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Need for comprehensive management of frailty at an individual level: European perspective from the advantage joint action on frailty.
- Source :
-
Journal of rehabilitation medicine [J Rehabil Med] 2020 Jun 30; Vol. 52 (6), pp. jrm00075. Date of Electronic Publication: 2020 Jun 30. - Publication Year :
- 2020
-
Abstract
- Objectives: ADVANTAGE Joint Action is a large collaborative project co-founded by the European Commission and its Member States to build a common understanding of frailty for Member States on which to base a common management approach for older people who are frail or at risk of developing frailty. One of the key objectives of the project is presented in this paper; how to manage frailty at the individual level.<br />Methods: A systematic review of the literature was conducted, including grey literature and good practices when possible.<br />Results: The management of frailty should be directed towards comprehensive and holistic treatment in multiple and related fields. Prevention requires a multifaceted approach addressing factors that have resonance across the individual's life course. Comprehensive geriatric assessment to diagnose the condition and plan a personalized multidomain treatment increases better outcomes. Multicomponent exercise programmes, adequate protein and vitamin D intake, when insufficient, and reduction in polypharmacy and inadequate prescription, are the most effective strategies found in the literature to manage frailty effectively.<br />Conclusion: Frailty can be effectively prevented and managed with a multidomain intervention strategy based on comprehensive geriatric assessment.
- Subjects :
- Aged
Aged, 80 and over
Europe
Female
Frailty
Humans
Male
Geriatric Assessment methods
Subjects
Details
- Language :
- English
- ISSN :
- 1651-2081
- Volume :
- 52
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of rehabilitation medicine
- Publication Type :
- Academic Journal
- Accession number :
- 32399576
- Full Text :
- https://doi.org/10.2340/16501977-2687