Frailty-specific guidelines and recommendations for the treatment of common diseases have been published by Palliative and Therapeutic Harmonization (PATH) and include:
General guidelines, for each level of frailty, have also been compiled and made specifically for each care sector. These guidelines are intended to:
Outpatient clinics are rarely set up for frailty. Patients who are frail may have more difficulty attending outpatient appointments or arranging for a family member or caregiver to attend with them. The complexity of the health history may make it harder to retain and apply information discussed.
Multidisciplinary teams can help address the multidimensional issues that arise in frailty. The following frailty level-specific guidelines may assist in formulating a care plan.
The vast majority of continuing care clients receiving support in the community have some degree of frailty. An aging population means that caregivers are also more likely to be frail. While the goal of community support is to maintain client independence in the community, the inherent risks required to foster independence may be challenging for care providers and families to understand and accept. The following frailty level-specific guidelines may assist in formulating a care plan that fosters independence while acknowledging the dignity of risk.
The inherent physical, medical and social complexities of frailty present challenges in a busy emergency department. Patients who are frail often present with atypical signs and symptoms. Delirium is prevalent. The following frailty level-specific guidelines may assist in delivering care that takes frailty into account.
Hospital admission is a risky time in frailty. Often frail patients are in the throes of a health crisis and require attentive and proactive care to promote recovery. The following frailty level-specific guidelines may assist in formulating a care plan.