302 Frailty and weight loss/sarcopenia

Question 1

What is frailty?

Answer 1

Age related decline in multiple physiological systems resulting in:
An at risk state
Immobility

Question 2

What is sarcopenia?

Answer 2

Accelerated loss of muscle mass and function

Leading to falls, functional decline, frailty. mortality

Question 3

What is primary age-related sarcopenia?

Answer 3

Can be acute or chronic but there is no underlying cause

Question 4

What is deconditioning syndrome?

Answer 4

Physical, psychological, and functional decline resulting from prolonged rest/immobility and associated with loss is muscle strength, commonly experienced through hospitalisation

Question 5

What are frailty syndrome?

Answer 5

Falls
Immobility
Delirium
Incontinence
Susceptibility to side effects of medications
Functional declines

You need to work out what the stressor was that brough the patient into hospital

Question 6

What is acopia?

Answer 6

A patient’s inability to cope with activities of daily living

Question 7

What are the clinical presentations of frailty?

Answer 7

Shrinkage (unintentional weight loss)
Weakness
Poor endurance
Slowness
Low physical activity

Question 8

What is the frailty phenotype?

Answer 8

A system of scoring for frailty based on the 5 core clinical presentations of frailty

0: robust
1-2: pre-frail
3+: frail

Question 9

What is the frailty index?

Answer 9

Uses the existing information within the electronic primary health care record to identify populations of people aged 65 and over who may be living with varying degrees of frailty