00257 Elder’S Fragility Syndrome

Domain 1: health promotion
Class 2: Health Management
Diagnostic Code: 00257
Nanda label: elder’s fragility syndrome
Diagnostic focus: elder’s fragility syndrome
Approved 2013 • Revised 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « fragility syndrome of the elder of health (physical, functional, psychological or social) that produces an increase in susceptibility for adverse health effects, particularly to disability.

Definite characteristics

  • Self -care deficit in the bathroom (00108)
  • Decrease in activity tolerance (00298)
  • Decrease in cardiac spending (00029)
  • Self -care deficit in the dress (00109)
  • Fatigue (00093)
  • Self -care deficit in food (00102)
  • Desperateness (00124)
  • Nutritional imbalance: lower than body needs (00002)
  • Memory deterioration (00131)
  • deterioration of physical mobility (00085)
  • Ambulation deterioration (00088)
  • Social isolation (00053)
  • Self -care deficit in the use of the toilet (00110)

Related factors

  • Anxiety
  • Cognitive dysfunction
  • Decrease in energy
  • Decrease in muscle strength
  • Exhaustion
  • Fear of falls
  • Postural balance deterioration
  • Insufficient knowledge of modifiable factors
  • Inadequate social support
  • Malnutrition
  • Neurocomportal manifestations
  • Obesity
  • Sadness
  • Sedentary lifestyle

Risk population

  • People at economic disadvantage
  • People> 70 years of age
  • People who experience prolonged hospitalization
  • People for whom to walk 4 meters requires> 5 seconds (15 feet> 6 seconds)
  • People who live alone
  • People living in restricted spaces
  • People with a history of falls
  • People with low educational level
  • People with unintempted loss of 25 % of body weight in a year
  • People with unintempted loss> 4.5 kg (> 10 pounds) in a year
  • Socially vulnerable people
  • Women

Associated problems

  • Anorexia
  • Blood coagulation disorders
  • Chronic disease
  • Decreased blood concentration of 25-hydroxivitamin D
  • Depression
  • Endocrine regulation dysfunction
  • Mental disorders
  • Sarcopenia
  • Sarcopenic obesity
  • Sensitivity disorders
  • Suppression of the inflammatory response