Week 1 Flashcards
What is Frailty
Operationally defined by
Fried et al. as meeting three out of five phenotypic criteria indicating
compromised energetics:
* low grip strength,
* low energy,
* slowed walking speed,
* low physical activity,
* and/or unintentional weight loss
Whos’ at highest risk of frailty?
85+ age group
Women
More prevalent amongst Black older people than White older people
What are the potential risks/ health outcomes/ impacts of frailty?
Having frailty places a person at increased risk of adverse
outcomes, including falls, hospitalisation, malnutrition, infection, physical
and mental health co-morbidities, and mortality
Whos’ at highest risk of falls?
Oldest old – 85 years and older - have highest
prevalence (nearly 10% reported a fall related injury – almost double to 65–69 year-olds);
more likely to be female; more likely to be living alone
What is the No. 1 reason for injury-related death, hospitalization and emergency
department visits for older adults in Canada
Falls (1 in 3 people aged 65 and
older are likely to fall at least once)
Assesment of fall risk
- Is the person at risk?
- Fall risk screening tool
Prevention of falls
- Education
- Exercise and maintaining activity
- Best Practice Guidelines
- Fall prevention interventions: listen to patients/ client
Why a fear of falling can be bad, and who is more likely to have this fear?
A person has lasting fear of falling and may avoid activities they would otherwise be
capable of performing
More often affects older women, those with previous falls and certain co-morbidities
(chronic illness, frailty)
Activity restriction in the long-term adversely affects mental and physical health and
actually increases the risk of future falls.
What is successful aging
“Successful ageing has become an important concept to describe the quality of
ageing. It is a multidimensional concept, and the main focus is how to expand
functional years in a later life span.” (Urtamo et al, 2019)
Resources for this week to read over
Urtamo et al, Oosman et al 2021
Makita et al 2021