Concerns for Managing a Frail, Elderly Patient

• signficant pain?

• a decreased appetite and poor nutrition?

• limited physiologic reserves?

• need for prolonged recuperation?

• declining immunity?

• inadequate sleep?

• deterioration in eyesight and/or hearing?

• a decreased glomerular filtration rate?

• comorbid conditions that may be worsened by medications?

• multiple medications?

• risk factors for delirium, dementia or cognitive decline?

• depression and anxiety?

• social isolation and loneliness?

• physical impairment and need for assistance in activities of daily living?

• impaired mobility ?

• physical weakness?

• risk factors for pressure ulceration?

• incontinence?

• financial problems?