Shell Rowe, from Billericay, Essex, was first diagnosed with non-Hodgkin lymphoma in 2019 and beat the disease four times. She took to TikTok after getting a letter from UCLH.
Arnie Skelton, 72, was suffering from severe urinary retention - which meant he was unable to pass any of the urine stored in his full bladder (a man s bladder can hold around 1.2 pints).
### What you need to know
Sepsis is a common cause for hospital admission that carries a high risk of death.1 In 2021-22, over 100 000 emergency admissions with sepsis were reported in England and Wales, with a mean patient age of 71 years.2 Adults admitted to hospital with sepsis are typically older and often have multimorbidity and functional limitations.3 Increasing degrees of frailty are associated with increased mortality in older people hospitalised for any reason,4 and illness severity and frailty synergistically increase the risk of death.5
Clinicians caring for older adults with sepsis need to understand how frailty and comorbidities complicate the diagnosis and management of suspected sepsis.6 Guidelines for managing sepsis789 draw on substantial evidence from critical care, but one single-centre retrospective cohort study found that only 10% of 251 adults meeting the diagnostic criteria for sepsis were referred to critical care.3 We therefore need to adapt existing guide
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