Frailty syndrome in the elderly: conceptual analysis according to Walker and Avant

ABSTRACT Objective: To analyze the concept of “frailty syndrome” in the literature, according to the method proposed by Walker and Avant. Methods: It is a concept analysis, guided by the method proposed by Walker and Avant, made operational through an integrative literature review. The search in a scientific database was carried out using the descriptors: Frail elderly, syndrome, phenotype, geriatric assessment, and aging. The literary corpus comprised 66 studies. Results: The study found the antecedents and attributes (categorized as physical, sociodemographic, and behavioral/environmental) that integrate the signs and symptoms evidenced in the “frailty syndrome,” as well as the consequences of this concept. The variables were analyzed with emphasis on the conceptions that influence the frailty process of the elderly. Conclusion: The study demonstrated the complexity arising from the multifactorial genesis of the referred syndrome, emphasizing the specificities of the elderly’s frailty. However, we recommend conducting further research involving the phenomenon in question to understand the construct better.

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Elderly Characteristics with Frailty Syndrome by Frailty Index Questionnaire – 40 (FI - 40) at Bandung Nursing Home

Journal Of Medicine & Health ◽

10.28932/jmh.v2i2.1026 ◽

2018 ◽

Vol 2 (2) ◽

Author(s):

Ivany R Rahmadani ◽

Lazuardhi Dwipa ◽

Yuni S Pratiwi

Keyword(s):

Nursing Home ◽

Clinical Outcomes ◽

Frail Elderly ◽

Frailty Index ◽

The Elderly ◽

Frailty Syndrome ◽

Common Cause ◽

Body Function ◽

Foot Problems ◽

Quantitative Design

Frailty syndrome is a state of decreased body function, thereby increasing susceptibility to poor clinical outcomes. The risks of developing frailty syndrome increase in the elderly at Nursing Home. This study is expected to provide characteristic data of frailty syndrome as the basis for the prevention and management for the elderly. This study is conducted by using a descriptive quantitative design. The data is taken by using FI-40 questionnaire consisting of 40 questions in the elderly at Bandung done by using total sampling. There are 42(58.3%) of pre-frail and 7(9.7%) of frail elderly out of 72 data. Pre-frail prevails mostly in women (29 subjects; 69.1%) and at age of 60-69 years in 18 subjects (42.8%). Frail elderly is found mostly in women (3 subjects; 42.8%) and aged 70-79 years (3 subjects ; (42.8). The most common cause of frailty is eye and foot problems in 7(100%). The most common cause of pre-frail is the assumption of health level in 35(83.3%). This study concludes that frailty syndrome is common among the elderly and special attention must be paid to eye and foot problems.Keywords: elderly, frailty syndrome, FI-40 questionnaire, nursing home

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Clinical manifestations of chronic subdural hematoma in the elderly: Literature Review

10.5327/1516-3180.462 ◽

2021 ◽

Author(s):

Gabriela Ferreira Kalkmann ◽

Carlos Umberto Pereira ◽

Francisco de Assis Pereira ◽

Débora Moura da Paixão Oliveira ◽

Nicollas Nunes Rabelo

Keyword(s):

Early Diagnosis ◽

Literature Review ◽

Subdural Hematoma ◽

Elderly Population ◽

Clinical Presentation ◽

Clinical Manifestations ◽

Chronic Subdural Hematoma ◽

Signs And Symptoms ◽

The Elderly ◽

Study Results

Introduction: The clinical manifestations of chronic subdural hematoma (CSDH) are often confused with other medical entities in the elderly, making their early diagnosis difficult or difficult. Early diagnosis is important, since its prognosis is directly associated with the preoperative neurological state, thus resulting in a worse vital and functional prognosis. Objectives: Report through a literature review the clinical manifestations of CSDH in the elderly population. Methods: Literature review, with the search terms: “Signs and Symptoms”, “Chronic Subdural Hematoma”, Aged, Diagnosis and Prognosis. In which PubMed, Lilacs, Scielo, Cochrane and TripDataBase data platforms were used. The inclusion criteria were: original studies published in any language. Articles in which full reading was prevented were excluded. With the application of the inclusion and exclusion criteria, 110 articles were included in the study. Results: Clinical presentation depends on the location, volume of the hematoma, rapid growth, the location of the CSDH, whether unilateral or bilateral, and the clinical conditions of the patient. Because the forms of clinical presentation of CSDH are variable, it is necessary that health professionals linked to the elderly (geriatrician, psychiatrist, general practitioner) have knowledge of this clinical entity. Conclusions: The recognition of classic forms as well as the identification of risk factors in the elderly favors the timely diagnosis and treatment of CSDH in the elderly population.

