Urinary tract infections (UTIs) are among the most common infections in older adults, particularly elderly women. Due to age-related changes and anatomical differences—such as a shorter urethra—women are more vulnerable to developing UTIs. In seniors, these infections often present differently than in younger people, making them harder to detect without close observation and experience.
Common Symptoms of UTIs in Older Adults
Unlike the classic signs of burning or urgency, UTIs in elderly individuals often show up as sudden behavioural or cognitive changes. It’s essential to watch for:
- New or worsening confusion
- Disorientation (sometimes mistaken for dementia)
- Incontinence or increased urgency and frequency
- Abdominal pain or back pain
- Fatigue, nausea, or malaise
- Fever, chills, or vomiting
- Difficulty performing daily activities
Caregivers should treat any sudden shift in behaviour or awareness as a red flag and seek medical assessment promptly.
Causes and Risk Factors
A UTI occurs when bacteria, most commonly E. coli, travel into the urinary tract and multiply. In older adults, these infections may be caused or worsened by:
- Infrequent urination or dehydration
- Prolonged use of urinary catheters
- Sitting in soiled incontinence briefs
- Improper hygiene (especially wiping back to front)
- Diabetes or kidney stones
- Menopause-related changes
- Use of perfumed soaps or bubble baths
Treatment Options
Proper diagnosis is crucial. A urinalysis and urine culture (C&S) will help determine the right antibiotic treatment. Imaging tests like ultrasounds or X-rays may be used to rule out complications. Once prescribed, antibiotics should be taken for the full course. A follow-up urinalysis is often needed to ensure the infection has cleared.
Prevention Strategies for Seniors
Preventing UTIs is possible with simple but consistent care practices:
How TheKey Canada (formerly Home Care Assistance) Can Help
- Encourage hydration—water helps flush bacteria from the bladder
- Ensure seniors void every two hours, especially those with limited mobility
- Check and change incontinence briefs regularly
- Promote front-to-back wiping and overall good hygiene
- Recommend showers over baths to reduce exposure to bacteria
- Consider unsweetened cranberry juice to help maintain a healthy urinary pH
At TheKey Canada, our caregivers are trained to detect subtle changes in physical and mental health, including early signs of urinary tract infections. With personalized care plans, we assist with hygiene, hydration, toileting routines, and medication reminders—all of which play a crucial role in preventing UTIs and supporting overall health.
Our private home care services focus not only on physical well-being but also on emotional and cognitive support, allowing seniors to age safely and comfortably in the home they love.
Note: This information is for informative purposes only. Always check with a medical professional.
Is Your Loved One Showing Sudden Behaviour Changes?
It could be more than aging. Our trained caregivers can help identify and manage early signs of urinary tract infections and other health concerns. Contact TheKey Canada today at 1-844-655-0880 —we’ll return your call within 24 hours.