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(1)

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Frailty Is a Clinical Syndrome, NOT an Inevitable Result of Aging (2)

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(27)

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(22)

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Societal perceptions of the term ‘frailty’ implies that the older person is physically weak, appearing vulnerable and fragile and being in a dependent and delicate state (23)

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(12)

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(3)

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Getting older can bring about many psychological, biological and social changes, however, this does not mean that older people can expect frailty to be an inevitable result of ageing (4)

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Fried et al., (2001) defines frailty as a clinical syndrome, characterised by the presence of three or more of the following five clinical features (5):

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Losing weight without trying? (6)

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Feeling more tired than usual? (7)

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Decrease in grip strength? (8)

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Taking longer than usual? (9)

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Longer periods sitting down? (10)

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Due to the differences in the conceptualisation and measurement of frailty, the prevalence rates of frailty in the general population are largely heterogeneous (13)

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Frailty prevalence rates range from 4% to 59.1%

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Frailty prevalence rates range from 4% to 59.1%

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Most frailty models were developed and tested in western populations and may account for the variations in prevalence of frailty rates (2)

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Frailty is Often Associated with Ageing, However, Not all Older People Become Frail (14)

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Frailty is Often Associated with Ageing, However, Not all Older People Become Frail (14)

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Common misconceptions about frailty lead to the belief that the older person has failed to age well (15) (16)

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It is important to consider how the complex mechanisms of ageing promote cumulative decline in several physiological systems and compare these changes to those that occur in frail older people (2)

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(17)

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(18)

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A gradual decrease in physiological reserve is associated with normal ageing, however, in frailty, this decrease is accelerated and homoeostatic mechanisms start to fail (2)

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1. Longer hospital stays

2. Increased mortality

3. Early admission to residential care

4. Increased dependency

5. Increased falls risk (11)

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1. Utilise a validated measurement tool

2. Address and limit polypharmacy

3. Increase physical activity with a focus on resistance training

4. Facilitate timely referrals (23)

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As health professionals we withhold significant knowledge and skill in relation to the concept of ageing (24)

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The role of the...                           (25)

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Conduct assessment using a validated tool

Review medications; reduce polypharmacy

Liaise with multidisciplinary team

Make appropriate referrals

Discuss outcome with patient and caregiver (26)

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Identify person at risk of frailty using validated tool

Refer and liaise with multidisciplinary team

Communicate with patient and caregiver (26)

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Conduct assessment relevant to field

Liaise with multidisciplinary team

Educate patient and caregiver (26)

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These perceptions reduce the social worth of our older generations and creates unnecessary fears relating to the ageing process (23)                     (28)

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https://aci.health.nsw.gov.au/networks/frailty-taskforce/frailty-resources (29)

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https://aci.health.nsw.gov.au/resources/chronic-care/other/frailty-forum (30)

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(31)

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https://sydneynorthhealthnetwork.org.au/programs/frailty/

(02) 9432 8250

info@snhn.org.au (32)

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Validated Assessment Tools (19)

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Deficit count and proportion of potential deficits that a person has accumulated (20)

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Classifies levels of frailty as follows;

Very Fit

Well

Well, with treated comorbid disease

Apparently vulnerable

Mildly frail

Moderately frail

Severely frail (21)

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