Nursing Diagnosis – Code 00257 Frail elderly syndrome (2013; LOE 2.1)

Domain 1. Health Promotion Class 2. Health Management

Frail elderly syndrome

Definition Dynamic state of unstable equilibrium that affects the older individual experiencing deterioration in one or more domain of health (physical, functional, psychological, or social) and leads to increased susceptibility to adverse health effects, in particular disability.

Defining Characteristics

■ Activity intolerance (00092) ■ Bathing self-care deficit (00108) ■ Decreased cardiac output (00029) ■ Dressing self-care deficit (00109) ■ Fatigue (00093) ■ Feeding self-care deficit (00102)
■ Hopelessness (00124) ■ Imbalanced nutrition: less than body requirements (00002) ■ Impaired memory (00131) ■ Impaired physical mobility (00085) ■ Impaired walking (00088) ■ Social isolation (00053) ■ Toileting self-care deficit (00110)

Related Factors

■ Alteration in cognitive functioning ■ Chronic illness ■ History of falls ■ Living alone ■ Malnutrition
■ Prolonged hospitalization ■ Psychiatric disorder ■ Sarcopenia ■ Sarcopenic obesity ■ Sedentary lifestyle