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Flashcards in Comprehensive Geriatric Assessment Deck (16)
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1
Q

What is frailty?

A

a reduced ability to withstand illness without loss of function

(it is susceptibility to functional decline)

2
Q

What implications are there to ageing?

A

Multimorbidity
Progressive accumulation of damage resulting in organ impairment
Dyshomeostasis

3
Q

What is the criteria to identify frailty?

A
Unintentional weight loss
Exhaustion
Weak grip strength
Slow walking speed
Low physical activity
4
Q

What features/symptoms accompany frailty?

A

Falls
Immobility
Delirium
Functional loss

5
Q

What is the clinical scale of frailty?

A
1 - very fit
2 - well
3- managing well
4- vulnerable
5- mildly frail
6- moderately frail
7- severely frail
8- very severely frail
9- terminally ill
6
Q

What are the multiple health domains that can be affected by frailty?

A

Medical, psychological, functional, behavioural, nutritional, spiritual, environmental, social, societal

7
Q

What is comprehensive geriatric assessment?

A

process to assess and manage illness in older people with frailty

  • determine what the problems are
  • determine if anything is reversible
  • produce management plan
8
Q

What is spiritual care?

A

Person centred care (not necessarily religious etc)

9
Q

What features make up the psychological domain?

A

Mood - anxiety, low mood
Confidence
Cognition - delirium, dementia

10
Q

What features make up the functional domain?

A

Mobility

Activities of daily living

11
Q

What features make up the behavioural domain?

A

Activities/ pastimes
Occupation
Unhealthy eating/ smoking/ drinking

12
Q

What are features of the nutritional domain?

A

poor nutrition leads to ill health
ill health leads to poor nutrition
MUST screening tool

13
Q

What features make up the environmental domain?

A

Housing
Heating
Sanitation
Adaptation

14
Q

What features make up the societal domain?

A

attitudes to ageing/ aged
technological advance
political/ regulations: money, accessibility

15
Q

What are the benefits of a comprehensive geriatric assessment?

A

More likely to be alive and living at home
Less likely to be living in residential care
Better outcomes with CGA

16
Q

What are the risks of frail patients staying in hospital?

A
Disorientation and delirium
Learned dependency
Deconditioning
Iatrogenic harm
HAI