Frailty

Question 1

Frail older adults are at high risk from stressors such as ___ (4 things)

Answer 1

extremes of heat/cold, acute infection/injury, hospitalization, or surgery

Question 2

Frail older adults are more likely to ____ (4 things)

Answer 2

1. have delayed recovery from illness or fall
2. develop greater functional impairment
3. Be hospitalized
4. Die

Question 3

results from intrinsic aging process

Answer 3

primary frailty

Question 4

associated with end stages of several chronic dz

Answer 4

secondary frailty

Question 5

one conception of frailty: the outcome of ____

Answer 5

a number of likely unrelated abnormal health conditions in an individual.

Question 6

another conception of frailty: a distinct ____

Answer 6

physiologic syndrome resulting from dysregulation of multiple systems

Question 7

First manifestations of frailty

Answer 7

weakness, slowed walking speed and/or decreased physical activity

Question 8

___ is central component of frailty and key predictor of other clinical manifestations

Answer 8

Sarcopenia (loss of lean body mass)

Question 9

Predictors of sarcopenia and loss of strength include: (4 things)

Answer 9

decreased anabolic factors
diminished physical activity
reduced nutritional intake
older age

Question 10

These diseases can predict development of the frailty phenotype (4)

Answer 10

Immune disorders (HIV/AIDS)
Heart failure
COPD
Chronic infections

Question 11

Reason for screening pts for frailty: (5)

Answer 11

ID those at risk for adverse outcomes
gauge risk severity
find those who may benefit from prevention or treatment
Track change in status over time

Question 12

What most likely predicts frailty vs the presence of any one deficit alone?

Answer 12

Number of deficits in multiple physiologic systems

Question 13

What is critical for prevention of frailty?

Answer 13

preventing immobility

Question 14

What diet is beneficial for frailty prevention?

Answer 14

Mediterranean

Question 15

Nutritional supplementation appears to be effective only when ____

Answer 15

added to exercise.

Question 16

Frailty predicts: (2)

Answer 16

functional declinea nd onset and progression of dependency at the end of life.

Question 17

Frailty syndrome = when 3 of these 5 sx are present

Answer 17

weakness, slowed walking speed, low physical low energy or exhaustion, and weight loss

Question 18

What aspect of frailty phenotype predicts reduced activity

Answer 18

Exhaustion or fatigue