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Clinical Frailty Scale

The clinical frailty scale describes 9 levels of frailty from very fit to terminally ill. Level 1 indicates very fit and active individuals, while level 9 describes those who are terminally ill with less than 6 months to live. The scale also notes that frailty levels correspond to the degree of dementia, with mild dementia showing forgetting details but remembering events, and severe dementia requiring help with personal care.

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Diklatpimempat Angkatanlimabelas
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4K views2 pages

Clinical Frailty Scale

The clinical frailty scale describes 9 levels of frailty from very fit to terminally ill. Level 1 indicates very fit and active individuals, while level 9 describes those who are terminally ill with less than 6 months to live. The scale also notes that frailty levels correspond to the degree of dementia, with mild dementia showing forgetting details but remembering events, and severe dementia requiring help with personal care.

Uploaded by

Diklatpimempat Angkatanlimabelas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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CLINICAL FRAILTY SCALE*

1. Very Fit — People who are robust, active, energetic


and motivated. These people commonly exercise
regularly. They are among the fittest for their age.
2. Well — People who have no active disease
symptoms but are less fit than category 1. Often,
they exercise or are very active occasionally, e.g.
seasonally.
3. Managing Well — People whose medical problems
are well controlled, but are not regularly active
beyond routine walking.
4. Vulnerable — While not dependent on others for
daily help, often symptoms limit activities. A
Common complaint is being "slowed up', and/or
being tired during the day.
5. Mildly Frail — These people often have more
evident slowing, and need help in high order IADLs
(finances, transportation, heavy housework,
medications). Typically, mild frailty progressively
impairs shopping and walking outside alone, meal
preparation and housework.
6. Moderately Frail — People need help with all
outside activities and with keeping house. Inside,
they often have problems with stairs and need help
with bathing and might need minimal assistance
(cuing, standby) with dressing.
7. Severely Frail — Completely dependent for
personal care, from whatever cause (physical or
cognitive). Even so, they seem stable and not at high
risk of dying (within ~ 6 months).
8. Very Severely Frail — Completely dependent,
approaching the end of life. Typically, they could
not recover even from a minor illness.
9. Terminally Ill - Approaching the end of life. This
category applies to people with a life expectancy <6
months, who are not otherwise evidently frail.

1|IKA SYAMSUL HUDA MZ


Scoring frailty in people with dementia

The degree of frailty corresponcs to the degree of dementia.

Common symptoms in mild dementia include forgetting the details of a


recent event, though still remembering the event itself, repeating the
same question/story and social withdrawal.

In moderate dementia, recent memory is very impaired, even though


they seemingly can remember their past life events well. They can do
personal care with prompting.

In severe dementia. they cannot do personal care without help.

* 1. Canadian Study on Health & Aging, Revised 2008.


2. K. Rockwood et al. A global clinical measure of fitness and frailty in
elderly people. CMAJ 2005;173:489-495.

Source:
https://www.researchgate.net/publication/329056139/figure/download/fig1/AS:694850764685314@1542676740
594/Clinical-frailty-scale-C2007-2009-Version-12-All-rights-reserved-Geriatric-Medicine.png

IKA SYAMSUL HUDA MZ

2|IKA SYAMSUL HUDA MZ

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