Frailty assessment and interventions for community-dwelling older adults: a rapid review

2021 ◽  
Vol 33 (6) ◽  
pp. 28-34
Author(s):  
Shirin Vellani ◽  
Alexia Cumal ◽  
Christine Degan
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Rapid Review ◽  
Frailty Assessment ◽  
Community Dwelling Older Adults

scholarly journals Association of Frailty With Recovery From Disability Among Community-Dwelling Older Adults: Results From Two Large U.S. Cohorts

2018 ◽  
Vol 74 (4) ◽  
pp. 575-581 ◽  
Author(s):  
Chenkai Wu ◽  
Dae H Kim ◽  
Qian-Li Xue ◽  
David S H Lee ◽  
Ravi Varadhan ◽  
...  
Keyword(s):  
Older Adults ◽  
Daily Living ◽  
Cardiovascular Health ◽  
Community Dwelling ◽  
Health Study ◽  
Cardiovascular Health Study ◽  
Factors Affecting ◽  
Frailty Assessment ◽  
Community Dwelling Older Adults ◽  
Retirement Study

Abstract Background Disability in activities of daily living (ADLs) is a dynamic process and transitions among different disability states are common. However, little is known about factors affecting recovery from disability. We examined the association between frailty and recovery from disability among nondisabled community-dwelling elders. Methods We studied 1,023 adults from the Cardiovascular Health Study (CHS) and 685 adults from the Health and Retirement Study (HRS), who were ≥65 years and had incident disability, defined as having difficulty in ≥1 ADL (dressing, eating, toileting, bathing, transferring, walking across a room). Disability recovery was defined as having no difficulty in any ADLs. Frailty was assessed by slowness, weakness, exhaustion, inactivity, and shrinking. Persons were classified as “nonfrail” (0 criteria), “prefrail” (1–2 criteria), or “frail” (3–5 criteria). Results In total, 539 (52.7%) CHS participants recovered from disability within 1 year. Almost two-thirds of nonfrail persons recovered, while less than two-fifths of the frail recovered. In the HRS, 234 (34.2%) participants recovered from disability within 2 years. Approximately half of the nonfrail recovered, while less than one-fifth of the frail recovered. After adjustment, prefrail and frail CHS participants were 16% and 36% less likely to recover than the nonfrail, respectively. In the HRS, frail persons had a 41% lower likelihood of recovery than the nonfrail. Conclusions Frailty is an independent predictor of poor recovery from disability among nondisabled older adults. These findings validate frailty as a marker of decreased resilience and may offer opportunities for individualized interventions and geriatric care based on frailty assessment.

scholarly journals DEVELOPING A SENSOR-BASED MOBILE APPLICATION FOR IN-HOME FRAILTY ASSESSMENT: A QUALITATIVE STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S831-S832
Author(s):  
Marcela D Blinka ◽  
Brian Buta ◽  
Kevin Bader ◽  
Casey L Hanley ◽  
Nancy Schoenborn ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Clinical Settings ◽  
Data Infrastructure ◽  
Care Recipients ◽  
Frailty Assessment ◽  
Difficult Conversations ◽  
User Friendly ◽  
User Perspectives ◽  
Community Dwelling Older Adults

Abstract Frailty is an important concept in the care of older adults, and there is great interest in incorporating user-friendly frailty assessments into research and clinical settings. In-home, sensor-based technologies may provide a more dynamic, sensitive, and accurate assessment of frailty measures. To investigate user perspectives for use of sensor-based technologies and mobile applications, we held five focus groups with community-dwelling older adults (n= 10), their informal caregivers (n=9), and medical professionals (n=8). We used qualitative inductive analysis to organize thematic content. Caregivers and care-recipients viewed the early identification of frailty as beneficial, but highlighted the need for secure data infrastructure and clear demonstration of how frailty assessment would improve care. They also expressed concerns that technology-based communication could reduce in-person interactions. Medical providers noted the utility of objective data for difficult conversations with caregivers of frail patients, but worried about resources for analyses and interpretation of sensor-based health information.

Frailty Assessment in Community-Dwelling Older Adults: A Comparison of 3 Diagnostic Instruments

2020 ◽  
Vol 24 (6) ◽  
pp. 582-590
Author(s):  
Y. J. Lim ◽  
Y. S. Ng ◽  
R. Sultana ◽  
E. Laura Tay ◽  
S. M. Mah ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Diagnostic Instruments ◽  
Frailty Assessment ◽  
Community Dwelling Older Adults

scholarly journals Perspectives of community-dwelling older adults with dementia and their carers regarding their oral health practices and care: rapid review

BDJ Open ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
S. KC ◽  
M. Aulakh ◽  
S. Curtis ◽  
S. Scambler ◽  
J. E. Gallagher
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Dental Care ◽  
Community Dwelling ◽  
Rapid Review ◽  
Health Practices ◽  
People With Dementia ◽  
Health Related ◽  
Community Dwelling Older Adults ◽  
Oral Health Practices

Abstract Aim To review evidence on oral health practices, beliefs/views and experiences of community-dwelling older adults living with dementia, including their carers. Materials and methods A search of key terms across six databases including Pubmed, Web of Science and OVID (Embase, MEDLINE [R] and PsycINFO) and Google Scholar was conducted, supplemented by reference screening. The Mixed Methods Appraisal Tool (MMAT) 2018 was used to assess the methodological quality. Results Eighteen studies reported across 19 papers were included in the review. Papers largely focused on normative needs (n = 13), whilst also reporting oral health-related experiences (n = 2), practices (n = 7), and beliefs/views (n = 9), of community dwellers with dementia. Generally, people living with dementia presented with poor oral and dental health, the exception being one study where dental care was integrated with memory clinic services. Maintenance of oral health focused only on toothbrushing. Overall, people living with dementia have reduced capacity for self-performed oral hygiene and high reliance on caregivers. There was a paucity of evidence on their perceptions of oral health and quality of life, the findings of which were equivocal, with weak evidence suggesting possible difficulty in identifying and communicating their needs. Experiences of accessing dental care, when explored, appear to be system dependent. Conclusion There was limited research evidence on oral health-related practices, beliefs/views and experiences of people with dementia. Recommendations for future research are presented.

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