Frailty

Functional Status and Frailty

Background

  • Frailty: Syndrome of physiological decline in late life, characterized by marked vulnerability to adverse health outcomes
  • Functional status: Ability to perform activities necessary in daily life (ADL)
  • Pts should be encouraged to exercise as tolerated, with a low threshold to refer to PT/OT

 

Evaluation

  • Order Vitamin D & B-12 levels
  • Vulnerable Elders Scale-13: Identifies community dwelling pts at risk for decline over 5 yrs
  • Fried Frailty Tool: Identifies frailty in community dwelling elders (1 -2 = prefrail; > 3 = frail)
    • Fatigue:  are you Fatigued?
    • Resistance: are you unable to climb a flight of stairs?
    • Aerobic: are you unbale to walk a block ?
    • Illness: Do you have more than 5 illnesses ?
    • Loss: Have you lost more than 5% of weight in 6 months?

​​​​​​​

Basic ADL’s

Instrumental ADL’s

Advanced ADL’s

Feeding

Continence

Transferring

Toileting

Dressing

Bathing

Using the telephone

Shopping

Preparing food

Housekeeping &  Laundry

Driving

Handling medications

Handling finances

Fulfill societal, community and family roles

 

Participate in recreational tasks