Understanding Frailty: Models and Tests

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Questions and Answers

Which of the following best describes the relationship between aging, disability, and frailty?

  • Frailty inevitably leads to disability and is synonymous with aging.
  • Aging is solely determined by the presence of frailty, which always results in disability.
  • Disability is a direct consequence of aging, and frailty is a subset of disability.
  • Frailty, disability, and aging are distinct but related concepts; one can experience any combination of these. (correct)

According to the Phenotype Model of frailty, how many of the specified criteria must be met to classify an individual as frail?

  • At least two criteria.
  • At least one criterion.
  • At least three criteria. (correct)
  • All five criteria must be present.

In the Cumulative Deficit Model, what types of factors are considered when calculating the frailty index?

  • Only cognitive factors, such as memory and attention.
  • Only physiological factors, such as blood pressure and heart rate.
  • Physical, cognitive, physiological, and social factors are all considered. (correct)
  • Only physical factors, such as grip strength and walking speed.

The Short Physical Performance Battery (SPPB) includes which of the following tests?

<p>Romberg Balance Tests, gait speed test, and chair stand test (D)</p> Signup and view all the answers

Which of the following pieces of aging simulation equipment is designed to primarily affect balance?

<p>Overshoes (C)</p> Signup and view all the answers

Which of the following cognitive functions is NOT assessed by the Mini-Mental State Examination (MMSE)?

<p>Emotional processing (D)</p> Signup and view all the answers

What is the primary purpose of using cotton balls as aging simulation equipment?

<p>To simulate muffled hearing. (C)</p> Signup and view all the answers

A score of 23 or lower on the Mini-Mental State Examination (MMSE) typically indicates:

<p>Some level of cognitive impairment (B)</p> Signup and view all the answers

How do simulation goggles with opaque tape affect the user's vision, and what condition does this simulate?

<p>They restrict the field of vision, simulating glaucoma. (B)</p> Signup and view all the answers

Which piece of aging simulation equipment would most directly impact performance on the 'Registration' component of the MMSE?

<p>Cotton balls (B)</p> Signup and view all the answers

Flashcards

Frailty

A condition where an individual is less able to tolerate a stressor event, increasing the likelihood of a more negative outcome.

Frailty & Age

Frailty increases with age due to cumulative decline in multiple physiological systems.

Phenotype Model

Frailty occurs when 3 or more of these criteria are met: weight loss, exhaustion, weakness, slowness, and low physical activity.

Cumulative Deficit Model

Frailty index is calculated based on accumulation of deficits including physical, cognitive, physiological, and social factors.

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Short Performance Physical Battery (SPPB)

Romberg, Gait Speed, Chair Stand. These tests simulate physical symptoms of frailty associated with aging.

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Mini Mental State Exam (MMSE)

Orientation, Registration, Attention & Calculation, Recall, Language.

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MMSE Score

A score of 23 or lower indicates some level of cognitive impairment.

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Aging Simulation Equipment

Knee wraps, Overshoes, Back braces, Headphones, Simulation goggles, Simulation glasses.

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Study Notes

  • Frailty is a condition characterized by a reduced ability to withstand stressors, leading to a higher risk of negative outcomes.
  • Frailty differs from aging and disability; not all disabled individuals are frail, and not all frail individuals are elderly.
  • The prevalence of frailty rises with age due to the combined decline of multiple physiological systems.

Phenotype Model

  • This model defines frailty based on 5 physical criteria.
  • An individual is considered frail if they meet 3 or more of these criteria.
  • The 5 criteria are: weight loss, exhaustion, weakness (grip strength), slowness (walking speed), and low physical activity.

Cumulative Deficit Model

  • A frailty index is calculated based on the accumulation of deficits.
  • It Includes a wide range of deficits, such as physical, cognitive, physiological, and social factors (92 deficits).

Physical Frailty Tests – Short Performance Physical Battery (SPPB)

  • Physical symptoms of frailty associated with aging can be simulated.
  • SPPB consists of three tests: Romberg Balance Tests, Gait speed test and Chair stand test.

Romberg Balance Tests

  • Side-by-side stand involves standing with feet together.
  • Semi-tandem stand involves placing one foot halfway in front of the other.
  • Tandem stand involves placing one foot directly in front of the other.

Aging Simulation Equipment Used

  • Knee wraps: They restricted normal range of motion and affected balance.
  • Over shoes: They created an uneven surface, affecting balance.
  • Back braces: They restricted range of motion, impacted balance, and simulated back pain with spikes.
  • Headphones & audio player: They played tinnitus sounds.
  • Simulation goggles: Opaque tape covered most of the lens to simulate glaucoma.
  • Simulation glasses: Scratched lenses simulated cataracts.

Cognitive Frailty Tests – Mini Mental State Exam (MMSE)

  • Neurological/cognitive symptoms of frailty associated with aging can be simulated.
  • The MMSE is a tool to assess mental status.

Areas Tested by MMSE

  • Orientation
  • Registration
  • Attention & Calculation
  • Recall
  • Language

Aging Simulation Equipment Used

  • Oversized gloves: They affected dexterity.
  • Cotton balls: They muffled hearing.
  • Simulation goggles: Opaque tape covered most of the lens to simulate glaucoma.
  • Simulation glasses: Scratched lenses simulated cataracts.
  • A score of 23 or lower on the MMSE indicates some level of cognitive impairment.
  • The maximum score on the MMSE is 30.

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