How should we talk about ‘frailty’?

Scene from a care home

In health care, the word ‘frailty’ carries a lot of baggage. In its most positive sense, it is a phrase used by older people’s specialists to describe a particular state of health, usually characterised by multiple or complex physical and mental health and social needs.

This can then be a gateway to proactive care and support joined-up around the individual.

At the less positive end, it is a shorthand for older people in later old age, with multiple long-term conditions that are almost too difficult to manage. In this case the so-called ‘frail elderly’ may be recognised for having high needs but thought of as almost beyond help and given little support.

It is well known that older people do not identify with the word ‘frailty’. This was a strong finding from research we carried out in 2013.

However, we wanted to understand in more detail how older people felt about being referred to as “frail” and whether or not this could impact on their engagement with services. Continue reading “How should we talk about ‘frailty’?”

Dignity standards still lacking in hospitals

A new report out this week shows that older patients face a “widespread and systematic” pattern of inadequate care in hospitals.

The report from the Centre for Analysis of Social Exclusion at the LSE, shows one million older people in later life are affected by poor or inconsistent standards of dignity and 1 in 3 people who needed help with eating in hospitals were not consistently receiving it.

The research has broken down data in the Adult Inpatient Survey for 2012 to provide this fresh, detailed picture of older people’s experiences during hospital stays. The report has developed a new approach to analysing the results, one that looks at the relative risks of receiving poor care as well as the overall numbers of people affected. And the results are deeply concerning. Continue reading “Dignity standards still lacking in hospitals”