Spotting Early Signs of Sepsis in Older Adults

13th September is World Sepsis Day, a time when people across the globe come together to raise awareness of this life-threatening condition. At Angelica Care, we are highlighting the importance of recognising the early signs of sepsis, particularly in older adults who are most at risk.

Sepsis occurs when the body responds to an infection in a way that damages its own tissues and organs. Often referred to as “blood poisoning”, sepsis can quickly lead to septic shock, organ failure, and even death if not recognised and treated promptly.

Older adults are especially vulnerable due to age-related changes in the immune system, along with underlying health conditions such as diabetes, heart disease, dementia, or chronic lung disease. Early detection is crucial – the faster sepsis is identified, the better the chances of recovery.

Why Older Adults Are at Higher Risk

• Weakened immune system – ageing makes it harder to fight infections.

• Underlying health conditions – long-term illnesses increase susceptibility.

• Hospital admissions or care home settings – higher exposure to infections.

• Delayed recognition – early signs of sepsis can be mistaken for general frailty or confusion.

Key Early Signs of Sepsis in Older Adults

Sepsis can start from something as simple as a urinary tract infection (UTI), chest infection, or infected wound. Watch carefully for:

• Confusion or disorientation – sudden changes in mental state, unusual drowsiness, or agitation.

• Slurred speech – difficulty communicating or sudden incoherence.

• Rapid breathing or breathlessness – even when resting.

• High or low temperature – a fever, or unusually low body temperature.

• Shivering or chills – accompanied by clammy or sweaty skin.

• Fast heartbeat – racing pulse or palpitations.

• Not passing urine – or producing much less than usual.

• Severe pain or discomfort – sometimes described as the “worst ever”.

  
  

Remember the NHS guidance: 

 Sepsis is always a medical emergency.

What to Do If You Suspect Sepsis

If you notice any of the signs above, seek urgent medical help straight away.

• Call NHS 111 for advice if you are concerned.

• Call 999 or go to A&E immediately if symptoms are severe or worsening.

Supporting Loved Ones at Home

Family members and carers play a vital role in spotting sepsis early. Regularly monitor:

• Fluid intake and output.

• Any sudden change in behaviour or awareness.

• Breathing and temperature patterns.

Keeping medical information and care records up to date can also help healthcare professionals act quickly in an emergency.

On World Sepsis Day, and every day, it’s important to know the warning signs. Sepsis can be difficult to spot, but recognising it early in older adults could save a life. If you’re ever unsure, always seek medical advice without delay.

At Angelica Care, our carers are trained to notice subtle changes in health and wellbeing, helping families feel reassured that loved ones are supported and monitored every day.