Advances in management of frailty in the elderly. Implications for primary health care

被引:1
作者
Iglesias Guerra, Jose Antonio [1 ]
Casado Verdejo, Ines [2 ]
Sanchez Valdeon, Leticia [2 ]
Redondo Tebar, Andres [3 ]
Munoz Bermejo, Laura [4 ]
Mota, Salvador Postigo [5 ,6 ,7 ,8 ]
机构
[1] Univ Valladolid, Escuela Univ Enfermeria Palencia, Valladolid, Spain
[2] Univ Leon, Dept Enfermeria & Fisioterapia, Leon, Spain
[3] Univ Castilla La Mancha, Ctr Estudios Sociosanitarios CESS, Ciudad Real, Spain
[4] Univ Extremadura, Dept Enfermeria, Badajoz, Spain
[5] Univ Extremadura, Dept Enfermeria, Fac Med & Ciencias Salud, Badajoz, Spain
[6] Univ Extremadura, Grp Invest Farmacogen Enfermedades Psiquiatr, Badajoz, Spain
[7] Sistema Extremerio Ciencia Tecnol & Innovat SECTI, Badajoz, Spain
[8] Univ Porto, Grp Invest Innovat & Dev Nursing NursID, Ctr Invest Tecnol & Serv Saude CINTESIS, Fac Med, Porto, Portugal
来源
REVISTA ROL DE ENFERMERIA | 2022年 / 45卷 / 7-8期
关键词
elderly; frailty; primary healht care; early detection; OLDER-PEOPLE;
D O I
10.55298/ROL2022.4559
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Although the theoretical concept of frailty is widely accepted, its practical application is somehow limited due to the exist-ence of multiple tools related to its early detection and inter-vention proposals. In this brief review of the situation, the aim is to summarize the latest evidence regarding early detection and management of frailty in Primary Health Care. The screening is based on opportunistic case detection by active search from the age of 70, using a performance test and the FRAIL scale as tools. Confirmation using the Frailty Index is recommended. Its approach should be multidimensional and focusing on muscle strength training, protein supplementation and medication re-view. Frailty is preventable, and emphasis should be placed on early detection. Despite advances in recent years, more research is needed in order to find the most effective healthcare model.
引用
收藏
页码:431 / 437
页数:7
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