Frailty And Sarcopenia Current Issues And Research

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Frailty and Sarcopenia: Current Issues and Research

Author : Kylen Mitchell
Publisher : States Academic Press
ISBN 13 : 9781639892198
Total Pages : 253 pages
Book Rating : 4.8/5 (921 download)

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Book Synopsis Frailty and Sarcopenia: Current Issues and Research by : Kylen Mitchell

Download or read book Frailty and Sarcopenia: Current Issues and Research written by Kylen Mitchell and published by States Academic Press. This book was released on 2021-11-16 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Frailty is a clinically recognizable syndrome associated with aging and an increased risk of catastrophic decline in the health of elderly people. Muscles start degenerating with age which results in weakness, decreased energy, slowing, lower activity and severe unintended weight loss. Sarcopenia can be a cause of frailty. It is degenerative loss of skeletal muscle strength, quality and mass with age. The rate of muscle loss depends on several factors such as nutrition, exercise level and co-morbidities. Sarcopenia leads to reduced functional status and can cause significant disability from increased weakness. Muscle loss within this disease occurs due to changes in muscle synthesis signaling pathways. This book provides significant information of this discipline to help develop a good understanding of frailty and sarcopenia. Also included herein is a detailed explanation of the current issues and research on these medical conditions. This book is appropriate for students seeking detailed information in this area as well as for experts.

Fragility Fracture Nursing

Author : Karen Hertz
Publisher : Springer
ISBN 13 : 3319766813
Total Pages : 169 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Fragility Fracture Nursing by : Karen Hertz

Download or read book Fragility Fracture Nursing written by Karen Hertz and published by Springer. This book was released on 2018-06-15 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Frailty and Sarcopenia

Author : Yannis Dionyssiotis
Publisher : BoD – Books on Demand
ISBN 13 : 9535134833
Total Pages : 256 pages
Book Rating : 4.5/5 (351 download)

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Book Synopsis Frailty and Sarcopenia by : Yannis Dionyssiotis

Download or read book Frailty and Sarcopenia written by Yannis Dionyssiotis and published by BoD – Books on Demand. This book was released on 2017-08-30 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Frailty is considered a multisystem impairment that makes an individual vulnerable to external or internal stressors. Sarcopenia, the age-dependent loss of muscle mass and function, is proposed as the biological substrate and the pathway whereby the consequences of physical frailty develop. These syndromes are associated with a negative impact in quality of life and can lead to the occurrence of disability, institutionalization, and even mortality. The book focuses upon all the related aspects of frailty and sarcopenia and the new advancements in the related treatments including complex issues and research. It includes high-quality chapters in all related aspects for the syndromes of sarcopenia and frailty, which adversely affect the function and overall effectiveness of the musculoskeletal system and interventions to promote rehabilitation.

The Role of Family Physicians in Older People Care

Author : Jacopo Demurtas
Publisher : Springer Nature
ISBN 13 : 3030789233
Total Pages : 465 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis The Role of Family Physicians in Older People Care by : Jacopo Demurtas

Download or read book The Role of Family Physicians in Older People Care written by Jacopo Demurtas and published by Springer Nature. This book was released on 2021-12-30 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides family doctors with a wealth of evidence-based indications and tips regarding geriatric medicine and approaches for the management of older patients, to be applied in daily practice. After discussing old and new features of healthy ageing and the approaches required in Family Medicine Consultation, the text introduces key elements of geriatric medicine such as frailty, sarcopenia, and the comprehensive geriatric assessment (CGA), before describing a range of characteristics unique to older patients in different contexts, with a dedicated section on Palliative Care. The role of polypharmacy and the importance of quaternary prevention and deprescribing are also addressed. Finally, the book emphasizes both the importance of a humanistic approach in caring and the approach of research and meta-research in geriatrics. Though many texts explore the role of primary care professionals in geriatric medicine, the role of family doctors in older people care has not yet been clearly addressed, despite the growing burden of ageing, which has been dubbed the “silver tsunami.” Family physicians care for individuals in the context of their family, community, and culture, respecting the autonomy of their patients. In negotiating management plans with their patients, family doctors integrate physical, psychological, social, cultural and existential factors, utilizing the knowledge and trust engendered by repeated visits. They do so by promoting health, preventing disease, providing cures, care, or palliation and promoting patient empowerment and self-management. This will likely become all the more important, since we are witnessing a global demographic shift and family doctors will be responsible for and involved in caring for a growing population of older patients. This book is intended for family medicine trainees and professionals, but can also be a useful tool for geriatricians, helping them to better understand some features of primary care and to more fruitfully interact with family doctors.

