ARTICLES

Posted November 17, 2017

UTI SILENT DANGER AMONG THE ELDERLY

Among the Elderly, symptoms of a Urinary Tract Infection are often missing. Beware!

A UTI is an infection of the urinary tract, most commonly the bladder. For most people, the need to urinate frequently and/or urgently are two key symptoms of a UTI. A burning sensation when you go, and a change in color and odor are other common signs. Sometimes, a small amount of blood in the urine is visible. But in older adults, those symptoms are often missing. Instead, older adults may suffer from unexplained incontinence, vague fatigue or significant changes in their behavior and mental status.

ALL OF A SUDDEN CHANGES

Beware! A sudden change in behavior for an Elder is a medical emergency. Our patients in the home present different sign and symptoms. All of a sudden, the elder becomes confused, combative, agitated, cannot sleep, sees bugs crawling, and shadows on the wall. The behavioural changes are often dismissed by the family as “a sign of aging”, or “it’s the dementia”. We call this Delirium. Even if the Elder has a current diagnosis of Dementia, a sudden change in mental status is considered to be Delirium. And a main cause of that sudden change is usually a UTI. Medical attention is required to diagnose a UTI and look out for other probable causes such changes in sodium and potassium levels, elevated urea, thyroid levels, dehydration and constipation or even medication levels in the blood stream.

RECOVERY FROM UTI

Home nurses can help recently discharged patients and their families at home following hospitalization. Prescribed antibiotics can cause short term inconvenient side effects such as loose stool, upset stomach, loss of appetite, dizziness and weakness in walking. Recovering from a UTI is challenging for the elder and if not managed well can cause feeling of sadness related to their loss of independence.

HOME NURSING AND PHYSIOTHERAPY

For the once independent elder, coping with the sudden unexplained incontinence and change in mental status is a major setback. With proper care at home, functional independence can be restored. Home physiotherapy is most recommended for elders being treated for a UTI to build muscle strength, balance and coordination and restore confidence to functionally manage bowel and urinary continence.

Home nurses from Accredited Organizations are trained to detect sudden changes in mental status and behaviours and can help rehabilitate the elder back to his or her routine and regain function and restore mental health, once the underlying medical condition is addressed.

Enayati Home Nursing is recognized by Accreditation Canada International for providing safe home nursing care. Nursing strategies to manage Delirium, Dementia and Depression in the elderly are integral to Enayati training program. Our teams are trained in Elderly Care, Parkinson ’s disease, Dementia, Alzheimer Stroke/CVA.

Posted June 21, 2015

Falling: Dangerous,but a preventable, threat:

From a flashlight to Tai Chi to homecare nurses, strategies that prevents from falling or reducing the aftermath of a fall.

Falling is a dangerous — and very expensive — problem. Its direct medical costs are in the thousand Dirhams yearly.

It’s well-known that the risk of falling and being hurt increases with age. About 20 percent of the elderly who have a major fall are likely to die within a year, according to national studies.

Falling injuries, including slips, trips, and falls among elderly are prevalent and serious — but more importantly they are preventable.

A lot of work on fall prevention is being done in the UAE,” said “Shiella”, program coordinator for injury prevention at the Enayati homecare. “It’s very important that we let the public know what’s available to help our seniors.” for this reason there will be a conference in October that covers falls preventions among other patient safety topics.

Among the activities that can reduce falls for elderly at home are:

Tai chi has been researched using randomized control trials,” Head said. “Studies have found tai chi can reduce falls by as much as 30 percent.”

Tai chi is an ancient Chinese martial art with low-stress training techniques beneficial for physical fitness and mental focus. In the past several decades, it has spread worldwide, and many programs, especially those geared to seniors, concentrate on exercise and health improvement rather than self-defense.

Shiella says a major problem with falls is “as we age, no one thinks a fall can happen to them.” And the surprise is what happens when they do fall: fractures, hospital bills and an increased chance that they will fall a second or third time, according to hospital reports.

Another way are Flashlights. Seniors may not want to wake a spouse during the night but need to get out of bed for one reason or another. A simple item like a handy flashlight can make a big difference.

Yet a private nurse at home can be excellent proactive activity. “Our plan was straightforward,” says Shiella, a registered nurse at your home that doesn’t just prevent elderly from risks of falling, but also assist in organized daily exercise and physiotherapy.

This group is just sitting down all day, which changes their muscle composition of the body rendering them non-responsive to balance themselves during any rapid action or reaction and they fall.

“Our geriatric management tool looks at how to address patients on a personal level,” Shiella said. “Vision, medications and the environment are all items to be considered in the assessment.”

“Nurses at home are there for care or possibly rehabilitation,” said Shiella and they make sure elderly participates in exercise that helps preserve their muscles and prevents falling.

Posted April 30, 2015

Technology meets Homecare in Dubai

Etisalat, the UAE’s leading Telecommunication Company and Enayati; signed a memorandum of understanding today for the pilot launch of an innovative patient home monitoring system. The system, developed and manufactured by British health Technology Company – Equivital, includes body worn sensors which measure multiple physiological parameters in real time.

The development of wearable and mobile healthcare technologies is reducing the burden of healthcare cost and frequent, inconvenient visits to the clinic, thereby enriching people’s quality of life. Etisalat’s nationwide 3G, 4G mobile and fibre-optic broadband networks are opening doors to many such innovative solutions in the field of e-health and mobile health, helping healthcare systems in the UAE evolve.

During the pilot, Enayati will be able to efficiently manage high volumes of variable, real time and retrospective data for its patients while they are in the comfort of their homes. We have positioned ourselves as a leader in homecare, with a focus on Patient Safety. Using the Equivital platform, including the body worn LifeMonitor sensor, Enayati’s nurses will be able to monitor changes in patient condition and alert Enayati’s clinical team and the most responsible physician instantly, therefore allowing for any adjustments in the care plan to occur with no delays. The new system will also provide family members with a dedicated portal to monitor the health status of their loved ones while they are away.

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