Functional decline
Red flags
- Rapid decline over days (vs weeks-months) - think acute illness/delirium, not baseline frailty progression
- New inability to perform a previously intact ADL (e.g. transfers, toileting) - marker of an acute driver, not just "getting old"
- Weight loss, new incontinence, falls clustering with the decline
- Signs of neglect/inadequate care at home
- Carer breakdown or expressed inability to cope - urgent social crisis, not just medical
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