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11 Cards in this Set
- Front
- Back
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What are the four main options for detecting/defining frailty?
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"Qualitative descriptions
Rules-based definitions Clinical decision tools Frailty index" |
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How do you calculate a patient's frailty index?
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"1. Compile a list of health issues
2. Count the number applying to that patient 3. Divide by the number of health issues This is their frailty index" |
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What are the five criteria for the rules-based definition of frailty, and how many are needed to determine frailty?
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"Three or more of:
1. Wt loss > 10lbs in past year 2. Weakness (lowest 20% grip strength) 3. Sense of exhaustion 4. Slow walking speed (slowest 20%) 5. Low physical activity" |
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What does a "reduction in reserve" mean? Can you give an example of how this may present in an elderly patient?
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"The loss of the innate ability to respond to a stressor (can be mental, physical or social)
An example would be an 85yo patient with pneumonia being less able to cope when compared to a 25yo with pneumonia" |
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Which definition of frailty is the most robust?
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Frailty index
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On average, how much do deficits accumulate per year with the frailty index?
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3%
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Name five ADLs
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"Grooming
Ambulating Toileting Eating Dressing (I turned it into an acronym… GATED)" |
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Name five IADLs
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"Finances
Medication administration Driving Shopping Cooking and cleaning" |
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What are the "highest order functions" (according to lecture) in humans and how might their failure present in the elderly?
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"Ambulation --> falls
Divided attention --> delirium Use of tools --> functional decline Social graces --> incontinence, behavioural problems" |
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True or false: less than 50% of older adults present with typical signs and symptoms of disease
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TRUE
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Why is it important to recognize atypical disease presentation in the elderly?
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"It is associated with poor outcomes including:
- delirium - death - hospitalization > 30d - need for long term care - decline in function - adverse drug events" |
