The British Geriatrics Society (BGS) has produced guidance to help. The BGS recommends that all encounters between health and social care staff and older people should include an assessment for frailty as this will affect the way health care is organised for that person. The existing health-care response to frailty is mainly secondary care based and reactive to the acute health crises of falls, delirium (acute confusion) and immobility. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. An international consensus conference on cognitive frailty was organized by the International Academy on Nutrition and Aging (IANA) and the International Association of Gerontology and Geriatrics (IAGG) on April 16, 2013 in Toulouse, France. Staff will need to understand what frailty is and how to recognise it. This will summarise who is responsible for doing what. Many people with multiple long-term conditions will also have frailty which may be overlooked if the focus is on disease-based, long-term conditions such as diabetes or heart failure. Modern health-care systems have largely been designed around single organ disease-based services, with increasing specialism notable within hospital care [1, 2]. This situation is exacerbated by the reduction in geriatrician-led rehabilitation beds in community settings, which further reduces geriatrician input outside acute hospitals. Residential aged care homes: Why do they call '000'? ○ Apply evidence-based medication review checklists (e.g.
The Commission, along with the ARC programme clinical lead, will continue to develop these resources with the sector, and all feedback is welcome. Mortality review committees are statutory committees that review particular deaths, or the deaths of particular people, in order to learn how to best prevent these deaths. Although evidence on diagnostic accuracy is unavailable, the BGS consensus recommendation is that the Edmonton Frail Scale may be a useful tool to identify frailty when considering a surgical intervention as it might help with pre-operative optimisation [11, 12]. CGA is a multidimensional assessment, treatment plan and regular review delivered by a multidisciplinary team (MDT) that usually includes doctors, nurses, physiotherapists, occupational therapists and social workers. Much of the evidence about CGA comes from hospital settings, but there is evidence that provision of complex interventions (including CGA) to older people with frailty in community settings could reduce hospital admissions, admissions to nursing homes and increase the chance of continuing to live at home .
A core feature of CGA is a holistic medical review. Be aware of the limitations of using the CFS as the sole assessment of frailty.
Recognising that an older person has frailty can direct a more appropriate assessment to enable diagnosis of an underlying cause, or combination of causes, for a sudden deterioration in health.
An individualised assessment is recommended in all cases where the CFS is … Recognition of frailtyThe BGS recommends that all encounters between health and social care staff and older people in community and outpatient settings should include an assessment for frailty. The guides are intended to be used in any setting where people at risk of frailty receive care, including aged residential care (ARC), primary health care, community care, hospice and acute hospitals. Furthermore, older people with frailty may be subject to extended discharge planning and delayed transfers of care out of hospital, which adds further complexity [5, 6]. Older people are majority users of health and social care services in the UK and internationally. Designed by Elegant Themes | Powered by WordPress, Act against iatrogenic disability in elderly patients during hospitalization, ‘Fit for Frailty’ – British Geriatrics Society guidance on the recognition and management of older patients with frailty in community and outpatient settings, Biomarkers of sarcopenia in clinical trials: recommendations from the International Working Group on Sarcopenia, Cognitive frailty: rational and definition from an (I.A.N.A./I.A.G.G.) A recent Kings Fund article  describes a more proactive, integrated pathway of care for an older person with frailty and the types of services which might be employed to manage each stage of the pathway.
This article summarises the key messages of the guideline, including the key guideline recommendations. This guideline addresses the early identification and management of older adults with frailty or vulnerable to frailty. It will also ensure that the individual with frailty has the opportunity to say what is important to them and their family in terms of their future care.