CSHA( Canadian Study of Health and Aging) Clinical Frailty Score

[Docb]

Just looking at the test results page on Patient Access and found that I have been given a CHSA score of 4. Bit of a surprise. Nobody warned me about it, asked me if I wanted one or anything. No matter, just looked it up and found that the scores range from 1 to 9, one being sound in wind and limb, nine being terminally ill. 4 is vulnerable - just a bit decrepit, might need a bit of help.

A couple of things occur to me.

First off is what a good idea. I was wondering how GPs were going to assess their patients against the various criteria that are being banded about at the moment and at least our surgery can presumably press a button and get a list of all those who are vulnerable and so should be very alert and those with bigger frailty numbers who should be shielded without having to trawl through their memories and patient lists.

Second thought was that they must have somebody in the practice with the time to do the exercise, presumably because the patient load has dwindled to next to nothing.

Anybody else got their score.... or maybe would rather not know what your GP thinks your chances are.

 

[grovesy]

My surgery does not let us have access to results online.

 

[Eddy Edson]

This is the scale: https://www.dal.ca/sites/gmr/our-tools/clinical-frailty-scale.html

I noticed it was being used as part of COVID-19 risk assessment in some places.

 

[Robin]

I don’t have anything on my notes. I wonder how they’d assess me. The 'medical problem well controlled', which I would say mine is, seems to be lumped in with 'but are not regularly active' which doesn’t apply to me.

 

[Eddy Edson]

Here's NICE guidance on using as part of deciding whether critical care appropriate for COVID-19 patients.

https://www.nice.org.uk/guidance/ng159/resources/critical-care-admission-algorithm-pdf-8708948893

Should note that CFS is not clinically validated for people with stable conditions or people under 65, so not used as part of the assessment in those cases. I guess if you're under 65 you won't have a CFS score on yr records.

Clinical Frailty Scale — Specialised Clinical Frailty Network

Clinical Frailty Scale

www.scfn.org.uk

 

[Docb]

Not found that one Eddy, nice to know there is some logic behind something.

 

[mikeyB]

Interesting. I''m somewhere between 5 and 6 on CFS. I don't feel frail, though. I would need more help if I hadn't adapted my living environment. I don't need help bathing because I Don't have a bath. I can sit down to clean my teeth, shave, have a shower and cook meals. I'm fully adapted.

But I don't feel any different from when I was living on The Isle of Mull. "Frailty" is a fit person's construct.

 

[trophywench]

No idea where I am either in my own cognisance (between 2 and 4, but not 3 really cos the exercise is normally 'seasonal' !) or my GP surgery's assessment. However it became evident what they think approx. 10 days ago when I received a phonecall from the Gov scheme that the clinically vulnerable receiving the original Gov letters were asked to register on wanting to know why I hadn't registered on it since my surgery reckoned I was on the list. If I didn't think I should be, I should ring my GP and query it.

Well I'm doubtful whether I should be - probably not IMHO but there again I'm not medically qualified or in a position to therefore judge that anyway! FWIW it was easier to just register and confirm I didn't need any outside help either anyway at the moment, so that's what I did.

I know Pete absolutely needs to be on there and it doesn't prevent me doing anything either, I wouldn't be less bloody bored if I didn't, would I?