Frailty in primary care: a review of its conceptualization and implications for practice.

Frailty in primary care: a review of its conceptualization and implications for practice.
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DOI:
10.1186/1741-7015-10-4
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发表时间:
2012-01-11
期刊:
影响因子:
9.3
通讯作者:
Rockwood K
Rockwood K
中科院分区:
医学1区
文献类型:
--
作者:
Lacas A;Rockwood K

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虚弱的老年患者对初级保健医生提出了挑战,他们可能经常因其复杂的表现和脆弱的健康状况而感到不知所措。与此同时,家庭医生非常适合将虚弱的概念纳入他们的实践。他们有倾向和技能,适合以病人为中心的护理,考虑到病人的健康在其社会背景下的个人微妙之处。在初级保健环境中识别虚弱的工具仍处于初步开发阶段。即便如此,也可以采取一些实际措施来识别临床实践中的脆弱性,并开始解决其识别如何影响临床护理。这篇评论旨在解决如何识别和管理脆弱,特别是在初级保健领域。
Frail, older patients pose a challenge to the primary care physician who may often feel overwhelmed by their complex presentation and tenuous health status. At the same time, family physicians are ideally suited to incorporate the concept of frailty into their practice. They have the propensity and skill set that lends itself to patient-centred care, taking into account the individual subtleties of the patient's health within their social context. Tools to identify frailty in the primary care setting are still in the preliminary stages of development. Even so, some practical measures can be taken to recognize frailty in clinical practice and begin to address how its recognition may impact clinical care. This review seeks to address how frailty is recognised and managed, especially in the realm of primary care.
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