Clinical Resources - Frailty

This meta-analysis provides a summary of the primary findings and conclusions on the effects of general health checks on morbidity and mortality. 2 Pages.

This research paper discusses the need to develop more efficient methods to detect frailty and measure its severity to inform routine clinical practice in the elderly and guiding choices in relation to invasive procedures and treatment toward more appropriate goal directed care. 11 pages.

The research article provides an update on changes to the Canadian Preventive Care Checklist (PCC) Form© including updates on vitamin D and calcium supplementation, depression screening and lifestyle modifications in obese patients, blood pressure targets in hypertension, dyslipidemia screening, and new vaccination recommendations from the National Advisory Committee on Immunization (NACI). 5 Pages.

This 5-Item Geriatric Depression Scale (GDS) screening / assessment tool is used for identifying depression in older adults. Applicable for a wide range of settings and can be used with older adults including those with mild to moderate cognitive impairment. 1 page.

This reading list includes links to and summaries of a variety of open source resources related to a variety of eating disorders and nutritional considerations. Topics include:
  • anorexia of aging
  • anorexia nervosa and frailty
  • reduced appetite in older age
  • recommendations for optimal nutrition
  • malnutrition
  • dysphagia
  • special considerations for those with brain injury and degenerative diseases
  • obesity
  • diabetes

6 pages. Last reviewed January 2019.

Clinical Care - Frailty Assessment Tools

This short assessment checklist/tool developed for use in primary care assists the clinician to review the client's ongoing medical issues and deliver preventative health care as part of the periodic health exam for the average-risk, male patient. Investigation and immunization sections address the ≥ 65 yr. age group. 2 pages.

This short assessment checklist/tool developed for use in primary care assists the clinician to review the client's ongoing medical issues and deliver preventative health care as part of the periodic health exam for the average-risk, female patient. Investigation and immunization sections address the ≥ 65 yr. age group. 2 pages.

This scoring assessment tool helps the clinician determine a client's ability to perform 8 instrumental activities of daily living: meal preparation, ordinary housework, managing finances and medications, stairs, phone use, shopping, and transportation.
1 page.

Developed in the Hamilton Niagara Haldimand Brant LHIN, this tool helps the clinician in primary care to prioritize referrals for individuals ≥ 75 yr. to CCAC for further assessment. 2 Pages.

This form describes how to use the 5-Item Geriatric Depression Scale (GDS) screening tool. 1 Page.

Clinical Care - Frailty Guidelines & Protocols

Developed in the Hamilton Niagara Haldimand Brant LHIN, this tool helps the clinician in primary care to prioritize referrals for individuals ≥ 75 yr. to CCAC for further assessment. 2 Pages.

Clinical Care - Frailty Management Handouts

This reading list provides links to and summaries of a variety of open source resources on health issues related to season or climate. Resources on depression, insomnia, dry skin, environmental pollution, climate change, temperature and influenza are included. 3 pages. 

This reading list provides links to and summaries of a variety of open source resources related to frailty and older adults.  4 pages.

This study shows that the level of frailty was distributed along the socioeconomic gradient in both higher and lower income countries such that those individuals with less education and income were more likely to be frail. 

Frailty has important implications for the care needs of older adults and how those needs are met. By recognizing frailty and measuring it objectively, clinicians can better engage patients and their loved ones in difficult discussions about treatment plans and prognosis, and ultimately deliver better palliative care.

Frailty assessment provides a means of identifying older adults most vulnerable to adverse outcomes. Attention to frailty in clinical practice is more likely with better understanding of its prevalence and associations with patient characteristics. We sought to provide national estimates of frailty in older people.