Frailty Flashcards

1
Q

Please define frailty.

A

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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Give me 5 characteristics of frailty.

A
  1. unintentional weight loss
  2. decreased muscle strength
  3. slower gait speech
  4. self-reported exhaustion
  5. low energy expenditure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

is frailty inevitable?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

is frailty irreversible?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In frailty, how would you describe the rate of decline?

A

unpredictable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the geriatric giants?

A

1 INSTABILITY (falls)
2 IMMOBILITY (off legs)
3 INTELLECTUAL IMPAIRMENT (confusion)
4 INCONTINENCE

also side effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why do you need careful medical review in elderly patients?

A

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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Lose muscle mass and cardio during acute illness. Physiological change with bedrest. What’s this?

A

deconditioning

they dont return back to their baseline after

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the Comprehensive Geriatric Assessment?

A

diagnostic process, MDT, holistic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the four aspects involved in the Comprehensive Geriatric Assessment?

A

medical assessment
functional assessment
psychological assessment
social and environmental assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What things are involved in the ‘medical assessment’ part of the comprehensive geriatric assessment?

(Drs, nurses, pharmacists, dieticians)

A

problem list
co-morbidities
medication review
nutritional status!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What things are involved in the ‘functional assessment’ part of the comprehensive geriatric assessment?

(OT, physio, SALT)

A

ADLs
exercise status
gait and balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What things are involved in the ‘psychological assessment’ part of the comprehensive geriatric assessment?

(Dr, nurse, psychologist)

A

cognitive status testing

mood testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What things are involved in the ‘social and environmental’ part of the comprehensive geriatric assessment?

(OT, social worker)

A

informal support needs and assets
eligibility for carers
home safety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is rehabilitation?

A

“restoring to maximum function”

involves MDT, can happen in/out of hosp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly