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Attitudes towards frailty assessment in clinical practice among psychiatrists in the UK

Attitudes towards frailty assessment in clinical practice among psychiatrists in the UK Although there is substantial evidence about the association between frailty and mental illnesses in older people, there is currently little evidence about how this is integrated into psychiatric clinical practice. The purpose of this paper is to explore the attitudes of a sample of psychiatrists in the UK about the concept and assessment of frailty in their clinical practice.Design/methodology/approachThis research used a qualitative approach with semi-structured interviews. Interview schedules and transcripts were analysed using thematic analysis. NVivo software and an audit trail were used for the data analysis.FindingsThere were ten respondents (all psychiatrists) in this study. From the interviews, it appeared that some respondents were not be fully familiar with existing concepts of frailty. However, from their perspectives, frailty appeared to be multidimensional, reversible and for some could be enhanced by older people’s ability. Negative stereotypes of being frail could undermine the accessibility to appropriate assessment and care. Existing multidisciplinary assessments, with some adjustments to the particular needs of psychiatric patients, can be used to establish a frailty index.Originality/valueThe concept of frailty, especially those concerning its multidimensional and homeostatic nature, should be further examined to make it more applicable to psychiatric practice. Without much more effort, frailty could be assessed within current psychiatric practices. This could constitute a care plan tailored for frail people with a psychiatric illness, so as to improve the outcomes of their treatment and quality of life. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Working with Older People Emerald Publishing

Attitudes towards frailty assessment in clinical practice among psychiatrists in the UK

Anantapong, Kanthee; Tinker, Anthea
Working with Older People , Volume 23 (4): 10 – Oct 22, 2019
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References (40)

Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
1366-3666
DOI
10.1108/wwop-09-2019-0023
Publisher site
See Article on Publisher Site

Abstract

Although there is substantial evidence about the association between frailty and mental illnesses in older people, there is currently little evidence about how this is integrated into psychiatric clinical practice. The purpose of this paper is to explore the attitudes of a sample of psychiatrists in the UK about the concept and assessment of frailty in their clinical practice.Design/methodology/approachThis research used a qualitative approach with semi-structured interviews. Interview schedules and transcripts were analysed using thematic analysis. NVivo software and an audit trail were used for the data analysis.FindingsThere were ten respondents (all psychiatrists) in this study. From the interviews, it appeared that some respondents were not be fully familiar with existing concepts of frailty. However, from their perspectives, frailty appeared to be multidimensional, reversible and for some could be enhanced by older people’s ability. Negative stereotypes of being frail could undermine the accessibility to appropriate assessment and care. Existing multidisciplinary assessments, with some adjustments to the particular needs of psychiatric patients, can be used to establish a frailty index.Originality/valueThe concept of frailty, especially those concerning its multidimensional and homeostatic nature, should be further examined to make it more applicable to psychiatric practice. Without much more effort, frailty could be assessed within current psychiatric practices. This could constitute a care plan tailored for frail people with a psychiatric illness, so as to improve the outcomes of their treatment and quality of life.

Journal

Working with Older People – Emerald Publishing

Published: Oct 22, 2019

Keywords: Ageing well; Older people; Frailty; Mental health; Resilience

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