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Prevention and Rehabilitation of Complex Chronic Conditions > Module 7 Frailty: Prevention and Rehabilitation > Flashcards

Module 7 Frailty: Prevention and Rehabilitation Flashcards

1
Q

What are some treatments for frailty?

A
  • muscle strengthening exercises (sarcopenia)
  • Caloric and protein support
  • Bone health
  • Nutritional program
  • Exercise program
  • Reduction of polypharmacy
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2
Q

Who should be aware frailty?

A
  • General public
  • Health professionals
  • Public health authorities
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3
Q

What are the public policy for frailty?

A

Early detection and legitimize their potential needs and enhance access to care

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4
Q

What is early detection for frailty?

A

All persons aged 65 years and older, as well as any person with significant weight loss due to chronic illnesses

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5
Q

How to legitimize potential needs and enhance access to care for those who are frail?

A

A single point of entry into the care system

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6
Q

What would a case manager need to do for a frail individual?

A
  • Assess needs

- Deliver evidence based and personalized care

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7
Q

In clinical/community setting, who is responsible for diagnosing frailty?

A

Practitioners

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8
Q

What are practitioners responsible for when it comes to frailty

A

Confirming signs of frailty and implement evidence based packages of care

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9
Q

What can the elderly do at the individual level?

A

Health education, exercise program, nutrition, immunization, social activity

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10
Q

What is included in a comprehensive geriatric assessment?

A

A comprehensive evaluation of existing medical, functional and social needs in frail older adults

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11
Q

What does comprehensive geriatric assessment emphasizes?

A

An multidimensional interdisciplinary approach to manage complex and often inter related issues

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12
Q

What does comprehensive geriatric assessment result in?

A

Designing a personalized preventive or therapeutic intervention

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13
Q

What can be assessed with frailty?

A
  • Physical
  • Socioeconomic / environmental
  • Functional
  • Mobility / balance
  • Psychological / mental
  • Medication review
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14
Q

How is the assessment done?

A
  • Creation of problem list
  • Personalized care plan
  • Intervention
  • Regular planned view
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15
Q

What is the preliminary screening of the frail elderly person do?

A

An easy and quick screening instrument for the general practitioner/ caregiver/ social worker to detect frailty

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16
Q

Who are the appropriate patients for the screening?

A

Pre-frail/ moderately frail

17
Q

What can be used for the preliminary screening?

A
  • Geriatric care units
  • acute care units
  • home / care homes
  • inpatient and outpatient consultation
18
Q

What are the three things included in the multidimensional holistic assessment?

A
  • Sociodemographic, anthropometric
  • Medication review
  • Physical assessment
19
Q

What can be included in the physical assessment ?

A

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
20
Q

Who primarily conducts the multidimensional holistic assessment?

A

Geriatrician and a nurse

21
Q

What components are assessed in the functional, psychological, and environmental components

A
  • Physical function
  • Cognition
  • Nutritional status
  • Mood
  • Patient’s social situation and support structures
22
Q

Who else is involved in other evaluations

A
  • Neuro - psychiatrist
  • Ophthalmologist
  • Nutritionist
  • Physical therapist
  • Dentist
  • Social worker
23
Q

Who is responsible for the personalized prevention plan (PPP)?

A

Geriatrician

24
Q

What is the geriatrician responsible for in the personalized prevention plan?

A
  • 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
25
Q

What is the purpose of the process management?

A
  • To determine the efficacy of the PPP
  • Enhance the patient’s adherence to the intervention
  • Facilitate later follow - up process
26
Q

What is the timing of following up?

A
  • The first 15 days
  • One month
  • Three months
  • One year
  • Reassessment
27
Q

What is the purpose of preliminary screening in CGA?

A

-To make the process more efficient and cost effective

28
Q

What are some possible things that can be improved with CGA?

A
  • Improves detection and documentation of frailty
  • Improve individual’s functional status and quality of senor life (decrease of the use of prescription medications and nursing home placement)
29
Q

Where is the guided care model adopted from?

A
  • Adopted from the CCM
30
Q

What does the guided care model do?

A
  • Addresses complex chronic conditions
31
Q

Who mostly uses the guided care model?

A
  • Primary care nurses specially trained
32
Q

What are the eight clinical activities for guided care?

A
  • Assessment
  • Care planning
  • Promoting self - management
  • Monitoring
  • Coaching
  • Coordinating transitions between sites and care providers
  • Educating and supporting the caregiver
  • Facilitating access to community to resources
33
Q

What does frailty mean?

A
  • A clinically recognizable condition involves multiple systems (poor quality of interactions among biological systems and the accumulated quantity of physiological abnormalities)
  • Increased vulnerability in which minimal stress can cause functional impairment
  • High risk of falls, disability, hospitalization, and mortality
  • Might be reversible or attenuated by interventions
  • Mandatory for health workers to detect as soon as possible
  • Useful in primary and community care

Prevention and Rehabilitation of Complex Chronic Conditions (5 decks)

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