Improving Care for Older People in Hospital Frailty and Delirium Dr Anne Hendry National Clinical Lead Scottish Government
Feb 24, 2016
Improving Care for Older People in Hospital
Frailty and Delirium Dr Anne Hendry
National Clinical LeadScottish Government
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
DURING THE LAST TWO DECADESWE HAVE BUILT STRONG EVIDENCE
Frailty Tool
Examples
• North Staffs• Lanarkshire • Fife • Tayside
• Bournemoth- N Staffs / Lanarkshire hybrid