As the aged population of New Zealand increases, the recognition and treatment of frailty has become crucial to all health care environments. Frailty is a recognised clinical syndrome that requires specialised assessment and interventions.
Below you can view the 2023 edition of Frailty care guides | Ngā aratohu maimoa hauwarea. This evidence update was led by Julie Daltrey and Patumahoe Leaf-Wright on behalf of Health Quality & Safety Commission Te Tāhū Hauora.
The 2023 edition includes mātauranga Māori (Māori knowledge) and cultural concepts relevant to caring for kaumātua (Māori elders) along with audio links for correct pronunciation of key te reo Māori kupu (words).
The guides are focused on the aged residential care environment; however, they may be helpful in other health care settings serving older people living with frailty. They are designed for use by health care professionals, and they support and do not replace clinical judgement.
They can be used to support communication and care planning with the older person and their whānau/family and health care team.
You can download a full set of the guides, or individual guides by topic, below.
Hard copies are available for purchasing from Wakefield Print; an online order form is available here.
Complete guide
Download the complete set of Frailty care guides | Ngā aratohu maimoa hauwarea (PDF 6.8MB)
Accessibility note: This PDF version is not fully accessible to screen reader users or those with low vision because it contains complex diagrams without text description, unstructured tables and low colour contrast. Fully accessible compliant versions of this content are available in the web versions of the guides below
Individual guides
- Foreword | Kupu whakataki (PDF | Web version)
Key concepts | Ariā matua
- Communicating effectively with older people and their whānau/family | Kia kōrerorero pai ki ngā kaumātua me ō rātou whānau (PDF | Web version)
- Frailty | Te wairuhi (PDF | Web version)
- Guide for health professionals caring for kaumātua | Kupu arataki mō te manaaki kaumātu (PDF | Web version)
Legal and ethical | Ture me te matatika
- Assisted dying | Tauwhiro mate (PDF | Web version)
- Advance care planning | Te whakamahere tauwhiro whakamau (PDF | Web version)
- Enduring power of attorney (EPoA) | Mana mauroa ā-rōia (PDF | Web version)
Acute care | Tauwhiro tārūrū
- Acute deterioration | Te tipuheke tārū (PDF | Web version)
- Approach to breathlessness (dyspnoea) | Tūngāngā (PDF | Web version)
- Delirium | Mate kuawa (PDF | Web version)
- Syncope and collapse | Tīrehe (PDF | Web version)
- Falls | Ngā hinga (PDF | Web version)
- Fractures | Ngā whatinga kōiwi (PDF | Web version)
Clinical care, conditions and management | Ratonga tauwhiro, ngā āhuatanga me te taha whakahaere
- Care during the last days of life | Pairuri (palliative care) (PDF | Web version)
- Chronic obstructive pulmonary disease (COPD) | He mate puru ia auraki (PDF | Web version)
- Constipation | Kōroke (PDF | Web version)
- Dementia overview | Tirohanga whānui o te mate wareware (PDF | Web version)
- Depression | Mate pāpōuri (PDF | Web version)
- Diabetes | Mate huka (PDF | Web version)
- Heart failure | Manawa-hē (PDF | Web version)
- Leg ulcer care | Te maimoatanga o te kōmaoa o te waewae (PDF | Web version)
- Nutrition and hydration | Te taiora me te mitiwa (PDF | Web version)
- Scabies | Mate māngeongeo riha (PDF | Web version)
- Sexuality and intimacy | Taeratanga me te pā taupiri (PDF | Web version)
- Skin tears | Tīhore o te kiri (PDF | Web version)
- Pain | Mamae (PDF | Web version)
- Polypharmacy and deprescribing | Ngā rongoā maha me te whakakore tūtohu (PDF | Web version)
- Pressure injury | Whara pēhanga (PDF | Web version)
- Responsive and reactive behaviour | Ngā momo whanonga kātoitoi, tauhohe hoki (PDF) | Web version)
- Urinary incontinence | Te turuturu o te mimi (PDF | Web version)
- Urinary tract infections | Te pokenga pūaha mimi (PDF | Web version)
- Wound assessment | Te aromatawai taotū (PDF | Web version)
- Wound care | Te maimoatanga ō ngā taotū (PDF | Web version)
Relevant pages
