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Developing a working framework for understanding frailty / BERGMAN, Howard ; BÉLAND, François ; KARUNANANTHAN, Sathya ; HUMMEL, Silvia ; HOGAN, David ; WOLFSON, Christina ; Initiative canadienne sur la fragilité et le vieillissement.
Gérontologie et société, 2004 (109 (juin 2004)), p. 15-29.

Droits d'auteur : Cette oeuvre est protégée par un droit d'auteur. Elle ne peut être reproduite qu'à des fins d'études privées ou de recherche et seulement si la source est mentionnée.

Lieux géographiques
: Canada

Mots-clés principaux
:
Fragilité
Personne âgée fragile
Définition
Théorie
Modèle
Recherche sur le vieillissement


Résumé :

Frailty is a new, controversial and enigmatic concept. Research workers, decision makers and health care providers have all noticed the impact of frailty on patients, on their families, on nursing staff and on society. Over the past two decades, there has been more and more literature concerning frailty. However, there is not yet any universally recognized definition or criteria to describe frailty, neither is there much information regarding the quality of the concept's research results. The Canadian Initiative on Frailty and Aging was set-up in order to foster a better understanding of the causes, consequences and itinerary of frailty. Through the circulation of information on the prevention, screening and treatment of frailty as well as on the efficient organization of facilities, it was also set-up to improve the quality of life of elderly people at risk of becoming frail. The first phase of the Initiative consists of a systematic review of the literature on frailty so as to synthesize the present state of research and to create a provisional model and to establish those research priorities which could be used to set-up a research program. The provisional model on frailty needs to integrate all those biological, social, clinical, psychological and environmental factors which interact through life meaning either that one ages healthily or not, thus delaying the apparition of frailty or on contrary favouring it.

This special issue on "Frailties" includes the following papers:
- The frailty in the elderly : actuality, prospects
- Frailty in the oldest age : definition and impact on service's exchanges
- Consequences of frailty for the daily life : changes and stability in activities and well-being in the oldest olds
- The concept of fragility and the effectiveness of the AGGIR assessment procedure
- Resilience and vulnerability : adaptation of these concepts in psycho-gerontology
- The concept of frailty in social and medico-social legislation
- Public policy and support for frail older people
- Protection of vulnerable adults : why the present law should be reconsidered
- Can old people weaken the network which supports them?
- Mental images and problematics in institutions: "are institutions debilitating?"

Langue : Anglais
Doc n° : 18255
NumRec : 1825503
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