Frail Elderly: Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.Health Services for the Aged: Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.Geriatric Assessment: Evaluation of the level of physical, physiological, or mental functioning in the older population group.Home Care Services: Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.Judaism: The religion of the Jews characterized by belief in one God and in the mission of the Jews to teach the Fatherhood of God as revealed in the Hebrew Scriptures. (Webster, 3d ed)Geriatric Nursing: Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc.Patient Medication Knowledge: Patient health knowledge related to medications including what is being used and why as well as instructions and precautions.Activities of Daily Living: The performance of the basic activities of self care, such as dressing, ambulation, or eating.Nursing Homes: Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.Transfer Agreement: A written agreement for the transfer of patients and their medical records from one health care institution to another.Long-Term Care: Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care.Accidental Falls: Falls due to slipping or tripping which may result in injury.Delivery of Health Care, Integrated: A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)Homes for the Aged: Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.Community Health Nursing: General and comprehensive nursing practice directed to individuals, families, or groups as it relates to and contributes to the health of a population or community. This is not an official program of a Public Health Department.Netherlands: Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.Models, Organizational: Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Nutritional Status: State of the body in relation to the consumption and utilization of nutrients.Caregivers: Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Dietary Supplements: Products in capsule, tablet or liquid form that provide dietary ingredients, and that are intended to be taken by mouth to increase the intake of nutrients. Dietary supplements can include macronutrients, such as proteins, carbohydrates, and fats; and/or MICRONUTRIENTS, such as VITAMINS; MINERALS; and PHYTOCHEMICALS.Hospitalization: The confinement of a patient in a hospital.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Aging: The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Housing for the Elderly: Housing arrangements for the elderly or aged, intended to foster independent living. The housing may take the form of group homes or small apartments. It is available to the economically self-supporting but the concept includes housing for the elderly with some physical limitations. The concept should be differentiated from HOMES FOR THE AGED which is restricted to long-term geriatric facilities providing supervised medical and nursing services.

*  Interventions to prevent disability in frail community-dwelling elderly: a systematic review | BMC Health Services Research |...

Clinical trials where community-dwelling frail elderly were the target group were included. Studies had to include frail ... frail elderly shows some indication that long-lasting high-intensive exercise programs for moderate physically frail elderly ... As interventions in frail elderly focusing on disability prevention was the aim of this study, the presence of outcome ... As there are also indications that especially moderate frail elderly may benefit [14, 26] it is recommended to conduct subgroup ...
https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-8-278

*  What does frail elderly mean?

Meaning of frail elderly. What does frail elderly mean? Information and translations of frail elderly in the most comprehensive ... Definition of frail elderly in the Definitions.net dictionary. ... What does frail elderly mean?. Definitions for frail elderly. ... Get even more translations for frail elderly ». Translation. Find a translation for the frail elderly definition in other ... "frail elderly.". Definitions.net. STANDS4 LLC, 2017. Web. 18 Oct. 2017. ,http://www.definitions.net/definition/frail elderly,. ...
definitions.net/definition/frail elderly

*  Our treatment of the frail elderly is a national scandal | Express Comment | Comment | Express.co.uk

Our treatment of the frail elderly is a national scandal. IF WE really valued older people, as we say we do, why do we put up ... to provide care for older and frail and vulnerable people. ...
express.co.uk/comment/expresscomment/233177/Our-treatment-of-the-frail-elderly-is-a-national-scandal

*  Frail elderly | AHRQ Health Care Innovations Exchange

Frail elderly. Innovations. Physician-Led Clinics Offer Integrated, Coordinated Care to High-Risk Seniors Under Capitated ... templates to help long-term care facilities and their clinicians implement projects to enhance the quality of care for elderly ...
https://innovations.ahrq.gov/taxonomy-terms/frail-elderly