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Analysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0649 ◽

2020 ◽

Vol 73 (suppl 4) ◽

Author(s):

Ryanne Carolynne Marques Gomes ◽

Marcos Venícios de Oliveira Lopes ◽

Jaqueline Galdino Albuquerque Perrelli ◽

Cleide Maria Pontes ◽

Francisca Márcia Pereira Linhares ◽

...

Keyword(s):

Risk Factors ◽

High Risk ◽

Literature Review ◽

Conceptual Analysis ◽

Concept Analysis ◽

High Risk Pregnancy ◽

Analysis Model ◽

Pregnancy Risk ◽

Risk Pregnancy ◽

Definition Of

ABSTRACT Objective: to analyze the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy. Method: an integrative literature review based on the Conceptual Analysis model proposed by Walker and Avant. It was conducted at PUBMED, CINAHL, SCOPUS, LILACS and SciELO, with the descriptors: Complications of pregnancy, Risk Factors, and Pregnancy, High-Risk (from 2008-2020). Result: the sample consisted of 44 articles, which identified two attributes and 21 antecedents of the concept. Conclusion: concept analysis allowed to identify the attributes and antecedents of the “maternal-fetal dyad” concept in high-risk pregnancy, in addition to raising and clarifying ideas. It was possible to identify 12 antecedents that are not included in NANDA-I as well as the need to review the definition of the diagnosis proposed by the taxonomy.

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Vulnerability of the elderly: a conceptual analysis

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0728 ◽

2019 ◽

Vol 72 (suppl 2) ◽

pp. 337-344

Author(s):

Keylla Talitha Fernandes Barbosa ◽

Fabiana Maria Rodrigues Lopes de Oliveira ◽

Maria das Graças Melo Fernandes

Keyword(s):

Health Services ◽

Vulnerable Populations ◽

Conceptual Analysis ◽

The Elderly ◽

Concept Analysis ◽

Scientific Data ◽

Integrative Review ◽

Health Vulnerability ◽

Geriatric Health Services

ABSTRACT Objective: To analyze the concept of vulnerability of the elderly. Method: A concept analysis, according to the method proposed by Walker and Avant, operationalized through integrative review through search in scientific data portals using the Descriptors: Health vulnerability, aged, health services for the aged, health of the elderly, vulnerable populations and geriatric health services. To compose the literary corpus, 36 studies were selected. Results: Concept antecedents, as well as its attributes, were identified in individual, social and programmatic characteristics, which make up the characteristics of “vulnerability of the elderly”, besides consequences of the phenomenon. These characteristics were analyzed with emphasis on aspects that contribute to the process of vulnerability of the elderly. Conclusion: The study demonstrated the multidimensionality of the phenomena studied, highlighting the peculiarities of vulnerability during aging. However, there is a need for further studies on the construct.

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01 / DEVELOPMENT OF MINI-COMPREHENSIVE GERIATRIC ASSESSMENT FOR THE ELDERLY CANCER PATIENTS BASED ON RELATIONSHIPS BETWEEN COMPREHENSIVE GERIATRIC ASSESSMENT ITEMS AND PERFORMANCE STATUS

10.26226/morressier.5afadd8bf314ac000849b31c ◽

2018 ◽

Author(s):

hun mo ryoo

Keyword(s):

Cancer Patients ◽

Geriatric Assessment ◽

Comprehensive Geriatric Assessment ◽

Performance Status ◽

The Elderly ◽

Elderly Cancer Patients ◽

And Performance

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Continuing Assessment of Cleared Personnel in the Military Services. Report 1. A Conceptual Analysis and Literature Review

10.21236/ada234280 ◽

1991 ◽

Author(s):

David A. DuBois ◽

Michael J. Bosshardt ◽

Kent S. Crawford

Keyword(s):

Literature Review ◽

Conceptual Analysis ◽

The Military ◽

Military Services

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What Can We Learn from Sarcopenia with Curarisation in the Context of Cancer Surgery? A Review of the Literature

Current Pharmaceutical Design ◽

10.2174/1381612825666190705185033 ◽

2019 ◽

Vol 25 (28) ◽

pp. 3005-3010

Author(s):

Georges Samouri ◽

Alexandre Stouffs ◽

Lionel V. Essen ◽

Olivier Simonet ◽

Marc De Kock ◽

...

