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Possible Answers (Selections for
User)
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SHARE-FI75+
FRAILTY CALCULATOR
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v1.0
(Interface by Medical Physics & Bioengineering, St James's Hospital,
Ireland, 2014)
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Gender
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Age
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Fatigue
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Low Appetite
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Weakness
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Slowness
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Low Physical Activity
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GENDER
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Choose..
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Choose..
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Choose..
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Choose..
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Choose..
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Choose..
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Choose..
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Are you male or female?
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Male
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75
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Yes
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Diminution in desire
for food and/or eating less than usual
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Yes
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Observed walking
without help of another person or using support
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More than once a
week
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AGE
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Female
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76
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No
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No change in desire
for food and/or eating the same as usual
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No
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Observed walking
with help of another person or using support
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Once a week
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What age are you (in years)?
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77
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Increase in desire
for food and/or eating more than usual
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Not observed - in
wheelchair or bedbound
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One to three times a
month
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FATIGUE
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78
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Not observed -
uncertain if impairment
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Hardly ever, or
never
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In the last month, have you
had too little energy to do the things you wanted to do?
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79
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LOW APPETITE
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80
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What has your appetite been
like?
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81
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WEAKNESS
Because of a health problem, do you have
difficulty (expected to last more than 3 months):
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82
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1)
getting up from chair after sitting for long periods?
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83
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2)
lifting or carrying weights over 10 pounds/5 kilos, like a heavy bag of
groceries?
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84
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SLOWNESS
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85
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To be answered by the
examiner: choose one of the following:
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86
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LOW PHYSICAL ACTIVITY
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87
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How
often do you engage in activities that require a low or moderate
level of energy such as gardening, cleaning the car, or doing a walk?
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88
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FRAILTY SCORE:
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89
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FRAILTY
CATEGORY:
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90
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91
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