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.

