Page 29 - Demo

29THE BOLTON PREVENTION FRAMEWORKFRAILTY%u2022 Screening for malnutrition risk in GP Practices and Care Homes%u2022 Use of assistive devices and mobility aids for those with early signs of frailty%u2022 Regular vision and hearing tests%u2022 Proactive management of chronic conditions (eg diabetes and arthritis) that can lead to frailty%u2022 Early treatment of osteoporosis to prevent fractures and mobility loss%u2022 Physiotherapy for those with early mobility decline%u2022 Dietician support for those experiencing weight loss or malnutrition%u2022 Strength and balance classes%u2022 Support for those at risk of food insecurity: meals on wheels and community food programmes%u2022 Access to mental health support%u2022 Intergenerational activities%u2022 Vaccination against illnesses that cause frailty%u2022 Protein and Vitamin D supplementation for those at risk of sarcopenia (muscle loss)%u2022 Active travel initiatives%u2022 Age Friendly Cities%u2022 Community programmes: social clubs, befriending, volunteering, social meal programmes which encourage good nutrition%u2022 Home safety assessments%u2022 Multidisciplinary team (MDT) care%u2022 Personalised care planning%u2022 Regular frailty reviews%u2022 Home adaptations and wearable technology (eg for fall detection and emergency alerts)%u2022 Pain management strategies and medicines Management%u2022%u0009 Nutritional support: specialist dietician input, fortified food and supplementation%u2022 Advanced care planning and carer support servicesTERTIARY PREVENTIONSECONDARY PREVENTIONPRIMARY PREVENTIONENVIRONMENT, PLACE AND CONTEXT