Infection in older adults: a qualitative study of patient experience.

Moore, Abigail and McKelvie, Sara and Glogowska, Margaret and Lasserson, Dan and Hayward, Gail (2020) Infection in older adults: a qualitative study of patient experience. The British journal of general practice : the journal of the Royal College of General Practitioners. ISSN 1478-5242. Available in full-text to all UHB Athens account holders.

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Official URL: https://bjgp.org/content/early/2020/04/06/bjgp20X7...

Abstract

BACKGROUND

Infection is common in older adults. Serious infection has a high mortality rate and is associated with unplanned hospital admissions. Little is known about the factors that prompt older patients to seek medical advice when they may have an infection.

AIM

To explore the symptoms of infection from the perspective of older adults, and when and why older patients seek healthcare advice for a possible infection.

DESIGN AND SETTING

A qualitative interview study among adults aged ≥70 years with a clinical diagnosis of infection recruited from ambulatory care units in Oxford, UK.

METHOD

Interviews were semi-structured and based on a flexible topic guide. Participants were given the option to be interviewed with their carer. Thematic analysis was facilitated using NVivo (version 11).

RESULTS

A total of 28 participants (22 patients and six carers) took part. Patients (aged 70-92 years) had experienced a range of different infections. Several early non-specific symptoms were described (fever, feeling unwell, lethargy, vomiting, pain, and confusion/delirium). Internally minimising symptoms was common and participants with historical experience of infection tended to be better able to interpret their symptoms. Factors influencing seeking healthcare advice included prompts from family, specific or intolerable symptoms, symptom duration, and being unable to manage with self-care. For some, not wanting to be a burden affected their desire to seek help.

CONCLUSION

Tailored advice to older adults highlighting early symptoms of infection may be beneficial. Knowing whether patients have had previous experience of infection may help healthcare professionals in assessing older patients with possible infection.

Item Type: Article
Additional Information: Available in full-text to all UHB Athens account holders.
Subjects: WA Patients. Primary care. Medical profession. Forensic medicine
Divisions: Clinical Support
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Depositing User: Mr Philip O'Reilly
Date Deposited: 10 Apr 2020 12:08
Last Modified: 10 Apr 2020 12:08
URI: http://www.repository.uhblibrary.co.uk/id/eprint/2977

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