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

2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Ivany R Rahmadani ◽  
Lazuardhi Dwipa ◽  
Yuni S Pratiwi

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

2018 ◽  
Vol 33 (suppl_1) ◽  
pp. i15-i16
Author(s):  
Vittorio Di Maso ◽  
Elisabetta Ermacora ◽  
Michele Carraro ◽  
Katiuscia Scala ◽  
Giuliano Boscutti

2021 ◽  
Vol 64 (3) ◽  
pp. 5-10
Author(s):  
Felicia Lupascu-Volentir ◽  
◽  
Gabriela Soric ◽  
Ana Popescu ◽  
Anatolie Negara ◽  
...  

Background: Problems of nutritional status are widespread, of which malnutrition occurs more frequently in vulnerable groups of the population, especially in the low-income elderly, including the institutionalized elderly. Material and methods: The study was performed on a group of 50 participants over the age of 65, from the nursing home; the nutritional status was assessed according to the Mini-Nutritional Assessment (MNA) score, the frailty syndrome (FS) was established based on Fried criteria and severity of FS – based on the Clinical Frailty Scale. The obtained data were statistically processed by using the “Statistica 6.0” software program. The difference was considered statistically significant with p <0.05. Results: The MNA score showed a positive correlation with reduced physical activity: r= 0.4*, between reduced physical activity and reduced walking speed: r= 0.66*, reduced physical activity and fatigue (lack of energy): r= 0.94* (p≤0.05). The cluster analysis revealed that against the background of the same food intake, body weight, mobility, neurological status can easily change, the phenomenon underlying the separation of the elderly in different clusters (1 and 2), while moderately low food intake in the last 3 months led to significantly reduced mobility, impaired neurological status (severe dementia or depression). Conclusions: This study reported that the elderly in the nursing home have an increased risk of malnutrition, being associated with nutritional pattern, such as: involuntary weight loss, the presence of neuropsychiatric disorders, decline in food consumption, affecting the quality of life.


2020 ◽  
Vol 13 (2) ◽  
pp. 14-19
Author(s):  
Dimitrios Bakas

Frailty syndrome is a geriatric syndrome characterized by increased vulnerability to stressors and for which there is no widely recognized and accepted clinical assessment scale. The two most widely used and commonly used frailty assessment indicators are the Frailty Phenotype and Frailty Index. The etiopathogenesis of frailty has complex and multifactorial etiology, with genetic, metabolic, environmental, socio-economic, nutritional, lifestyle, acute and chronic disease risk factors. Frailty is a risk factor for adverse outcomes in the health of older people. Physical exercise is the only intervention that has been confirmed by research to prevent the appearance of frailty in the elderly. The most effective preventive action is complete, thorough and comprehensive geriatric assessment by an interdisciplinary team.


2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Fabiana Maria Rodrigues Lopes de Oliveira ◽  
Keylla Talitha Fernandes Barbosa ◽  
Mayara Muniz Peixoto Rodrigues ◽  
Maria das Graças Melo Fernandes

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.


Salmand ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. 202-217
Author(s):  
Saeid Saeidimehr ◽  
◽  
Ahmad Delbari ◽  
Nasibeh Zanjari ◽  
Reza Fadaye Vatan ◽  
...  

Objectives: Frailty syndrome is one of the most important geriatric syndromes that imposes high psychological and financial costs on the elderly, their families and health system. This study aims to determine the factors associated with frailty in older adults living in Khuzestan province of Iran Methods & Materials: This is a cross-sectional study conducted in 2019 on 540 older adults in Khuzestan province who were selected by a multistage random sampling method. Data collection tools include a demographic form, Deficit accumulation Frailty Index, Wax’s Social Support Scale and the Geriatric Depression Scale. Collected data were analyzed using Spearman correlation test, chi-square test and sequential logistic regression analysis. Results: The Mean±SD age of participants was 72.61±8.72 years and 65.6% were women. Around 10.4% were frail and 25.6% were pre-frail. Frailty was higher among older women with higher age, lower education, without social support, with depression, living alone, single, with a history of taking high number of medications, and with a history of hospitalization (P<0.001). Frailty was lower in older men with lower age, a history of taking less than 5 medications, no depression, and high social support (P<0.005). Conclusion: The consequences of frailty syndrome can be reduced by early identification of frail older adults and using appropriate interventions based on risk factors such as polypharmacy and low social support.


Author(s):  
E. Wernio ◽  
J.A. Dardzinska, ◽  
H. Kujawska-Danecka ◽  
A. Hajduk ◽  
Z. Zdrojewski ◽  
...  

Introduction: To improve the quality of life and health of the elderly, attention is paid to the early detection of frailty syndrome. Unfortunately, one simple and practical screening tool has not been established yet. Recently came the proposal of the Novel Frailty Index (NFI) created by Yamada and Arai. Therefore, the purpose of this study was to assess the relationship between nutritional status and NFI of the elderly. Materials and methods: In a group of 67 elderly patients (27 hospitalised and 40 living in the home environment) we used the NFI and evaluated nutritional status with the use of full-MNA together with SNAQ (appetite questionnaire), manual dynamometry and bioimpedance analysis. Results: Based on the NFI results, frailty syndrome was diagnosed in more than half of hospitalised elderly. The syndrome was significantly less prevalent in free-living older people (15% vs 63%, p<0.001).We found the significant correlations of NFI values with age (r=0.031, p=0.03), co-morbidity(r=0.295, p=0.016), phase angle (r=-0.407, p<0.001), full-MNA score (r=-0.515, p<0.001). Conclusions: Our preliminary results suggest the relevant association between NFI results and age, phase angle as well comorbidity and nutritional status. So further evaluation of NFI as a screening tool for frailty syndrome diagnose is needed.


2021 ◽  
Vol 9 (T4) ◽  
pp. 231-235
Author(s):  
Erna Rochmawati ◽  
Sarah Amalia

BACKGROUND: The development of technology gives an impact on life expectancy in the elderly. In Yogyakarta, the total of the elderly was higher than in other provinces in Indonesia. The elderly experience a decreased functional state that may lead to impaired body organs, such as heart failure. Heart failure has increasingly become a serious health problem. At present, 80% of elderly patients experience heart failure because of a decrease in functional status. The elderly may also experience frailty syndrome, which can provide a poor prognosis in terms of mortality, rehospitalization, and quality of life. It needs complex management; one of these is self-care behavior that can prevent the spread of frailty syndrome. AIM: The study aims to assess the correlation between self-care behavior and frailty syndrome in elderly patients with heart failure. METHODS: The study included 87 elderly patients with heart failure who visited the cardiology outpatient unit in two private hospitals. Self-care was measured using the self-care heart failure index, and frailty syndrome was assessed using the frailty index. A correlation test was conducted using Spearman rho. RESULTS: The result showed inadequate self-care behavior with a mean score of 48.70. The mean score of frailty syndrome was 0.142, categorized in the pre-frail phase. No correlation was found between self-care behavior and frailty syndrome with p=0.20. CONCLUSION: Self-care behavior in elderly patients with heart failure is still inadequate and in the pre-frail phase. Nurses and other health professionals should consider intervention to increase self-care behavior among the elderly and screening to increase their awareness of frailty syndrome.


2020 ◽  
Vol 6 (5) ◽  
pp. 1-7
Author(s):  
Chinonye A Maduagwuna ◽  

Study background: Chronic neuroinflammation is a common emerging hallmark of several neurodegenerative diseases. Alzheimer’s Disease (AD) is the most common cause of dementia among the elderly and is characterized by loss of memory and other cognitive functions.


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