Nursing Diagnosis – Code 00231 Risk for frail elderly syndrome (2013; LOE 2.1)

Domain 1. Health Promotion Class 2. Health Management

Risk for frail elderly syndrome

Definition Vulnerable to a 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

Risk Factors

■ Activity intolerance ■ Age > 70 years ■ Alteration in cognitive functioning ■ Altered clotting process (e.g., Factor VII, D-dimers) ■ Anorexia ■ Anxiety ■ Average daily physical activity is less than recommended for gender and age ■ Chronic illness ■ Constricted life space ■ Decrease in energy ■ Decrease in muscle strength ■ Decrease in serum 25-hydroxyvitamin D concentration ■ Depression ■ Economically disadvantaged ■ Endocrine regulatory dysfunction (e.g., glucose intolerance, increase in IGF-1, androgen, DHEA, and cortisol)
■ Ethnicity other than Caucasian ■ Exhaustion ■ Fear of falling ■ Female gender ■ History of falls ■ Immobility ■ Impaired balance ■ Impaired mobility ■ Insufficient social support ■ Living alone ■ Low educational level ■ Malnutrition ■ Muscle weakness ■ Obesity ■ Prolonged hospitalization ■ Sadness ■ Sarcopenia ■ Sarcopenic obesity ■ Sedentary lifestyle ■ Sensory deficit (e.g., visual, hearing) ■ Social isolation ■ Social vulnerability (e.g., disempowerment, decreased life control)■ Suppressed inflammatory response (e.g., IL-6, CRP) ■ Unintentional loss of 25% of body weight over one year
■ Unintentional weight loss >10 pounds (>4.5 kg) in one year ■ Walking 15 feet requires >6 seconds (4 meter >5 seconds)