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Infections: what to notice and when to seek help

A new deterioration in an older person deserves attention. Cough, urinary changes or confusion do not establish a diagnosis by themselves. This guide helps you describe changes and seek appropriate help; it does not determine whether someone has an infection or which treatment they need.

An older couple talks with a younger family member in their living room.

Signs that need immediate action

Seek local emergency help immediately for severe breathing difficulty, blue or grey lips, or sudden confusion. Do not wait for a high temperature, a measurement result or an email reply. Confusion must not automatically be labelled a urinary infection or dementia. Explain when the change began and follow the emergency service’s instructions. Keep routine service enquiries separate from urgent care.

Seek prompt assessment for new changes

If a urinary infection is suspected in someone aged 65 or over, seek prompt medical assessment. Report pain when urinating, blood in urine or deterioration. A cough with breathlessness or chest pain also needs prompt help. The absence of one particular sign does not rule out a problem. Do not use leftover antibiotics or medicines prescribed to another person.

Prepare information without delaying help

Explain what differs from a normal day, when it began and whether the person uses a catheter. Keep the medicines list, known allergies and a relative’s contact accessible with consent. If measurements are part of their existing plan, note the time and reading, but do not delay seeking help to take measurements. After assessment, clarify when and to whom worsening should be reported.

General information for organising care. It does not replace professional assessment. In an emergency, contact your local emergency service.

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