People in care homes are the most likely group of people in society to experience Frailty. However the Registered Nurses working in care homes are the least likely to receive any education or training specifically targeting frailty issues. They are though, a crucial component of care delivery to frail older people and are in an excellent position to support frail people who have complex care needs and comorbidities and are at risk of unplanned admissions to secondary care (because that is what they are doing every day).
Identification of frailty is important because aspects of the factors contributing to it may be reversible.
In July an article by Lynn Craig, a Senior Lecturer, Northumbria University and Clinical Development Managerwith North Tyneside Clinical Commissioning Group, published an article
Craig, L., 2019. The role of the registered nurse in supporting frailty in care homes. British Journal of Nursing, 28(13), pp.833-837.
In the article she explores frailty and the role of the nurse in assessing for frailty particularly in relation to 4 aspects, nutrition status, polypharmacy, exercise and cognitive function; areas which she suggests nurses could target in order to better support reducing the negative health outcomes of frailty.
Usually I’d provide a link to let you see the article for yourself but this time you will need to look for it and download it yourself.
If this has sparked an interest in frailty you should probably look at
Janet’s story: Frailty. which is an NHS RightCare resource that compares a suboptimal care pathway with an ideal pathway. which you will find at https://www.england.nhs.uk/rightcare/products/ltc/