As Aotearoa’s aged population increases, the recognition and treatment of frailty has become crucial to all health care environments.
Our Frailty care guides | Ngā aratohu maimoa hauwarea offer practical advice on frailty for health care providers.
The guides comprise 26 practical tools covering the full spectrum of frailty, from deterioration and specific health concerns to communication and advance treatment planning. There is decision support for health care professionals to use in practice to reduce variation, provide consistency and empower nurses in caring for their frail patients.
The guides are intended to be used in any setting where people at risk of frailty receive care, including aged residential care (ARC), primary health care, community care, hospice and acute hospitals.
The guides do not replace sound clinical judgement or individualised resident goals of care. Rather, they promote early intervention and communication with the person’s health care team.
The Commission, along with the ARC programme clinical lead, will continue to develop these resources with the sector, and all feedback is welcome.
The Frailty care guides | Ngā aratohu maimoa hauwarea cover these key topic areas:
- Defining and recognising frailty | Te tautohu me te kite i te hauwarea
- Acute deterioration | Te tere tauheke haere
- Gradual deterioration | Te āta tauheke haere
- Last days of life – recognising dying | Ngā rangi whakamutunga o te oranga – te kite i te matenga
- Advance treatment planning | Te whakamahere ā-mua i te whakamaimoatanga
- Enduring power of attorney (EPOA) | Whai Whakamana ā-Ture Mauroa (EPOA)
- Capacity assessment | Te aromatawai āheinga
- Communication | Te whakawhitinga
- Deprescribing and polypharmacy | Te whakaiti whakahau rongoā me ngā rongoā takitini
- Congestive heart failure | Te mate manawa kikī
- Constipation and gastrointestinal | Te kōroke me te puku-kōpiro
- Delirium | Te mate kuawa
- Dementia | Te mate wareware
- Behaviours that challenge | Ngā whanonga uaua
- Diabetes | Te mate huka
- Falls prevention | Te ārai takanga
- Fractures and contractures | Ngā whati me ngā kukuti uaua
- Nutrition and hydration | Te taioranga me te miti wai
- Pain assessment and management | Te aromatawai me te whakahaere mamae
- Respiratory care guide | Te aratohu maimoa hā
- Skin wounds | Ngā taotū kiri
- Sexuality and intimacy | Te taeratanga me te kauawhiawhi
- Syncope and collapse | Te wheroku me te tanuku
- Urinary incontinence | Te mimi wewete
- Urinary tract infection | Te pokenga ara mīmimi
- Depression | Te pōuritanga