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Related Experiment Video

Updated: Sep 12, 2025

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
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Developing a Frailty Care Pathway for Older Adults in Long-Term Care: A Modified Delphi Process.

Pauline Wu1, Jayna Holroyd-Leduc1,2,3, Sharon Kaasalainen4

  • 1Department of Medicine, University of Calgary, Calgary, AB, Canada.

Canadian Journal on Aging = La Revue Canadienne Du Vieillissement
|August 8, 2025
PubMed
Summary

A new clinical care pathway was developed for detecting and managing frailty in long-term care (LTC) residents. This resident-centered approach emphasizes caregiver involvement and early palliative care initiation for improved outcomes.

Keywords:
care pathwaydetectiondétectionfragilitéfrailtylong-term careolder adultsparcours de soinspersonnes âgéessoins de longue durée

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Area of Science:

  • Gerontology
  • Clinical Care Pathways
  • Healthcare Management

Background:

  • Frailty is a significant health concern for older adults in long-term care (LTC).
  • Effective detection and management strategies are crucial for improving resident well-being.
  • Existing care models may not adequately address the complexities of frailty in LTC settings.

Purpose of the Study:

  • To develop a comprehensive clinical care pathway for the detection and management of frailty.
  • To create a resident-centered approach tailored for older adults in LTC homes.
  • To enhance early identification and intervention for frailty.

Main Methods:

  • A modified Delphi methodology was employed, involving residents experiencing frailty, their caregivers, and care providers.
  • The pathway was informed by a thorough review of existing literature and expert input from LTC professionals.
  • Iterative feedback and consensus-building were central to the Delphi process.

Main Results:

  • The final pathway comprises 28 statements, reflecting a consensus among 52 panelists.
  • The pathway promotes a resident-centered approach, emphasizing caregiver collaboration and inter-professional teamwork.
  • Key updates included adding six new statements and modifying 15 existing ones based on panelist feedback, focusing on frailty management and early palliative care.

Conclusions:

  • Implementation of this pathway will enable healthcare providers to systematically screen for frailty.
  • The pathway facilitates tailored care adaptation based on individual resident frailty severity.
  • This approach supports earlier initiation of palliative care, improving quality of life for LTC residents.