary tract infection. Common symptoms in the eld= erly >>> include disorientation, confusion (often confused with dementia), urina= ry >>> incontinence, urinary urgency and frequency, and not being able to carr= y >>> out their activities of daily living. Once there is a sudden change in >>> behaviour, the caregiver should consider this a red flag. Urinary tract >>> infections occur when bacteria stick to the walls of the urethra and >>> bladder, then multiply. >>> >>> Predisposing factors include sexual intercourse, bubble baths, perfumed >>> bars of soap,E.coli bacteria from stool and improper cleaning of anal a= nd >>> perianal area,urinary catheters, sitting in soiled diapers for too >>> long,bladder distention,diabetes, kidney stones, and menopause. Symptom= s of >>> a UTI include burning on urination,urgency,frequency,blood in >>> urine,abdominal >>> pain,malaise,fever,chills,disorientation,confusion,nausea,vomiting,back= and >>> flank pain, and general malaise. >>> >>> Treatment is usually multifaceted. The main treatment is antibiotic >>> therapy. A urinalysis and a culture and sensitivity test needs to be do= ne, >>> to discover what antibiotic is required to treat the specific bacteria. >>> Ultrasounds and Xrays may be ordered to view the urinary tract. Antibio= tics >>> should be taken for the full course, and then a followup urinalysis and= C&S >>> should be performed. >>> >>> Prevention is really the key. Drinking plenty of water daily is >>> critical. Diluting the urine facilitates bacteria to leave the urinary >>> tract. Seniors should be encouraged to void every two hours, and their >>> briefs, (Depends) should be checked and changed every two hours. Cranbe= rry >>> juice daily can alter the PH of the urine, and makes the bladder less >>> supportive of bacteria. Wiping from front to back prevents fecal matter >>> from entering the urethra. Taking showers rather than baths allows the >>> bacteria to be rinsed off. >>> >>> The most critical element is recognizing a change