Occupational Health

Question 1

Outline the Barthel Index of Activities of Daily Living

Answer 1

Question 2

What is frailty?

Answer 2

a clinically recognizable state of increased
vulnerability resulting from aging-associated
decline in reserve and function across multiple
physiologic systems such that the ability to cope
with everyday or acute stressors is comprised”

Question 3

Outline the Phenotype Theory of fraility? (Freid)

Answer 3

– Low grip strength

– Low energy

– Slow walking speed

– Low physical activity

– Unintentional weight loss

Question 4

Outline the Deficit Accumulation Theory of fraility? (Rockwood)

Answer 4

• Symptoms
  – Signs
  – Diseases
  – Disabilities

Question 5

Outline the Clinical Frailty Scale (Rockwood Frailty Index)

Answer 5

Based on Rockwood’s frailty index
• 36 variables
• READ codes on GP systems
• Robust predictive validity for
– Mortality
– NH admission
– Hospitalisation
• Ability to focus resources

• Only for >65 years
• Objective assessment (part of hollistic assessment of patient)

Question 6

Outline the Edmonton Frail Scale

Answer 6

Question 7

In relation to gait, how is frailty assessed?

Answer 7

• Slow walking speed - >5 seconds to walk 4
metres
• Timed up-and-go test (TUG) - >10 seconds to
stand from a chair, walk 3 metres, turn round
and sit down again

Question 8

What is the gold standard intervention for frailty?

Answer 8

• Comprehensive geriatric assessment
• An older person who receives CGA by a
  multidisciplinary team in a specialist
  environment is more likely to be alive and
  living in their own home 6 months after an
  acute illness

Question 9

What is CGA?

Answer 9

• A process not an event
• Interdisciplinary
• Multidimensional
• Produces problem lists
• Integrated plan for treatment, rehabilitation,
support and long term care

Question 10

Outline the PRISMA-7 Questionnaire

Answer 10