Frail Elderly: The Physiotherapist's Role in Preventing Hospital Admission

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Introduction

Aims

  

Learning outcome


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Frailty

Definition

Current Climate

Demographics

Costs

Health and Social Care Integration

Guidelines and Policies

Older People in Acute Care Improvement Programme

Think Frailty

Fit for Frailty

Part 1: Recognition and management of frailty in individuals in community and outpatient settings

This part of the fit for frailty guidelines by the British Geriatric Society (BGS) (2014) intend to support health and social care professionals working with frail older people in the community.

In order to recognise and identify frailty BGS (2014) recommends:

  • During all encounters with health and social care professionals older people should be assessed for frailty
  • There are 5 main syndromes of frailty; Falls, change in mobility, delirium, change in continence and susceptibility to side effects of medication. Encountering one of these should raise suspicion of frailty
  • Gait speed, timed up and go test and the PRISMA questionnaire are recommended outcome measures to assess for frailty

For managing frailty in an individual BGS (2014) recommends:

  • A Comprehensive Geriatric Assessment (CGA), which involves a holistic, multidimensional and multidisciplinary assessment of an individual
  • The result of the CGA should be an individualised care and support plan (CSP).
  • The CSP includes a named health or social care professional coordinating the person’s care. A plan for maintaining and optimising the person’s care as well as urgent, escalation and end of life care plans.

Physiotherapist's role

Delivery of care 

Functional Assessment 

Assessment 

Treatment 

Falls Prevention
Respiratory techniques 

Conclusion

Recent Related Research

References

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