RESILIENCE — Clinical Referral

Frailty Profile Radar

Each spoke represents a consolidated frailty domain scored 1–10. A full, rounded web indicates low concern. Compressed spokes show where clinical attention is most needed.

Respondent Context

ReferenceRSLNCE-2026-0042

Age band75–84

LivesAlone · Folkestone

Completed byCommunity health worker

Date16 May 2026

PRISMA-7 4/7

FRAIL Scale 2/5

CFS (estimated) CFS 4Vulnerable

Supplementary Alerts

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Oral Frailty Reports difficulty chewing and frequent dry mouth. Consider dental referral and oral health review.

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Sleep Disruption Reports waking most nights and daytime fatigue. Consider sleep hygiene advice or GP review for underlying causes.

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Grip Strength — Proxy Signal Respondent dismissed difficulty with jar opening and gripping tasks. Response pattern consistent with minimisation. Dynamometer assessment recommended at CGA as a Fried Frailty Phenotype criterion.

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Medication-Temperature Risk Takes 5 regular medicines. Has not received temperature guidance from GP or pharmacist. Cold weather risk window active. Pharmacist review recommended.

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Clinical Note — Minimisation Detected

The RESILIENCE tool detected signals consistent with health minimisation during this conversation. The respondent may be understating the extent of their difficulties, potentially due to concern about worrying family members or fear of residential care placement. Clinical scores may therefore underrepresent actual frailty risk. A sensitive, unhurried approach to initial contact is recommended, with particular care taken to create a safe space before asking about specific difficulties. The respondent's autonomy and right to remain at home should be explicitly affirmed early in any clinical conversation.

Domain Breakdown

Sorted by risk · Click to expand

Social Connection and Support

High concern — referral indicated

3 / 10

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Key phrase — what they said

"I don't see many people these days. My husband passed last year and I don't want to be a burden on my daughter."

Clinical signals extracted

🔴 Recent bereavement (spousal) 🔴 Social isolation — no regular contact 🟡 Burden concern — family 🟡 No formal support network

Recommended action: High priority referral to Social Prescribing / Link Worker. Bereavement support may also be appropriate. Sensitivity around burden concern noted — respondent should not feel coerced into accepting support.

Cognition and Mental Health

High concern — referral indicated

4 / 10

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Key phrase — what they said

"I've been feeling a bit flat lately if I'm honest, not really looking forward to things the way I used to."

Clinical signals extracted

🔴 Low mood — persistent 🔴 Anhedonia — reduced pleasure 🟡 Hopelessness — future uncertainty 🟡 Minimisation ("a bit flat")

Recommended action: Mental health and wellbeing assessment. Combined with bereavement (Domain 7) this represents a complex grief and mood picture. PHQ-9 at initial contact recommended. Memory assessment not indicated at this stage but review at CGA.

Daily Living (ADLs and IADLs)

Moderate concern — support may be beneficial

5 / 10

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Key phrase — what they said

"I cope with the basics but getting to the shops has become difficult since my daughter moved away."

Clinical signals extracted

🟡 IADL difficulty — shopping 🟡 Loss of informal support (daughter) 🟢 Basic ADLs maintained 🟡 Increasing social isolation

Recommended action: Reablement assessment and OT review. Consider community transport options and local shopping support schemes. Loss of informal support network since daughter relocated is a significant change factor.

Physical Function, Mobility and Grip Strength

Moderate concern — monitoring warranted

6 / 10

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Key phrase — what they said

"I manage most things but the stairs are getting harder and I did have a fall in the garden last month, but I didn't want to bother anyone about it. Opening jars is fine, I manage."

Clinical signals extracted

🔴 Unreported fall — minimised 🟡 Stair difficulty — functional decline 🟡 Minimisation ("didn't want to bother") 🟡 Grip strength proxy — dismissive response to jar opening question; consider objective assessment 🟢 Generally mobile independently

Recommended action: Falls Prevention Service referral. Home safety assessment recommended given garden fall (outdoor surface risk). Note: fall was not reported to anyone — consistent with minimisation pattern identified in this referral. Grip strength: Respondent dismissed difficulty opening jars. Recommend dynamometer assessment at CGA as a Fried Frailty Phenotype criterion — reduced grip correlates with overall muscle mass, cardiovascular health, and fall risk independently of reported mobility.

Medical and Medication Burden

Moderate concern — review recommended

6 / 10

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Key phrase — what they said

"I take five tablets every day but I've never been told anything about the weather or when they might be a problem."

Clinical signals extracted

🟡 Polypharmacy — 5 medications 🔴 No temperature guidance received 🟡 3 long-term conditions 🟢 No recent medication changes reported

Recommended action: Pharmacist-led medicines use review. Temperature guidance should be provided given polypharmacy and current cold weather conditions. See supplementary medication-temperature alert above.

Nutrition and Weight

Low concern — strength to build on

8 / 10

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Key phrase — what they said

"I eat well enough, I still cook for myself most days and I haven't really lost any weight."

Clinical signals extracted

🟢 Self-cooking maintained 🟢 No unintentional weight loss 🟢 Appetite generally good

Recommended action: No immediate referral indicated. Monitor at review — shopping difficulty (Domain 5) may over time affect ability to maintain dietary intake. Note in CGA.

Recommended Referral Pathways

Sorted by priority

Priority	Pathway	Trigger domain
High	Social Prescribing / Link Worker Social isolation · Recent bereavement · Daughter relocated	Social Connection 3/10
High	Mental Health and Wellbeing Support Persistent low mood · Anhedonia · Grief	Cognition and MH 4/10
Moderate	Falls Prevention Service Unreported fall (garden) · Stair difficulty · Minimisation noted	Physical Function 6/10
Moderate	Grip Strength — Dynamometer Assessment at CGA Grip proxy signal detected · Minimisation of jar and lifting difficulty · Fried Frailty Phenotype criterion	Physical Function 6/10 + alert
Moderate	Pharmacist Medicines Use Review 5 medications · No temperature guidance given · Cold weather alert	Medical Burden 6/10 + alert
Moderate	Reablement / OT Assessment Shopping difficulty · Loss of informal support	Daily Living 5/10
Lower	Dental / Oral Health Review Difficulty chewing · Dry mouth — oral frailty indicators	Domain 10 — Oral
Lower	Sleep Review Frequent waking · Daytime fatigue contributing to deconditioning	Domain 10 — Sleep

Clinician actions ✓ Receipt acknowledged and logged