*  Reasons For Device Use Among Caregivers of the Frail Elderly - RRTCDD

Reasons For Device Use Among Caregivers of the Frail Elderly (2002). Kane, C., Mann, W.C., Tomita, M. & Nochajski, S.M. ... Reasons For Device Use Among Caregivers of the Frail Elderly (2002). Kane, C., Mann, W.C., Tomita, M. & Nochajski, S.M. ... Reasons For Device Use Among Caregivers of the Frail Elderly January 1, 2002. No Comments ...
rrtcadd.org/2002/01/01/reasons-for-device-use-among-caregivers-of-the-frail-elderly/

*  Care cuts 'leave frail elderly fending for themselves' | Healthwatch Wirral

Care cuts 'leave frail elderly fending for themselves'. Sep 15, 2016 , News ... Frail old people in England are being left to fend for themselves because government-funded care is being scaled back, a review ...
healthwatchwirral.co.uk/care-cuts-leave-frail-elderly-fending-for-themselves/

*  Administering medicines to patients with dementia and other organic cognitive syndromes | BJPsych Advances

The evidence base that guides the use of therapeutic agents in frail elderly patients with multiple pathology is very limited. ... Evidence-based practice with elderly patients. Almost all treatments that are given to elderly patients have been rigorously ... are effective in treating depression in frail elderly people with multiple pathologies. There is also some evidence to suggest ... At present, the elderly constitute 18% of our population but receive 45% of prescribed drugs (Royal College of Physicians, 1997 ...
apt.rcpsych.org/content/7/6/444.full

*  Psychosocial perspectives on health care utilization among frail elderly people: An explorative study.

... Jakobsson, Ulf LU ; ... Psychosocial perspectives on health care utilization among frail elderly people: An explorative study.}, url = {http://dx.doi. ...
https://lup.lub.lu.se/search/publication/1610017

*  Furthering an Innovative Approach to Caring for the Frail Elderly

... model is an innovative approach to simplifying the process of caring for the frail elderly that is shown to produce a dramatic ...
dalspace.library.dal.ca/handle/10222/71444

*  An internet-based videoconferencing system for supporting frail elderly people and their carers

The ACTION project uses information and communication technology to support frail elderly people and their family carers. The ... An internet-based videoconferencing system for supporting frail elderly people and their carers. Liina Savolainen ( ... T1 An internet-based videoconferencing system for supporting frail elderly people and their carers. YR 2008. JF Journal of ... The ACTION project uses information and communication technology to support frail elderly people and their family carers. The ...
publications.lib.chalmers.se/publication/100672-an-internet-based-videoconferencing-system-for-supporting-frail-elderly-people-and-their-carers

*  Prescribing support services : Frail elderly medication reviews

Prescribing support services
prescribingsupportservices.co.uk/Frail_elderly_medication_reviews

*  Guidance Needed for Frail Elderly Patients With Non-melanoma Skin Cancer - Cancer Therapy Advisor

Guidance Needed for Frail Elderly Patients With Non-melanoma Skin Cancer. Share this content: *facebook ... "More attention to items related to frail older adults in NMSC CPGs is broadly desired, but CPG-integration of these items is ... "More integration might stimulate a more holistic, personalized, and patient-centered care in frail older adults." ... Improving the applicability of guidelines on nonmelanoma skin cancer in frail older adults: a multidisciplinary expert ...
cancertherapyadvisor.com/skin-cancer/skin-cancer-frail-elderly-patients-guidance-guidelines-needed/article/514772/

*  Did The Forward Abuse An Elderly, Frail, Impaired Rabbi And Is It Now Lying To Try To Cover That Up? - FailedMessiah.com

... trick and abuse an elderly impaired Modern Orthodox rabbi in order to get a scoop? It appears the answer to that question is, ... Did The Forward Abuse An Elderly, Frail, Impaired Rabbi And Is It Now Lying To Try To Cover That Up?. Did the Jewish Daily ... Did The Forward Abuse An Elderly, Frail, Impaired Rabbi And Is It Now Lying To Try To Cover That Up? ... He is visibly physically and mentally frail, and it is obvious.. 'The Forward treated [Lamm] very cruelly,' the family member ...
failedmessiah.typepad.com/failed_messiahcom/2013/07/the-forward-defends-the-indefensible-to-justify-its-own-terrible-behavior-456.html

*  Facilitating and Hindering Factors in Family Care Giving Process on Iranian Frail Elderly: Female Caregivers Experiences - ...

