functional assessment

Question 1

muscle fxn correlates closely with ____

Answer 1

muscle mass

Question 2

hypotheses for pathogenesis of impaired muscle fxn in malnutrition

Answer 2

v protein synth and ^ proteolysis causing reduced muscle mass, glycolytic enzymes v and creatine v and mito complex activities v causing impaired free energy change from ATP hydrolysis, intracellular Ca ^ causing impaired cell energetics and impaired cell mem fxn

Question 3

HGS cannot be used as surrogate for_____

Answer 3

fxn of lower extremities

Question 4

v HGS is associated with (prognostic indicator of)

Answer 4

poor nutr status, postop complications, ^ LOS, ^ rehospitalization, v physical status, v independence in elderly

Question 5

why need to take cut off values with grain of salt?

Answer 5

test not always standardized, groupings into quartiles, supported/unsupported, sitting/lying down

Question 6

common measures of phys function

Answer 6

30 second chair stand, TUG test, stair climb, 4 x 10 metre fast paced walk, 6 minute walk test, manual muscle testing

Question 7

ADLS are defined as ___ and include:

Answer 7

activities ppl engage in on day to day basis; bathe, dress, groom, mouth care, toilet, transferring bed/chair, walking, climbing stairs, eating

Question 8

IADLs are defined as ___ and valuable in determination of ____

Answer 8

activities related to independent living ; ability to care for self

Question 9

examples of IADLs:

Answer 9

shopping, cooking, managing meds, using phone/looking up numbers, doing housework, doing laundry, driving/using transportation, managing finances

Question 10

other scales and standardized tests:

Answer 10

Lawson IADLs scale, Barthel Index of ADLs, Katz index of IADLs Scale

Question 11

using performance status scale (Karnofsky) if have rating of ____ or below or Zubrod ___ or higher , may consider nutr support

Answer 11

40 ; 3