Prevention of Functional Decline by Reframing the Role of Nursing Homes?

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• 作者：Clarisse Laffon de Maziè ; res ; MD^a ; ^b ; ^{laffondemazieres.c@chu-toulouse.fr} ; John E. Morley ; MD ; PhD^c ; Cari Levy ; MD ; PhD^d ; Fabien Agenes ; PhD^e ; Mario Barbagallo ; MD ; PhD^f ; Matteo Cesari ; MD ; PhD^a ; ^b ; Philipe De Souto Barreto ; PhD^a ; ^b ; Lorenzo Maria Donini ; MD^g ; Jaime Fitten ; MD ; PhD^h ; Alain Franco ; MD ; PhDⁱ ; Mikel Izquierdo ; PhD^j ; Rosalie A. Kane ; PhD^k ; Finbarr C. Martin ; MD ; MSc^l ; Graziano Onder ; MD ; PhD^m ; Joseph Ouslander ; MDⁿ ; Kaisu Pitkä ; lä ; MD ; PhD^o ; Debra Saliba ; MD ; MPH^p ; Alan Sinclair ; MSc ; MD^q ; Leocadio Rodriguez Manas ; MD ; PhD^r ; Bruno Vellas ; MD ; PhD^a ; ^b ; Yves Rolland ; MD ; PhD^a ; ^b
• 关键词：Nursing home ; prevention ; functional decline ; frailty
• 刊名：Journal of the American Medical Directors Association
• 出版年：2017
• 出版时间：1 February 2017
• 年：2017
• 卷：18
• 期：2
• 页码：105-110
• 全文大小：348 K
• 卷排序：18

文摘

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.