Keywords: Family care giving, Frail elderly, Facilitator factors, Hindering factors, Grounded theory. ... Facilitating and Hindering Factors in Family Care Giving Process on Iranian Frail Elderly: Female Caregivers Experiences ... Objectives: There is worldwide growth in the elderly population. Family care of elderly is key to long term care system and ... Facilitating and Hindering Factors in Family Care Giving Process on Iranian Frail Elderly: Female Caregivers Experiences. ...
salmandj.uswr.ac.ir/browse.php?a_id=59&sid=1&slc_lang=en

*  Effects of a multi-component exercise program on physical function in community-dwelling frail elderly 75+ years old - Danish...

Effects of a multi-component exercise program on physical function in community-dwelling frail elderly 75+ years old. * ...
forskningsdatabasen.dk/catalog/2186000128

*  Adult Day Care Services in Miami Gardens, Florida

Miami Beach Day Care For Frail Elderly Provides: Adult Day Care 610 ESPANOLA WAY, Miami Beach, FL 33139 ...
https://caring.com/local/adult-day-care-in-miami-gardens-florida

*  Project ABLE:Advancing Better Living for Elders - Tabular View - ClinicalTrials.gov

Frail Elderly. Intervention ICMJE *Behavioral: Home-Based Intervention. *Behavioral: Multi-component home-based intervention ... Enhancing Function of Frail Elders At Home. Brief Summary The specific aims of the study are to: 1) test the effectiveness of a ...
https://clinicaltrials.gov/ct2/show/record/NCT00249925

*  I value your opinion! (WHY ARE PEOPLE WITH AIDS STILL DYING?) - Forum on Safe Sex and HIV Prevention -- TheBody.com

Holloway, who lives in a housing complex designed for the frail elderly, suffers from complex health problems usually ...
thebody.com/Forums/AIDS/SafeSex/Q190804.html

*  Barriers to accurate diagnosis and effective management of heart failure in primary care: qualitative study | The BMJ

... and spironolactone in patients who are often elderly and frail, with comorbidity and polypharmacy. The second is a lack of ... Concerns about the use of angiotensin converting enzyme inhibitors in elderly patients and those with renal impairment and ... Polypharmacy and drug interactions was considered a barrier, especially in elderly patients: "The other thing that raises its ... Difficulty in differential diagnosis, especially in elderly patients with comorbidity such as chronic obstructive airways ...
bmj.com/content/326/7382/196.full

*  JoVE | Peer Reviewed Scientific Video Journal - Methods and Protocols

In the elderly, frailty may pursue a step-wise loss of function from non-frail to pre-frail to frail. We studied frailty in HIV ... are frail using the Fried phenotype using stringent criteria developed for the elderly1,2. In HIV infection the syndrome occurs ... A simple, validated protocol consisting of a battery of tests is available to identify elderly patients with frailty syndrome. ... Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty ...
https://jove.com/visualize/abstract/23527296/infective-endocarditis-in-the-us-1998-2009-a-nationwide-study

*  This Side of Paradise - 4. NARCISSUS OFF DUTY

An elderly aunt, who objected to having it sold, had put ten years' taxes with a lawyer and pranced off to Honolulu, leaving ... until a frailer man than he would have been snowed under. "Don't you mind losing prestige?" asked Amory one night. They had ...
https://americanliterature.com/author/f-scott-fitzgerald/book/this-side-of-paradise/4-narcissus-off-duty

*  Polyethylene Glycol 3350 With Electrolytes News & Updates - Drugs.com

Excessive straining in frail elderly people can cause them to faint and put them at risk of injury or falling, or restrict ...
https://drugs.com/answers/support-group/polyethylene-glycol-3350-with-electrolytes/news/

