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Improving Care for Older People in Hospital

Improving Care for Older People in Hospital. Frailty and Delirium Dr Anne Hendry National Clinical Lead Scottish Government . Delay Onset. Prevent/Delay Frailty Health Promotion and Prevention. Chronic Disease Decline in physiologic reserve .

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Improving Care for Older People in Hospital

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  1. Improving Care for Older People in Hospital Frailty and Delirium Dr Anne Hendry National Clinical Lead Scottish Government

  2. Delay Onset Prevent/Delay Frailty Health Promotion and Prevention Chronic Disease Decline in physiologic reserve Frailty: a Complex Syndrome of Increased Vulnerability Age Delay/Prevent adverse outcomes, care ? ? FRAILTY ? ? • Candidate markers • Nutrition • Mobility • Activity • Strength • Endurance • Cognition • Mood • Adverse outcomes • Disability • Morbidity • Hospitalization • Institutionalization • Death ? ? Life-course Determinants: Biological (including genetic) Psychological Social, Societal Environment ? ? ? ? Biological, Psychological, Social, societal modifiers/assets and deficits, Health and care systems Modified from Bergman H, 2008

  3. (JAGS 2008; 56: 2171-9) BasalIMPAIRED 3 months BasalIMPAIRED 6 months BasalIMPAIRED 12 months Basal IMPAIRED 1 month

  4. DURING THE LAST TWO DECADES WE HAVE BUILT STRONG EVIDENCE

  5. Frailty Tool

  6. Examples North Staffs Lanarkshire Fife Tayside Bournemoth- N Staffs / Lanarkshire hybrid

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