Flashcards in 10: Geriatrics Deck (19):
Up to 35% of elders have some form of frailty or FTT. Numbers increase in _____.
Nursing homes. 50-60% of hospitalized veterans.
Does FTT affect men or women more?
What are functional considerations in the home (4)?
1. Monitor upkeep of home
2. Witness others in home able to help
3. Look at stairs/potential hazards
4. Nutritional assessment of home foods
Causes of frailty and FTT (5).
1. Organic illness
5. Inadequate social support
A biological syndrome of decreased reserves in multiple systems that results from dysregulation that can occur with aging and is initiated by physiologic changes of aging, disease, and/or lack of activity or inadequate nutritional intake.
Clinical features of frailty (4).
1. Generalized weakness (lack of energy, slower task performance)
2. Weight loss
3. Memory loss
4. Biochemical abnormalities (low albumin, low cholesterol)
High risk symptoms for functional decline (4).
2. New onset incontinence
4. Mental status changes
T/F In cases of dementia, people may not self-assess abdominal pain.
Safety and _____ should be kept at the forefront of our assessment.
Using _____ as a marker, studies of nursing home patients reveal rates as high as 50-60% frailty or FTT on admission.
High risk predictors for functional decline (7).
2. Living alone
3. Lacking support systems
4. Self-care deficits
5. Need for skilled care at home
7. Recent hospital discharge
_____ screening tool can be helpful with health history.
The largest group with functional decline is over the age of _____.
T/F Hearing and vision tests could help correct deficits that contribute to frailty/FTT.
What are functional considerations to think about in the office?
Mobility testings (2).
1. Get -Up and Go Test (rise from chair, walk 10 feet, turn around, return to chair)
2. Functional reach (extend arms forward without moving the feet and distance is measured--helps with understanding if they can prepare meals)
A syndrome that occurs near the end of life that is associated with weight loss, functional loss, and social withdrawal.
What needs to be considered with functional decline and hospital settings?
Be mindful to promote as much optimal functioning as possible. Hospital staff can encourage declines in functioning.