*  Systolic Blood Pressure Goal for Patients Aged 60 Years or Older | Annals of Internal Medicine | American College of Physicians

150 mm Hg for frail persons aged 80 years or older was a reasonable alternate approach to addressing the concern that elderly ... Target blood pressure for treatment of isolated systolic hypertension in the elderly: valsartan in elderly isolated systolic ... HYVET (Hypertension in the Very Elderly Trial) found a benefit of an SBP target of less than 150 mm Hg on health outcomes, ... However, lowering elevated SBP to less than 140 mmHg in some elderly patients with wide pulse pressures (PP) , may lead to a ...
annals.org/aim/article/1813288/evidence-supporting-systolic-blood-pressure-goal-less-than-150-mm?resultClick=3

*  How to manage manipulative behavior in geriatric patients - American Nurse Today

Which of the following is a good tool for assessing pain in frail adults who cannot self-report?*. *. a. Pain Assessment in ... Frailty, loss of mental function independently affect elderly survival. *All-Time High for Obesity; Aortic Stenosis AUC; ...
https://americannursetoday.com/manage-manipulative-behavior-geriatric-patients/

Frailty syndrome: Frailty is a common geriatric syndrome that embodies an elevated risk of catastrophic declines in health and function among older adults. Frailty is a condition associated with ageing, and it has been recognized for centuries.Ritual washing in JudaismBristol Activities of Daily Living Scale: The Bristol Activities of Daily Living Scale (BADLS) is a 20-item questionnaire designed to measure the ability of someone with dementia to carry out daily activities such as dressing, preparing food and using transport.Home of the future: The home of the future, similar to the office of the future, is a concept that has been popular to explore since the early 20th century, or perhaps earlier. There have been many exhibits, such as at World's Fairs and theme parks, purporting to show how future homes will look and work, as well as standalone model "homes of the future" sponsored by builders, developers, or technology companies.Netherlands national rollball team: Vishwaraj JadejaSelf-rated health: Self-rated health (also called Self-reported health, Self-assessed health, or perceived health) refers to both a single question such as “in general, would you say that you health is excellent, very good, good, fair, or poor?” and a survey questionnaire in which participants assess different dimensions of their own health.Comprehensive Rural Health Project: The Comprehensive Rural Health Project (CRHP) is a non profit, non-governmental organization located in Jamkhed, Ahmednagar District in the state of Maharashtra, India. The organization works with rural communities to provide community-based primary healthcare and improve the general standard of living through a variety of community-led development programs, including Women's Self-Help Groups, Farmers' Clubs, Adolescent Programs and Sanitation and Watershed Development Programs.Dietary Supplements (database): The PubMed Dietary Supplement Subset (PMDSS) is a joint project between the National Institutes of Health (NIH) National Library of Medicine (NLM) and the NIH Office of Dietary Supplements (ODS). PMDSS is designed to help people search for academic journal articles related to dietary supplement literature.QRISK: QRISK2 (the most recent version of QRISK) is a prediction algorithm for cardiovascular disease (CVD) that uses traditional risk factors (age, systolic blood pressure, smoking status and ratio of total serum cholesterol to high-density lipoprotein cholesterol) together with body mass index, ethnicity, measures of deprivation, family history, chronic kidney disease, rheumatoid arthritis, atrial fibrillation, diabetes mellitus, and antihypertensive treatment.

(1/852) Alzheimer's disease in the United Kingdom: developing patient and carer support strategies to encourage care in the community.

