Let’s Talk Healthcare: Understanding UTIs in Older Adults By Ashe’s Homehealth Care

Urinary tract infections (UTIs) are one of the most common infections affecting older adults—and yet, they are often missed or misdiagnosed. Why? Because the signs and symptoms in elderly individuals often present very differently from what we expect.

Let’s break down what you need to know.

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What is a UTI?

A urinary tract infection happens when bacteria enter the urinary system—bladder, urethra, or kidneys—causing infection and inflammation. While this condition can affect anyone, older adults are especially at risk due to age-related changes, underlying health conditions, and even medications.

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Classic vs. Atypical Symptoms

In younger adults, UTIs often show up with:

    •    A burning sensation when urinating

    •    Frequent urge to urinate

    •    Cloudy or foul-smelling urine

But in seniors, especially those with dementia or cognitive impairment, symptoms can be much more subtle—or confusing.

In older adults, UTIs may look like:

    •    Sudden confusion or delirium

    •    Increased falls

    •    Fatigue or weakness

    •    Loss of appetite

    •    New or worsening incontinence

These symptoms can easily be mistaken for normal aging, medication side effects, or worsening of chronic conditions—delaying proper treatment.

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Why Seniors Are at Greater Risk

Older adults face multiple risk factors for UTIs, including:

    •    Weakened immune systems

    •    Dehydration (which is very common in seniors)

    •    Urinary retention or catheter use

    •    Chronic illnesses like diabetes

    •    Limited mobility or poor perineal hygiene

At Ashe’s Homehealth Care, we work closely with patients and families to monitor subtle signs, provide dignified perineal care, and promote hydration and hygiene—all essential tools in preventing infection.

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UTI Prevention Tips for Caregivers & Families

Here are some simple yet powerful steps to help prevent UTIs in your loved one:

    1.    Encourage plenty of water daily

    2.    Promote regular toileting (don’t hold urine!)

    3.    Wipe front to back and use gentle, pH-balanced cleansers

    4.    Monitor for early signs of confusion or changes in behavior

    5.    Help manage chronic illnesses like diabetes

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When to Seek Help

If your loved one suddenly seems more confused, tired, or is falling more often—don’t just chalk it up to “old age.” Call their healthcare provider and ask about the possibility of a UTI. A simple urine test can provide answers and peace of mind.

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Final Thoughts

At Ashe’s Homehealth Care, we believe education is the first step to prevention. UTIs can seem small, but when missed in older adults, they can lead to serious complications—like sepsis or hospitalization. That’s why we’re committed to empowering families and caregivers with the knowledge to protect their loved ones.

Stay tuned for more educational posts in our “Let’s Talk Healthcare” series—and if you have a topic you’d like us to cover, feel free to reach out!

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Follow us on Instagram @ashehhc for daily tips and updates to learn more about how Ashe’s Homehealth Care can support your family.