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An in-depth exploration of frailty in older adults, a syndrome characterized by progressive multisystem decline and increased vulnerability to disease and death. Topics covered include the physical, cognitive, psychosocial, and nutritional aspects of frailty, as well as the role of sarcopenia, endocrine changes, and inflammation. The document also discusses the 'vicious cycle' of frailty and various treatment approaches, including exercise, hormonal interventions, anti-inflammatory therapies, and comprehensive geriatric assessment and care.
Typology: Slides
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◦ Physical ◦ Cognitive ◦ Psychosocial ◦ Nutritional
◦ Starts at 30, accelerated after 50 ◦ Worsened by chronic illness
◦ Improves muscle strength, aerobic capacity, balance, and mobility and reduces falls in older adults. ◦ Improvement of ADLs, quality of life, emotional health, increased chances of independent living, postponement of disability. ◦ Categories: high-intensity resistance training (muscle mass, strength) Tai-Chi (reduce falls) ◦ ?Benefit in highly frail ◦ Does NOT increase pain
◦ Not recommended, unless clearly indicated (deficiency) ◦ Even with replacement, effects are unclear.
◦ TNF-α antagonist for Rheumatoid arthritis
◦ LTC services in community (transition) ◦ Involves Geriatric team + HomeCare + Transportation
◦ Homelike environment
◦ Patient-centered care, that includes plans for preventing disability and iatrogenic illness
◦ Comprehensive discharge planning and management.