NURS 6501 Urinary tract infections (UTIs) Discussion

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NURS 6501 Urinary tract infections (UTIs) Discussion

NURS 6501 Urinary tract infections (UTIs) Discussion

Urinary tract infections (UTIs) are caused by bacteria—most
often Escherichia coli. However, certain viruses, fungi, and parasites can also
lead to infection. The infection can affect the lower and upper urinary tract,
including the urethra, prostate (in males), bladder, ureter, and kidney. Due to
the progression of the disease and human anatomy, symptoms present differently
among the sexes as well as among age groups. It is important to understand how
these factors, as well as others, impact the pathophysiology of UTIs. Advanced
practice nurses must have this foundation in order to properly diagnose
patients.

To prepare:

Review Chapter 29 in the Huether and McCance text. Identify
the pathophysiology of lower and upper urinary tract infections. Consider the
similarities and differences between the two types of infections.

Select two of the following patient factors: genetics,
gender, ethnicity, age, or behavior. Reflect on how the factors you selected
might impact the pathophysiology of the infections, as well as the diagnosis of
and treatment for the infections.

By Day 3

Post a description of the pathophysiology of lower and upper
urinary tract infections, including their similarities and differences. Then
explain how the factors you selected might impact the pathophysiology of the
infections, as well as the diagnosis of and treatment for the infections.

Read a selection of your colleagues’ responses.

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By Day 6

Respond to at least two of your colleagues on two different
days who selected at least one different factor than you, in one or more of the
following ways:

Offer alternative diagnoses and prescription of treatment
options for urinary tract infections.

Share an insight from having read your colleague’s posting,
synthesizing the information to provide new perspectives.

Anyone can get a urinary tract infection, but they are more common in women. This is because the urethra (tube the carries urine out of the body) in females is shorter and closer to the anus, where E. coli bacteria are common. Older adults also are at higher risk for developing cystitis. This increased risk may be due to incomplete emptying of the bladder. There are several medical conditions that can be related to this, including an enlarged prostate or a bladder prolapse (a condition where the bladder falls or slips out of its usual position).

If you get frequent urinary tract infections, your healthcare provider may do tests to check for other health problems — such as diabetes or an abnormal urinary system—that may be contributing to your infections. People with frequent UTIs are occasionally given low-dose antibiotics for a period of time to prevent the infection from coming back. This cautious approach to treating frequent UTIs is because your body can develop a resistance to the antibiotic and you can get other types of infections, such as C. diff colitis. This practice is used very infrequently.

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