Keyword(s):

Frail Elderly ◽

Muscle Fibers ◽

Motor Units ◽

The Elderly ◽

Hepatic Function ◽

Volume Of Distribution ◽

Neuromuscular Blocking ◽

Cancer Surgery ◽

Old People ◽

Age Related

Introduction: The monitoring of the curarisation is a unique opportunity to investigate the function of the neuromuscular junction (NMJ) during cancer surgery, especially in frailty-induced and age-related sarcopenia. Method: We conducted a comprehensive literature review in PubMed, without any limit of time related to frailty, sarcopenia, age and response to neuromuscular blockers in the context of cancer surgery. Results: Several modifications appear with age: changes in cardiac output, a decrease in muscle mass and increase in body fat, the deterioration in renal and hepatic function, the plasma clearance and the volume of distribution in elderly are smaller. These changes can be exacerbated in cancer patients. We also find modifications of the NMJ: dysfunctional mitochondria, modifications in the innervation of muscle fibers and motor units, uncoupling of the excitation-contraction of muscle fibers, inflammation. : Neuromuscular blocking agents (NMBAs) compete with acetylcholine and prevent it from fixing itself on its receptor. Many publications reported guidelines for using NMBAs in the elderly, based on studies comparing old people with young people. : No one screened frailty before, and thus, no studies compared frail elderly and non-frail elderly undergoing cancer surgery. Conclusion: Despite many studies about curarisation in the specific populations, and many arguments for a potential interest for investigation, no studies investigated specifically the response to NMBAs in regard of the frailty-induced and age-related sarcopenia.

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Consequences for the Elderly After COVID-19 Isolation: FEaR (Frail Elderly amid Restrictions)

Frontiers in Psychology ◽

10.3389/fpsyg.2020.565052 ◽

2020 ◽

Vol 11 ◽

Cited By ~ 2

Author(s):

Matteo Briguglio ◽

Riccardo Giorgino ◽

Bernardo Dell'Osso ◽

Matteo Cesari ◽

Mauro Porta ◽

...

Keyword(s):

Frail Elderly ◽

The Elderly

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The costs of functional gastrointestinal disorders and related signs and symptoms in infants: a systematic literature review and cost calculation for England

BMJ Open ◽

10.1136/bmjopen-2016-015594 ◽

2017 ◽

Vol 7 (11) ◽

pp. e015594 ◽

Cited By ~ 13

Author(s):

James Mahon ◽

Carlos Lifschitz ◽

Thomas Ludwig ◽

Nikhil Thapar ◽

Julie Glanville ◽

...

Keyword(s):

Literature Review ◽

Systematic Literature Review ◽

Functional Gastrointestinal Disorders ◽

Signs And Symptoms ◽

Third Party ◽

Gastrointestinal Disorders ◽

Over The Counter ◽

Party Payer ◽

The Third ◽

The Cost

ObjectivesTo estimate the cost of functional gastrointestinal disorders (FGIDs) and related signs and symptoms in infants to the third party payer and to parents.Study designTo estimate the cost of illness (COI) of infant FGIDs, a two-stage process was applied: a systematic literature review and a COI calculation. As no pertinent papers were found in the systematic literature review, a ‘de novo’ analysis was performed. For the latter, the potential costs for the third party payer (the National Health Service (NHS) in England) and for parents/carers for the treatment of FGIDs in infants were calculated, by using publicly available data. In constructing the calculation, estimates and assumptions (where necessary) were chosen to provide a lower bound (minimum) of the potential overall cost. In doing so, the interpretation of the calculation is that the true COI can be no lower than that estimated.ResultsOur calculation estimated that the total costs of treating FGIDs in infants in England were at least £72.3 million per year in 2014/2015 of which £49.1 million was NHS expenditure on prescriptions, community care and hospital treatment. Parents incurred £23.2 million in costs through purchase of over the counter remedies.ConclusionsThe total cost presented here is likely to be a significant underestimate as only lower bound estimates were used where applicable, and for example, costs of alternative therapies, inpatient treatments or diagnostic tests, and time off work by parents could not be adequately estimated and were omitted from the calculation. The number and kind of prescribed products and products sold over the counter to treat FGIDs suggest that there are gaps between treatment guidelines, which emphasise parental reassurance and nutritional advice, and their implementation.

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