Article

Frailty scales - Their potential in interprofessional working with older people: A discussion paper

Centre for Research in Primary & Community Care, University of Hertfordshire, Hatfield, UK.
Journal of Interprofessional Care (Impact Factor: 1.4). 07/2011; 25(4):280-6. DOI: 10.3109/13561820.2011.562332
Source: PubMed

ABSTRACT

New models of interprofessional working are continuously being proposed to address the burgeoning health and social care needs of older people with complex and long-term health conditions. Evaluations of the effectiveness of these models tend to focus on process measures rather than outcomes for the older person. This discussion paper argues that the concept of frailty, and measures based on it, may provide a more user-centred tool for the evaluation of interprofessional services - a tool that cuts across unidisciplinary preoccupations and definitions of effectiveness. Numerous frailty scales have been developed for case identification and stratification of risk of adverse outcomes. We suggest that they may also be particularly suitable for evaluating the effectiveness of interprofessional working with community-dwelling older people. Several exemplars of frailty scales that might serve this purpose are identified, and their potential contributions and limitations are discussed. Further work is required to establish which is the most suitable scales for this application. The development of an appropriate frailty scale could provide an opportunity for interprofessional debate about the forms of care and treatment that should be prioritised to improve the health and well-being of this population.

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Available from: Claire Goodman, Jun 29, 2015
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    • "Frailty score was measured within 48 hours of discharge from the GEM unit to group patients based on their usual frailty severity. Frailty was measured using the definition of the frailty syndrome by Edmonton Frailty Scale (EFS) [16]. It is a validated brief and user-friendly screening scale for frailty in older patients in both inpatient and outpatient settings [17]. "
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    • "The challenge faced by health and social care services in the developed world is to create integrated systems that address frailty [1-3]. Models of long-term chronic disease management for frail older people emphasize the need for multi-professional, pan-agency collaborative working that promotes closer working between health and social care organizations (e.g.[4-7]). "
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