Best Practice Guidelines for the Management of Frailty: a British Geriatrics Society, Age UK and Royal College of General Practitioners Report

Overview

Journal Age Ageing

Publisher Oxford University Press

Specialty Geriatrics

Date 2014 Oct 23

PMID 25336440

Citations 245

Authors

Gill Turner

Andrew Clegg

Affiliations

Soon will be listed here.

Abstract

Recognition Of Frailty: The 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. A gait speed <0.8m/s; a timed-up-and-go test >10s; and a score of ≥3 on the PRISMA 7 questionnaire can indicate frailty. The common clinical presentations of frailty (falls, delirium, sudden immobility) can also be used to indicate the possible presence of frailty.

Management Of Frailty: The BGS recommends an holistic medical review based on the principles of comprehensive geriatric assessment (CGA) for all older people identified with frailty. This will: diagnose medical illnesses to optimise treatment; apply evidence-based medication review checklists (e.g. STOPP/START criteria); include discussion with older people and carers to define the impact of illness; work with the older person to create an individualised care and support plan.

Screening For Frailty: The BGS does not recommend population screening for frailty using currently available instruments.

Citing Articles

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