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Identifying Frailty Using Point-of-Care Ultrasonography: Image Acquisition and Assessment
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Published on: July 26, 2024

Frailty: an emerging concept for general practice.

Jan De Lepeleire1, Steve Iliffe, Eva Mann

  • 1Katholieke Universiteit Leuven, Belgium. jan.delepeleire@med.kuleuven.be

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|April 30, 2009
PubMed
Summary

Identifying and intervening with at-risk older adults has been unsuccessful due to a managerial approach. A clinical paradigm focusing on frailty offers a better strategy for health promotion and disability prevention in ageing populations.

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Area of Science:

  • Gerontology
  • Public Health
  • Primary Care Medicine

Background:

  • Societal ageing and escalating healthcare costs necessitate a shift towards health promotion and disability prevention in older adults.
  • Current interventions for identifying at-risk elderly individuals and preventing age-related issues via early intervention or case management have yielded limited success.
  • The prevailing managerial perspective in primary care for older adults is identified as a key reason for the ineffectiveness of current strategies.

Purpose of the Study:

  • To propose a shift from a managerial to a clinical paradigm in primary care for older adults.
  • To advocate for the adoption of the concept of frailty as a central focus for healthcare strategies targeting the ageing population.
  • To demonstrate how frailty can be effectively identified, measured, and utilized for resource allocation.

Main Methods:

  • Conceptual analysis of current healthcare approaches for older adults.
  • Argument for the adoption of a clinical paradigm centered on frailty.
  • Discussion of frailty as a measurable and identifiable concept.

Main Results:

  • Frailty is defined as vulnerability to adverse outcomes, distinct from disability.
  • Frailty is a dynamic concept that is both easily overlooked and identifiable using heuristics and simple scales.
  • The concept of frailty aligns with the biopsychosocial model of general practice.

Conclusions:

  • Adopting a frailty-based clinical paradigm offers a more effective approach to health promotion and disability prevention in ageing populations.
  • Frailty provides practitioners with practical tools for patient care and commissioners with a clinical focus for resource targeting.
  • This paradigm shift can improve the identification and management of older adults at risk of adverse outcomes.