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Elderly medicine/Clinical Pharma > Frailty and Geriatric Asessment > Flashcards

Frailty and Geriatric Asessment Flashcards

1
Q

Why are people getting older?

A

Increased resources availability
Better economic conditions
Improved screening programs with earlier diagnosis and treatment
Better outcomes following major events

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2
Q

What is the stochastic theory of aging?

A

Random process of cumulative damage

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3
Q

What is the predetermined theory of aging?

A

Predetermined

Changes in gene expression during various stages

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4
Q

What are the frailty syndromes?

A

Falls
Delirium
Immobility
Incontinence

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5
Q

How may hyperthyroidism present classically?

A

Tremor
Anxiety
Weight loss
Diarrhoea

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6
Q

How may hyperthyroidism present in someone with frailty?

A 
Depression
Cognitive impairment
Muscle weakness
AF
Heart failure
Angina
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7
Q

What are some practical implications of more ageing and frailty in the population?

A

Increasing number of older people with multiple co-existing medical conditions
Increased inter-individual variability in organ function and homeostatic reserve
Different presenting symptoms and signs
Little evidence for drug efficacy and safety with 80+
Multiple meds

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8
Q

What is system redundancy?

A

Lots and lots of measures in place to mitigate or prevent injury
Loss of redundancy leads to

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9
Q

What is dyshomeostasis?

A

Breakdown of the complex interplay between organ systems

Means increased susceptibility to stress

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10
Q

What is the Fried criteria?

A 
Must have 3 of 5 to be classified frail
Unintentional weight loss
Exhaustion
Slow walking speed
Low physical activity
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11
Q

What are the main categories of function which may decline with system failure?

A

Getting up and moving around
Processing and reacting to environmental info
Being able to look after yourself

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12
Q

What is a functional history?

A

Assess function and system decline

“What did you do to get up and go into work today?”

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13
Q

What are the main activities of daily living?

A 
Transfers
Mobility
Toileting
Washing
Dressing
Meal preparation
Feeding
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14
Q

What are some different domains of health?

A 
Medical
Psychological
Functional
Behavioural
Nutritional
Spiritual
Environmental
Social
Societal
Sexual
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15
Q

What is a screening tool used for poor nutrition?

A

MUST

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16
Q

What are some factors in environmental health?

A

Housing
Heating
Sanitation
Adaptation

17
Q

What are some factors in psychological health?

A

Mood (low mood, anxiety)
Confidence
Cognition (delirium. dementia)

18
Q

What are some factors in functional health?

A

Mobility
ADLs
Community living skills

19
Q

What are some potentials for abuse leading to declined social health?

A

Financial
Physical
Sexual
Neglect

20
Q

What are some risk of hospital stay?

A 
Disorientation and delirium
Learned dependency
Deconditioning
Iatrogenic harm
Hospital Acquired Infection

Elderly medicine/Clinical Pharma (5 decks)

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