Angela Tod and colleagues discuss why some older people may be at risk of cold-related harm and illness, and how nurses can improve their access to necessary aid and care

Aim To identify factors influencing older people’s ability to keep warm and well in winter.

Method This qualitative study used in-depth individual interviews with older people (n=50) and health and social care staff,(n=25), alongside six focus groups with 43 participants and a consultation event. Temperatures were measured in the homes of the older people interviewed. Framework analysis techniques were used.

Findings The data indicated a lack of awareness among participants of the importance to a person’s health of keeping warm. A summary of findings related to the themes of awareness, money, mindset and machinery is presented here, with reflections on their relevance to nursing in terms of identifying older people at risk of the negative health effects of cold, their assessment and support.

Conclusion The study revealed a number of ways older people are vulnerable to cold at home. Timely interventions from nurses in various sectors could help avoid cold-related harm.