FRAILTY
Link 1. Improving care and support for people with frailty
Link 2. Assessing frailty
ASSESSMENT OF FRAILTY


Consider assessing frailty in people with multimorbidity

The acutely unwell patient
Be cautious about assessing frailty
Do not use a physical performance tool untill well

Primary care and community care settings

1. Self-reported health status
(that is, 'how would you rate your health status on a scale from 0 to 10?',
with scores of 6 or less indicating frailty)

2. Gait speed:  Informal assessment
(for example, time taken to answer the door, time taken to walk from the waiting room)

Gait speed:  Formal assessment
with more than 5 seconds to walk 4 metres indicating frailty


The PRISMA-7 questionnaire,
with scores of 3 and above indicating frailty


EDMONTON FRAILTY SCORE
F.R.A.I.L
Find.
Recognise frailty in a person.
Assess
Multidisciplinary assessment involving:
- Geriatricians,
- Allied health professionals,
- Specialist nurses
- Mental health team
- Social work team

The aim is to identify and manage
long-term health conditions,
Identify goals
Develop a personalised care and support plan.

Intervene 
e.g. a falls risk assessment / a multimorbidity review.

Long-term.