Using the Frailty Assessment for Care Planning Tool (FACT) to screen elderly chronic kidney disease patients for frailty: the nurse experience

Clinical Interventions in Aging
Heather MoffattKarthik Tennankore

Abstract

Recent evidence supports the prognostic significance of frailty for functional decline and poor health outcomes in patients with chronic kidney disease. Yet, despite the development of clinical tools to screen for frailty, little is known about the experiential impact of screening for frailty in this setting. The Frailty Assessment for Care Planning Tool (FACT) evaluates frailty across 4 domains: mobility, function, social circumstances, and cognition. The purpose of this qualitative study was as follows: 1) explore the nurse experience of screening for frailty using the FACT tool in a specialized outpatient renal clinic; 2) determine how, if at all, provider perceptions of frailty changed after implementation of the frailty screening tool; and 3) determine the perceived factors that influence uptake and administration of the FACT screening tool in a specialized clinical setting. A semi-structured interview of 5 nurses from the Nova Scotia Health Authority, Central Zone Renal Clinic was conducted. A grounded theory approach was used to generate thematic categories and analysis models. Four primary themes emerged in the data analysis: "we were skeptical", "we made it work", "we learned how", and "we understand". As the renal nur...Continue Reading

Citations

Apr 14, 2019·International Journal of Health Policy and Management·Beverley LawsonShannon Ryan-Carson
Oct 22, 2019·Therapeutic Advances in Chronic Disease·Patrick Yihong WuKuan-Yu Hung
Aug 23, 2020·BMJ Supportive & Palliative Care·Annmarie NelsonDespina Anagnostou

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Software Mentioned

FACT
Renal PATH
ti
FACT Assessment for Care Planning Tool
PATH Assessment for Care Planning Tool ( FACT )
Atlas

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