FTT Flashcards
1
Q
How many people 65 and older are considered frail?
A
- 10-25% of persons
- % increases w/ age
2
Q
Definition of frailty?
A
- a state of age-related physiologic vulnerability resulting from impaired homeostatic reserve and a reduced capacity to withstand stress
- the physiologic decline occurs across multiple systems
- syndrome that results from multi-system reduction in reserve to the extent that a number of physiological systems are close to or past the threshold of sx clinical failure
- as a result, the frail person is at increased risk of disability and death
3
Q
Characteristics of frailty?
A
- frail older adult is ID by one or more of the following characteristics:
extremes of old age
frailty=unstable disability - fxn fluctuates w/ minor stressors
- multiple chronic diseases and/or geriatric syndromes
4
Q
What is the study of osteoporotic fractures (SOF) index?
A
- wt loss of 5% or more over 2 yrs
- inability to stand from a chair 5x w/o using arms to push up
- negative response to the question: “do you feel full of energy?”
- 2/3 positives considered a predictor of risk of falls, disability, fractures, and death
5
Q
Outcome risks of frailty?
A
- falls
- acute illness
- hospitalizations
- disability
- dependency
- institutionalization
- death
6
Q
What are the key components of frailty?
A
- musculoskeletal fxn: strength
- cog/integrative neuro fxn: dementia
- nutrional reserve
- aerobic capacity
7
Q
Signs and sxs of frailty?
A
- sxs: weakness fatigue anorexia inactivity - signs: wt loss/malnutrition decreased muscle mass decreased bone mass anemia
8
Q
Contributing factors of frailty?
A
- heavy drinking
- cigarette smoking
- physical inactivity
- depression
- social isolation
- multiple chronic medical problems
- poor perceived health
9
Q
Triggering events lead to frailty? Causes of blocked recovery time?
A
-triggering events: chronic disease inactivity infection hip fracture
-blocked recovery time: depression med interactions malnutrition fear of falling underlying cognitive status underlying fxnl status
10
Q
FTT definition?
A
- near irreversible end of natural hx of syndrome of frailty
- national institute of aging definition: syndrome of wt loss, decreased appetite and poor nutrition and inactivity
often accompanied by:
dehydration
depressive sxs
impaired immune fxn
low cholesterol
11
Q
Components of FTT?
A
- physical frailty
- disability
- impaired neuropsych fxn
12
Q
Factors of of FTT?
A
- meds: effects/interactions
- comorbidities: COPD/CHF, malignancy, DM, arthritis
- psychosocial factors:
isolation, grief, financia, abuse/neglect
13
Q
Definition of disability? Assessing this?
A
- defined as difficulty or dependency in completing tasks essential for self-care and independent living
- objective assessments:
ADLs
IADLs
14
Q
What is impaired neuropsychiatric fxn?
A
- delirium, depression, and dementia are MC conditions affecting cognitive status in older adults:
may be result of medical comorbidities
med effects
can contribute to development of disability, malnutrition and frailty
15
Q
What may cause disability to develop?
A
- may develop slowly due to progressive co-morbidities and frailty, or acutely due to catastrophic events (stroke)
- disability is an independent RF for mortality, hospitalization, and need for long term care
