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Here is a clean, printable, one‑page frailty cheat sheet — formatted for clarity, minimal ink use, and quick clinical reference.
No fluff, no excess text — just the essentials you’d want on a ward round or exam desk.
🧪 FRAILTY — CLINICAL CHEAT SHEET
1. Definition
Frailty = reduced physiological reserve + increased vulnerability to stressors.
Predicts falls, hospitalisation, disability, mortality.
2. Fried Frailty Phenotype (FFP)
Frailty = ≥3 of 5; Pre‑frailty = 1–2
- Slow gait speed — <0.8 m/s over 4–5 m
- Weak grip strength — low for sex/BMI
- Unintentional weight loss — ≥4.5 kg or ≥5%/yr
- Exhaustion — low energy, CES‑D fatigue items
- Low physical activity — reduced daily movement
3. Frailty Index (FI) — Deficit Accumulation
FI = number of deficits ÷ total possible deficits (30–70 items)
Common deficits:
- Cognitive impairment
- Balance/mobility problems
- Polypharmacy
- Comorbidities
- Functional dependence
- Mood, continence, nutrition, sensory deficits
FI interpretation:
- <0.25 = Mild
- 0.25–0.40 = Moderate
- >0.40 = Severe
4. Rapid Screening Tools
- Clinical Frailty Scale (CFS) — 1–9 functional scale
- PRISMA‑7 — 7‑item questionnaire
- Gait speed test
- Grip strength test
5. Red Flags Suggesting Frailty
- Recurrent falls
- Slow recovery from illness
- New functional decline
- Weight loss
- Increasing medication burden
- Reduced mobility or social withdrawal
6. Management Principles
- Resistance & strength training
- Protein‑rich diet; consider vitamin D
- Medication review (deprescribing)
- Falls prevention (OT/PT, home safety)
- Treat reversible contributors (anaemia, depression, pain)
- Optimise vision/hearing
7. When to Use Which Tool
| Tool | Best Use | Notes |
|---|---|---|
| Fried Phenotype | Physical frailty | 5 physical criteria |
| Frailty Index | Comprehensive assessment | Most granular |
| CFS | Acute care, triage | Fast, functional |
| PRISMA‑7 | Primary care screening | High sensitivity |
Key Takeaway
Frailty is measurable, predictive, and modifiable — early detection changes outcomes.
If you want, I can turn this into a true A4‑formatted PDF‑style layout or a laminated‑card style version.
Choose one: A4 layout or laminated pocket card.
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