Laffon de Mazières Clarisse, Morley John E, Levy Cari, Agenes Fabien, Barbagallo Mario, Cesari Matteo, De Souto Barreto Philipe, Donini Lorenzo Maria, Fitten Jaime, Franco Alain, Izquierdo Mikel, Kane Rosalie A, Martin Finbarr C, Onder Graziano, Ouslander Joseph, Pitkälä Kaisu, Saliba Debra, Sinclair Alan, Manas Leocadio Rodriguez, Vellas Bruno, Rolland Yves
Department of Geriatric Medicine, Gérontopôle, Toulouse University Hospital (CHU de Toulouse), Toulouse, France; Inserm UMR 1027, Toulouse, France.
Division of Geriatric Medicine, Saint Louis University School of Medicine, St Louis, MO; Division of Endocrinology, Saint Louis University School of Medicine, St Louis, MO.
J Am Med Dir Assoc. 2017 Feb 1;18(2):105-110. doi: 10.1016/j.jamda.2016.11.019.
Institutionalization is generally a consequence of functional decline driven by physical limitations, cognitive impairments, and/or loss of social supports. At this stage, intervention to reverse functional losses is often too late. To be more effective, geriatric medicine must evolve to intervene at an earlier stage of the disability process. Could nursing homes (NHs) transform from settings in which many residents dwell to settings in which the NH residents and those living in neighboring communities benefit from staff expertise to enhance quality of life and maintain or slow functional decline? A task force of clinical researchers met in Toulouse on December 2, 2015, to address some of these challenges: how to prevent or slow functional decline and disabilities for NH residents and how NHs may promote the prevention of functional decline in community-dwelling frail elderly. The present article reports the main results of the Task Force discussions to generate a new paradigm.
机构化通常是由身体限制、认知障碍和/或社会支持丧失导致的功能衰退的结果。在这个阶段，扭转功能丧失的干预往往为时已晚。为了更有效，老年医学必须发展到在残疾过程的早期阶段进行干预。养老院能否从许多居民居住的场所转变为这样的场所，即养老院居民和居住在邻近社区的居民能够受益于工作人员的专业知识，以提高生活质量并维持或减缓功能衰退？一个临床研究人员特别工作组于2015年12月2日在图卢兹开会，以应对其中一些挑战：如何预防或减缓养老院居民的功能衰退和残疾，以及养老院如何促进预防社区体弱老年人的功能衰退。本文报告了特别工作组讨论产生新范式的主要结果。
