Module 7 Frailty: Prevention and Rehabilitation Flashcards
What are some treatments for frailty?
- muscle strengthening exercises (sarcopenia)
- Caloric and protein support
- Bone health
- Nutritional program
- Exercise program
- Reduction of polypharmacy
Who should be aware frailty?
- General public
- Health professionals
- Public health authorities
What are the public policy for frailty?
Early detection and legitimize their potential needs and enhance access to care
What is early detection for frailty?
All persons aged 65 years and older, as well as any person with significant weight loss due to chronic illnesses
How to legitimize potential needs and enhance access to care for those who are frail?
A single point of entry into the care system
What would a case manager need to do for a frail individual?
- Assess needs
- Deliver evidence based and personalized care
In clinical/community setting, who is responsible for diagnosing frailty?
Practitioners
What are practitioners responsible for when it comes to frailty
Confirming signs of frailty and implement evidence based packages of care
What can the elderly do at the individual level?
Health education, exercise program, nutrition, immunization, social activity
What is included in a comprehensive geriatric assessment?
A comprehensive evaluation of existing medical, functional and social needs in frail older adults
What does comprehensive geriatric assessment emphasizes?
An multidimensional interdisciplinary approach to manage complex and often inter related issues
What does comprehensive geriatric assessment result in?
Designing a personalized preventive or therapeutic intervention
What can be assessed with frailty?
- Physical
- Socioeconomic / environmental
- Functional
- Mobility / balance
- Psychological / mental
- Medication review
How is the assessment done?
- Creation of problem list
- Personalized care plan
- Intervention
- Regular planned view
What is the preliminary screening of the frail elderly person do?
An easy and quick screening instrument for the general practitioner/ caregiver/ social worker to detect frailty
Who are the appropriate patients for the screening?
Pre-frail/ moderately frail
What can be used for the preliminary screening?
- Geriatric care units
- acute care units
- home / care homes
- inpatient and outpatient consultation
What are the three things included in the multidimensional holistic assessment?
- Sociodemographic, anthropometric
- Medication review
- Physical assessment
What can be included in the physical assessment ?
Laboratory assessment (blood test, vitamin D, biological markers)
- Electrocardiogram (cardiovascular function)
- Dual energy X - ray absorptiometry (DXA) (body composition and bone mineral density)
- Muscle strength
- Gait and balance
- Vision and hearing
- Functional, psychological and environmental components
Who primarily conducts the multidimensional holistic assessment?
Geriatrician and a nurse
What components are assessed in the functional, psychological, and environmental components
- Physical function
- Cognition
- Nutritional status
- Mood
- Patient’s social situation and support structures
Who else is involved in other evaluations
- Neuro - psychiatrist
- Ophthalmologist
- Nutritionist
- Physical therapist
- Dentist
- Social worker
Who is responsible for the personalized prevention plan (PPP)?
Geriatrician
What is the geriatrician responsible for in the personalized prevention plan?
- Summarizes the results of all the assessments performed
- contacts the patient’s general practitioner to jointly prepare a PPP for the patient
- Gives detailed explanations about the PPP to the patient and his/her caregiver
- Prepares written copy of the PPP, one to the patient and another to his/her practitioner
