Fraility

Question 1

what is fraility

Answer 1

multisystem presentation that creates loss of function and physiological homeostasis

Question 2

what is the PT roles with fraility

Answer 2

identify fraility and ensure patient/client receives necessary and appropriate services

Question 3

fraility indicators

Answer 3

weight loss
decreased walking speed
decreased strength
self reported exhaustion
low physical activity

Question 4

weight loss

Answer 4

> 10 lbs unintentional

Question 5

fatigue

Answer 5

exhaustion with reg activity like ADLs

Question 6

low physical activity

Answer 6

sedentary
<383 kcal/wk men
<270 kcal/wk women

Question 7

slowness

Answer 7

usual pace over 15 ft

less than 0.8 m/s

Question 8

weakness

Answer 8

grip strength:

• <30kg men
• <20kg women

sit to stand:
- <8 in 30 secs

Question 9

fraility index

Answer 9

considers number of deficits accumulated over time

Question 10

cognitive fraility indicates what kind of decline

Answer 10

steeper cognitive decline than without physical fraility

Question 11

is the APOE4 allele associated with cognitive frailty

Answer 11

not associated

Question 12

psychological frailty is common with what

Answer 12

depression

Question 13

loneliness and social frailty associated with what

Answer 13

associated with slow gait speed and less reliance

Question 14

fit (not frail)

Answer 14

physically active, no restrictions

few chronic conditions

Question 15

mild frailty - prefail

Answer 15

adaptations to mobility, life space mobility restrictions start
impaired recovery from illness/injury

Question 16

moderate frailty

Answer 16

loss of independence evident, needs assistance

life space restrictions – how much of their house they use

Question 17

severe frailty - end stage

Answer 17

dependent ADLs/mobility, inactive, dying

life expectancy 6-12 mo

Question 18

what is the most comprehensive method to assess fraility

Answer 18

comprehensive geriatric assessment (CGA)

Question 19

TUG score for frail

Answer 19

> 10 s

>13.5 s fall risk

Question 20

gait speed for frail

Answer 20

< 0.8 m/s

Question 21

life space scoring

Answer 21

< 60 points indicated 4.4x higher risk of SNF placement during subsequent 6 years

Question 22

how do you treat frailty

Answer 22

same dosage for pre-fail adults but decreased TIME

60min/session to 45min/session

Question 23

floor transfers helps reduce the risk of what

Answer 23

rhabdo

Question 24

primary prevention of frailty

Answer 24

stopping it before it happens

Question 25

secondary prevention for frailty

Answer 25

screen for it and identify for early intervention

Question 26

tertiary prevention for frailty

Answer 26

already have it, manage effects