Case Study: Urinary Tract Infection CHIEF COMPLAINT: Urination with a burning sensation, pelvic genital pain, frequent and urgent urination, urine which is colored for the past three days and dribbling urination.

HISTORY OF PRESENT ILLNESS: A patient visits complaining about urination with a burning sensation, pelvic genital pain, frequent and urgent urination, urine which is colored for three days and dribbling urination. He is an African American who is 58 years old. However, he denies having fever.

Assessment

This 58-year-old man describes his symptoms as having urination with a burning sensation, pelvic genital pain, frequent and urgent urination, urine which is colored for three days and dribbling urination. These symptoms show that he has a urinary tract infection commonly known as UTI. This infection has been often diagnosed in older adults. Most of the times, it has been diagnosed in residents with long-term care. This accounts for over a third of all infections associated with nursing home (Tsan et al., 2010). For men younger than 60 years of age, UTI is uncommon especially those who don’t have indwelling catheters. However, for men with 60 years or older, the infection is highly defined (Schaeffer & Nicolle, 2016). The typical symptoms for UTI are pelvic pain, fever,...

The patient in question reported similar symptoms but rejected having experienced fever. If the infection escalates to the kidneys, the symptoms become severe and might include back pain, nausea, flushed skin, vomiting and fever (Murrell, 2018). This patient did not report such symptoms and this brings out the fact that the infection had not affected the other parts of the body.
Urinary Tract Infections are classified in two categories: uncomplicated and complicated UTI. Complicated UTI means that the urinary tract has an abnormality in its function and structure but this term also entails all UTI in men (Beveridge, Davey, Phillips & McMurdo, 2011). The organism known for causing UTI in both healthcare and community setting is Escherichia coli

The other one is Enterobacteraciae, such as Proteus mirabilis, Klebsiella and Providentia species. Organisms which are gram-positive are not common but are mostly found in a healthcare setting and in adults with serious indwelling catheters. These organisms include methicillin-resistant Staphylococcus aureus and Enterococcus (Routh et al., 2009).

Plan

One of the most common antibiotic infections in older adults is UTI.…