Recent Advances of Sarcopenia and Frailty in CKD

Author : Akihiko Kato
Publisher : Springer Nature
ISBN 13 : 9811523657
Total Pages : 245 pages
Book Rating : 4.8/5 (115 download)

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Book Synopsis Recent Advances of Sarcopenia and Frailty in CKD by : Akihiko Kato

Download or read book Recent Advances of Sarcopenia and Frailty in CKD written by Akihiko Kato and published by Springer Nature. This book was released on 2020-02-29 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book highlights recent advances in our understanding of sarcopenia and frailty in CKD. The prevalence of sarcopenia and frailty increases substantially as CKD progresses, and experimental studies have demonstrated the pivotal role of accumulated uremic toxin in the development of muscle wasting. Further, sarcopenia and frailty are associated with falls, bone fractures, cognitive impairment, and poor survival prognoses, especially in elderly CKD patients. The syndromes are also related to the risk of end-stage kidney disease. This book provides readers with a deeper understanding of the prevention and management of sarcopenia and frailty in CKD patients to improve their renal and overall health, and suggests directions for future basic and clinical research.

Sarcopenia

Author : Alfonso J. Cruz-Jentoft
Publisher : John Wiley & Sons
ISBN 13 : 1119597900
Total Pages : 464 pages
Book Rating : 4.1/5 (195 download)

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Book Synopsis Sarcopenia by : Alfonso J. Cruz-Jentoft

Download or read book Sarcopenia written by Alfonso J. Cruz-Jentoft and published by John Wiley & Sons. This book was released on 2021-06-15 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: SARCOPENIA An in-depth examination of sarcopenia’s underexplored yet widespread impact within the field of gerontology Sarcopenia is common in older men and women, and yet awareness of its clinical relevance is still relatively low. Only formally included in the International Classification of Diseases in 2016, the condition may impact societies with serious health-related and financial consequences unless consistent, effective methods of identification and management are adopted. This second edition of Sarcopenia provides geriatricians and other healthcare professionals with a revised and expanded examination of this understudied and underdiagnosed condition. Edited by two leading authorities on the subject, it covers the epidemiology and diagnosis of sarcopenia, as well as treatment options and possible prevention strategies. Eight newly written chapters build upon existing knowledge with fresh data on topics including sarcopenia’s biomarkers and its impact on the healthcare economy. This important text: Defines sarcopenia and explains its clinical relevance Covers all recent scientific evidence Outlines treatment options Considers prevention strategies Discusses sarcopenia as a public health priority Features eight new chapters covering topics such as sarcopenia’s clinical management, its biomarkers, and its financial impact Containing vital information for clinicians and other professionals working in geriatric care, nursing homes, nutrition, cancer, endocrinology, surgery, sports medicine and many other specialties, Sarcopenia, second edition, is a groundbreaking and essential new resource.

Frailty and Sarcopenia

Author : Grazia D'Onofrio
Publisher : BoD – Books on Demand
ISBN 13 : 180355021X
Total Pages : 136 pages
Book Rating : 4.8/5 (35 download)

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Book Synopsis Frailty and Sarcopenia by : Grazia D'Onofrio

Download or read book Frailty and Sarcopenia written by Grazia D'Onofrio and published by BoD – Books on Demand. This book was released on 2022-10-26 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sarcopenia is a symptom of aging that contributes to the functional decline of the musculoskeletal system, responsible for impaired gait and balance and a high risk of falls and serious fractures. Nutrition and exercise play a key role in the prevention and treatment of sarcopenia. Due to the multifaceted nature of sarcopenia, the best therapeutic approach is multidisciplinary, requiring collaboration between specialists such as geriatricians, internists, physiatrists, general practitioners, nutritionists, and physiotherapists. This book presents a comprehensive overview of sarcopenia with chapters on physiopathological mechanisms, assessment tools, and rehabilitation activities of the condition in the frail elderly.

