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Special 2 > Elderly- Comprehensive Geriatric Assessment > Flashcards

Elderly- Comprehensive Geriatric Assessment Flashcards

1
Q

What is frailty a state of?

A

Frailty is a state of susceptibility

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2
Q

What does frailty cause?

A

A reduced ability to withstand illness without losing of function

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3
Q

What is ageing?

A

Progressive accumulation of damage to a complex system resulting in aggregate loss of system redundancy

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4
Q

What does ageing result in?

A

Loss of system redundancy

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5
Q

What is a loss of system redundancy?

A

Decreased resilience to overcome environmental stress

Increased risk of system failure

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6
Q

What is Senescence?

A

The effect of aging

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7
Q

What criteria is used to determine is someone is frail?

A

Fried Criteria

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8
Q

What score on Fried criteria suggests frailty?

A 
3+ of 
Exhaustion
Weak grip
Slow walking
Low activity 
Weight loss
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9
Q

What can also be used to assess frailty?

A

Frailty index

Frailty phenomenon

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10
Q

What does decompensated frailty syndrome represent?

A

System failure presentation

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11
Q

What are the presentations of decompensated frailty syndrome?

A
  • Falls
  • Incontinence
  • Delirium
  • Functional decline
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12
Q

What is a comprehensive geriatric assessment?

A

A process to assess and manage illness in older people with frailty

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13
Q

What does a comprehensive geriatric assessment go through?

A

Go through multiple domains of health and determine what the problems/risks are, work out which we can improve/reverse and produce a management plan

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14
Q

What does a comprehensive geriatric assessment cover?

A
  • Medical problems
  • Spiritual (what’s important to this patient and their identity)
  • Psychological (mood, anxiety & cognition)
  • Function (mobility, daily activities etc)
  • Behavioural (work, hobbies etc)
  • Nutrition
  • Environment (house, heat & sanitation)
  • Social (support networks & abuse)
  • Societal
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15
Q

What is used to assess nutritional health?

A

MUST screening tool

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16
Q

What are the benefits to an elderly patient being in hospital?

A
  • Access to clinical expertise
  • Access to complex tests and interventions
  • Rapid access to supervised care support
17
Q

What are the risks of an elderly patient being in hospital?

A
  • Disorientation and delirium
  • Learned dependency
  • Deconditioning
  • Iatrogenic harm
  • Hospital Acquired Infection
18
Q

What is a holistic approach to health?

A
  • Broad approach to health

* Health is a dynamic process rather than a binary state

Special 2 (14 decks)

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