• 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)
  • 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)
  • 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)
  • Falls and fall-related fractures are a common cause of disability in elderly people [ 1 ], and preventing falls is an urgent medical and social issue. (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)
  • The elderly population comprise of a heterogeneous group of people. (myhealth.gov.my)
  • The frail elderly has higher incidence of side effects from medications reported compared to the robust elderly and younger people. (myhealth.gov.my)
  • The elderly and those with underlying conditions are particularly vulnerable to the virus, which has killed more than 3,800 worldwide and spread to more than 109,000 people in more than 100 countries. (latimes.com)
  • MONDAY, June 8, 2020 (HealthDay News) -- Blood pressure drugs help even the most frail elderly live longer, and older people who are healthier get the biggest benefit, Italian researchers say. (towerhealth.org)
  • We knew that high blood pressure medication was protective in general among older people, however, we focused on whether it is also protective in frail patients with many other medical conditions who are usually excluded from randomized trials," said lead author Dr. Giuseppe Mancia, professor emeritus at the University of Milano-Bicocca in Milan. (towerhealth.org)
  • And even more so with older and/or frail people. (matiafundazioa.eus)
  • In this way, pre-frail and frail people could use this system to reach an exercise capacity threshold and obtain health benefits. (myoton.com)
  • Based on all the foregoing, this study provides evidence that neuron system activation through VR therapy can improve voluntary movement-related capacities (i.e., aerobic capacity, functional lower-limb strength, and reaction time) and pain, while VR therapy has no effect on capacities and characteristics associated with involuntary movement (i.e., static balance and muscle tone and stiffness) in frail and pre-frail people. (myoton.com)
  • Frail elderly people admitted to hospital often receive help from relatives in managing their daily lives. (lu.se)
  • Active oral health care for frail elderly people. (bvsalud.org)
  • The number of elderly people in the Dutch society is increasing. (bvsalud.org)
  • More elderly people keep (at least part of) their own dentition which requires pro-active oral health care. (bvsalud.org)
  • Home-help for elderly people have expanded in Sweden during the period 1960 - 1980. (lu.se)
  • The statute is complicated, and the proposed regulations run almost 1000 pages, but the potential impact upon the care of frail and disabled elderly people and their clinicians is easy to trace. (medicaring.org)
  • Therefore, practitioners focused on frail and sick elderly people are sure to lose in MIPS, which has to stay revenue neutral: the model is designed such that every physician who "wins" in MIPS has to have a counterbalancing physician who "loses. (medicaring.org)
  • Does an asymptomatic toxoplasmosis infection cause elderly people to become frailer? (pictures-of-cats.org)
  • These cancers are more frequent in older people who are often too frail to undergo full course of chemotherapy. (ed.ac.uk)
  • and a trajectory with prolonged gradual decline (typical of frail elderly people or people with dementia). (bmj.com)
  • In the largest trial so far to be conducted in frail elderly patients with advanced gastroesophageal cancer, a lower dose of chemotherapy produced similar outcomes but with less toxicity than the standard dose used for patients with this condition. (medscape.com)
  • Many elderly or frail patients are unable to tolerate the standard combination chemotherapy regimen, he said. (medscape.com)
  • Chemotherapy options in elderly and frail patients with metastatic colorectal cancer (MRC FOCUS2): an open-label, randomised factorial trial. (ox.ac.uk)
  • BACKGROUND: Elderly and frail patients with cancer, although often treated with chemotherapy, are under-represented in clinical trials. (ox.ac.uk)
  • We designed FOCUS2 to investigate reduced-dose chemotherapy options and to seek objective predictors of outcome in frail patients with advanced colorectal cancer. (ox.ac.uk)
  • INTERPRETATION: FOCUS2 shows that with an appropriate design, including reduced starting doses of chemotherapy, frail and elderly patients can participate in a randomised controlled trial. (ox.ac.uk)
  • 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 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)
  • Caregivers of frail rural older adults. (caregiver.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)
  • However, the mental health watchdog, Citizens Commission on Human Rights (CCHR) , says the study is yet another push from psychiatry to increase the use of electroshock-up to 460 volts of electricity sent through the brain-in vulnerable and frail elderly. (cchrint.org)
  • A psychiatrist writing in Ethical Human Psychology and Psychiatry said that "ECT is especially devastating to the vulnerable brain and body of the elderly….As would be predicted based on the fragility of the older brain, ECT causes more severe brain dysfunction in the elderly. (cchrint.org)
  • These crimes are usually targeted at the elderly, vulnerable or frail. (cambridge-news.co.uk)
  • 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)
  • Elderly persons and persons with underlying health problems are at increased risk for complications of influenza. (cdc.gov)
  • Dychtwald 1999 , an edited book, includes several chapters that introduce important general concepts in geriatrics, but also several focusing on the special needs of the frail elderly. (oxfordbibliographies.com)