Osteosarcopenia: Bone, Muscle and Fat Interactions

Author : Gustavo Duque
Publisher : Springer Nature
ISBN 13 : 3030258904
Total Pages : 383 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Osteosarcopenia: Bone, Muscle and Fat Interactions by : Gustavo Duque

Download or read book Osteosarcopenia: Bone, Muscle and Fat Interactions written by Gustavo Duque and published by Springer Nature. This book was released on 2019-11-06 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited work presents the most current evidence on osteosarcopenia from bench to bedside, which is expected to facilitate the understanding of this syndrome and to develop preventive and therapeutic strategies. With our aging population, chronic diseases such as osteoporosis and sarcopenia are becoming highly prevalent. Fortunately, our understanding of the bone and muscle interactions has increased in recent years. This has allowed to the coining of the term osteosarcopenia to describe a syndrome in which these two diseases overlap. This overlap between osteoporosis and sarcopenia has major negative effects not only on our older adults but also on health systems worldwide. Readers will find a highly translational approach that starts with a summary of recent discoveries on stem cells biology, muscle and bone interactions – including the role of local bone and muscle fat – followed by comprehensive reviews on myokines (i.e. myostatin), osteokines (i.e. osteocalcin) and adipokines (i.e. interleukins) as major players and determinants of bone and muscle loss with aging. In addition, the role of sex steroids (i.e. estrogens, androgens), and calciotropic hormones (i.e. parathyroid hormone, vitamin D) in the pathogenesis of this syndrome is also reviewed. Moreover, using practical diagnostic and therapeutic tips, this book summarizes the clinical characteristics of osteosarcopenic patients thus facilitating the diagnosis and treatment of this syndrome in clinical practice. Finally, the book presents the case for the Falls and Fractures Clinic as the optimal model of care for this syndrome, aimed to avoid fragmentation and optimize osteosarcopenia care, and simultaneously prevent falls and fractures in older persons. This book offers relevant information on the mechanisms of osteosarcopenia, and a practical guide on how to identify and treat this geriatric syndrome and its adverse outcomes, which are dramatically affecting our aging population. The work is written by leaders in the field and is especially suited not only to any researcher in the musculoskeletal arena but also to medical specialists and allied health professionals involved in the care of older persons.

Nutrition and Aging

Author : Irwin H. Rosenberg
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805573219
Total Pages : 266 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Nutrition and Aging by : Irwin H. Rosenberg

Download or read book Nutrition and Aging written by Irwin H. Rosenberg and published by Karger Medical and Scientific Publishers. This book was released on 2002 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: Humanity is aging. In the last century, life expectancy has increased by as much as 25 years, the greatest increase in 5'000 years of history. As a consequence the elderly constitute today the fastest growing segment of the world's population. This new situation creates many social problems and challenges to health care which both the developed as well as the developing countries will have to cope with. The present publication shows that scientific progress has reached a level where nutritional interventions may play a decisive part in the prevention of degenerative conditions of age, improvement of quality of life and impact on health care burden and resources. Topics deal with such different aspects as the influence of prenatal and early infant nutrition on the future aged individual and effects of energetic restriction on longevity. Further contributions include studies on mitochondrial alterations, digestive problems, specific metabolic deviations mediated by insulin, bone degradation, structural changes, neuromuscular dysfunctions, mental state of the elderly as well as the response of the immune system to nutrient intake. Finally the book offers a review of requirements appropriate to meet the age-related public health challenges of the 21st century.

Osteosarcopenia

Author : Gustavo Duque
Publisher : Elsevier
ISBN 13 : 0128204206
Total Pages : 350 pages
Book Rating : 4.1/5 (282 download)

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Book Synopsis Osteosarcopenia by : Gustavo Duque

Download or read book Osteosarcopenia written by Gustavo Duque and published by Elsevier. This book was released on 2022-03-04 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Falls, fractures, frailty, osteoporosis and sarcopenia are highly prevalent in older persons. While the concept of osteosarcopenia is new, it is a rapidly evolving and cross-disciplinary problem. Prevention and treatment are challenging and a combined therapeutic approach is needed. Osteosarcopenia provides evidence-based information on how to prevent and treat these conditions at multiple settings, including multiple illustrations, care pathways and tips to easily understand the pathophysiology, diagnostic methods and therapeutic approach to these conditions. This work evaluates the potential for a link between osteoporosis, sarcopenia and obesity. Presents diagnostic and therapeutic tips that facilitate the design and implementation of new care pathways, impacting the wellbeing of our older population Provides cross-disciplinary understanding by experts from the bone/osteoporosis field and the muscle/sarcopenia field Covers muscle and bone biology, mesenchymal stem cells, age-related changes and cross-talk between muscle, fat and bone, falls and fracture risk, glucose metabolism, diagnosis, imaging, and genetics of osteosarcopenia

The Women's Health and Aging Study

Author : Jack M. Guralnik
Publisher : DIANE Publishing
ISBN 13 : 0788131222
Total Pages : 407 pages
Book Rating : 4.7/5 (881 download)

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Book Synopsis The Women's Health and Aging Study by : Jack M. Guralnik

Download or read book The Women's Health and Aging Study written by Jack M. Guralnik and published by DIANE Publishing. This book was released on 1996-07 with total page 407 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to help in the understanding of the causes & course of disability in older women. Offers an excellent overview of diseases & disability & their impact on older women. Covers: adaptation to disability, physical performance measures, the daily lives of disabled older women, utilization of health services, mental health & general well-being, pulmonary diseases & conditions, musculoskeletal disease, neurological conditions, vision & hearing, medication use, instrumental & emotional support, adaptation to disability, & much more.

