Exploring the needs and preferences of older trauma patients: a qualitative study

Trauma in older people is emerging as a major health issue, with falls being the most common cause. Despite existing guidelines for trauma care of older populations, uptake is limited, and undertreatment persists. This study aimed to understand the needs and preferences of older people and their families from health systems following traumatic injuries and define the key components of a preferred trauma care model offered by health services for older populations.

This research adopted participatory design principles, engaging older people and their families, who had interacted with local healthcare services, to participate in a workshop which included structured activities and questions designed to facilitate discussion of the participants' experiences of trauma, subsequent healthcare and reflections on needs and preferences in care. Qualitative data were collected, coded, and analysed thematically.

Seven patients and six family members attended one of two workshops. Most patient participants were women, with a mean age of 82 years. Participants reported negative feelings following trauma, including uncertainty, shock and fear, decreased confidence, and feeling burdensome. Recovery goals were focused on regaining independence, participating in movement and exercise, and maximizing social connection. Communication, empathy and interpersonal skills in care, and system-related factors were identified as key factors impacting care and the recovery experience following trauma. To improve trauma care, participants recommended care coordination, improved access to home support and rehabilitation, investment in staff expertise and training, and a specialised trauma service for older adults.

This study underscores the importance of a comprehensive and person-centered approach to trauma care for older people, offering valuable insights for healthcare providers and policymakers striving to enhance the quality of care and improve outcomes for this vulnerable population.