Frailty + abnormal presentations in OPM

Question 1

What scale measures frailty?

Answer 1

Rockwood clinical frailty scale

Question 2

What non-specific complaints do elderly people often present with?

Answer 2

generalised weakness
dyspnoea
pain
fatigue
localised weakness
speech disorder
gait disorder
loss of consciousness

Question 3

What is the CGA?

Answer 3

comprehensive geriatric assessment

Question 4

What are the elements of the CGA (comprehensive geriatric assessment) process?

Answer 4

physical assessment
functional, social and environmental assessment
psychological components
medication review

Question 5

How can acute abdomen present in older adults?

Answer 5

mild or no discomfort
constipation
mild tachypnoea
vague resp symptoms
bowel disturbances
change in appetite

Question 6

What is geriatric giants?

Answer 6

4 key presentations of OPM patients in hospital:
- impairment of intellect (cerebral dysfunction)
- incontinence
- immobility
- instability (falls)