Individuals living with dementia are at increased risk for preventable health issues like pressure ulcers and urinary tract infections (UTIs), especially when mobility or communication is limited. These conditions can cause significant pain, distress, and complications if not addressed promptly. This page includes resources to help caregivers and providers recognize early signs, implement prevention strategies, and ensure timely, appropriate care. 

Resources

Bedsores (pressure ulcers). Mayo Clinic. Available at https://www.mayoclinic.org/diseases-conditions/bed-sores/symptoms-causes/syc-20355893.

  • This Mayo Clinic article explains what bedsores (also called pressure ulcers) are, why they happen, and how to prevent them—especially for individuals who have limited mobility or are living with dementia. Bedsores form when constant pressure on the skin reduces blood flow, leading to skin and tissue damage. They most often develop on bony parts of the body like the hips, heels, or tailbone.

The Risk of UTIs as You Age. (2020). Olsson, R. Available at https://www.bannerhealth.com/healthcareblog/better-me/the-risk-of-utis-as-you-age.

  • This article highlights that urinary tract infections (UTIs) are the most common bacterial infections in adults over 65, especially in nursing home residents, and can lead to serious complications like kidney failure or sepsis if untreated. Older adults—particularly those with dementia—may not show typical symptoms, making early detection and prevention strategies, such as proper hygiene, hydration, and timely medical care, essential.

Urinary Tract Infection Basics. Centers for Disease Control and Prevention. Available at https://www.cdc.gov/uti/about/index.html#:~:text=Overview,including%20the%20bladder%20and%20urethra.

  • This CDC webpage provides comprehensive, evidence-based information on the causes, symptoms, diagnosis, treatment, and prevention of UTIs. Designed for both patients and caregivers, it offers clear guidance on when to seek medical care and highlights risk factors across age groups.

Urinary Tract Infection in Older Adults. (2013). Rowe, T. A., & Juthani-Mehta, M. Aging Health, 9(5). Available at https://www.tandfonline.com/doi/full/10.2217/ahe.13.38.

  • This article reviews the challenges of diagnosing and managing urinary tract infections (UTIs) in older adults, particularly distinguishing them from asymptomatic bacteriuria, which is common in this population. Due to the lack of a standardized diagnostic approach, overtreatment with antibiotics is frequent and contributes to antimicrobial resistance, highlighting the need for improved diagnostic strategies.