Alzheimer's disease is a growing challenge for care providers and purchasers. With the shift away from the provision of long term institutional care in most developed countries, there is a growing tendency for patients with Alzheimer's disease to be cared for at home. In the United Kingdom, this change of direction contrasts with the policies of the 1980s and 90s which focused more attention on controlling costs than on assessment of the needs of the patient and carer and patient management. In recent years, the resources available for management of Alzheimer's disease have focused on institutional care, coupled with drug treatment to control difficult behaviour as the disease progresses. For these reasons, the current system has led to crisis management rather than preventive support--that is, long term care for a few rather than assistance in the home before the crises occur and institutional care is needed. Despite recent innovations in the care of patients with Alzheimer's disease, the nature of the support that patients and carers receive is poorly defined and sometimes inadequate. As a result of the shift towards care in the community, the informal carer occupies an increasingly central role in the care of these patients and the issue of how the best quality of care may be defined and delivered is an issue which is now ripe for review. The objective of this paper is to redefine the type of support that patients and carers should receive so that the disease can be managed more effectively in the community. The needs of patients with Alzheimer's disease and their carers are many and this should be taken into account in defining the quality and structure of healthcare support. This paper shows how new initiatives, combined with recently available symptomatic drug treatment, can allow patients with Alzheimer's disease to be maintained at home for longer. This will have the dual impact of raising the quality of care for patients and improving the quality of life for their carers. Moreover, maintaining patients in a home environment will tend to limit public and private expenditure on institutional care due to a possible delay in the need for it.  (+info)

(2/852) Strategies to improve the quality of oral health care for frail and dependent older people.

The dental profile of the population of most industrialised countries is changing. For the first time in at least a century most elderly people in the United Kingdom will soon have some of their own natural teeth. This could be beneficial for the frail and dependent elderly, as natural teeth are associated with greater dietary freedom of choice and good nutrition. There may also be problems including high levels of dental disease associated with poor hygiene and diet. New data from a national oral health survey in Great Britain is presented. The few dentate elderly people in institutions at the moment have poor hygiene and high levels of dental decay. If these problems persist as dentate younger generations get older, the burden of care will be substantial. Many dental problems in elderly people are preventable or would benefit from early intervention. Strategies to approach these problems are presented.  (+info)

(3/852) A simple and reproducible method for collecting nasal secretions in frail elderly adults, for measurement of virus-specific IgA.

The standard method for collection of respiratory secretions, by use of a nasal wash (NW) to measure virus-specific IgA, is problematic in frail elderly adults. Therefore, a simplified collection approach using a nasal swab (NS) is described. NW and NS samples were collected from healthy young and frail elderly adults, and IgA titers to respiratory syncytial virus (RSV) fusion and attachment glycoproteins were determined by enzyme immunoassay. Correlation between IgA titers in NW and NS was excellent for each of the antigens (correlation coefficients,.71-.93). In addition, NS results were reproducible when frail elderly subjects were sampled several weeks apart and were nearly equivalent to results from NW samples. The ability to sample nasal secretions by use of an NS when an NW is not technically feasible will facilitate the study of mucosal immunity to RSV as well as the study of mucosal response to candidate RSV vaccines in frail elderly populations.  (+info)

(4/852) Development of sex-specific equations for estimating stature of frail elderly Hispanics living in the northeastern United States.

BACKGROUND: The accurate measurement of stature is not possible in many frail elderly persons because of problems affecting their ability to stand straight. In such cases, knee height may be used to estimate stature. OBJECTIVE: This study was designed to explore the applicability of published regression equations to estimate stature of Puerto Rican and other Hispanic elderly persons living in the northeastern United States and to formulate ethnicity-specific equations for these persons. DESIGN: The study subjects (60-92 y of age) included 569 Hispanics and a comparison group of 153 non-Hispanic whites. Equations to estimate stature of Hispanics and Puerto Ricans living in the northeastern United States were developed with regression models in a randomly selected subgroup of the Hispanics. These equations were tested with the remaining Hispanic subgroup. RESULTS: The published equations significantly overestimated stature of our Hispanic subjects. Equations developed for Massachusetts Hispanics and Puerto Ricans provided estimates of stature that did not differ significantly from measured stature. We found further that equations for non-Hispanic whites published in 1985 predicted statures of our relatively low-income, non-Hispanic white subjects better than did newer 1998 equations developed from a national sample. CONCLUSIONS: The stature of elderly Hispanics from the northeastern United States can be estimated by using equations derived from the same population. These, or similar equations, should be used to estimate stature of frail elderly persons for whom standing height cannot be taken accurately. Socioeconomic status as well as ethnicity may affect results when knee height equations are used.  (+info)

(5/852) How ready are health plans for Medicare?

