Follow-up for Urinary tract infection, site not specified
The patient is 89-year-old female, with PMH of Unspecified fracture of left patella, subsequent encounter for closed fracture with routine healing, History of falling, Type 2 diabetes mellitus without complications, HTN, HLD. The patient is currently on Levofloxacin (3/10 - 3/17). No dysuria or discomfort during urination was reported. The patient reported improvement in her urinary symptoms. No acute distress was reported by the nursing staff. The patient is AAOX2, with palpitations and nervousness. Unable to actively participate in their care due to underlying conditions. She denies sob or chest pain. Medication review in chart. V/S reviewed and are WNL. The care team continues to express concerns regarding the patient's frailty and chronic health deterioration. The patient’s family reported concern that the patient needed assistance going to the bathroom. The patient has a history of falls; education was given to prevent falls. I spent time with the nurses to educate them about the importance of assisting the patient in the bathroom. The patient verbalized understanding of the use of the call light to call for assistance.
Estrogens, meperidine, Penicillin's (PCN), tramadol, shellfish
Levofloxacin oral tablet; 500 mg; amt: 500 mg daily PO x 7 days. (Begin: 03/10/2025 - 03/17/2025)
End: 03/17/2025
N39.0 Urinary tract infection, site not specified
Levofloxacin oral tablet; 500 mg; amt: 500 mg daily PO x 7 days. (Begin: 03/10/2025 - 03/17/2025)
End: 03/17/2025
Take the full course of medication, even if you start feeling better. Drinking plenty of water can help flush out bacteria, and avoiding irritants like caffeine and alcohol may ease discomfort. Daily shower, Wearing loose, breathable clothing—especially cotton underwear—can help prevent irritation and allow airflow, reducing moisture buildup that can contribute to bacterial growth. Eliminate the use of tight clothing. The patient was educated on the importance of asking for assistance to go to the bathroom as soon as they feel the urge to urinate, to avoid holding in urine for too long. Holding urine can promote bacterial growth and increase the risk of urinary tract infections. Regularly emptying the bladder helps flush out bacteria and maintain urinary tract health.