Fever in the Elderly

Nurses General Nursing

Published

Just curious....have any of you found that elderly people sometimes don't spike a temp. until they are really, really sick?

My dad is now in a nursing home. On Sunday I noticed his voice was really hoorifice, and he seemed unusually drowsy. On Monday, ditto, plus one of his eyes was oozing pus. Still no fever. The doctor was supposed to see him on Tuesday, but the nurses never passed on my request to him :( I threw a hissy fit, the doc finally saw him today, and SHIPPED HIM OFF TO HOSPITAL! (He was FINALLY spiking a bit of a fever, and as he has chronic respiratory problems, they wanted to make sure he hadn't developed pneumonia.)

Hospital took x-rays, gave him some abx, and sent him back to the nursing home.

I just wish the nursing home had listened to me back on Sunday when I noticed his voice was so hoorifice! :o

Normal body temp is lower in older adults. It is not unusual for an older adult to have a regular temp of 96F or even lower. The gold standard is to establish a baseline temp. An elevation of 2 degrees or more from each individual's baseline is considered febrile. Hope this helps. :)

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