2 - Comprehensive Geriatric Assessment 1 Flashcards
what is a CGA?
A process to assess and manage disruption to health in older people with frailty
define the relationship between ageing and redundancy?
Progressive accumulation of damage to a complex system resulting in aggregate loss of system redundancy
2 effects of ageing and what it leads to?
Impairment of individual organ function
dyshomeostasis
both lead to increased susceptibility to environmental stress = FRAILTY
describe the 5 elements of the Fried et al. criteria for frailty phenotype?
Unintentional weight loss Exhaustion Weak grip strength Slow walking speed Low physical activity
for the Fried et al. criteria for frailty phenotype, how many elements must be fulfilled to be defined as frail?
3/5
what are the 4 frailty syndromes and what can they be described as?
Falls
Immobility
Delirium
Functional decline
described as system failure presentations
what are ADLs?
activities of daily living = basics of living
name the 7 ADLs?
Transfers Mobility Toileting Washing Dressing Meal preparation Feeding
describe the relationship between frailty and multimorbidity?
multi morbidity can increase likelihood of frailty in that it increases the risk of dyshomeostasis - however being old and having multi morbidity doesn’t = frailty