Endocrine Biomarkers

Author : Hossein Sadrzadeh
Publisher : Elsevier
ISBN 13 : 0128034181
Total Pages : 478 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Endocrine Biomarkers by : Hossein Sadrzadeh

Download or read book Endocrine Biomarkers written by Hossein Sadrzadeh and published by Elsevier. This book was released on 2017-09-25 with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt: Endocrine Biomarkers: Clinical Aspects and Laboratory Determination covers all the pre-analytical variables that can affect test results, both in the clinic and laboratory. Biomarkers of endocrine and bone diseases are discussed from both clinical and laboratory perspectives, and the authors elaborate on the teamwork-based app+roach between the clinician and the laboratory professional in the diagnosis and management of endocrine and bone disorders. Discussions include test utilization, laboratory measurement methods, harmonization and standardization, interpretation of results, and reference intervals. Each chapter ends with a discussion of one or two relevant cases with shared opinions from both a clinician and a clinical chemist. Each chapter also includes a summary box outlining key points and common pitfalls in the use of specific disease biomarkers and tests. Focuses on the traditional, current, and emerging clinical chemistry tests for endocrine and bone diseases, along with their application in individual clinical management Presents a brief discussion of each disorder and its respective interrelationships, along with laboratory methodologies that can be used to aid in evaluation of disorders Reviews common approaches to the measurement of the relevant hormones, with a special focus on measures that require a structured clinical testing scenario Reviews novel chemistry tests as potential means of future diagnostic tests Provides an overview of the current methodology and controversies in the concept of target lipid levels, paying particular attention to the role of clinical chemistry in helping to implement population health targets

Interdisciplinary Nutritional Management and Care for Older Adults

Author : Ólöf G. Geirsdóttir
Publisher : Springer Nature
ISBN 13 : 3030638928
Total Pages : 274 pages
Book Rating : 4.0/5 (36 download)

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Book Synopsis Interdisciplinary Nutritional Management and Care for Older Adults by : Ólöf G. Geirsdóttir

Download or read book Interdisciplinary Nutritional Management and Care for Older Adults written by Ólöf G. Geirsdóttir and published by Springer Nature. This book was released on 2021 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intro -- Foreword -- Acknowledgements -- Contents -- Part I: Nutritional Care in Geriatrics -- 1: Overview of Nutrition Care in Geriatrics and Orthogeriatrics -- 1.1 Defining Malnutrition -- 1.2 Nutrition Care in Older Adults: A Complex and Necessary Challenge -- 1.3 Malnutrition: A Truly Wicked Problem -- 1.4 Building the Rationale for Integrated Nutrition Care -- 1.5 Managing the Wicked Nutrition Problems with a SIMPLE Approach (or Other Tailored Models) -- 1.5.1 Keep It SIMPLE When Appropriate -- 1.5.2 A SIMPLE Case Example -- 1.5.2.1 S-Screen for Malnutrition -- 1.5.2.2 I-Interdisciplinary Assessment -- 1.5.2.3 M-Make the Diagnosis (es) -- 1.5.2.4 P-Plan with the Older Adult -- 1.5.2.5 L-Implement Interventions -- 1.5.2.6 E-Evaluate Ongoing Care Requirements -- 1.6 Bringing It All Together: Integrated Nutrition Care Across the Four Pillars of (Ortho) Geriatric Care -- 1.7 Summary: Finishing Off with a List of New Questions -- References -- Recommended Reading -- 2: Nutritional Requirements in Geriatrics -- 2.1 Nutritional Recommendations for Older Adults, Geriatric and Orthogeriatric Patients -- 2.2 Nutritional Recommendations for Older Adults -- 2.2.1 Energy Requirement and Recommended Intake -- 2.2.2 Protein Requirement and Recommended Intake -- 2.2.3 Micronutrients and Dietary Fibers -- 2.3 Nutritional Risk Factors in Older Adults -- 2.4 Estimating Intake in Older Adults -- 2.5 Nutritional Status of Older Adults, Geriatric and Orthogeriatric Patients -- 2.6 Summary -- References -- Recommended Reading -- 3: Nutritional Assessment, Diagnosis, and Treatment in Geriatrics -- 3.1 The Nutrition Care Process -- 3.2 Nutritional Screening/Risk Detection -- 3.3 Nutritional Assessment and Diagnosis -- 3.3.1 Nutrition Impact Symptoms -- 3.3.2 Nutritional Diagnosis -- 3.3.3 Etiologic Criteria.

