We can describe what frailty looks like and what it is made of in quite clear technical terms.   However, for older people living with frailty the concept of frailty goes well beyond their physical health and has important connections with, amongst others, their psychological well-being, their social relationships and the physical environment around them.

The accumulation of physical health deficits is accepted as an important aspect of frailty, frailty is also recognised as a multi-dimensional condition and has been described in its wider sense as a ‘collection of modifiable health and social needs’. Integrated models of frailty extend beyond the physiological and physical determinants of frailty and a multidimensional model of frailty can help us to understand what the condition means to ‘real people in real life’

The frailty fulcrum is  a multi-dimensional model designed to help us think about frailty in this wider holistic way and to understand what it means for the quality of life of people living with the condition.

The Comprehensive Geriatric Assessment (CGA) which is considered to be the gold standard approach to assessing and managing older people with frailty also uses a multi-dimensional model as its basis.


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Find out more about CGA

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