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Frailty referral — DGM MCQ

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ModerateFrailtyFrailty referralDGM

An 85-year-old woman has progressive frailty, recurrent falls, weight loss and carer strain despite GP input. She has multiple interacting problems and no single urgent specialty diagnosis. Her husband is struggling to cope. Current medicines include polypharmacy. What is the most appropriate referral?

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Correct answer: BCommunity geriatrician or frailty multidisciplinary team

Complex frailty with falls, nutrition issues and carer strain benefits from geriatric or frailty MDT review. Dermatology, surgery and hypertension-only clinics do not address multidomain needs, and chronicity does not remove referral value. Community frailty services can prevent crisis admission.

Reference: BGS CGA toolkit; BGS frailty guidance