Exam (elaborations)
Geriatric Symptoms & Frailty
- Course
- Institution
Geriatric Symptoms & Frailty
[Show more]
Content preview
GERIATRIC SYMPTOMS & FRAILTYQUESTIONS AND ANSWERS
nWhat is key to understanding age-related disease? - Recognizing and understanding frailty (also
recognizing signs of pre-frailty)
Frailty can adversely influence... - Outcomes
-- Can take an unexpectedly long time to recover from an acute illness
-- Reduced physiologic reserve to overcome illness
*Impact of COVID-19 on the older adult population (esp. when in an institutionalized setting) - reduced
immunity to begin w/ (as an older adult)
Adaptive homeostasis - Extent that the body can adapt to the physiologic stresses and maintain
homeostasis; will influence susceptibility to illness/injury
What contributes to the loss of "energetics," homeostasis, and physiologic reserve? - Multi-system
dysregulation
Organ systems have built-in ________________ structures and function - Redundant (e.g., O2, digestive,
and metabolic systems interact and work together to deliver "fuel" to the correct structures at the
correct time)
Built-in redundancy - Decline/dysfunction in one system can lead to an increased contribution of... -
Another system
% of margin of loss for most systems before evidence of failure presents - 70
Redundancy allows most organ systems to function adequately UNTIL... - A 30% MINIMUM functional
threshold is crossed
The "tipping point" - Loss of reserve capacity is an important dimension of frailty
Physiological systems are easily tipped over the threshold of clinical failure when... - An acute problem
occurs (e.g., chronic renal insufficiency --> a bout of diarrhea causes dehydration and acute renal failure)
Factors associated w/ frailty and cognitive impairment: - -- Lifestyle and mental health factors
, -- Cardiovascular risk factors
-- Nutritional deficiencies
-- Hormonal imbalance
-- Social factors
-- Inflammation
-- Poor health and medication use
(Overlap present)
Prevalence of frailty - (Looking at >7000 community-dwelling Medicare enrollees over the age of 65)
--15.3% = frail (w/ 3 out of the 5 attributes based on the physical frailty phenotype)
--45.5% = pre-frail (having 1-2 out of the 5 attributes)
Prevalence of frailty in nursing homes = - ~76 (w/ remainder of individuals considered to be pre-frail)
Key risk factors for frailty: - -- Increased age
-- Female
-- Black/Hispanic
-- Lower level of education
-- Lower socioeconomic status
-- Poor self-rated health
-- Presence of co-morbidities
-- Presence of disease
Increased age as a key risk factor for frailty - -- Only 9% in the 65-69 age bracket
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller knowledgeNest. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now