%0 Journal Article
%T Frailty Screening and Case-Finding for Complex Chronic Conditions in Older Adults in Primary Care
%A Andrew Costa
%A Heather Keller
%A James Milligan
%A Jason Locklin
%A John Pefanis
%A Joseph Lee
%A Karen Slonim
%A Linda Lee
%A Lora Giangregorio
%A Loretta M. Hillier
%A Susan Hunter
%A Tejal Patel
%A Veronique Boscart
%J -
%D 2018
%R https://doi.org/10.3390/geriatrics3030039
%X Abstract With the aging population, escalating demand for seniors¡¯ care and limited specialist resources, new care delivery models are needed to improve capacity for primary health care for older adults. This paper describes the ¡°C5-75¡± (Case-finding for Complex Chronic Conditions in Seniors 75+) program, an innovative care model aimed at identifying frailty and commonly associated geriatric conditions among older adults within a Canadian family practice setting and targeting interventions for identified conditions using a feasible, systematic, evidence-informed multi-disciplinary approach. We screen annually for frailty using gait speed and handgrip strength, screen for previously undiagnosed comorbid conditions, and offer frail older adults multi-faceted interventions that identify and address unrecognized medical and psychosocial needs. To date, we have assessed 965 older adults through this program; 14% were identified as frail based on gait speed alone, and 5% identified as frail based on gait speed with grip strength. The C5-75 program aims to re-conceptualize care from reactive interventions post-diagnosis for single disease states to a more proactive approach aimed at identifying older adults who are at highest risk of poor health outcomes, case-finding for unrecognized co-existing conditions, and targeting interventions to maintain health and well-being and potentially reduce vulnerability and health destabilization. View Full-Tex
%K frailty
%K screening
%K case-finding
%K comorbid conditions
%K primary care
%U https://www.mdpi.com/2308-3417/3/3/39