Frailty + The CGA Flashcards
Frailty Definition
Reduction in homeostatic mechanisms and physiological reserve leading to an increase of mortality when faces with physiological stress (injury + disease)
How may Frailty be assessed
PRISMA 7 Questionnaire (>3/7 = Frailty)
Timed up and Go (>14seconds = Serious Fall risk)
Self Reported Health (‘rate your health 1-10, <6 = Frailty)
Polypharmacy (5+ medications = Frailty)
Groningen Frailty indicator questionaire (>4/15 = Frailty)
What is the CGA
Multidimensional, multidisciplinary diagnostic process the determine the medical, psychological and functional capabilities of a frail older person in the effort to develeop a co-ordinated/integrated plan for treatment + long term follow up
What are the domains of the CGA
Medical Mental Health Functional capacity Social circumstances Environment
What does the medical domain of the CGA encompass
Co-morbidities + their severity
Medication review
Nutritional Status
Problem lists
What does the mental health domain of the CGA encompass
Cognition
Mood + anxiety
Fears
What does the functional capacity domain of the CGA encompass
Basic ADLs
Gair + Balance
Activity/Exercise status
Instrumental activities of daily living
What does the social circumstances domain of the CGA encompass
Informal support structure
Social network
Eligibility for care resources
What does the environment domain of the CGA encompass
Home comfort/facilities
Use of health technology
Transport Facilities
Accessibility to local resources
What are Basic ADLs
Washing Dressing Feeding Toileting Continence
What are instrumental ADLs
Transport Shopping Housework Medications Finances Using Phone
What is the best use of the CGA
When faced with a non-specific presentation of a geriatric condition:
Immobility
Incontinence
Intellectual impairment
What is the international classification of health and functioning
WHOs framework for measuring health + disability at both individual and population levels
