Fraility Flashcards
what is fraility
multisystem presentation that creates loss of function and physiological homeostasis
what is the PT roles with fraility
identify fraility and ensure patient/client receives necessary and appropriate services
fraility indicators
weight loss decreased walking speed decreased strength self reported exhaustion low physical activity
weight loss
> 10 lbs unintentional
fatigue
exhaustion with reg activity like ADLs
low physical activity
sedentary
<383 kcal/wk men
<270 kcal/wk women
slowness
usual pace over 15 ft
less than 0.8 m/s
weakness
grip strength:
- <30kg men
- <20kg women
sit to stand:
- <8 in 30 secs
fraility index
considers number of deficits accumulated over time
cognitive fraility indicates what kind of decline
steeper cognitive decline than without physical fraility
is the APOE4 allele associated with cognitive frailty
not associated
psychological frailty is common with what
depression
loneliness and social frailty associated with what
associated with slow gait speed and less reliance
fit (not frail)
physically active, no restrictions
few chronic conditions
mild frailty - prefail
adaptations to mobility, life space mobility restrictions start
impaired recovery from illness/injury
moderate frailty
loss of independence evident, needs assistance
life space restrictions – how much of their house they use
severe frailty - end stage
dependent ADLs/mobility, inactive, dying
life expectancy 6-12 mo
what is the most comprehensive method to assess fraility
comprehensive geriatric assessment (CGA)
TUG score for frail
> 10 s
>13.5 s fall risk
gait speed for frail
< 0.8 m/s
life space scoring
< 60 points indicated 4.4x higher risk of SNF placement during subsequent 6 years
how do you treat frailty
same dosage for pre-fail adults but decreased TIME
60min/session to 45min/session
floor transfers helps reduce the risk of what
rhabdo
primary prevention of frailty
stopping it before it happens
secondary prevention for frailty
screen for it and identify for early intervention
tertiary prevention for frailty
already have it, manage effects
