What does a frailty index measure?
The frailty index (FI) is used to measure the health status of older individuals; it serves as a proxy measure of aging and vulnerability to poor outcomes.
What are the components of comprehensive geriatric assessment?
The four main dimensions covered in a CGA should include physical, functional,
- psychological and social assessment as follows: Physical assessment. • Presenting complaint.
- • Advanced directives. Functional assessment. • Activities of daily living.
- • Cognition and mood. Social assessment. • Living arrangements.
When do you need to complete the CGA?
CGA is a timely assessment for persons over the age of 70. It can also be done after a doctor detects a potential risk to the patient’s health.
What criteria is used to diagnose frailty?
Frailty is operationalized as a syndrome meeting three or more of five phenotypic criteria: weakness as measured by low grip strength, slowness by slowed walking speed, low level of physical activity, low energy or self-reported exhaustion, and unintentional weight loss (Table 1).
What are the 5 frailty indicators?
(44) proposed five frailty criteria: weakness, slow walking speed, low physical activity, self-reported exhaustion, and unintentional weight loss. The majority of physicians (64.9%) generally measure and diagnose frailty using more than one instrument (25).
How is the frailty index calculated?
The index is often expressed as a ratio of deficits present to the total number of deficits considered. For example, if 40 deficits were considered, and 10 were present in a given person, that person’s frailty index would be 10/40 = 0.25.
What are the 3 steps of comprehensive geriatric assessment CGA process?
Activities of daily living — An older adult’s functional status can be assessed at three levels: basic activities of daily living (BADLs), instrumental or intermediate activities of daily living (IADLs), and advanced activities of daily living (AADLs).
What are the 3 step processes of comprehensive geriatric assessment?
With respect to the impact of functional status on activities of daily living (ADLs), an older person’s functional status can be assessed at three levels: (1) basic activities of daily living (BADLs), (2) instrumental or intermediate activities of daily living (IADLs) and (3) advanced activities of daily living (AADLs) …
What is a good frailty index score?
score 0 to 0.12 represents patients without frailty; >0.12 to 0.24 represents patients with mild frailty; >0.24 to 0.36 represents patients with moderate frailty; and. >0.36 represents patients with severe frailty.
How is the frailty index score calculated?
How is frailty scored?
Initially, it was scored on a scale from 1 (very fit) to 7 (severely frail). It was modified to a 9-point scale to include very severely frail and terminally ill. It evaluates specific domains, including comorbidity, function, and cognition, to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill).
What does a frailty index score of 0.25 mean?
Moderate Frailty (eFI score 0.25 – 0.36): People who have difficulties with outdoor activities and may have mobility problems or require help with activities such as washing and dressing. Severe Frailty (eFI score > 0.36): People who are often dependent for.
What are the 5 beers criteria?
The AGS Beers Criteria® include the same five main categories as in 2015: (1) potentially inappropriate medications in older adults; (2) potentially inappropriate medications to avoid in older adults with certain conditions; (3) medications to be used with considerable caution in older adults; (4) medication …
What are the five major components of a comprehensive nursing assessment of an older patient?
This series discusses the comprehensive assessment of older people’s care needs, which should cover at least five domains: physical, psychological, functional, social and spiritual.
Who can perform CGA?
It is provided to person’s aged at least 65 years and older, and requires a referral by the general practitioner (GP).
What is NHS frailty index?
The electronic frailty index (eFI) uses the existing information within the electronic primary health care record to identify populations of people aged 65 and over who may be living with varying degrees of frailty.
What are 5 drugs to avoid in the elderly?
Here are 5 groups of drugs to avoid:
- NSAIDs. (non-steroidal inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve) and aspirin can increase risk of stomach ulcers, blood pressure, heart failure and affect kidneys.
- Antihistamines.
- Sleeping aids.
- Benzodiazepines.
- Opioids.
Why is it called Beers list?
The list was introduced in 1991 to improve the quality of care for older adults. It is named after the geriatrician Mark H. Beers, MD, who worked with a panel of experts to develop a list of potentially inappropriate medications (PIMs) in older adults in the early 1990s.
What are 4 assessment areas that are included in the geriatric assessment that are not included in an adult assessment?
Overview of the Geriatric Assessment
A geriatric assessment includes an evaluation of an older individual’s functional status, medical conditions (comorbidities), cognition, nutritional status, psychological state, and social support, as well as a review of the patient’s medications (Table 4-1).
What is the most common inappropriately prescribed drug to the elderly?
Diphenhydramine and amitriptiline are the most common inappropriately prescribed medications with high risk adverse events while propoxyphene and doxazoxin are the most commonly prescribed medications with low risk adverse events.
What is the safest blood pressure medicine for the elderly?
There is no age threshold beyond which hypertension should not be treated. Thiazide diuretics are first-line therapy for isolated systolic hypertension, and they should be considered in any antihypertensive regimen in older persons.
What are the 5 Beers Criteria?
Which antidepressant should be avoided in elderly?
Tricyclic antidepressants, especially amitriptyline and dothiepin,16 are known to pose a high risk of death in overdosage. These drugs should therefore be avoided in older people whose medication is not supervised and who are at risk of taking an overdose.
What medications should elderly not take?
AVOID Certain Anticholinergic Drugs
- Antidepressants amitriptyline (Elavil) and imipramine (Tofranil)
- Anti-Parkinson drug trihexyphenidyl (Artane)
- Irritable bowel syndrome drug dicyclomine (Bentyl)
What is normal blood pressure for a 70 year old?
Elderly blood pressure range for men and women
The American College of Cardiology (ACC) and the American Heart Association (AHA) updated their guidelines in 2017 to recommend men and women who are 65 or older aim for a blood pressure lower than 130/80 mm Hg.