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[Prevention of loss of functional independence and institutionalization]
1Groupe Hospitalier Sainte Périne, AP-HP UFR Paris Ouest. joel.ankri@spr.ap-hop-paris.fr
Abstract:
LOSS OF FUNCTIONAL INDEPENDENCE: This is a serious problem in the management of older subjects. Prevention is necessary in order to assure better quality of life and avoid definitive institutionalization in a medical or social center.
Related Factors:
An analysis of the literature on the risk of loss of functional independence points out several medical (comorbidity, falls, cognitive capacity, sensorial deficiencies, nutrition, drugs), psychological (depression), and physical activity and social factors related to functional independence.
Risk Of Institutionalization:
The risk is related to functional limitations and especially declining cognition, as well as social factors and the role of the primary care giver.
Prevention:
Systematic screening for risk factors is needed. The impact of measures to remedy certain medical risk factors has been clearly demonstrated. Specific programs can improve functional status, avoid institutionalization, and perhaps prolong survival.