Frailty and CGA

Question 1

What is the definition of frailty?

Answer 1

1. Decline in functioning across multiple physiological systems.
2. Increased vulnerability to stressors.
3. Increased mortality, hospitalisation, falls, admissions to long term care.
4. Individual burden of impaired quality of life and loneliness.

Question 2

What is the phenotype for frailty and how many do you need to have to be considered ‘frail’?

Answer 2

1. Weakness (grip strength), slow gait speed, low physical activity, exhaustion, unintentional weight loss.
2. 3 or more

Question 3

What are the medical aspects of the CGA?

Answer 3

1. Co-morbid and disease severity
2. Medication review
3. Nutritional status
4. Problem list

Question 4

What are the mental health aspects of the CGA?

Answer 4

1. Cognition
2. Mood and anxiety
3. Fears

Question 5

What are the functional capacity aspects of the CGA?

Answer 5

1. Basic ADLs
2. Gait and balance
3. Activity/exercise status

Question 6

What are the social circumstance aspects of the CGA?

Answer 6

1. Informal support from family or friends
2. Social networks such as visitors
3. Eligibility for carers
4. Drive?

Question 7

What are the environmental aspects of the CGA?

Answer 7

1. Home comfort, facilities, and safety
2. Telehealth technology
3. Transport facilities
4. Accessibility to local resources