- @Sparklystar55 intuitively yes. But there's no evidence for 'CGA' in younger ages - because it's not been tested (?). But not paeds...
- I love this #frailty scale for emergency care workers https://twitter.com/secamb_tom/status/798900286488068101 …
- @Sparklystar55 what about frail <65yrs? In our MAU, we go by greatest needs. I regularly see >90 year olds!
- @Sparklystar55 but totally accept w/force challenges and sometimes the frail <65yrs are seen by AIM as simply too many >65yrs
- @Sparklystar55 we benefit (& learn!) massively from having our DME colleagues in MAU! And the pts see rt person, first time! @jmbennison2
- @Sparklystar55 depends on setting? most care homes/MOE wards not suitable for frail 55y/o but many would gain from specialist frailty input
- @Sparklystar55 @Trisha_the_doc as time goes on I increasingly see the "young frail" and the "old frail" as very different populations.
- @Sparklystar55 Definitely the frail, any age.
- @jmair01 @Sparklystar55 Thinking of my disabled brother with Duchenne & my Granny aged 98 with dementia, their needs were very different.
- @jmwoods87 think that's true. Visit any neurology/brain injury ward and you see frailty for sure!
- @jmwoods87 @Sparklystar55 Same problem for us in OA Psych. We do take younger patients w dementia but often so out of place.
- @jmwoods87 @Sparklystar55 Doesn't make sense to have an arbitrary cut-off point. Tend to see whether our service can best meet need, but <
- @Sparklystar55 @jmair01 "Your gran is like a beautiful paper boat. If weather stays fine, she'll keep going for ages. But a wee storm &..."
- @Trisha_the_doc @jmair01 think the simpler the analogy the better the point made...
- @Sparklystar55 @Trisha_the_doc I think we geriatricians should see all >75-80 yrs frail or not
- @w3myrem @Sparklystar55 Also the intervention of Comprehensive Geriatric Assessment makes no significant diff to outcomes in that group.
- How many families are just bobbing along until the wind blows...... https://twitter.com/Trisha_the_doc/status/798982976780386304 …
- @FionaPaterson6 @Sparklystar55 definitely - this needs cooperation from different services and maybe a willingness to bend the 'rules'?
- @Trisha_the_doc @Sparklystar55 @jmair01 we see young frail people in need in #hospitalathome but are OK to say no when diff specialty better
- @rowan_wallace @Trisha_the_doc @Sparklystar55 I think one of the problems is that "young frail" don't have better specialty.
- I don't think age should come into it at all. @Sparklystar55
- @MicMac650 @Sparklystar55 certainly plenty of evidence that dialysis pts are frail at much younger ages
- @w3myrem @Sparklystar55 @Trisha_the_doc I agree. Many >80 year olds do well with us AIM consultants. Better CGA directed at frail. Also <65!
- @w3myrem @Trisha_the_doc @Sparklystar55 depends why they came in though? Robust 80y/o with MI should see a cardiologist?
- @Sparklystar55 @jmwoods87 @w3myrem @Trisha_the_doc @LabinjohC @EilidhPinkChic Yep, they should. Survival data backs that up
Frailty
On 16/11/16 I posed this question: Q. #frailty In it's purest form w/force issues aside. Should geriatricians see all ages? Or frail >75yrs as well as all non frail >90yrs?
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