What is FSDEC?

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A short stay service for ambulatory and non-ambulatory frail patients expected to stay less than 12 hours.

Open 8am-8pm, but last admission is by 3pm

If a longer stay is required, FSDEC can feed into longer inpatient stay on OPAL unit (Wheal Vor)

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Admission criteria

• Clinical Frailty Score (CFS) ≥5 or patient from Residential or Nursing Home with NEWS2<5

• Includes frailty syndrome (falls, delirium, dementia, polypharmacy, incontinence, Parkinson’s disease)

• Patient able to return to home setting within 12 hours (eg no safeguarding concern, safe if current clinical query ruled out or rapidly stabilised)

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Exclusion criteria

• NEWS2≥5,

• Stroke,

• #NOF,

• Significant Intracranial Head Injury,

• Active cancer treatment,

• Clinically Significant Chest Pain,

• Suicide Risk.

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How to refer

• Patients referred by SWAST, GPs, ED and Medics and if accepted, are admitted to the FSDEC.

• Please contact the Acute GP service who will liaise with the Frailty nurse to admit

• Please consider if CATU or UCR is more appropriate if not fulfilling the above criteria

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