• Drs. Dittus and Muss have extensively discussed the concept of frailty, illustrated the role of geriatric assessments to better define the 'status' of the older patient, and proposed appropriate therapeutic interventions for frail women with breast cancer. (cancernetwork.com)
  • This trial brought together researchers and clinicians from multiple centres in the UK to assess whether older and/or frail patients with advanced gastroesophageal cancer benefit from less intensive palliative chemotherapy and whether a formal Geriatric Assessment can assist treatment decision-making. (ed.ac.uk)
  • The Frail Elderly Waiver is designed to help seniors who require a nursing home level of care. (payingforseniorcare.com)
  • As we evaluate the disproportionate impact of COVID-19 on frail seniors, there is a growing chorus of policymakers, foundation funders, consumers and providers who are interested in working together to make PACE robustly available in urban and rural communities nationwide. (mcknights.com)
  • PACE's success in wrapping its care model around frail seniors at home has energized states' interest in expanding access to PACE, and a number of states, including Maryland, Illinois, New Jersey, and Massachusetts, have activated plans to make PACE available statewide. (mcknights.com)
  • Although nearly 85% of frail seniors residing in long-term care facilities have osteoporosis, the pivotal osteoporosis trials have systematically excluded fragile, functionally-impaired women. (endocrinologyadvisor.com)
  • Timely short-term specialised palliative care service intervention for frail older people and their family carers in primary care: study protocol for a pilot randomised controlled trial. (iasp-pain.org)
  • Then there's a new Clinician's Corner/Perspectives on Care at the Close of Life piece about palliative care for frail elderly adults . (pallimed.org)
  • Time-efficient tools for assessing frailty are being developed and, once validated, can be used to identify frail cancer patients and help direct therapy. (cancernetwork.com)
  • Because so little is known about the survival outcomes for frail patients that receive CPR, physicians have struggled to fully inform patients about their risks during surgery. (medicalxpress.com)
  • Such grim outcomes only apply if a patient survives CPR-recent studies have calculated a mortality rate of over 95% for frail patients that receive CPR in a non-surgical setting. (medicalxpress.com)
  • Data gathered from the PROTein to Enhance outComes of (pre)frail paTients undergoing Cardiac Surgery Study will be published in peer-reviewed journals and presented at national and international conferences. (bmj.com)
  • Frailing is a way of playing the banjo also known as clawhammer . (academickids.com)
  • The combined supplementation of MCTs (6 g), L -leucine-rich amino acids, and cholecalciferol may improve cognitive function in frail elderly individuals. (go.jp)
  • Instead, Kuchel said, measuring muscle function and quality is much more effective at identifying frail patients. (medscape.com)
  • But sometimes patients -- particularly frail, older ones with dementia or Alzheimer's -- can get trapped between a bedrail and the bed mattress, which can lead to serious injury or even death. (wshu.org)
  • By the year 2030 most patients with breast cancer will be aged 65 years or more and many will be frail. (cancernetwork.com)
  • Screening mammography in frail patients is questionable, and a clinical breast exam is likely to identify breast cancers that warrant intervention. (cancernetwork.com)
  • It would therefore be extremely important, as clearly stated by Dittus and Muss, to differentiate patients who are fit from those who are currently functioning but at risk of treatment complications, and from those who are too frail to receive aggressive treatments. (cancernetwork.com)
  • Nonetheless, it was agreed that the distinctive trait in frail patients is an increased vulnerability to stress factors due to impairments in multiple systems that lead to a decline in homeostatic reserve and resiliency. (cancernetwork.com)
  • The CCG's aim is to deliver integrated services to all patients with complex and chronic mental and physical problems, including the frail and elderly, which improve the coordination and continuity of care for patients. (hsj.co.uk)
  • The article titled " Efficacy of Reduced-Intensity Chemotherapy With Oxaliplatin and Capecitabine on Quality of Life and Cancer Control Among Older and Frail Patients With Advanced Gastroesophageal Cancer - The GO2 Phase 3 Randomized Clinical Trial " presents evidence that reduced-intensity chemotherapy provides a better patient experience without significantly compromising cancer control and should be considered for older and/or frail patients. (ed.ac.uk)
  • This is the largest randomized controlled trial to date specifically investigating frail and/or elderly patients with advanced gastroesophageal cancer, and the results should guide future treatment. (ed.ac.uk)
  • But it's unclear whether that trend applies to frail patients, who are often older and at a higher risk of experiencing CPR-related trauma and complications. (medicalxpress.com)
  • Such uncertainty has led some doctors to wonder: are efforts to resuscitate frail patients in the operating room futile? (medicalxpress.com)
  • To address this question, a team from Brigham and Women's Hospital, a founding member of the Mass General Brigham health care system, analyzed a national cohort of over 3,000 patients and determined that around one in three older frail patients survive surgical CPR. (medicalxpress.com)
  • They also discovered that frail patients were more likely to die from cardiac arrests that occurred during non-emergency procedures than non-frail individuals, which could translate into higher overall surgery risks for frail patients. (medicalxpress.com)
  • They say their findings, published in JAMA Network Open , can help physicians navigate the risks of performing surgical CPR in frail patients. (medicalxpress.com)
