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KMID : 1024720170070020045
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Geriatric Rehabilitation
2017 Volume.7 No. 2 p.45 ~ p.51
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Frailty and Factors Associated with Frailty: an Overview
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Kim Woo-Jin
Park Young-Sook
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Abstract
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With growing aging population, frailty is becoming one of the major issues and its increasing rate is expected. Frailty is clinically defined as increased vulnerability to minor stressor events which may cause disproportionate deterioration followed by failure to return to homeostasis, resulting in disability, loss of independence, hospitalisation, extensive use of healthcare resources, admission to long-term care and even death. Recognizing frailty is important to avoid unnecessary harm and improve outcomes. The most significant problems related to frailty is that potential for serious adverse outcomes increases for seemingly minor change or stressor event. Brain, endocrinology, immune system and musculoskeletal systems are organ systems most extensively studied in association with development of frailty, as well as loss of nutritional status, pulmonary, cardiovascular, renal haemopoietic and clotting system. Because frailty is not an inevitable part of aging, but a long term condition just like diabetes and Alzheimer disease, it can be delayed with effective reablement by slowing down the process of frailty accumulation. Multidisciplinary approach involving medical, nursing, social work, physiotherapy, nutrition is essential to address physical, emotional and financial issues. To develop strategies to prevent disability and maximize capacities throughout lifetime, recognizing the factors associated with frailty is crucial.
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KEYWORD
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Frailty, Sarcopenia, Aging, Elderly
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