Frailty Flashcards
Please define frailty.
State of increased vulnerability …
… resulting from ageing associated decline in reserve and function across multiple physiologic systems –
ability to cope with everyday/acute stressors is compromised.
Give me 5 characteristics of frailty.
- unintentional weight loss
- decreased muscle strength
- slower gait speech
- self-reported exhaustion
- low energy expenditure
is frailty inevitable?
no
is frailty irreversible?
no
In frailty, how would you describe the rate of decline?
unpredictable
What are the geriatric giants?
1 INSTABILITY (falls)
2 IMMOBILITY (off legs)
3 INTELLECTUAL IMPAIRMENT (confusion)
4 INCONTINENCE
also side effects
Why do you need careful medical review in elderly patients?
lots of side effects, polypharmacy bad
most stuff isnt evidence based in the elderly
they respond to treatment slower
WHAT MATTERS for this person? how important is secondary prevention in a 102 yr old.
Lose muscle mass and cardio during acute illness. Physiological change with bedrest. What’s this?
deconditioning
they dont return back to their baseline after
What is the Comprehensive Geriatric Assessment?
diagnostic process, MDT, holistic
What are the four aspects involved in the Comprehensive Geriatric Assessment?
medical assessment
functional assessment
psychological assessment
social and environmental assessment
What things are involved in the ‘medical assessment’ part of the comprehensive geriatric assessment?
(Drs, nurses, pharmacists, dieticians)
problem list
co-morbidities
medication review
nutritional status!
What things are involved in the ‘functional assessment’ part of the comprehensive geriatric assessment?
(OT, physio, SALT)
ADLs
exercise status
gait and balance
What things are involved in the ‘psychological assessment’ part of the comprehensive geriatric assessment?
(Dr, nurse, psychologist)
cognitive status testing
mood testing
What things are involved in the ‘social and environmental’ part of the comprehensive geriatric assessment?
(OT, social worker)
informal support needs and assets
eligibility for carers
home safety
What is rehabilitation?
“restoring to maximum function”
involves MDT, can happen in/out of hosp