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Clinical Frailty Scale Cheat Sheet by

Clinical Frailty Scale
assessment     scale     healthcare     clinical     frailty


Scoring frailty in people with dementia
The degree of frailty corres­ponds to the degree of dementia.

Mild Dementia - Common symptoms include forgetting the details of a recent event, though still rememb­ering the event itself, repeating the same questi­on/­story and social withdr­awal.

In moderate dementia - recent memory is very impaired, even though they seemingly can remember their past life events well.
They can do personal care with prompting.

In severe dementia they cannot do personal care without help.
1. Canadian Study on Health & Aging, Revised 2008.
2. K. Rockwood et al. A global clinical measure of fitness and
frailty in elderly people. CMAJ 2005;1­73:­489­-495.
© 2007-2009. Version 1.2. All rights reserved. Geriatric Medicine Research, Dalhousie Univer­sity, Halifax, Canada.
Permission granted to copy for research and educat­ional purposes only.

Clinical Frailty Scale

1 Very Fit – People who are robust, active, energetic and motivated. These people commonly exercise regularly. They are among the fittest for their age.
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.
3 Managing Well – People whose medical problems are well contro­lled, but are not regularly active beyond routine walking.
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.
5 Mildly Frail – These people often have more evident slowing, and need help in high order IADLs(­fin­ances, transp­ort­ation, heavy housework, medica­tions). Typically, mild frailty progre­ssively impairs shopping and walking outside alone, meal prepar­ation
and housework.
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.
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).
8 Very Severely Frail – Completely dependent, approa­ching the end of life. Typically, they could not recover even from a minor illness.
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.

Clinical Frality Scale

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