Understanding the challenges to vascular access in an ageing population.

At the beginning of the 21st century, one in five of UK residents can expect to see their 100th birthday and one in four people are aged 60 years or older. The UK has an ageing population. With older age comes an increasing variety of comorbidities that have an impact not only on an individual's quality of life but also on healthcare resources. Older people account for a rapidly rising cohort of individuals admitted to hospital, often with complex needs, and this can require achieving venous access. Venepuncture and cannulation are the most commonly performed invasive procedures in health care today. This article aims to increase awareness of vascular access challenges in older patients so the potential for complications relating to venepuncture, cannulation and infusion therapy can be minimised, thereby improving their overall quality of care. The article will look at the healthcare challenges facing the older population, and the importance of a holistic approach to assess their vascular access needs to deliver optimum care.