Frailty identification and assessment
Supporting older people living with frailty requires early intervention and personalised care
5M of geriatric care
A holistic framework used in geriatric care: Mind, Mobility, Medication, Multicomplexity, Matters Most.
Advancing Frailty
Used to refer to older people whose frailty has progressed to a moderate or severe stage.
Compassionate communities
Defined as communities that actively work together to provide social, emotional and practical support.
Family
Defined as a wider social network around the older person. This can be close relatives, but also friends, neighbours and community connections.
Home
Defined as a space, not a place.
Interdependency
Defined as a state of interconnection with others, based on connectedness, mutuality and reciprocity.
Parallel planning
Defined as the possibility of multiple different outcomes.
Watchful waiting
Defined as an approach to care that engages assessment over time, but does not always require changes to intervention.
The identification and support of family
Level 1
Supporting older people living with frailty requires the consideration of the family and wider social networks around the older person
What the identification and support of the family looks like:
- Enables partnerships with local carer agencies
- Enables the use of carer outcomes as part of clinical services
- Supported by societies which value interdependency
- Supported by local and national carer resources/support groups
Engaging in local and national resources
National resources and guidelines
- Carers UK Better identify, support and involve carers
- Age UK www.ageuk.org.uk/information-advice/care/
- NICE guidance Supporting adult carers
- Carers Trust The Triangle of care
Identification and assessment of need with the context of uncertainty
Supporting older people living with frailty requires being able to identify, hold and respond to fluctuating needs
Current and future wishes and goals of care
Supporting older people living with frailty requires engagement in conversations about values, preferences and goals of care
Key clinical considerations in severe frailty
Supporting older people living with frailty requires the consideration of the multidimensional needs of the individual
The identification and support of family
Supporting older people living with frailty requires the consideration of the family and wider social networks around the older person