Specialist Geriatric Assessment

Question 1

State the Implications of an Ageing World

Answer 1

Multimorbidity, frailty

Question 2

Describe Frailty

Answer 2

Progressive accumulation of damage to a complex system resulting in aggregate loss of system redundancy - an increased susceptibility to environmental stress

Question 3

Age related decline leads to

Answer 3

Impairment of individual organ function and a breakdown of the complex interplay between organ systems (dyshomeostasis)

Question 4

Define frailty

Answer 4

A reduced ability to withstand illness without loss of function

Question 5

How can one be identified as frail

Answer 5

Frailty index or the frailty phenotype

Question 6

Describe the frailty phenotype

Answer 6

3 of 
Unintentional Weight loss
Exhaustion 
Weak grip strength
Slow Walking Speed
Low Physical Activity

Question 7

List “frailty syndromes”

Answer 7

Falls, immobility, delirium, functional loss

Question 8

Dyshomeostasis leads to

Answer 8

Multiple body systems being involved in one illness

Question 9

F of Frailty

Answer 9

F - functional impairment in context of significant multiple conditions

Question 10

R of Frailty

Answer 10

Resident in a Care Home

Question 11

A of Frailty

Answer 11

Acute confusion

Question 12

I of Frailty

Answer 12

Immobility or falls in the last three months

Question 13

L of Frailty

Answer 13

List of six or more medicines

Question 14

1 on clinical frailty scale

Answer 14

Very Fit

Question 15

2 on the clinical frailty scale

Answer 15

Well, exerciese or are very active occasionally

Question 16

3 on the clinical frailty scale

Answer 16

Managing Well - people whose medical problems are well controlled, but are not regularly active beyond routine walking

Question 17

4 on the clinical frailty scale

Answer 17

Vulnerable - while not dependent on others for help, symptoms interfere with every day life

Question 18

5 on the clinical frailty scale

Answer 18

Mildy frail - slow, need help in high order IADLS, interferes with shopping, meal preparing and housework

Question 19

6 on the clinical frailty scale

Answer 19

Moderately frail - people need help with all outside activities and with keeping the house. These people might need assistance with bathing

Question 20

7 on the clinical frailty scale

Answer 20

Severely frail - completely dependent on personal care

Question 21

8 on the clinical frailty scale

Answer 21

Very severely frail - completely dependent, approaching the end of life. They could typically not recover from a minor illness

Question 22

9 on the clinical frailty scale

Answer 22

Terminally ill - approaching the end of life within 6 months

Question 23

Illness in frail people

Answer 23

Leads to disruption in multiple health domains, it can be triggered by disruption in any health domain