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The Challenge of Infections in Frail Elderly: The Story of Mr. Nilsson
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Drug Research. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.
2015 (English)In: Clinical Medical Reviews and Case Reports, ISSN 2378-3656, Vol. 2, no 9Article in journal (Refereed) Published
Abstract [en]

Signs and symptoms of infection in Nursing Home Residents (NHR) are often atypical with a lack of specific ones, causing a delay in diagnosis and treatment. The complexity of detecting infections in NHR can be explained by difficulties in understanding and interpreting non-specific signs and symptoms and co-existing chronic diseases that blur the clinical picture. The case of Mr. Nilsson illustrates the process from the first signs and symptoms of infection to diagnosis in an elderly person with severe cognitive decline and physical impairment. What we can learn from this case is to reflect on changed behavior from habitual status and/or non-specific symptoms as possible suspected infection, and to consider a rise from individual baseline temperature, so called DiffTemp™, instead of traditional decided cut-off values for fever.

Place, publisher, year, edition, pages
2015. Vol. 2, no 9
Keywords [en]
Assessment, Fever, Infection, Interleukin, Nursing home resident
National Category
Geriatrics
Identifiers
URN: urn:nbn:se:liu:diva-123975DOI: 10.23937/2378-3656/1410058OAI: oai:DiVA.org:liu-123975DiVA, id: diva2:894692
Available from: 2016-01-15 Created: 2016-01-15 Last updated: 2019-01-09Bibliographically approved

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Sund-Levander, MärtaGrodzinsky, Ewa
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