  • CPR should not be considered futile for frail patients in the context of surgery," said lead author Matt Allen, MD, an attending physician in the Brigham's Department of Anesthesiology. (medicalxpress.com)
  • Frail patients can be particularly vulnerable to the chest compressions involved in CPR, which can cause rib and sternal fractures that may lead to further complications and a slow recovery in those who survive. (medicalxpress.com)
  • To calculate the survival odds for frail patients that receive CPR during surgery, the Brigham team designed a longitudinal cohort study that drew data from the American College of Surgeons National Surgical Quality Improvement Program, a database that tracks case studies from over 700 US hospitals. (medicalxpress.com)
  • Out of 792 patients who were considered frail, 534 individuals, or 67%, died within 30 days of receiving CPR during surgery. (medicalxpress.com)
  • Of 214 patients considered frail who survived and lived independently prior to surgery , 59% (127) were discharged to locations other than their homes, which include nursing and rehabilitation facilities. (medicalxpress.com)
  • The team also observed that frail patients were more likely to die during cardiac arrests that happened in the context of non-emergency surgeries than non-frail individuals. (medicalxpress.com)
  • They cited this finding as a reminder to doctors about communicating surgical risks to frail patients, no matter how safe a procedure may seem. (medicalxpress.com)
  • This is another example that in frail patients , there is no such thing as a low-risk procedure. (medicalxpress.com)
  • Introduction In the past 20 years, the increasing burden of heart disease in an ageing population has resulted in cardiac surgery (CS) being offered to more frail and older patients with multiple comorbidities. (bmj.com)
  • The authors are right, that we (oncologists and other doctors) shouldn't be in the business of routinely giving aggressive treatments to patients who are very old and frail, who are more likely to suffer harms of treatment than potential benefits. (medicallessons.net)
  • Not just because we can't continue driving up U.S. health care costs indiscriminately, but because when very frail, elderly patients are given chemotherapy they're less likely to recover after treatment. (medicallessons.net)
  • I routinely watch extremely frail patients in their 80's and 90's receiving chemotherapy, and with all honesty I too find it troubling, and often ask myself "why? (medicallessons.net)
  • OBJECTIVES: To evaluate the effect of medical indicators of health status on functional gain during rehabilitation of frail older patients. (unimi.it)
  • Nurses' experience of collaboration with relatives of frail elderly patients in acute hospital wards: A qualitative study. (lu.se)
  • To illuminate nurses' experience of collaboration with relatives of frail elderly patients in acute hospital wards, and of the barriers and promoters for collaboration. (lu.se)
  • The present study investigated whether a 10-week multimodal movement intervention conducted in the seated position can slow cognitive deterioration in demented and physically very frail nursing-home residents. (lancs.ac.uk)
  • Those in care homes, or who have dementia or are receiving home care or post-acute rehabilitation, will often be frailer and older. (scottishcare.org)
  • The result is melodic but can have a strong strummed rhythm which allows the frailed banjo to stand well as a solo instrument. (academickids.com)
  • My life is about to take care of myself': therapeutic itineraries of care for frail older adults. (bvsalud.org)
  • The present study sought to understand how frail older adults perceive their therapeutic care itineraries. (bvsalud.org)
  • When clinical conditions were evaluated, the pre-frail who needed prosthetic rehabilitation classified their oral health in a negative manner. (bvsalud.org)
  • It's just that because a million or more people are in a hospital bed every day in this country, it only takes a few of them that are frail and disoriented and a bed that's slightly dangerous to cause a problem. (wshu.org)
  • Improving the health and quality of life for frail and elderly people in Camden, north London, and improving primary care services are two of five health priorities identified by Camden Clinical Commissioning Group. (hsj.co.uk)
  • These cancers are more frequent in older people who are often too frail to undergo full course of chemotherapy. (ed.ac.uk)
  • Objective measurements can be used to identify people with risks of falls, but many frail elderly adults cannot complete physical performance tests. (springer.com)
  • The study examined the relationship between a subjective risk rating of specific tasks (SRRST) to screen for fall risks and falls and fall-related fractures in frail elderly people. (springer.com)
  • Successful strategies for preventing falls in frail elderly people with cognitive impairments are yet to be identified conclusively [ 10 ] and appropriate screening tools for these individuals are needed. (springer.com)
  • It can be expensive and upsetting for frail people and their loved ones. (ottawalife.com)
  • Dr. John Muscadere explains how Canada's healthcare system can better support frail people, who are typically elderly and more vulnerable. (ottawalife.com)
  • Find out how better healthcare for people who are medically frail also improves care for people who are younger and have more resilience. (ottawalife.com)
  • Frail older people can be a hard to reach group for research and thus an underrepresented group in research. (lu.se)
  • There is a lack of knowledge how collaboration with frail older people should be best performed. (lu.se)
  • Methods: In this study we have invited people, 75 years of age or older screened as physically frail and who have previously participated in a study as data sources, to share their experiences by intensive interviewing. (lu.se)
