Frailty presentation

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Frailty presentation

  1. 1. Frailty<br />PED 488<br />Special Populations<br />Lena Lutz<br />
  2. 2. Overview<br />The frailty syndrome is a collection of symptoms or markers, primarily due to the aging-related loss and dysfunction of skeletal muscle and bone, that place (mostly) older adults at increased levels of risk for disability, dependency, falls, need for long term care, and mortality<br />The normal aging process and presence of multiple chronic medical disorders can contribute to increased physical decline; this may place an individual at a greater risk of becoming frail<br />http://www.youtube.com/watch?v=FEqZgOFVm6Y<br />
  3. 3. Key components/ factors of topic<br />Overlapping concepts of frailty, disability, and comorbidity<br />Frailty includes both physical and functional decline<br />Frailty always implies multisystem dysfuntion<br />The cardiovascular, respiratory, nervous, musculoskeletal, renal and metabolic systems all see physiological changes associated with the aging process<br />Frail health can be found in people of any age but it is most commonly linked with the elderly<br />
  4. 4. Signs/ Symptoms<br />Weight loss <br />Fatigue<br />Muscle weakness<br />Slow or unsteady gait declines in activity<br />
  5. 5. Fried’s Phenotype for Frailty<br /><ul><li>The presence of three or more components indentifies a person as being frail
  6. 6. 0=robust; 1-2=intermediate or pre-frail; 3=frail</li></ul>Shrinking: unintentional weight loss of 10 lbs or more in the past year<br />Exhaustion: lack of energy or vigor, or the presence of fatigue and tiredness<br />Strength: loss of physical robustness, skeletal muscle soundness<br />Slowness: a lethargic, unsteady, and unbalanced gait<br />Low physical activity: inactivity or sedentariness<br />
  7. 7. Causes<br />Normal aging<br />Disease<br />Disuse<br />
  8. 8. Common Medical Disorders That Contribute to Frailty<br />Hypertension<br />Coronary artery disease<br />Asthma<br />Pneumonia<br />Arthritis<br />Osteoporosis<br />Diabetes<br />Malnutrition<br />Cancer<br />Anemia<br />Alzheimer’s disease<br />Cataracts<br />Hearing disorders<br />Anxiety disorders<br />Depression<br />
  9. 9. Medications <br />Elderly and frail individuals are usually on more medication than individuals of any other population<br />
  10. 10. Benefit From Exercise<br />Exercise including resistance, strength, and physical movement training can help improve gait and balance issues<br />Minimize further weight loss and/or loss of muscle mass and strength<br />Resistance training can help increase lean body mass and improve strength, exercise tolerance and walking speed<br />Reduce risk of falling<br />Increased socialization and self-esteem<br />Promote independence in daily living activities<br />
  11. 11. Risk With Exercise<br />Increased risk of injury due to balance difficulties<br />Prone to fractures caused by osteoporosis<br />Low tolerance for hot and cold environments<br />Susceptible to heat cramps, exhaustion, stroke, and dehydration<br />Increased risk of cardiovascular diseases<br />
  12. 12. How it relates to your area of interest<br />Group Exercise Instruction<br />Need to understand individual ability levels to assess appropriate intensity<br />Those who are frail have impaired balance which would put them at higher risk for injury in an aerobic class (STEP)<br />Older frail individuals are susceptible to dehydration<br />Exercise session duration cannot be too long; frail individuals fatigue easily<br />
  13. 13. References <br />ConsultGeriRN.org<br />http://consultgerirn.org/topics/frailty_and_its_implications_for_care_new/want_to_know_more<br />Durstine, J.L., & Moore, G. (2003). ACSM’s exercise management for persons with chronic disease and disabilities. (2nd ed.). Champaign, IL: Human Kinetics<br />

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