CONTEXT: The Medicare program is encouraging its beneficiaries to enroll in capitated health plans. OBJECTIVE: To determine how prepared these plans are to handle chronically ill and frail elderly persons. DESIGN: Telephone survey of 28 health plans that together serve about one fourth of all enrollees of the Medicare Risk program. MEASURES: The degree of readiness (high, intermediate, or low) of health plans in seven domains that experts believe are important to the management of an elderly population. RESULTS: None of the 28 health plans had high readiness scores for all seven domains. The two domains for which the plans were most prepared were risk assessment and member self-care. The plans were least prepared for the domains of cooperative team care and geriatric consultations. CONCLUSIONS: Many plans do not offer the programs that experts believe are important for Medicare enrollees. They may hesitate to adopt strategies that lack data on effectiveness.  (+info)

(6/852) Serological response to influenza vaccination and nutritional and functional status of patients in geriatric medical long-term care.

INTRODUCTION: in the UK the Department of Health recommends influenza vaccination for elderly people resident in institutional care. However, the efficacy of vaccination may be reduced in very frail elderly people with functional impairment, undernutrition and multiple pathologies. Nutritional and functional status is claimed to affect vaccine responses in healthy elderly subjects. We wished to determine if a relationship could be seen between nutritional and functional status and seroconversion in patients receiving long- term care. METHODS: all patients in geriatric medical long-term care were offered vaccine. Consenting patients had pre- and post-vaccine serology measured using single radial haemolysis. Anthropometry was measured to enable body mass index (BMI) to be calculated. Functional independence was assessed using the 20-point Barthel index. RESULTS: of 260 patients who received influenza vaccine, 137 (36 male, 101 female) consented to venesection for serology and thus form the study population. Mean age was 82 years (SD 7.9). The median Barthel score was 3/20 and the mean BMI was 21.6 (SD 4.6, range 13-36.2). Antibodies to influenza A were undetectable both pre- and post-vaccination in 63/137 patients. In 49 patients the antibody titre rose after vaccination and 25 had detectable antibody titres pre-vaccination which failed to rise post-vaccine. There were no significant associations between post-vaccination influenza antibody responses and BMI, Barthel score or age. CONCLUSION: frail elderly patients in geriatric medical long-term care had a poor antibody response to influenza vaccination. Within this group, serological responses could not be predicted by nutritional or functional status.  (+info)

(7/852) Managing elderly people's osteoporosis. Why? Who? How?

OBJECTIVE: To guide family physicians through assessment of why treating elderly people's osteoporosis is necessary, who to treat, and how to treat in a practical way. QUALITY OF EVIDENCE: Evidence of the efficacy of treatment for osteoporosis is shown by a reduced probability of fracture. This can be ascertained by direct evaluation for bisphosphonates, calcium, and calcitonin, or indirectly by ascertaining benefit to bone mineral density for hormone replacement therapy (HRT) and exercise. MAIN MESSAGE: Unless medically contraindicated, all elderly people should take supplementary vitamin D (800 IU/d) and calcium (1500 mg/d). Those with risk factors for osteoporosis (e.g., smoking, thinness, previous fracture when older than 50 years, fracture in first-degree relatives older than 50 years, and steroid use) should have a bone density measurement. Those meeting World Health Organization criteria for osteoporosis should also be treated with HRT or bisphosphonates or possibly with selective estrogen receptor modulators. CONCLUSIONS: Good evidence indicates that adequate treatment of osteoporosis can prevent fractures and thus reduce associated morbidity and mortality among vulnerable elderly people. Because of the prevalence of osteoporosis, the onus falls on family physicians to be the front-line managers.  (+info)

(8/852) Resistance exercise training increases mixed muscle protein synthesis rate in frail women and men >/=76 yr old.

