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Frail elderly patients (score of 4 or 5) have even worse outcomes, with the risk of being discharged to a nursing home rising to twenty times the rate for non-frail elderly people. Another tool that has been used to predict frailty outcome post-surgery is the Modifies Frailty Index, or mFI-5. This scale consists of 5 key co-morbidities: [61]
Geriatricians have focused on holistic assessments of their patients since the early days of the specialty. Dr. Marjorie Warren was the first doctor in the UK to systematically assess older people, categorizing them into those who could be got better with appropriate treatment and then discharged, and those who needed continuing (usually institutional) care. [4]
On Lok Senior Health Services was created in 1971 to address the long-term care needs of older immigrants in San Francisco's Chinatown-North Beach neighborhood. [3] After its founding, between 1973 and 1975, On Lok expanded to include day centers, in-home care, home-delivered meals, and housing assistance. [ 3 ]
Frail elderly people may choose to decline some kinds of medical care, because the risk-benefit ratio is different. For example, frail elderly women routinely stop screening mammograms, because breast cancer is typically a slowly growing disease that would cause them no pain, impairment, or loss of life before they would die of other causes ...
An elderly Somali woman An elderly woman walks along a road. Social theories, or concepts, [ 163 ] propose explanations for the distinctive relationships between old people and their societies. One theory, proposed in 1961, is the disengagement theory , which proposes that, in old age, a mutual disengagement between people and their society ...
A number of expert groups have proposed an increase in dietary protein recommendations for older age groups to 1.0–1.2 g/kg body weight per day. [48] [49] Ensuring adequate nutrition in older adults is of interest in the prevention of sarcopenia and frailty, since it is a simple, low-cost treatment approach without major side effects. [50]
The "limited additional treatment" includes the comfort measures in addition to basic medical treatment. [21] “Full treatment” authorizes the medical team to try their best to save the individual and increases their life expectancy with all methods. [21] This option also allows people to choose whether they would like a trial period.
Elderly man at a nursing home in Norway. Long-term care (LTC) is a variety of services which help meet both the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for long periods. Long-term care is focused on individualized and coordinated services that promote independence, maximize ...