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Frailty is a medical condition of reduced function and health in older individuals that increases the risk of deterioration and death. Learn more about the symptoms, causes, and prevention of frailty, and how to support older adults and caregivers.
- Recommendations and Topics
- Scope
- Key Recommendations
- Definition
- Risk Factors
- Epidemiology
- Identification of Patients with Frailty Or Vulnerable to Frailty
- Comprehensive Assessment of Patients with Frailty
- Management
- Advance Care Planning
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Key RecommendationsDefinitionRisk FactorsThis guideline addresses the early identification and management of older adults with frailty or vulnerable to frailty. The guideline facilitates individualized assessment and provides a framework and tools to promote patient-centred strategies to manage frailty and prevent further functional decline. The primary focus of the guideline is the commu...
See Appendix A: Frailty Assessment and Management Pathway.Early identification and management of patients with frailty or vulnerable to frailty provides an opportunity to suggest appropriate preventive and rehabilitative actions (e.g. exercise program, re...Use a diligent case finding approach to identify patients with frailty, particularly among older adults who regularly or increasingly require health and social services. However, routine frailty sc...Many patients with frailty can be assessed and managed in the primary care setting through a network of support, which may include family, caregivers, and community care providers. Coordinate care...Frailty is broadly seen as a state of increased vulnerability and functional impairment caused by cumulative declines across multiple systems.1–4 Frailty has multiple causes and contributors5 and may be physical, psychological, social, or a combination of these. Frailty may include loss of muscle mass and strength, reduced energy and exercise toler...
Figure 1: Vulnerability of frail older adults to external stressors Managing well:A fit older adult who, following a minor stressor, experiences a minor deterioration in function and then returns to homeostasis. Frailty:A frail older adult who, following a similar stressor, experiences more significant deterioration and does not return to baseline ...
While many adults living in BC remain robust and active as they age, some older adults develop frailty or are vulnerable to frailty. In 2009/10, an estimated 20.4% of British Columbians aged ≥ 65 years living in the community (128,000 people) were frail.4 The prevalence of frailty increases with advanced age (from 16% at ages 65 to 74, to 52% at ag...
Routine frailty screening of the general population of older adults is not recommended.7 Instead, use a case finding approach to identify patients with frailty, particularly in older adults who regularly or increasingly require health and social services (e.g. emergency room visits, ambulance crew attendance, adult day clinics, hospitalization, hom...
Patients with identified frailty require additional assessment to support the development or refinement of a care plan. The gold standard for assessing and managing frailty in older adults is comprehensive geriatric assessment:7 an interdisciplinary process that evaluates medical, psychological, social and functional domains of older adults with fr...
Use the areas of geriatric assessment outlined in Table 3 below and in Appendix B: Sample Care Plan Template as a guide in developing a care plan. The care plan is intended to be developed over a series of planned office visits with one or more areas of concern addressed at each appointment. Review and document goals and strategies to address each ...
Advance care planning involves conversations with the patient about their values and goals related to health care and the quality of they may be able to achieve with treatment alternatives. Advance care planning should be tailored to the needs of the patient along the disease trajectory. Advance care planning conversations should be documented in t...
This guideline provides a framework and tools to assess and manage frailty in older adults in the community-based primary care setting. It defines frailty, risk factors, epidemiology, identification, assessment, management, and referral options for patients with frailty or vulnerable to frailty.
Frailty is a 2001 American psychological horror film directed by and starring Bill Paxton, and co-starring Matthew McConaughey and Powers Boothe. It marks Paxton's directorial debut.
Frailty is a common geriatric syndrome that embodies an elevated risk of catastrophic declines in health and function among older adults. Frailty is a condition associated with ageing, and it has been recognized for centuries.
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Feb 15, 2021 · Frailty is a geriatric syndrome that affects 5% to 17% of older adults and increases their vulnerability to adverse health outcomes. Learn how to recognize, assess, and manage frailty with validated tools, physical activity, and palliative care.
CFN is Canada’s network for frailty recognition, assessment, prevention and mitigation. It offers free CME resources, research collaboration, healthy aging programs and more.
Learn how to prevent and manage frailty in older adults with the AVOID Frailty campaign. Find out how to stay active, vaccinated, optimize medications, interact and eat well.