  • What Causes Frailty In Elderly? (myhealth.gov.my)
  • The hybrid exercise program that combined Baduanjin with strength and endurance training proved more effective at improving fitness and reversing frailty in elderly individuals. (qigonginstitute.org)
  • 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)
  • 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)
  • In this context the family is extended and often constitute not only members from the nuclear family but also other members of the network of relatives, whom take part in the care of the elderly. (lu.se)
  • And our elderly or frail relatives? (audiofilemagazine.com)
  • The middle-aged children of the elderly constitute another sizeable group of family caregivers. (canada.ca)
  • Caregivers of the frail elderly: a national profile. (bvsalud.org)
  • This is especially impactful in a disease with a paucity of data, particularly in our elderly or frail patients that comprise a significant portion of patients with this disease," he said. (medscape.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)
  • Our goal is not to provide a comprehensive list, but rather to make sense of those that are available on the market today and can reduce the care hours required by elderly persons. (payingforseniorcare.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)
  • The Frail Elderly Waiver is designed to help seniors who require a nursing home level of care. (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)
  • Who will care for the frail elderly? (wikipedia.org)
  • Dental general practitioners have a responsibility to provide adequate oral care for their elderly patients . (bvsalud.org)
  • The family with the elderly and the home help workers' team constitute two organisations, which meet in the care work. (lu.se)
  • In Sweden both home care and institutional care of the elderly has decreased during the 1980th and 1990th in spite of the fact that the proportion elderly over 80 years (4,5 % of the total population) has increased 60 % since 1980. (lu.se)
  • Home care may serve as an intervention that influences the health, well-being and life quality of the elderly and other family members. (lu.se)
  • In a research project1 the family and the home help services are studied as two organisations, which interact in the care of the elderly. (lu.se)
  • Could MACRA Enable Care Models That Serve Frail Elders Well? (medicaring.org)
  • A frail client should be treated with tender, loving care. (massagemag.com)
  • The tool can play an important role in cancer care, according to clinicians who work with the elderly. (kuer.org)
  • Mohile says when she saw that Griggs' dad was frail because of his other health issues, she explained that the standard treatment of care would be difficult for him. (kuer.org)
  • Polypharmacy and medication adherence in the elderly are significant public-health considerations worldwide and are an important focus of integrated care. (uspharmacist.com)
  • Both seniors were described as being elderly and frail. (9news.com)
  • We enrolled 38 elderly nursing home residents (mean age±SD, 86.6±4.8 y) in a 3-mo randomized, controlled, parallel group trial. (go.jp)
  • ABSTRACT To identify activity patterns of residents in homes for the elderly in Alexandria, we carried out a study on 188 elderly persons in 4 homes (2 governmental and 2 private). (who.int)
  • Due to the lack of real-world data regarding OAC treatment in frail patients, these results may inform clinical practice in the treatment of this patient population. (statinmed.com)
  • Patients in level C experienced fewer side effects and achieved better OTU outcomes than those in level A or B. This was the case even for patients who were younger and less frail. (medscape.com)
  • A goal set higher than for younger elderly. (myhealth.gov.my)
  • Frailty can affect the physical, mental, emotional as well as social aspects of an elderly. (myhealth.gov.my)
  • The aim of this study is to evaluate the effects of a virtual running (VR) treatment combined with specific physical gait exercise (PE) compared to placebo VR treatment combined with PE on functionality, pain, and muscular tone in pre-frail and frail older persons. (myoton.com)
  • Frailty is a serious physical disorder affecting the elderly all over the world. (qigonginstitute.org)
  • However, the frail elderly have low physical fitness, which limits the effectiveness of current exercise programs. (qigonginstitute.org)
  • Inspired by this, we attempted to integrate Baduanjin and strength and endurance exercises into an exercise program to improve the physical fitness and alleviate frailty among the elderly. (qigonginstitute.org)
  • A complete assessment by your doctor may help to identify elderly at risk (frail). (myhealth.gov.my)
  • Geriatric assessment is an approach that clinicians use to evaluate their elderly patients' overall health status and to help them choose treatment appropriate to their age and condition. (kuer.org)
  • Hall and his team had previously conducted a phase 2 trial in a similar population of older, frail patients with advanced gastroesophageal cancer and found that the combination of oxaliplatin ( Eloxatin , Sanofi-Aventis) and capecitabine ( Xeloda , Hoffman-LaRoche) was more effective than capecitabine alone. (medscape.com)
  • 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)
  • The decline in functional capacity is a heterogeneous phenomenon in the elderly. (mdpi.com)
  • Therefore, the aim of this study was to verify the self-perception of oral health conditions in elderly persons with different levels of frailty. (bvsalud.org)
  • Fifty-eight elderly persons with a mean age of 77.1 (SD=8.5) were examined. (bvsalud.org)
