Department of Medicine (Division of Geriatric Medicine) Dalhousie University, Halifax, NS, Canada.
BMC Med. 2012 Jan 11;10:4. doi: 10.1186/1741-7015-10-4.
Frail, older patients pose a challenge to the primary care physician who may often feel overwhelmed by their complex presentation and tenuous health status. At the same time, family physicians are ideally suited to incorporate the concept of frailty into their practice. They have the propensity and skill set that lends itself to patient-centred care, taking into account the individual subtleties of the patient's health within their social context. Tools to identify frailty in the primary care setting are still in the preliminary stages of development. Even so, some practical measures can be taken to recognize frailty in clinical practice and begin to address how its recognition may impact clinical care. This review seeks to address how frailty is recognised and managed, especially in the realm of primary care.
体弱、老年患者给初级保健医生带来了挑战,他们可能常常对患者复杂的表现和脆弱的健康状况感到不知所措。与此同时,家庭医生非常适合将虚弱的概念纳入他们的实践中。他们有倾向和技能,适合以患者为中心的护理,考虑到患者在社会背景下的健康的个体细微差别。在初级保健环境中识别虚弱的工具仍处于初步发展阶段。即便如此,在临床实践中也可以采取一些切实可行的措施来识别虚弱,并开始探讨其识别可能对临床护理产生的影响。本综述旨在探讨如何识别和管理虚弱,特别是在初级保健领域。