The Frailty and Falls Nursing Handbook

The patient on the floor. The 3am call. The care plan that should have been different. Every registered nurse on an NHS acute ward is expected to assess frailty at admission, identify falls risk at every shift, screen for delirium, and contribute to safe discharge planning for frail older adults. These are governance requirements, embedded in NICE guidelines and NHS England policy. The training that should underpin them is rarely provided. This handbook gives ward nurses the clinical knowledge that policy assumes they already have. It covers the Clinical Frailty Scale, the Morse Fall Scale, the 4AT delirium screen, post-fall immediate assessment, Comprehensive Geriatric Assessment, polypharmacy and falls risk, rehabilitation nursing, and discharge planning within the NHS Home First framework. Written for the ward, not the lecture theatre. Grounded in evidence. Designed for the nurse who needs to know exactly what to do, and why.