Frailty, mobility and falls Flashcards
1
Q
Frailty
A
multidimensional syndrome characterised by decreased reserve and diminished resistance to stress
2
Q
Domains of frailty
A
- Physical performance
- Gait speed
- Mobility
- Nutrition
- Mental health
- Cognition
3
Q
Phenotype model for fall risk
A
- Weight loss
- Fatigue
- Reduced physical activity
- Reduced muscle strength
- reduced gait speed
- 1-2 = pre-frail
- 3+ = frail
4
Q
Why are falls an issue
A
- Mortality
- Medical complications
- Fractures
- Loss of confidence
- Economic cost
5
Q
What is a fall?
A
Fall: person lies on ground with or without loss of consciousness - older people may not remember losing consciousness
6
Q
Interventions for those at fall risk
A
- Exercise - tai chi, walking, balance training
- Home hazard assessment
- Medication review
- Vision assessment and intervention
7
Q
Multifactorial assessment
A
- Falls history and presentation (dizziness, triggers)
- gait, balance, mobility, muscle weakness
- Osteoporosis risk
- Functional ability and fear relating to falling
- Visual impairment
- Assessment of cognitive impairment and neurological exam
- Urinary incontinence
- Home hazards
- CV exam
- Medication review
8
Q
Intervention for those at risk of a fall
A
- Diagnosis and management of causes and risk factors
- Medication review
- Physiotherapy
- Home hazard intervention - OT
- CBT
