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At 93 years of age, Mr. Smith was admitted to our Geriatric Medicine inpatient ward due to profound fatigue. When I first interviewed him, I was struck by the effort it took him to sit up in bed and his extremely thin body habitus. His past medical history included the usual suspects: multi-vessel coronary artery disease, moderate aortic stenosis, hypertension, benign prostatic hypertrophy, polymyalgia rheumatic, and osteoporosis. Over the last four months, he’d been having increasing difficulty doing basic self-care, was falling frequently, lost 20 pounds, and had new urinary incontinence. His rheumatologist had begun a steroid taper a few months ago. We returned his prednisone to its previous dose, focused on exercise and diet and he began to improve [1].

Knowledge Translation for Severe Frailty