Improving Care for Older People in Hospital
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Improving Care for Older People in Hospital
Frailty and Delirium Dr Anne Hendry
National Clinical LeadScottish Government
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Biological, Psychological,Social, societal modifiers/assets and deficits, Health and care systems
Frailty: a Complex Syndrome of Increased Vulnerability
Prevent/Delay FrailtyHealth Promotion and Prevention
Delay Onset
Delay/Prevent adverse outcomes, care
FRAILTY
Age
Life-courseDeterminants: Biological (including genetic)PsychologicalSocial, SocietalEnvironment
Chronic Disease
Decline in physiologic reserve
Adverse outcomes•Disability•Morbidity•Hospitalization• Institutionalization•Death
Candidate markers
• Nutrition• Mobility• Activity• Strength• Endurance• Cognition• Mood
Modified from Bergman H, 2008
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(JAGS 2008; 56: 2171-9)
Basal IMPAIRED
1 month
Basal IMPAIRED
3 months
Basal IMPAIRED
6 months
Basal IMPAIRED
12 months
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DURING THE LAST TWO DECADESWE HAVE BUILT STRONG EVIDENCE
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Frailty Tool
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Examples
• North Staffs• Lanarkshire • Fife • Tayside
• Bournemoth- N Staffs / Lanarkshire hybrid
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