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The Journals of Gerontology Series A Biological Sciences and Medical Sciences. Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in older people, The Lancet. The questions I felt that everything I did was an effort in the past week and I could not get going in the past week from the Center for Epidemiological Studies Depression Scale are used to measure endurance.41, A modified version of the Minnesota Leisure Time Physical Activity Questionnaire is used to determine physical activity by calculating kilocalorie expenditure per week based on a patient's sex. It can be used as an opportunity to lay out values, beliefs and preferences relating to daily life (such as the immediate environment, or how the person wishes to be dressed or addressed), right through to anticipated situations in which a person may wish to specify very explicitly the limits of treatments intended to sustain life. Good care planning needs several conversations and regular review. Lifespan Ask how their health problems are affecting them and what they want to achieve. Company number 6825798. Patients are evaluated for unintentional weight loss, weakness, slowness, poor endurance, and low physical activity.1 Table 1 includes the minimum values and further definitions and resources needed to score each variable.1. Clinical Frailty Scale. This loss of reserve means that the individual living with frailty is in a state of increased vulnerability to stressors meaning they are more likely to suffer adverse effects from treatments, diseases or infections. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Catalysts may be sudden events such as a fracture, or a step change, such as from a fall that leads to fear of falling and loss of independence. The aim of this guidance series is to support clinicians and others to consider the needs of frail older people as they move towards the end of their lives and help them to provide high quality care. The prevalence of frailty across the world in older adults is increasing dramatically and having frailty places a person at increased risk for many adverse health