Education and care-planning support only — does not replace clinical judgment or local protocols.

🩺 CP-OLDER — Older Adult Check

Frailty, delirium and memory. · Group A Older adult · Links to: A1–A8, P18

Original tool, not yet validated. Pilot and review with clinicians before clinical decisions. Supports, but does not replace, clinical judgment, validated scales and local policy.

Patient

Date/Time

Nurse

Item	0	1	2
Alertness	0 · Normal	1 · Sleepy or agitated	2 · Hard to wake
Attention (months backwards)	0 · No errors	1 · 1–2 errors	2 · Cannot start
Change from usual self	0 · No	1 · Mild change	2 · Sudden change
Frailty (daily life)	0 · Active	1 · Needs help outside	2 · Needs help at home
Medicines	0 · <5	1 · 5–9	2 · ≥10

⚠ Red flags — escalate at once regardless of score

Sudden confusion

Total: 0 — select a score for each item

Score	Level	Action
0–2	Low	Routine
3–5	Medium	Delirium prevention: glasses, aids, clock, sleep, fluids
≥6 or sudden change	High	Doctor review for delirium today

Nursing notes / action taken

⬇ Blank form (PDF)