Geriatrics Flashcards
1
Q
What is frailty?
A
A reduced ability to withstand illness, without loss of function
It is a susceptibility state, not an illness itself
2
Q
What are the effects if aging?
A
- Impairment of organ function
- Breakdown of complex interplay between organ systems (dyshomeostasis)
- This leads to increased susceptibility to environmental stress –> frailty
3
Q
How do we identify someone as frail?
A
Use frailty index
4
Q
What is the frailty phenotype?
A
- Unintentional weight loss
- Exhaustion
- Weak grip strength
- Slow walking speed
- Low physical activity
5
Q
What are frailty syndromes?
A
- Falls
- Immobility
- Delirium
- Functional loss
6
Q
What are the health domains?
A
- Medical
- Psychological
- Functional
- Behavioral
- Nutritional
- Spiritual
- Environmental
- Social
- Societal
- illness can be triggered by disruption in any health domain
7
Q
Patients are increasingly:
A
- Multimorbid
- Old
- Frail
- Complex
8
Q
What is a Comprehensive Geriatric Assessment?
A
Process to assess and manage illness in older people with frailty
9
Q
What does a comprehensive geriatric assessment consist of?
A
- Determining what the problems are
- Determining what we can reverse and make better
- Produce a management plan
10
Q
What is a person-centered(goal-centered approach?
A
- Do what the patient wants
- Preserves autonomy
- An effective way of dealing with multi morbidity and competing clinical priorities
11
Q
What is the medical health domain?
A
- Pathological: disease
- Physiological: Normal aging
