Fragility Flashcards
what are geri syndromes
a multifactoral health condition that occurs when the accumilation of effects render a older person vulnerable to situational challanges
what are the cardinal signs of fragility
shrinking - unintended weight loss/sacropenia
decreased strength
poor endurence
balance problems
decline in walking ability
low levels of physical activity
what are the two major theories of fragility
fried’s phenotype model
rockwood’s accumulation of deficts model
fried’s phenotype model - 3/5 of the following
unintended weight loss
general tired for 3 days or more per week
muscle weakness
slow walking speed (15 ft test)
low levels of physical activity (kcal expeneded during the week)
what is rockwood’s accumulation of deficts model
a set of 92 paramaters to 30
scores closer to 1 indicate higher degree of fragility
what are rockwood scores
1 robust
9 terminally ill
cut off score of 5 - people who would benefit from comprehensive geri assessment
is an assessment of fragility just a one disapline thing
naw
fragility and exercises
longer duration of care: 3-6 months of care
low energy - focus on function tasks
behavior intervention - address PA
20-25 - 3x a week
what is the GARS-M for
to assess for fall risk
what score of the GARS-M is associated with fall risk
Scores greater than or equal to 9/21 are associated with a recurrent fall risk
what is the main issues with the outcome meaures used for the older population
context to the pop
practicality of admission
psychometric properties
what is predictive validity
the ability for a measure to indicate an expected outcome or performance
what is gait speed predictive of
mean life expectancy by age
