A case study Jill Dawson Jill Dawson is Senior Research Scientist at University of Oxford and visiting Professor at Oxford Brookes University. PART ONE It all began with a low-grade chronic infection. Mary*, aged 93 (worked until she was 74, ï¬ercely independent, with all her marbles intact, but very deaf), had been taking diuretics for nearly two decades. These, together with digoxin (to steady and strengthen heart function) and warfarin (to thin the blood), had maintained her quite well ever since a major myocardial infarction â although her ankles remained swollen and osteoarthritis had invaded one hip. Twelve months previously, an equivocal chance ï¬nding in a blood test had triggered a hospital appointment and many tests, including a chest x-ray. Ever since her infarct, Maryâs chest x-rays had provoked alarm, in stark contrast to impressions gained in her presence. On this occasion, the appearance of her x-ray led to an increased diuretic prescription. Over the next year she progressively cut down her ï¬uid intake to try to reduce her tiresome, frequent trips to the lavatory, which presumably encouraged a urinary tract infection. Unaware that her symptoms meant something, Mary had, for a long time, kept them to herself.
Quality in Ageing and Older Adults – Pier Professional
Published: Dec 1, 2008