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首页> 外文期刊>Singapore medical journal >Approach to frailty in the elderly in primary care and the community
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Approach to frailty in the elderly in primary care and the community

机译：初级保健和社区中老年人身体虚弱的方法

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Frailty is a distinct clinical syndrome wherein the individual has low reserves and is highly vulnerable to internal and external stressors. Although it is associated with disability and multiple comorbidities, it can also be present in individuals who seem healthy. Frailty is multidimensional and its pathophysiology is complex. Early identification and intervention can potentially decrease or reverse frailty, especially in the early stages. Primary care physicians, community nurses and community social networks have important roles in the identification of pre-frail and frail elderly through the use of simple frailty screening tools and rapid geriatric assessments. Appropriate interventions that can be initiated in a primary care setting include a targeted medical review for reversible medical causes of frailty, medication appropriateness, nutritional advice and exercise prescription. With ongoing training and education, the multidisciplinary engagement and coordination of care of the elderly in the community can help to build resilience and combat frailty in our rapidly ageing society.
机译：体弱是一种独特的临床综合症，其中个体的储量较低，极易受到内部和外部压力的影响。尽管它与残疾和多种合并症有关，但它也可以存在于看起来健康的个体中。脆弱是多维的，其病理生理学是复杂的。早期发现和干预可能会减少或逆转脆弱，特别是在早期阶段。初级保健医师，社区护士和社区社交网络通过使用简单的脆弱筛选工具和快速的老年医学评估，在识别脆弱和衰老的老年人中具有重要作用。可以在基层医疗机构中启动的适当干预措施包括针对身体虚弱，药物适宜性，营养建议和运动处方的可逆医学原因进行有针对性的医学检查。通过持续的培训和教育，社区中老年人的多学科参与和协调可以帮助在我们迅速老龄化的社会中建立抵御能力并消除脆弱。

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