Muscle atrophy (sarcopenia) in the elderly is associated with a reduced rate of muscle protein synthesis. The purpose of this study was to determine if weight-lifting exercise increases the rate of muscle protein synthesis in physically frail 76- to 92-yr-old women and men. Eight women and 4 men with mild to moderate physical frailty were enrolled in a 3-mo physical therapy program that was followed by 3 mo of supervised weight-lifting exercise. Supervised weight-lifting exercise was performed 3 days/wk at 65-100% of initial 1-repetition maximum on five upper and three lower body exercises. Compared with before resistance training, the in vivo incorporation rate of [(13)C]leucine into vastus lateralis muscle protein was increased after resistance training in women and men (P < 0.01), although it was unchanged in five 82 +/- 2-yr-old control subjects studied two times in 3 mo. Maximum voluntary knee extensor muscle torque production increased in the supervised resistance exercise group. These findings suggest that muscle contractile protein synthetic pathways in physically frail 76- to 92-yr-old women and men respond and adapt to the increased contractile activity associated with progressive resistance exercise training.  (+info)



community-dwell


  • Trials that included community-dwelling frail older persons based on physical frailty indicators and used disability measures for outcome evaluation were included. (biomedcentral.com)

systematic review


  • Improving the applicability of guidelines on nonmelanoma skin cancer in frail older adults: a multidisciplinary expert consensus and systematic review of current guidelines. (cancertherapyadvisor.com)

physically


  • He is visibly physically and mentally frail, and it is obvious. (typepad.com)
  • There is an interest for intervention studies aiming at the prevention of disability in community-dwelling physically frail older persons, though an overview on their content, methodological quality and effectiveness is lacking. (biomedcentral.com)
  • There is an indication that relatively long-lasting and high-intensive multicomponent exercise programs have a positive effect on ADL and IADL disability for community-living moderate physically frail older persons. (biomedcentral.com)
  • The Interventions on Frailty Working Group [ 14 ] recommended the development and testing of preventive interventions for physically frail elderly based on any of the following screening criteria: mobility, strength, balance, motor processing, nutrition, endurance or physical activity. (biomedcentral.com)

vulnerable


  • And the only remedy suggested is ring-fencing local authority social-care budgets, so that money must be used for the purpose for which it was given - to provide care for older and frail and vulnerable people. (express.co.uk)

people


  • The ACTION project uses information and communication technology to support frail elderly people and their family carers. (chalmers.se)
  • Psychosocial perspectives on health care utilization among frail elderly people: An explorative study. (lu.se)
  • Frail old people in England are being left to fend for themselves because government-funded care is being scaled back, a review suggests. (healthwatchwirral.co.uk)

care


  • This toolkit provides strategies and templates to help long-term care facilities and their clinicians implement projects to enhance the quality of care for elderly residents with Alzheimer's disease. (ahrq.gov)
  • More integration might stimulate a more holistic, personalized, and patient-centered care in frail older adults. (cancertherapyadvisor.com)
  • The Palliative and Therapeutic Harmonization (PATH) model is an innovative approach to simplifying the process of caring for the frail elderly that is shown to produce a dramatic change in the cost of care and the quality of patient and family caregiver satisfaction with the healthcare system (Moorhouse, Mallery, 2012). (dal.ca)
  • Family care of elderly is key to long term care system and main duty of women at home. (ac.ir)

Older


  • Satish F.K. Lubeek, M.D., from the Radboud University Medical Center in Nijmegen, Netherlands, and colleagues collected and prioritized items related to frail older adults with NMSC for integration into CPGs. (cancertherapyadvisor.com)
  • More attention to items related to frail older adults in NMSC CPGs is broadly desired, but CPG-integration of these items is currently limited," the authors write. (cancertherapyadvisor.com)
  • Future research into disability prevention in physical frail older persons could be directed to more individualized and comprehensive programs. (biomedcentral.com)