Movement
Bed mobility, transfers, standing, walking, balance, strength and confidence.
Frailty should not become therapeutic pessimism
Older people with frailty can recover meaningful function after illness. The relevant question is not simply whether the person is frail, but what has changed, what matters to them, what recovery is plausible, and which barriers can be modified.
Rehabilitation and palliation can coexist
A person may benefit from mobility, symptom management, nutrition, equipment and goal-directed rehabilitation while also needing anticipatory or palliative care. These approaches should not be presented as mutually exclusive.
Measure the trajectory
HABAM provides structured measurement of balance, transfers and mobility, and its guidance supports serial measurement against a pre-hospital baseline. Phase 2 will turn this into a graphical trajectory tool while retaining the authorised scoring system unchanged.
Recovery domains
Participation
Personal care, domestic tasks, cognition, communication and ability to pursue meaningful goals.
System support
Equipment, carers, home environment, community therapy, review and rapid response when recovery stalls.
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