Clinical Frailty Scale
Frailty
Vulnerable, early signs
Clinical noteNot dependent on others for daily activities, but symptoms are starting to limit full activity.
Note for familyNothing urgent, but worth watching. This is exactly the kind of early change families usually miss until it progresses.
Timed Up and Go test
Mobility & fall risk
Moderate risk flagged
Clinical noteMildly reduced gait speed on TUG. Fall-risk factors present but not yet acted on.
Note for familyMovement was a little slower than expected. Worth arranging non-slip footwear and clearing loose rugs at home.
Mini-Mental State Exam
Memory & thinking
Normal for age
Clinical noteCognitive screening within normal limits for age and education.
Note for familyThis memory and thinking test came back within the normal range. Re-checked at every full reassessment.
Geriatric Depression Scale
Mood
No concerns
Clinical noteNo depressive symptomatology on screening.
Note for familyNothing to act on here. Screened again at the next visit as a matter of routine, not because anything was noticed.
Barthel Index
Basic daily living
Fully independent
Clinical noteFull independence in feeding, bathing, dressing, toileting and mobility.
Note for familyYour relative can manage all basic day-to-day self-care fully on their own.
Lawton IADL Scale
Complex daily tasks
Mild impairment
Clinical noteIndependent in most instrumental activities; difficulty managing finances and using transport unaided.
Note for familyA little support with bill payments or getting around may help, even though day-to-day self-care needs none.
Mini Nutritional Assessment
Nutrition
Normal
Clinical noteNormal nutritional status on screening.
Note for familyNutrition looks good right now. Monitored at every reassessment since it can shift after any hospital stay or illness.
BP, SpO₂, pulse, weight, BMI
Vitals & body measures
Within range
Clinical noteBlood pressure, oxygen saturation, pulse and BMI all within expected range for age.
Note for familyBasic vitals are a normal part of every visit, not just the first one, so any drift gets caught early.
Clinical exam
Vision, hearing, skin & continence
No concerns found
Clinical noteNo uncorrected vision or hearing deficit noted on screening. Skin intact, no pressure areas. Continence unaffected.
Note for familyThese get missed in a routine check-up because nobody asks. Checked as standard, every time.
Full medicine list review
Medication review
One change recommended
Clinical noteNine medicines currently prescribed across three specialists. One combination flagged for review with the prescribing doctor.
Note for familyThis is the single most common thing a CGA catches: medicines prescribed by different doctors that were never reviewed together.
Structured conversation
Social situation & family support
Stable
Clinical noteLiving with family, adequate caregiver support reported, no signs of social isolation or caregiver strain today.
Note for familyWorth a periodic check-in even when things look fine — situations change gradually and are easy to miss from inside them.
Home walkthrough
Home environment & safety
No hazards found
Clinical noteNo loose rugs, poor lighting, missing grab bars, floor clutter or unsafe stairs identified.
Note for familyHome checked for the hazards that actually cause falls. Rechecked at every visit, not assumed to stay the same.