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Frailty Syndrome

This document provides guidance for caring for older people living with frailty. It discusses that frailty is a health state related to aging where reserves in multiple body systems decline. It is characterized by factors like unintentional weight loss and low physical activity. The guidance covers identifying frailty, common health problems associated with it, tools for assessment, optimizing care plans, and managing physical issues like falls and nutrition. The overall message is that frailty prevalence increases with age but it can be recognized, individualized support plans are important, and comprehensive geriatric assessment is the best evaluation approach.

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RinaldyAlexander
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95 views24 pages

Frailty Syndrome

This document provides guidance for caring for older people living with frailty. It discusses that frailty is a health state related to aging where reserves in multiple body systems decline. It is characterized by factors like unintentional weight loss and low physical activity. The guidance covers identifying frailty, common health problems associated with it, tools for assessment, optimizing care plans, and managing physical issues like falls and nutrition. The overall message is that frailty prevalence increases with age but it can be recognized, individualized support plans are important, and comprehensive geriatric assessment is the best evaluation approach.

Uploaded by

RinaldyAlexander
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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FIT FO FRAILTY

Consensus best practice guidance for the care of older people


living with frailty in community and outpatient settings

A report by the
BRITISH GERIATRICS SOCIETY
In association with the Royal College
of General Practitioners and Age UK

Rinaldy Alexander
1015051
Preceptor : dr.Vera,SpPD-KGer

Introduction
Frailty : distinctive health
state related to the ageing
process in which multiple
body systems gradually lose
their in-built reserves.
Frailty? Long term
conditions? Disabilities?

Characteristic
Phenotype model 6 : unintentional
weight loss, reduced muscle strength,
reduced gait speed, self-reported
exhaustion and low energy expenditure
poorer outcomes
Deficit model 7 :. loss of hearing or low
mood, through signs such as tremor,
through to various diseases such as
dementia increase the risk of an
adverse outcome

Identify specific intervention and


long term management of health
need outcome improved
Important!
Varies in severity
Not a static condition
Not an inevitable part of aging

Circumstances
routine outpatient appointments
Social services assessment
Review by the community care
teams
Primary care review of older people
Home care
Ambulance crews

Delirium
Incontinen
ce

Immobility

Falls

Frailt
y

Medicine
side effect

How to recognise?

PRISMA 7 Questionnaire
Walking speed (gait speed)
Timed up and go
Self-Reported
GP assessment
Multiple medications (polypharmacy
The Groningen Frailty Indicator
questionnaire

Common problems in frailty


Falls
Cognitive
impairment
Continence
Mobility
Weight loss and
poor nutrition
Polypharmacy
Physical inactivity

Low mood
Alcohol excess
Smoking
Vision problems
Social isolation and
loneliness

Easy care assessment

Seeing hearing and communication


Getting around
Looking after yourself
Housing and finances
Safety and relationships
Mental wellbeing
Staying healthy

Assessment of capacity
Test:
Can they understand the information
given?
Can they retain the information given?
Can they balance, weigh up or use the
information?
Can the person communicate their
decision?

Drugs and medicine


antimuscarinics in cognitive
impairment
long acting benzodiazepines and
some sulphonylureas, other
sedatives and hypnotics increase
falls risk
opiate based analgesics confusion
or delirium
NSAID renal impairment in frailty

Individualised care and support


plans

The named individual


A health and social care summary
Optimisation / maintenance plan
Escalation plan
Urgent care plan
Advance care plan or end of life care
plan

Managing the physical


feature
Home or group based intervention
Strength and balance training
Nutritional intervention

Conclusion
Greater
risk of
adverse
outcome

Prevelance
increase
with age

Frailt
y

Possible to
recognized

CGA is the
best
assessmen
t

Each
individual
should
have own
plan

THANK YOU

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