ACTIVE NEXUS CENTER SERVICES
Frailty Program
Comprehensive multidisciplinary management approach to address frailty with a goal to improve quality of life.
UNDERSTANDING FRAILTY
What Is Frailty?
Frailty is a clinical syndrome characterized by decreased physiological reserve and increased vulnerability to adverse outcomes following relatively minor stressors. It is distinct from normal aging and is both identifiable and treatable.
- Decreased Physiological Reserve
Frailty reflects a reduction in the body’s capacity to withstand stressors, such as illness, surgery, falls, or hospitalization. Frailty can happen to anyone.
- A Recognized Clinical Syndrome
Frailty is defined by validated clinical criteria including unintentional weight loss, exhaustion, low physical activity, slow gait speed, and weakness. A frailty assessment can determine your level.
- Modifiable and Treatable
Critically, frailty is not an inevitable consequence of aging. With appropriate intervention-particularly targeted exercise, nutritional optimization, and multidisciplinary support frailty can be reversed or its progression significanty slowed.
Comprehensive Assessment — For Referring Physicians
Evidence-Based Frailty Assessment
Accurate identification of frailty status is the essential first step. Our assessment uses validated clinical tools to quantify frailty severity, identify modifiable contributors, and establish a baseline from which to measure progress.
The frailty assessment is conducted by our geriatrician in collaboration with physiotherapy and dietitian assessment providing a comprehensive picture of functional, nutritional, and medical status.
- Sensory and proprioceptive assessments
- Strength measurement instead of "grip strength"
- Gait speed and Timed Up and Go (TUG) testing
- Functional independence assessment
- Nutritional status and body composition review
- Medication review and polypharmacy assessment
- Cognitive and mood screening
INTERVENTION PROGRAMS
Targeted Frailty Interventions
Each program component addresses a specific contributor to frailty and is coordinated across the multidisciplinary team to create a unified, coherent plan.
BONE HEALTH
Structured, evidence-based intervention programs focused on improving bone density, strength, and skeletal integrity. These interventions target osteoporosis prevention and management through exercise, nutrition, and lifestyle modifications to reduce fracture risk and support long-term mobility and independence.
Strength Restoration
Supervised strength and conditioning tailored to the patient a current capacity, with systematic progression to rebuild functional reserve above the threshold for independence.
Nutritional Optimization
Dietitian-led assessment and intervention targeting protein intake adequacy, calorie sufficiency, micronutrient deficiencies, and eating patterns that contribute to muscle loss and weight decline.
Fall Prevention
Multifactorial fall risk assessment and targeted intervention including balance training, medication review, environmental modification advice, and home safety recommendations.
Mobility Enhancement
Physiotherapy-led programs to improve gait quality, walking endurance, postural control, and the confidence to remain physically active in the community.
WHO WE HELP
Is This Program Right for You?
The Frailty Program is designed for older adults and those experiencing functional decline whether the onset was gradual or triggered by a recent health event.
- Adults aged 65 and older experiencing declining strength or energy
- Those with recent unintentional weight loss
- Post-hospital patients experiencing functional decline
- Individuals managing multiple chronic conditions (multimorbidity)
- Those with falls or near-falls in the past 12 months
- Pre surgical patients seeking to optimize functional status (prehabilitation)
- Patients or families concerned about progressive frailty
Safe & Independent Living
Comprehensive home assessments
Aging in Place & Home Assessment
Comprehensive in-home evaluations to help older adults remain safe, independent, and comfortable in their own homes.
Home Safety Assessment
Environmental hazard identification and modification recommendations
Functional Capacity
ADL/IADL evaluation in the home environmentp
Fall Risk Mitigation
Targeted interventions to reduce fall hazards at home
Care Coordination
Integration with home health and community supports
Your Multidisciplinary Team
Geriatrician
- Leads comprehensive frailty assessment, medication review, and oversees the medical components of the care plan.
Physiotherapist
- Designs and supervises progressive exercise programs targeting strength, balance, mobility, and fall prevention.
Registered Dietitian
- Assesses nutritional status, identifies dietary gaps, and develops personalized nutrition plans to support muscle mass and energy.
Nursing
- Coordinates care across providers, monitors progress, provides patient education, and supports medication management
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