Trauma in older people is a worldwide issue, with low force mechanisms such as a fall, the most common cause. The consequence of trauma in an older person is severe, associated with frailty, comorbidities, and social factors leading to poor outcomes. Research priorities include understanding the goals and preferred combinations of care among older trauma patients. This research engaged older trauma patients and their families to help address these important questions.
Participants recruited through a South Australian public health service attended a workshop in late 2023. Activities facilitated discussion of experiences following trauma, recovery goals and healthcare needs and preferences. Qualitative data was thematically analysed.
Participants (7 older trauma patients and 6 family members) described mixed positive and negative experiences throughout their interactions with health services. Key factors influencing the experience of healthcare included 1. communication, 2. empathy in healthcare and 3. systems supporting service access and transitions. Recovery goals included regaining independence, moving with confidence, and returning to social activities. Needs and preferences described by participants reflected those factors influencing the healthcare experience: effective communication; empathy in healthcare delivery; and support for flexible rehabilitation and support during transitions, particularly discharge. Participants recommended a pathway of care that included staff with expertise in working with older trauma patients and a consistent point of contact or liaison, to support communication and transitions.
Participant recommendations align closely with best practice and trauma care guidelines, highlighting the need to continue to develop systems and models of care that best support sustainable implementation of these.