Now Mr Williams has been diagnosed as frail, what interventions might a nurse offer as part of an integrated approach to care?

You might consider the following:

• Explore Mr William’s perspective on his current health and wellbeing, as well as his understanding of what being frail might mean to him.
• After gaining his consent, you could develop a personal plan to improve his wellbeing and prevent further falls. This should include a thorough history and assessment of Mr William’s previous lifestyle, health beliefs and support systems.
• You might explain the principles that underpin health improvements in diet, activity, lifestyle and connecting with other people and groups.
• You would collaborate with him to form a plan that will gradually increase his activity levels and increase strength, endurance and flexibility.
• You might discuss his diet and fluid intake and explore adjustments he may consider.
• You could help him explore options in her local community, with family and friends and others to maintain connections and build interests that engage and increase his involvement.