ARCHETYPE Clinical Frailty Scale (openEHR-EHR-OBSERVATION.clinical_frailty_scale_deperecated.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.clinical_frailty_scale_deperecated.v0
ConceptClinical Frailty Scale
DescriptionClinical Frailty Scale (CFS) developed by the Geriatric Medicine Research Dept, Dalhousie University, Halifax, Canada. Sometimes referred to as the Rockwood Scale.
UseUse to record a measure of clinical frailty based on Clinical Frailty Scale, following the recommendations in the original paper and current website referenced below.
PurposeTo record a measure of clinical frailty based on Clinical Frailty Scale developed by the Geriatric Medicine Research Dept, Dalhousie University, Halifax, Canada.
ReferencesRockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A. A global clinical measure of fitness and frailty in elderly people. Canadian Medical Association Journal [Internet]. 2005 Aug 30 [cited 2019 Mar 29];173(5):489–95. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1188185/

Clinical Frailty Scale [Internet]. Dalhousie University. Dalhousie University; 2019 [cited 2020 Apr 21]. Available from: https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html
CopyrightopenEHR Foundation
AuthorsAuthor name: Dr Paul Miller
Organisation: NES Digital Service, NHS Scotland
Email: paul.miller@nes.scot.nhs.uk
Date originally authored: 2019-06-24
Other Details LanguageAuthor name: Dr Paul Miller
Organisation: NES Digital Service, NHS Scotland
Email: paul.miller@nes.scot.nhs.uk
Date originally authored: 2019-06-24
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A. A global clinical measure of fitness and frailty in elderly people. Canadian Medical Association Journal [Internet]. 2005 Aug 30 [cited 2019 Mar 29];173(5):489–95. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1188185/ Clinical Frailty Scale [Internet]. Dalhousie University. Dalhousie University; 2019 [cited 2020 Apr 21]. Available from: https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html, current_contact=Dr Paul Miller, NDS, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=B5235F9AE519AA9EC9B02DA7DA01DB89, build_uid=1b66698c-45e9-4401-9815-00ff8ca1e1e6, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org., revision=0.0.1}
Keywordsfrailty, geriatric, old age, activity, end of life
Lifecyclerejected
UID374c3312-f4ea-467e-85cd-17403d4516d2
Language useden
Citeable Identifier1051.32.841
Revision Number0.0.1
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They are among the fittest for their age.]

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2: Well [People who have no active disease symptoms but are less fit than category 1.
Often, they exercise or are very active occasionally, e.g. seasonally.]

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3: Managing Well [People whose medical problems are well controlled, but are not regularly active beyond routine walking.]
[SNOMED-CT::1129351000000108]

4: Vulnerable [While not dependent on others for daily help, often symptoms limit activities.
A common complaint is being "slowed up", and/or being tired during the day.]

[SNOMED-CT::1129361000000106]

5: Mildly Frail [These people often have more evident slowing, and need help in high order IADLs (finances, transportation, heavy housework, medications).
Typically, mildly frailty progressively impairs shopping and walking outside alone, meal preparation and housework. A common complaint is being "slowed up", and/or being tired during the day.]

[SNOMED-CT::1129371000000104]

6: Moderately Frail [People need help with all outside activities and with keeping house.
Inside they often have problems with stairs and need help with bathing and might need minimal assistance (cuing, standby) with dressing.]

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7: Severely Frail [Completely dependent for personal care, from whatever cause (physical or cognitive).
Even so, they seem stable and not at high risk of dying (within ~ 6 months).]

[SNOMED-CT::1129391000000100]

8: Very Severely Frail [Completely dependent, approaching the end of life.
Typically, they could not recover even from a minor illness.]

[SNOMED-CT::1129401000000102]

9: Terminally Ill [Approaching the end of life.
This category applies to people with a life expectancy <6 months, who are not otherwise evidently frail.]

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