  • Results: The results demonstrate how frail older people have different incentives, how their context of ageing and the unusual position of being involved in research altogether influenced how, where and in what way they wished to be involved in research. (lu.se)
  • The categories compose the core category, Challenging oneself on the threshold to the world of research, which symbolises the perceived distance between the frail older people themselves and the research world, but also the challenges the frail older people could go through when choosing to be involved in research. (lu.se)
  • Conclusions: Frail older people have a varied capacity to participate in research, but in what way and how is difficult to know before they have been involved in the process of research. (lu.se)
  • Our results advocate that it is problematic to exclude frail older people a priori and that there is a potential for new perspectives and knowledge to be shaped in the encounter and in the relationship between the researcher and the frail older person. (lu.se)
  • The frail elderly has higher incidence of side effects from medications reported compared to the robust elderly and younger people. (myhealth.gov.my)
  • Frail elderly people admitted to hospital often receive help from relatives in managing their daily lives. (lu.se)
  • The use of outcome and process indicators to incentivize integrated care for frail older people. (lu.se)
  • When their band, the Frail Days, starts to build a local following, Stella and Tamara clash over the direction the band should take, forcing them to consider what true musical collaboration means. (49thshelf.com)
  • Jade Gong is a strategic advisor to executives of provider-based organizations on PACE growth and innovation and transformational models of care for frail older adults and their families. (mcknights.com)
  • Managed care integrated nearly all of the states' Medicaid programs, including those providing Home and Community Based Services, such as the Frail Elderly (FE) Waiver. (payingforseniorcare.com)
  • These results suggest that subjective ratings by care staff can be utilized to determine the risks of falls and fall-related fractures in the frail elderly, however, these preliminary results require confirmation in further prospective research. (springer.com)
  • Olson 2003 introduces the issues involved in caring for the frail elderly in long-term care establishments in the United States. (oxfordbibliographies.com)
  • Various alternatives to institutionalization have been proposed as a way of providing needed care for the frail elderly, especially after hospitalization. (oxfordbibliographies.com)
  • One such program is a foster care program for the frail elderly created by the Johns Hopkins Hospital and funded by the Robert Wood Johnson Foundation, described in Oktay 1988 . (oxfordbibliographies.com)
  • On Feb. 28, 2020, when the first reported U.S. case of COVID-19 was identified in a female resident of a long-term care skilled nursing facility in King County, Washington, we had more insight into the vulnerability of frail older adults. (chausa.org)
  • This trial of single-dose zoledronic acid for osteoporosis in cognitively impaired, frail osteoporotic women is the first to demonstrate that it is safe and effective in preserving/improving skeletal integrity over 3 years. (endocrinologyadvisor.com)
  • Change in the number of informal helpers of frail older persons. (cdc.gov)
  • Zoledronic acid improved bone mass in frail, older women with osteoporosis for 3 years. (endocrinologyadvisor.com)
  • Older, frail women with osteoporosis experienced improvements in bone mineral density over 3 years after treatment with a single dose of zoledronic acid, according to research presented at the American Society for Bone and Mineral Research (ASBMR) 2014 Annual Meeting. (endocrinologyadvisor.com)
  • The Playboy Mansion is no longer a "Place of excess with orgies and topless girls," Howe explained to The Sun. On the contrary, "Hef is so frail he goes everywhere with a group of nurses," she said, adding, "Most of the time all he wants is to play chess with his friends and watch old films. (radaronline.com)
  • Therefore, the aim of this study was to explore frail older people's experiences of involvement in research. (lu.se)
  • However, treatment of hypertension in frail elderly needs to be individualized as the frail elderly are more prone to side effect of medications. (myhealth.gov.my)
  • As the frail elderly responds more sensitively to treatment, it is important to report any possible side effects from medications to your doctor. (myhealth.gov.my)
  • Frail elderly are at higher risk to have postural hypotension from treatment of hypertension. (myhealth.gov.my)
  • The frail elderly presented a more positive self- -perception of their oral conditions when compared with those in the pre-frail group. (bvsalud.org)
  • For research to be able to cater for frail older people's needs of health services, their voices need to be heard and taken into consideration. (lu.se)
  • An insider has claimed that Prince Harry's "constant ambushing" of the royal family "had an impact" on the late Queen Elizabeth II's frail health. (yahoo.com)
  • Oncologists need to acquire the skills to appropriately identify frail elders so they select appropriate therapies that will minimize toxicity and maintain quality of life. (cancernetwork.com)
  • Hormonal therapy may be a reasonable primary therapy in older frail women with hormone receptor-positive lesions. (cancernetwork.com)
  • A frail person may slip his or her head or arm into one of the gaps and may not be able to extricate it," he says, "and that's where injury or death occurs. (wshu.org)
  • The combined supplementation of medium-chain triglycerides (MCTs), L -leucine-rich amino acids, and cholecalciferol (vitamin D 3 ) increase muscle strength and function in frail elderly individuals. (go.jp)