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Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty

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Published on: July 24, 2013

Enhancing ward rounds for older patients with frailty: a modified Delphi process.

Lene Holst Andersen^1,2, Bo Løfgren^3,4, Mads Skipper⁵

¹Department of Medicine, Randers Regional Hospital, Skovlyvej 15, Randers, NE, DK-8930, Denmark. lehane@rm.dk.

BMC Medical Education

|March 28, 2025

Summary

This study established 108 consensus-based content items for effective ward rounds with frail older patients. These guidelines enhance medical professional proficiency in geriatric care and patient communication.

Keywords:

Continuous professional development Curriculum development Delphi methodology Frailty Geriatric medicine Ward rounds

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Area of Science:

Geriatric Medicine
Medical Communication
Healthcare Quality Improvement

Background:

Ward round practices lack detailed descriptions, hindering proficiency.
Older patients with frailty present unique challenges in clinical settings.
Standardized guidelines are needed to improve care for this demographic.

Purpose of the Study:

To identify consensus-based content items for conducting ward rounds with older patients experiencing frailty.
To provide clearer guidelines and enhance understanding of best practices for medical professionals.
To improve the quality of care during hospital stays for frail elderly individuals.

Main Methods:

A five-round Delphi study involving 30 geriatric medicine and 5 medical communication experts.
Iterative thematic analysis of expert comments to refine content items.
Consensus defined as 75% of participants rating items 7-9 on a 1-9 Likert scale.

Main Results:

Consensus was reached on 108 content items for ward rounds with frail older patients.
Items were categorized into four themes: preparation, conduction, competencies, and patient circumstances.
Key areas include holistic review, environmental improvements, communication skills, and cognitive impairment considerations.

Conclusions:

A comprehensive set of 108 consensus items for geriatric ward rounds was developed.
The findings provide a valuable resource for medical training and future research in geriatric care.
Improved ward round practices can enhance patient outcomes for older adults with frailty.