Multimorbidity Frailty Complexity

Question 1

Multimorbidity

Answer 1

2+ long term conditions

Question 2

Commonest pair of multimorbidities and commonest triad of multimorbidities

Answer 2

Pair - cardiometabolic + joint pain
Triad - cardiometabolic + joint pain + mental health

Question 3

Considerations when managing pt w multimorbidity

Answer 3

Interactions of health conditions
Interaction of treatments
Individual needs and preferences
Benefits and risks from guidance on single conditions
Coordination of care across services

Question 4

Frailty

Answer 4

Health state where multiple body systems gradually lose built in reserves

Question 5

Frailty measuring tools

Answer 5

E frailty index
Timed get up and go test
Do they have to stop to talk
QFrailty
Recognition of. A frailty syndrome
PRISMA7
Rockford Score

Question 6

What syndromes raise suspicions of frailty

Answer 6

Falls
Immobility
Delirium
Incontinence
Susceptible to medication side effects

Question 7

What is asked in PRISMA7

Answer 7

Age - More than 85yrs
Gender - male
Health problems limiting activities
Need for regular help
Health problems requiring staying at home
Count on someone close to you when in need
Use of stick/walker/wheelchair

Question 8

Young frailty

Answer 8

Frailty in 18-65s

Question 9

Aspects of complexity

Answer 9

Multimorbidity
Polypharmacy
Frailty
Social problems
Mental health problems