Geriatric Frailty

Geriatric Frailties
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National Guideline for Geriatric Frailties
The British of Columbia’s Ministry of Health Advance Care Planning (2008) developed the frailty care guideline to address various frailty issues. Among the issues addressed in this guideline included identification and management of individuals with frailty or those who are at risk of this condition. The document also provides guidelines on the management care plan for frailty patients sixty years and above. According to the authors, the guidelines are supposed to improve personal management plan for those who are exposed either to frailty, or at risk for this condition. In addition, the guideline provides strategies that could be employed in the implementation process. Moreover, the patient centered strategies in this guideline are aimed to curb the decline in functionality especially during the transition process in management.
The guideline provides the procedure in identifying the individuals with Frail condition and those who are at risk for Frailty. According to this procedure, patients should be involved in the personalized care plan and a consistent follow up on their progress to be considered. The patients may share a number of concerns, which could lead the physician in identifying this condition among them. Such concerns may include but not limited to: unexpected weight loss, difficulty in managing daily activities, fatigue, loss of memory, the families concern about them, and constant fear of falling.
There is also a scale in this guideline in identifying individuals with frail condition. These includes: very fit group, consisting of people who are robust and very active, well, which involves those who are alright but not as fit as those who are very fit, those who are fit but with comorbid condition, those who are apparently vulnerable, those with mild frail, moderate frail, and finally severe frail.
Other contents in this work include further assessment areas in the care plan. These areas as identified in the plan include but not limited to weight loss, impaired vision, inappropriate behavior, altered mental status, increasing consumption of alcohol, irrational fears, and increased number of falls and so forth.
Another element in this guideline is the criteria for implementing this care plan. According to this element, the care plan ought to be developed by first noting the concerns as raised by the patient. Other consideration in the implementation process includes support management for these patients, patient rehabilitation potential, and proper prevention schemes. The follow up, monitoring and re-evaluations process to be done consistently by the health practitioners. This review and monitoring process should follow a specific schedule, when the patient requests, or when there is any transitional change such as the change in the caregiver, ...