Identification and management of frailty in the primary care setting

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

doi:10.1503/cmaj.171509

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 journal › Review article › peer-review

74 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 language	English
Pages (from-to)	E1134-E1140
Number of pages	7
Journal	CMAJ
Volume	190
Issue number	38
DOIs	https://doi.org/10.1503/cmaj.171509
Publication status	Published - 24 Sept 2018
Externally published	Yes

Keywords

Frailty
Primary care
Diagnosis
Care management
Early intervention

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10.1503/cmaj.171509Licence: In Copyright

Cite this

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AU - Abbasi, Marjan

AU - Rolfson, Darryl

AU - Khera, Amandeep S.

AU - Dabravolskaj, Julia

AU - Dent, Elsa

AU - Xia, Linda

PY - 2018/9/24

Y1 - 2018/9/24

N2 - KEY POINTSFrailty 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.

AB - KEY POINTSFrailty 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.

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KW - Diagnosis

KW - Care management

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Identification and management of frailty in the primary care setting

Abstract

Keywords

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