I just need more input on my topic about UTI
Okay, I have a questions and need to be put it on essay. I just need some input to add on my personal essay. 500 wordings with references. I am going to check each references that you put. need at least 4 references.
HERE IS THE SITUATION:
You are working in an extended care facility (ECF) when M.Z.’s daughter brings her mother in for a week stay while she goes on vacation. M.Z. is an 89-year-old widow with a 4-day history of dysuria, back pain, incontinence, severe mental confusion, and loose stools. Her most current vital signs (VS) are 118/60, 88, 18, 99.4° F.
The medical director ordered several lab tests on admission. The results were as follows:
- WBC: 11 thou/cmm
- Complete Metabolic Panel (CMP) within normal limits (WNL)
- Post-void catheterization yielded 100 ml, and urinalysis (UA) showed WBC 100+/HPF (high-powered field), RBC 3 to 6/HPF, bacteria rare.
- Urinary culture and sensitivity (C&S) results were as follows: Escherichia coli, more than 100,000 colonies, sensitive to ciprofloxacin, trimethoprim-sulfamethoxazole, and nitrofurantoin.
- You enter the room to start the IV and insert the Foley catheter but find the aide has taken the patient to the bathroom for a bowel movement (BM). You open the door to observe the patient wiping herself from back to front. What is the association between M.Z.’s urinary tract infection (UTI) and the organism found in her urine culture? What teaching would you provide to the aide for providing basic care to this patient?