Identification and management of frailty in the primary care setting

Marjan Abbasi, Darryl Rolfson, Amandeep S. Khera, Julia Dabravolskaj, Elsa Dent, Linda Xia

Research output: Contribution to journalReview articlepeer-review

61 Citations (Scopus)

Abstract

KEY POINTS
Frailty is a state of increased vulnerability to negative health outcomes that manifest as a multidimensional syndrome; it has gained recognition as a priority for health care systems.

The impacts of frailty warrant an upstream, proactive, holistic, interprofessional primary care approach to its identification, assessment and management.

Identifying frailty at an earlier stage can be challenging and is best complemented with the use of valid, reliable tools that are also feasible in the busy primary care setting.

Multicomponent interventions for management of frailty should be based on the patient’s health needs, priorities and level of frailty, with involvement of various team members.

An effective multicomponent approach may include care and support planning, physical activity, dietary interventions, structured medication reviews and strengthening social networks.
Original languageEnglish
Pages (from-to)E1134-E1140
Number of pages7
JournalCMAJ
Volume190
Issue number38
DOIs
Publication statusPublished - 24 Sept 2018
Externally publishedYes

Keywords

  • Frailty
  • Primary care
  • Diagnosis
  • Care management
  • Early intervention

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