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A healthy person scores 0; a very frail person scores 5. Compared to non-frail elderly people, people with intermediate frailty scores (2 or 3) are twice as likely to have post-surgical complications, spend 50% more time in the hospital, and are three times as likely to be discharged to a skilled nursing facility instead of to their own homes. [61]
Approximately 3% of healthy elderly persons living in the community have major depression. Recurrence may be as high as 40%. Suicide rates are nearly twice as high in depressed patients as in the general population. Major depression is more common in medically ill patients who are older than 70 years and hospitalized or institutionalized.
Common signs include exhaustion, reduced cognitive ability and a range of physical symptoms. The symptoms develop gradually as a result of prolonged and elevated stress, but often culminate abruptly as the disorder becomes fulminant. Recovery will generally take from six months to a full year, sometimes longer.
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[10]: 3 Severity may change over time. Symptoms might get worse, improve, or the illness may go into remission for a period of time. [11] People who feel better for a period of time may overextend their activities, triggering PEM and a worsening of symptoms. [34] Those with severe and very severe ME/CFS experience more extreme and diverse symptoms.
Flu symptoms can be more dangerous in certain populations, such as people with weakened immune systems, pregnant women, children under the age of 5, people in long-term care facilities, seniors ...
A range of other symptoms commonly result from CFS including headaches, muscle and joint pain and low-grade fever. [14] ICF requires: only one symptom: chronic fatigue; does not need a significant reduction in activities: some people are able to push through the fatigue to continue activities; is only diagnosed if CFS symptoms are not met. [6]
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