eFit – HCP: Frailty

Frailty is a dynamic condition experienced by many older adults. It is a vulnerability to adverse outcomes resulting from an interaction of physical, socio-economic and co-morbidity factors. Major adverse events are more common among frail older adults in comparison to non-frail older adults. (1)   

Frailty is strongly linked to mortality, long term care home admission and falls. Frailty prevalence increases with age, although it can occur independently from chronological age. (2) Inactivity, poor nutrition, and social isolation or loneliness, and multiple medications contribute to frailty. 

Clinical Frailty Scale:
Instructions    Link   Patient Explanation

Fatigue Severity Scale:
Link (Instructions Included)

Frailty Index for Elders: 
Link (Instructions Included)

Frailty Phenotype Screening Tool:
Instructions    eForm    Print Form    Patient Explanation

Functional Assessment Staging Tool:

GPHE Self-Report:
 Print Form    Patient Explanation

GPHE Periodic Health Exam:
eForm   Print Form    Patient Explanation

Pictorial Fit Frail Scale: 
    eForm    Print Form

PRISMA-7 Questionnaire:
Link (Instructions included)

PROMIS Short Form:

Rapid Geriatric Assessment:
Instructions    Link

Algorithm for Fall Risk Screening, Assessment, and Intervention (Centers for Disease Control and Prevention):
Fit for Frailty Part 1: Consensus Best Practice Guidance for the Care of Older People Living in Community and Outpatient Settings British Geriatrics Society):
Frailty Care Guidelines – Ambulatory Care (Nova Scotia Health Authority):
Frailty Care Guidelines – Continuing Care (Nova Scotia Health Authority):
Frailty Care Guidelines – ED/Inpatient  (Nova Scotia Health Authority):
Frailty Care Guidelines – Primary Health Care (Nova Scotia Health Authority):
Frailty in Older Adults – Early Identification and Management (British Columbia Ministry of Health): 

Frailty Screening In Primary Care (Senior’s Care Network)
Health Quality Ontario: Hip Fracture, Care for People with Fragility Fractures (Health Quality Ontario):
Quality Standards
Rehabilitative Care for Older Adults Living with Frailty Guideline and Hip Fracture (Rehab Care Alliance):


Reading List: Frailty & Older Adults


View the CSAH Lesson on Frailty

View CSAH Courses for HCP: Caring for the Older Adult

This series of courses provides a foundation for understanding, recognizing, assessing and managing health care concerns in the older adult.  Each Lesson includes short narrated modules that focus on these four themes.

View HCP Continuous Learning

We share aging-related courses and archived content offered by other leaders in the field of geriatric care.