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疾病和(或)衰弱,一个重要的概念区别。

Diseases AND or IN frailty, an important conceptual difference.

机构信息

Semillero de Neurociencias y Envejecimiento, Aging Institute and Faculty of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia; Geriatrics Unit, Hospital Universitario San Ignacio and Pontificia Universidad Javeriana, Bogotá, Colombia.

Semillero de Neurociencias y Envejecimiento, Aging Institute and Faculty of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia.

出版信息

Exp Gerontol. 2017 Nov;98:184-185. doi: 10.1016/j.exger.2017.08.031. Epub 2017 Aug 30.

Abstract

Frailty is a clinical state that increases an individual's vulnerability. It is an outcome marker in several medical scenarios. However, there is a lack of recognition in the medical field. Frailty should not be regarded as a condition superimposed to disease. Contrarily, it should be noticed as a state frequently found either as a component of diseases themselves or as their outcome. The work of a geriatrician is focused on the best possible approximation to the medical and psychosocial issues that an elder has, and must join the treatment team when the person has a considerable number of conditions that makes him/her frail. Traditionally medicine has focused mainly on illnesses, but the state of frailty requires a change of mindset, through a multidimensional person centered approach.

摘要

虚弱是一种增加个体脆弱性的临床状态。它是几种医疗情况下的结果指标。然而,在医学领域缺乏认识。虚弱不应该被视为一种叠加于疾病的状态。相反,应该注意到它是一种经常出现在疾病本身或其结果中的状态。老年病医生的工作重点是尽可能接近老年人的医疗和心理社会问题,并在患者有相当多的使他/她虚弱的疾病时加入治疗团队。传统医学主要关注疾病,但虚弱状态需要通过多维以人为主的方法改变思维方式。

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