Frailty Assessment Tools

The agenda was quite clear that during their observations the recovery showed needs were decreased according to age and BMI. They stated older patients were in need of more assistance and longer stay in the hospital as opposed to younger adults. I found it interesting that they saw patients with bilateral knees had decreased needs and that unilateral were in need of more assistance before discharge. Managing pain was their first priority during research and rehabilitation, followed by instructing care of their own surgical wound. The aim of this study was to actively reinforce assessment and management after this procedure and giving guidance to those in health care.

As a paramedic you will be involved in transporting many people ie. such as people over the age of sixty five (frail aged). Explain why frail aged patients will be the future focus of paramedic work and discuss the personal attributes and skills needed to support patients at this stage of their lives. Utilising the language of social psychology.

Per the study, the “findings have a few important implications. A substantial minority of patients aged 80 and older who have major noncardiac surgery die or suffer a postoperative complication, but the majority have good outcomes, and for many operations, mortality rates were low (>2%).” The

The purpose of this paper is to analyze if there is any improvement, post-operative complications, mortality and related factors of elderly undergoing cardiac surgery. The debate whether or not we are pushing the limits is still questionable because of the complications associated with these invasive surgeries and whether or not if it’s a money game. The growing numbers of the elderly patients enjoy a prescription drug benefit, access to artificial knee and hip surgery, and life-saving cardiovascular interventions that were undreamed of a half-century ago.

The another critical concerning aspect is that the practicability of frailty measurement. Selecting ease in administration scoring (fewer items, no need specialized training), feasible and usable (including less time & no specific equipment), and cultural sensitivity of the frailty assessment tools is mandatory in clinical settings.

The concept of “frailty” has been widely accepted as a condition of age-related decline over decades. The aging-related decline in older adults is the most important factor in increasing vulnerability to stress, leading to decreasing physiological reserves and diminishing homeostasis across multiple organ systems. Some see frailty as synonymous with comorbidity or disability. Several frailty instruments have been developed to evaluate frailty. However, evaluating frailty has some challenges to overcome. The significant challenge is that

Somme, D., et al., Critically ill old and the oldest-old patients in intensive care: short-and long-term outcomes. Intensive care medicine, 2003. 29(12): p. 2137-2143.

Neurological System (headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc medications):Patient c/o occasional headaches which are relieved with Tylenol.Patient is free from current and past head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing.

This research aimed to investigate the recurrence, inherent characteristic and results of clinical deterioration in the Emergency Department (ED) patients and differentiates the utilization of Hospital Medical Emergency Teams (MET) criteria with ED specific Clinical Instability Criteria (CIC) in identifying deteriorating patients. Hosking et al. used an exploratory descriptive design in conducting this study and point prevalence surveys for data collection, particularly, vital sign information from 200 patients

Frailty is a clinical symptom associated with age-related declines, and it has been recognized as a geriatric syndrome for many decades. According to a major challenge for aging population, the term “frailty” is widely used in the field of geriatrics and gerontology. It is known that frailty has been closely related to older adults who have complex health issues, which raises vulnerabilities and adverse health outcomes (Fried et al., 2001; Pel-Littel, Schuurmans, Emmelot-Vonk, & Verhaar, 2009). The outcomes of frailty are usually known as disability, functional impairment, incidence of hospitalization, and death. However, a concept of frailty is full of “known unknowns” such as which mechanism leads to frailty and how it is best managed and

In conclusion, Aronow et al., point out that most of the patients met at least one SPICES criterion, most common being evidence of falls, and sleep disturbances was the last (2). The SPICES tool assessment advantages are that this tool can be used for all inpatients and can more completely screen acutely ill inpatients for frailty and/or vulnerability. Also, this tool is used at bedside, in the routine admission assessment. All the informations are in the electronic health record and could be used to trigger alerts or best practice guidelines (Aronow et al., 4). Spices tool is a valid assessment for screening for risk associated with adverse hospital outcomes. Using this tool as a screening protocol help to identify patient care needs for additional

Structural failure (collapse) of the femoral head (FH). 6 studies (with 421 participants) provided relevant data (Yamasaki et al. 2010, Gangji et al. 2011, Zhao et al. 2012, Lim et al. 2013, Liu et al. 2013, Ma et al. 2014). The pooled estimate of effect size for structural failure of the FH favored the cell therapy group, as, in this treatment group, the odds of progression of the femoral head to the collapse stage were shown to be decreased by 5 times compared to the control (CD) group (OR = 0.2, 95% CI: 0.08–0.6; p = 0.02). However, this result should be interpreted with caution due to the presence of significant statistical heterogeneity (I2 = 68%, Q-test = 16, df = 5, and p = 0.008) (Figure 4).

All studies claimed that it was no consensus for defining frailty; the operational description of frailty of those studies was defined based on frailty measure tool’s definition. We identified that there were many ways to measure frailty such as “rules-based” instruments, summarization of deficit lists derived from clinical judgment, and matching multidimensional clinical deficits with national complication databases.

at the time of your visit. We have divided the DGA in two parts, each with three

Assessing and treating people with health impairments is a challenge faced by health providers around the world. In an attempt to create a standardized approach to classifications, terminology, and functional descriptions, the World Health Organization created the International Classification of Functioning, Disability and Health (ICF) first as a trial in 1980 as the International Classification of Impairments, Disabilities, and Handicaps, or ICIDH (Centers for Disease Control and Prevention, 2012), and then fully published in 2001 under its current title. In what was considered a “radical shift” of focus from cause of the disease or disorder to the impact of the disease or disorder, (World Health Organization, 2002), the ICF is written from the perspective of ability versus disability. Specifically, it looks at health and functioning in society rather than just limitations, or disabilities. To accomplish this, the ICF is structured around four broad components related to health. These components are (a) health conditions (referring to disorders or disease) which then affect (b) body functions and structure (impairment), (c) activities (e.g., tasks and actions by an individual), and (d) participation (involvement in life situations) with additional consideration for the interdependence and impact of (e) environmental factors and (f) personal factors. (Chapey, 2008; CDC, 2012). The three aspects of (a) impairment, (b) activity, and (c) participation will be considered