. 2020 Oct 17;24(9):920–927. doi: 10.1007/s12603-020-1498-x

Table 2.

Management of Frailty in Primary Care

Primary Prevention	Secondary Prevention	Tertiary Prevention
1. Provide community education including television, newspapers, magazines and social media to do aerobic and resistance exercise regularly 2. Health care professionals to regularly reinforce the importance of exercise. 3. Community lectures by health care professionals on the importance of exercise 4. Yearly screening with a rapid screen for frailty (FRAIL or ICOPE)	If positive frailty screen: 1. Check for and treat possible reversible causes as in Table 1 or 2 2. Enroll in an exercise program 3. Advise on adequate (leucine enriched) protein intake 4. Consider grip strength, 4m gait speed and short physical performance battery	1. Check ADLs and IADLs 2. Refer for comprehensive geriatric assessment 3. Refer to physical and occupational therapy 4. Optimize home environment 5. Provide a long term exercise program

Primary Prevention

Secondary Prevention

Tertiary Prevention

1. Provide community education including television, newspapers, magazines and social media to do aerobic and resistance exercise regularly

2. Health care professionals to regularly reinforce the importance of exercise.

3. Community lectures by health care professionals on the importance of exercise

4. Yearly screening with a rapid screen for frailty (FRAIL or ICOPE)

If positive frailty screen:

1. Check for and treat possible reversible causes as in Table 1 or 2

2. Enroll in an exercise program

3. Advise on adequate (leucine enriched) protein intake

4. Consider grip strength, 4m gait speed and short physical performance battery

1. Check ADLs and IADLs

2. Refer for comprehensive geriatric assessment

3. Refer to physical and occupational therapy

4. Optimize home environment

5. Provide a long term exercise program