Han Brenda, Grant Cristin
California State University, Los Angeles, US.
Emerg Nurse. 2016 Oct 6;24(6):18-22. doi: 10.7748/en.2016.e1554.
With an increasing number of older people using emergency services, researchers have raised concerns about the quality of care in an environment that is not designed to address older patients' specific needs and conditions. The comprehensive geriatric assessment (CGA) model was developed to address these issues, and to optimise healthcare delivery to older adults. This article introduces a complementary mnemonic, FRAIL, that refers to important elements of health information to consider before initiating care for older patients - falls/functional decline, reactions, altered mental status, illnesses, and living situation. It is not intended to replace the CGA, but can help to quickly identify high-risk older patients who warrant a more in-depth clinical assessment with CGA.
随着越来越多的老年人使用急诊服务,研究人员对在一个并非为满足老年患者特定需求和状况而设计的环境中的护理质量表示担忧。综合老年评估(CGA)模型就是为解决这些问题而开发的,旨在优化针对老年人的医疗服务。本文介绍了一个辅助记忆法FRAIL,它指的是在为老年患者开始护理之前需要考虑的健康信息的重要要素——跌倒/功能衰退、反应、精神状态改变、疾病和生活状况。它并非旨在取代CGA,而是有助于快速识别那些需要通过CGA进行更深入临床评估的高危老年患者。