Frailty Flashcards

1
Q

what is the electronic frailty index used for

A

can be used in GP to assess who are robust, mild, moderate or severe frailty

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2
Q

describe progression of frailty

A

has potential to resolve
but usually episodic deterioration due to delirium, falls, immobility

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3
Q

how does the frailty phenotype define frailty

A

3 or more of:
weakness
slow walking speed
low level of physical activity
self-reported exhaustion
unintentional weight loss

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4
Q

how is weakness measured

A

grip strenght

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5
Q

what weight loss threshold for frailty

A

4.5kg in last year

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6
Q

what is walking speed threshold for frailty

A

<0.8m/s

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7
Q

what can the electronic frailty index not do

A

diagnose frailty

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8
Q

what is required for the diagnosis of frailty

A

the judgement of a clinician taking into account the whole clinical picture

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9
Q

how does frailty present

A

fatigue, weight loss, frequent infections
falls
delirium
fluctuating disability - good days and bad days

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10
Q

what are the 5 frailty syndromes

A

falls
immobility
delerium
incontinence
susceptibilty to side effects of medication

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11
Q

mild frailty mamagement

A

self management
building resilience
soical prescribing

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12
Q

moderate frailty management

A

antiipatory care polannig
MDT reviews
polypharmacy reviews
housing adaptations
falls prevention

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13
Q

severe frailty management

A

anticipatory care planning
palliative care

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