Whole-body Electromyostimulation: A Training Technology to Improve Health and Performance in Humans?

Author : Wolfgang Kemmler
Publisher : Frontiers Media SA
ISBN 13 : 2889638375
Total Pages : 160 pages
Book Rating : 4.8/5 (896 download)

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Book Synopsis Whole-body Electromyostimulation: A Training Technology to Improve Health and Performance in Humans? by : Wolfgang Kemmler

Download or read book Whole-body Electromyostimulation: A Training Technology to Improve Health and Performance in Humans? written by Wolfgang Kemmler and published by Frontiers Media SA. This book was released on 2020-07-08 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Vitamin D in Clinical Medicine

Author : A. Giustina
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3318063398
Total Pages : 216 pages
Book Rating : 4.3/5 (18 download)

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Book Synopsis Vitamin D in Clinical Medicine by : A. Giustina

Download or read book Vitamin D in Clinical Medicine written by A. Giustina and published by Karger Medical and Scientific Publishers. This book was released on 2018-03-29 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vitamin D deficiency is prevalent today not only among the elderly but pervasively throughout all ages of life.This is due, in part, to systemic diseases that affect vitamin D metabolism, to changes in lifestyle, such as insufficient exposure to sunlight, and to increased use of sunscreen. Apart from the obvious effects of vitamin D deficiency on skeletal metabolism, the problem is assuming even greater significance because observational and interventional studies have linked vitamin D deficiency to cardiovascular disease, cancer, and diabetes. This book addresses a variety of important issues that have emerged from this fast-moving area of clinical medicine. The topics include assays of vitamin D and its binding protein, effects on aging and associated complications, primary and secondary states of altered parathyroid hormone secretion, vitamin D in the growing years of children and adolescents, nutritional requirements, and vitamin D as it relates to systemic disorders such as diabetes mellitus. Vitamin D in Clinical Medicine aims to offer new insights, in an evidence-based way, on important issues related to vitamin D. It is written for general practitioners and internists, as well as for endocrinologists, nutritionists, pulmonologists, cardiologists, and oncologists.

Frailty in Aging

Author : O. Theou
Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3318054577
Total Pages : 212 pages
Book Rating : 4.3/5 (18 download)

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Book Synopsis Frailty in Aging by : O. Theou

Download or read book Frailty in Aging written by O. Theou and published by Karger Medical and Scientific Publishers. This book was released on 2015-07-20 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: Frailty represents an important challenge for aging populations. As a concept it is full of 'known unknowns' such as which mechanisms lead to frailty and how it is best managed. In order to examine these circumstances, the new science of understanding and managing frailty requires an appropriate framing of the problem. This publication investigates the biology and management of frailty and its social aspects. It considers these and related questions: How can we recognize frailty? How does an understanding of frailty increase our comprehension of the aging process? What are its implications for health care systems, including primary care, hospitals and rehabilitation? How will a growing number of frail older adults affect society more generally? The book focuses on frailty as a state of vulnerability, which is related to aging, but which can occur across the life course, and aims to improve the life of frail people and those around them. The book is highly recommended to researchers in aging, health science researchers, health care professionals and anyone interested in the understanding of the aging process.

Frailty in the Elderly

Author : Sara Palermo
Publisher : BoD – Books on Demand
ISBN 13 : 1839682183
Total Pages : 148 pages
Book Rating : 4.8/5 (396 download)

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Book Synopsis Frailty in the Elderly by : Sara Palermo

Download or read book Frailty in the Elderly written by Sara Palermo and published by BoD – Books on Demand. This book was released on 2021-03-31 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: The progressive growth in the number of older adults worldwide has led to a modification of the current healthcare scenario and a parallel increase in the use of public resources. In this book, we propose a conceptual framework within which aging, frailty, and care are analyzed through the lens of complexity medicine. Therefore, we present a multidimensional perspective that takes into account biomedical, (neuro)psychological, and socio-ecological vulnerability. The theses presented are the result of an inductive approach, based on many years of experience in the field, which has made it possible to identify strategies for frailty recognition and effective responses even in complicated clinical settings. The book is intended to be a tool of concrete and easy consultation, rich in reflections and suggestions.