Frailty Intervention Therapy Team (FITT)



Background - FITT team

Pilot intervention running in CUH ED since January 7th 2019.

The Team consists of:

  • Senior Occupational Therapist – Kara Mc Loughlin
  • Senior Physiotherapist- Louise Martin

Team objective:

  • To aim for early identification and assessment of people over 75 for frailty.
  • To aim for admission avoidance for patients who present to the Emergency Department (ED) >75 years old.
  • To aim to discharge patients home, with follow up by the most appropriate available community services in their own geographical area.
  • To identify frailty markers earlier in order to enable an integrated health promotion/prevention approach with the patient’s community services and/or acute services.
  • To increase awareness of delirium & delirium assessment within the ED setting.
  • To commence early therapy input and assessment to decrease LOS.

Base

Working hours:

8.30am – 4.30pm Monday to Friday

Base

Emergency Department

Areas covered by the FIT team:

Emergency Department.

Acute Medical Assessment Unit


Inclusion criteria

All patients that present to the Emergency Department that are >75 years old.

CUH Referral Pathway

Telephone FITT mobiles:

FITT stickers on the ED board-place next to patients name.

Exclusion criteria:

  1. Patients >75 in Resus
  2. Need for ICU/HDU bed
  3. Suspected new stroke/TIA
  4. Trauma with suspected unidentified fracture
  5. Head injury with LOC
  6. Acute abdominal pain with collapse/active GI bleed
  7. Chest pain/suspected MI
  8. Clear need for other speciality


References


Content By Dr Íomhar O' Sullivan . Last review Dr ÍOS 1/06/21.