Assessment and management of frailty in individuals living with dementia: expert recommendations for clinical practice.

IF 13.4 Q1 GERIATRICS & GERONTOLOGY Lancet Healthy Longevity Pub Date : 2024-12-27 DOI:10.1016/j.lanhl.2024.100666

Miguel Germán Borda, Francesco Landi, Tommy Cederholm, Luis Carlos Venegas-Sanabria, Gustavo Duque, Hidetaka Wakabayashi, George E Barreto, Isabel Rodriguez-Sanchez, Marco Canevelli, Carlos Cano-Gutierrez, Mario Ulises Pérez-Zepeda, Lindsay Wallace, Kenneth Rockwood, Mario Salas-Carrillo, Martha Gjestsen, Ingelin Testad, Clive Ballard, Dag Aarsland

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Abstract

Frailty complicates the care of individuals with dementia, increasing their vulnerability to adverse outcomes. This Personal View presents expert recommendations for managing frailty in individuals with dementia, aimed at health-care providers, particularly those in primary care. We conducted a rapid literature review followed by a consensus process involving 18 international experts on dementia and frailty. The experts identified key areas, including diagnosis of frailty, assessment of nutritional status and nutritional management, physical activity, prevention of falls, and polypharmacy management. The recommendations emphasise early identification of frailty and a comprehensive, interdisciplinary approach to care that aims to maintain the individual's daily functioning, quality of life, and independence. The recommendations highlight the importance of tailored interventions, regular monitoring, and the integration of psychosocial support into the therapeutic approach. These recommendations address a crucial gap in existing clinical guidelines, offering practical guidance for clinicians managing frailty in individuals with dementia.

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痴呆症患者虚弱的评估和管理：临床实践的专家建议。

虚弱使痴呆症患者的护理复杂化，增加了他们对不良后果的脆弱性。本个人观点提出了针对卫生保健提供者，特别是初级保健提供者的专家建议，以管理痴呆症患者的虚弱。我们进行了一项快速的文献综述，随后由18位痴呆症和虚弱方面的国际专家达成共识。专家们确定了关键领域，包括虚弱诊断、营养状况评估和营养管理、身体活动、预防跌倒和多种药物管理。这些建议强调早期识别虚弱和全面的跨学科护理方法，旨在维持个人的日常功能、生活质量和独立性。这些建议强调了有针对性的干预措施、定期监测以及将社会心理支持纳入治疗方法的重要性。这些建议弥补了现有临床指南中的一个关键空白，为临床医生管理痴呆症患者的虚弱提供了实用指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Lancet Healthy Longevity GERIATRICS & GERONTOLOGY-

CiteScore

16.30

自引率

2.30%

发文量

192

审稿时长

12 weeks

期刊介绍： The Lancet Healthy Longevity, a gold open-access journal, focuses on clinically-relevant longevity and healthy aging research. It covers early-stage clinical research on aging mechanisms, epidemiological studies, and societal research on changing populations. The journal includes clinical trials across disciplines, particularly in gerontology and age-specific clinical guidelines. In line with the Lancet family tradition, it advocates for the rights of all to healthy lives, emphasizing original research likely to impact clinical practice or thinking. Clinical and policy reviews also contribute to shaping the discourse in this rapidly growing discipline.