  • It is considered that other systemic conditions with greater impact on the daily lives of these elderly persons outweighed their oral conditions. (bvsalud.org)
  • Elderly men and women, many of whom have multiple chronic conditions and comorbidities being treated with multiple medications, are particularly at risk (6-9). (cdc.gov)
  • The goal of the study was to find the optimum dosage of capecitabine and oxaliplatin for use in older or frail patients and to determine the optimal clinical benefit, tolerability, quality of life, and patient satisfaction. (medscape.com)
  • The early identification of a frail status is essential for preventing loss of functional capacity, and its clinical consequences. (mdpi.com)
  • In other words, frail elderly are more prone to severe outcome from illness and even medications. (myhealth.gov.my)
  • Pockets of infections were discovered at convalescent hospitals and at nursing homes for the elderly in Gyeongsan, Bonghwa and Cheongdo. (latimes.com)
  • 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 treatment left him frailer, Griggs recalls. (kuer.org)
  • The goal of hypertension control may not be achieved if the elderly developes severe postural hypotension despite the adjustment of dose and type of the high blood pressure medications. (myhealth.gov.my)
  • The group questions the study published in The American Journal of Psychiatry that claims ECT "was beneficial in sustaining mood improvement" for most elderly patients. (cchrint.org)
  • The frail elderly presented a more positive self- -perception of their oral conditions when compared with those in the pre-frail group. (bvsalud.org)
  • A total of 171 frail elderly individuals completed the experiment, including a Baduanjin group (BDJ), a strength and endurance training group (SE), and a combination of Baduanjin and strength and endurance training group (BDJSE), which lasted for 24 weeks. (qigonginstitute.org)
  • 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)
  • Based on the stacking model, it is possible to predict whether an elderly person will exhibit reversed frailty following an exercise program. (qigonginstitute.org)
  • A recent study claims that electroshock therapy (ECT) is "beneficial" to the elderly. (cchrint.org)
  • The study on a Novel Strategy for Continuation ECT in Geriatric Depression (Phase 2), flies in the face of reports indicating a potential high death rate for elderly patients who receive electroshock. (cchrint.org)
  • They were then assessed by the paramedic on scene and only non-critically unwell frail or elderly patients who were deemed to potentially require transfer to hospital for further investigation were enrolled in the study to see if they could be managed safely at home. (scas.nhs.uk)
  • This subgroup analysis of the ARISTOPHANES study compared the risk of stroke/systemic embolism (S/SE) and major bleeding (MB) amongst frail NVAF patients prescribed nonvitamin K antagonist oral anticoagulants (NOACs) or warfarin. (statinmed.com)
  • This comparative retrospective observational study of frail, older NVAF patients who initiated apixaban, dabigatran, rivaroxaban or warfarin from 01JAN2013-30SEP2015 was conducted using Medicare and 3 US commercial claims databases. (statinmed.com)
  • Most use reduced chemo schedules to treat frail and/or elderly gastroesophageal cancer patients, but without a good evidence base to guide them," he said. (medscape.com)
  • Elderly cancer patients are in many cases suboptimally treated due to the assumption that treatments would be too toxic for them to tolerate. (cancernetwork.com)
  • [5] He was also quoted in a New York Times article saying that ECT has been on the increase because "there's a market that's been exploited" with elderly women on Medicare. (cchrint.org)
  • A trial of paramedic-led home blood testing for frail and elderly patients who required an ambulance helped to prevent the need for transfer to hospital in more than half of cases. (scas.nhs.uk)
  • The GO2 trial is the largest randomised controlled trial to date investigating frail and/or elderly. (ed.ac.uk)
  • An accelerated ageing determines a frail status. (mdpi.com)
  • For this reason, there is an urgent need to address this growing issue in the elderly population. (uspharmacist.com)
  • Hormonal therapy may be a reasonable primary therapy in older frail women with hormone receptor-positive lesions. (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)
  • A high proportion of those requiring respite are the elderly spouses of elderly patients, many of whom are living on low incomes. (canada.ca)
  • The average age of patients at the time of diagnosis of advanced, inoperable gastroesophageal cancer is 75 years, and many are frail," Hall told reporters. (medscape.com)
  • By the year 2030 most patients with breast cancer will be aged 65 years or more and many will be frail. (cancernetwork.com)
  • For example, elderly who is already on blood pressure medication may have a drastic drop in blood pressure if a prostate medication is added, leading to a fall from giddiness. (myhealth.gov.my)
  • 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)
  • This was due partly upon the prevailing ideology that it is important for frail elderly to stay in their own homes. (lu.se)
  • It's important to step back and remember that there is a spectrum of the elderly. (digital-photography-school.com)
  • The frail elderly are the subject of a growing number of conferences, consensus panels, review articles, book chapters, editorials, and special issues in scientific journals. (oxfordbibliographies.com)
  • When clinical conditions were evaluated, the pre-frail who needed prosthetic rehabilitation classified their oral health in a negative manner. (bvsalud.org)