Dr. Maggie Keeble shares 10 top tips for providing personalized and holistic care to those living with frailty at the end of their lives. EndOfLifeCare HolisticCare FrailtyTips
Those living with moderate frailty at particular risk can be identified using additional measures, such as extreme old age ,Additional warning signs include persistent and recurrent infections, episodes of delirium, weight loss of greater than 10% in 6 months, exacerbation of falling, and escalating patient, family, or service provider distress.A significant number of people living with frailty have acute or chronic cognitive impairment due to delirium or dementia.
‘I have an Advance Statement not because I have a chronic illness—I have an Advance Statement because I have a family.’It’s never too soon to think about it and discuss it—it’s going to happen to all of us, not just our patients.The most common symptom experienced by people dying with cancer is pain, followed by breathlessness, nausea, and vomiting. The symptoms experienced by people dying with frailty may be less dramatic, but can be equally distressing.
Predictive tools for death perform poorly in patients with frailty, who may experience acute deteriorations, but also recovery and restabilisation Useful markers can aid the identification of people with frailty approaching the end of life, including:number of emergency hospital admissions in those aged >85 years
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