Frailty & Multimorbidity

Question 1

Define multimorbidity

Answer 1

The presence of two or more long term health conditions.

Defined physical or mental health conditions, learning disabilities, symptom complexes such as chronic pain, sensory impairments and alcohol or substance misuse.

Question 2

Who is multimorbidity more common in?

Answer 2

• Older age
• Females
• Combined mental and physical comorbidity is more common in younger adults
• Socioeconimic deprivation (particularly when involving mental health disorders)

Question 3

What is the most prevalent disorder that exists comorbidly with other disorders?

Answer 3

HTN

Question 4

What are the two most common mental health disorders that exist comorbidly with other conditions?

Answer 4

Depression & anxiety

Question 5

Risk factors for multimorbidity?

Answer 5

• increasing age
• female
• low socioeconomic status
• tobacco and alcohol usage
• lack of physical activity
• poor nutrition and obesity

Question 6

Complications of multimorbidity?

Answer 6

• Decreased quality of life & expectancy
• Increased treatment burden
• Mental health issues
• Polypharmacy
• Negative impact on carers welfare

Question 7

How can frailty be assessed?

Answer 7

1) The evaluation of gait speed, self-reported health status

2) PRISMA 7 questionnaire

Question 8

What does the PRISMA-7 questionnaire involve?

Answer 8

Involves questions considering the age, sex, health problems, assistance required and walking aid use of the patient