Frailty

Question 1

Frailty def

Answer 1

vulnerability to stress (eg infection etc)

Question 2

Common presentations of frailty

Answer 2

Non specific- fatigue, wt loss, frequent infection
Falls- balance/gait impairment
Delirium
Disability

Question 3

Fried criteria for frailty

Answer 3

1. wt loss: >4.5kg self reported or >5% recorded/yr
2. Exhaustion- self reported 3-4/7
3. Low energy expenditure- M: <383kcal/wk F: <270kcal/wk
4. slowness- time to walk 15ft stratified for sex/height
5. weakness- grip strength

Question 4

Sarcopenia

Answer 4

progressive loss of muscle strength and power

Question 5

Frailty assessments

Answer 5

• The timed up and go test
• Grip strength
• Edmonton frail scale
• Rockwood scale