geriatric syndromes Flashcards
who are the baby boomers?
3 – 4 million babies born between 1946 – 1964
About 25% of U.S. population
Fulmer SPICES: Assessment Tool for Older Adults
Focuses on the six marker conditions that coincide with the five common conditions defined as geriatric syndromes Sleep disturbances Problems with eating and/or feeding Incontinence Confusion Evidence of falls Skin breakdown
fraility syndromes
Common older adults clinical syndrome
Increased risk for poor health outcomes (falls, disability, hospitalization, mortality)
Can be described as a culmination of the effects (decline) from the aging process on the human body
Difficult to define, but clinicians generally agree that “you’ll know it when you see it”
fraility syndromes
what is sarcopenia?
declining muscle mass, strength, and function
fraility syndromes
Muscle atrophy (40% decrease in mus. mass by 80s)
Osteopenia & osteoporosis (fracture risk, stooped posture)
Decreased mobility, sedentary
Involuntary weight loss
No standard definition Operationally defined by Fried et al. as meeting three out of five criteria low grip strength low energy slowed waking speed low physical activity and/or unintentional weight loss Requires three of the above five to be defined as frailty
fraility
musculoskeletal effects
Weakness and slowed motor response are cardinal features of frailty
Sarcopenia (loss of muscle mass and strength) can occur rapidly after age 50
accelerated by chronic diseases
a major contributor to disability
what is an important contributor to sarcopenia?
chronic inflammation