Frailty Definition Unagreed Generally, a loss of redundancy in multiple systems that predisposes an individual to failure in the face of stressors. Encompasses variable impairments in multiple domains such as: Mobility Strength Cognition Nutrition Physical activity It increases the risks of mortality and morbidity. Indications for Screening Consider in all older adults. Especially important in: Older adults at increased risk. Hospitalised older adults to help establish prognosis and care gaols. Screening Methods Fried’s score/scale -> WAGES 3 out of 5: W: unintendedly weight loss A: reduced level of activity G: grip strength reduced E: exhaustion ( self reported ) S: slowness -> time to walk 4.5 meters. Frail questionnaire Based on five and acronym FRAIL: Fatigue Resistance -> difficulty walking up the stairs. Ambulation -> difficulty walking a few hundred years. Illness -> presence of at least 5. Loss of weight -> at least 5% of body weight in the past 12 months. Each question is worth 1 point. 1 – 2 -> prefrailty 3 – 5 -> frailty. Edmonton frail scale Canadian study of health and against CSHA scale: Classifies the fitness or fraility level of older adults. Based on assessment of: Mobility Balance Person’s ability to perform basic and instrumental activities of daily living. Scores range from 1 (very fit) to 9 (terminally ill): A score of 4 -> living with very mild frailty. A score of 8 -> living with very severe frailty. Management Tricky Unknown Exercise may help with progressive deterioration. Needs to treat as with age there is a progressive dysregulation and decreasing function