Older patient care Flashcards
what is frailty
age associated decline in physiologic reserve and function across multi organ systems
What are the impacts of frailty
decreased quantity of life
loss of independence
having frailty puts at greater risk of adverse outcomes
what are the five frailty syndromes
falls
decreased mobility
delirium
incontinence
susceptibility to medication side effects
what are the symptoms frailty
unintentional weight loss
reduced gait speed
reduced muscle strength
low energy expenditure
self reported exhaustion
The frailty cycle
how do we assess frailty in the gp surgeries
Electronic frailty index that looks for deficits and looks at the degree of frailty
how do we assess frailty in hospital
rockwood frailty score
how many stages are there in the rockwood frailty score
9
can you outline what the different stages of the rockwood frailty score are
1-3 doing okay
4-6 vulnerable or moderatly frail and need help
7 - 9 terminally ill or severely frail
describe the effect of dementia upon frailty
degree of frailty corresponds to level of demntia
What other options are there to assess frailty
prisma 7 questionnair
gait speed
time up and go
the groningen frailty indicator
questionairr
What are the 4 parts of the comprehensive geriatric assessment
physical exam
psychiatric assessment
history
functional assessment
What medication review tools are available for assessing geriatric patients
beers criteria
stopp / start tool
pincer intervention
NO TEARS
what is the stopp start tool
screening tool used to alert doctors to right treatment
what are the benefits of the stopp start tool
significantly reduce ADRs
improve med appropriatness
reduce length of hospital stay
