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Caring for an Elderly Relative After a Transfusion

When an older parent or grandparent receives a transfusion, family support can make recovery smoother and safer. Older adults have unique needs and may not always express their symptoms clearly.

Understanding why they received blood

First, try to understand:

·       Why the transfusion was given (anemia, surgery, bleeding, cancer, heart strain, etc.).

·       What benefits are expected (more energy, less breathlessness, better ability to walk, improved heart function).

·       Whether more transfusions are likely in the future.

Knowing this helps you watch for improvement and recognize any problems early.

Immediate care after coming home

In the first 24–48 hours:

·       Encourage rest and avoid very strenuous activities.

·       Make sure they drink fluids unless the doctor has restricted fluid intake (for example, in severe heart or kidney disease).

·       Help them move slowly when getting out of bed or chair to avoid dizziness or falls.

·       Offer simple, nutritious meals with iron and protein as recommended.

Check the transfusion site (if still visible) for:

·       Redness, swelling, or pain.

·       Ongoing bleeding (which is rare if they came home after hospital observation).

Watching for warning signs

Contact the doctor or return to hospital if your elderly relative develops:

·       New or worsening breathlessness, especially when lying flat.

·       Swelling of the legs, sudden weight gain or trouble breathing (possible fluid overload).

·       Fever, chills, or feeling very unwell.

·       Chest pain, confusion, or sudden change in behaviour.

Always mention that they recently had a transfusion so doctors can consider transfusion‑related issues.

Supporting independence and quality of life

After successful transfusion, many older adults:

·       Feel more energetic and may walk better or do more daily tasks.

·       Have less dizziness and may be able to participate in family life more.

Encourage safe activity:

·       Gentle walks inside or near the house, as tolerated.

·       Social contact with friends and relatives.

·       Participation in decision‑making about their care.

Be mindful to balance protection and respect:

·       Protect them from falls and over‑exertion.

·       Respect their wishes, dignity and preferences about treatment.

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