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“Electronically signed”
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Creative Commons License created August 13th 2021 by Dr. John Robertson, licensed under a GPL.
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INCLUSION CRITERIA
  • Resides in Fraser Health region
  • 65 years or older (or younger on a case-by-case basis)
  • Family physician/Nurse Practitioner is in agreement with the referral to the clinic
  • Health needs are complicated and require a comprehensive interdisciplinary geriatric assessment
EXCLUSION CRITERIA
  • Requires competency assessment for medico-legal purposes
  • Clients with primary psychiatric illness
  • Known to be actively suicidal
  • Residential care facility referrals - case by case basis
  • Palliative clients
Dalhousie University: https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html
  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, eg seasonally.
  3. Managing Well - People who's 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. Often a 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 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 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 - This category applies to people with a life expectancy < 6 months, who are not otherwise evidently frail.
Scoring frailty in people with dementia
The degree of frailty corresponds to the degree of dementia. Common symptoms in mild dementia include forgetting the details of recent events, 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.
Clinic Location Address Phone Fax
Abbotsford32900 Marshall Road,Abbotsford BC V2S 0C2604-851-4775604-851-4774
Chillliwack45600 Menholm Rd,Chilliwack BC V2P 2P7604-701-3625604-701-3649
Delta5800 Mountain View Blvd, Delta, BC V4K 3V9604-946-1121 Ext: 783062604-952-7362
Mission7298 Hurd St, Mission, BC V2V 3H5604-814-5170604-814-5518
New Westminster230A-230 Ross Drive, NewWest, BC V3L 0B2604-528-5030 Press 1 604-528-5030
Surrey9750 140th St , Surrey, BC V3T 0G9604-582-4582604-582-4591
White Rock15521 Russell Ave,White Rock, BC V4B 2R4604-535-4577604-535-4587