Risks and prevention of frailty in social health effects of ageing

Le résumé fourni par la source

Issue Frailty increases with age and frequency is a major medical, social and societal problem. It must be detected early on and treated to prevent or delay the loss of independence.Prior to frailty, risk identification can provide a more focused view of the population likely to receive support tailored to the somatic field and the social sphere. Early awareness of these factors allows planned actions to be implemented within the broader realm of social health prevention. Description To pursue a policy of proximity focused on the prevention of the effects of ageing, Carsat-LR, social security, has implemented an Observatory on expanded fragile situations. It aims to identify the risk of frailty in order to promote prevention with early actions tailored to the needs of elderly people and identify priority intervention areas. The challenge is to assess frailty risks in 4 major categories: somatic, psychosocial, nutritional and cognitive. The objective is to guide prevention support for elderly people based on risk of frailty The model of prevention (primary, secondary, tertiary) can lead to segmentation, especially when seniors are at risk of frailty. It seems preferable to review the preventive approaches based on the differentiation between the areas affected by frailty: health and disease, social health and socio-economic environment. Results Retirees or pre-retirees at risk of frailty receive advice and guidance in the domain of access to rights, but also in the domain of health. On 100 elderly people 50 are supporting in prevention (nutrition, gymnastics, relaxation, sleep, memory, postural), 20 need for home help, 24 are difficulties related to sight or hearing.The device thus established for the risk of frailty clearly demonstrates the importance of locating the preventive approach as far as possible. The effects of ageing involve the implementation of appropriate procedures and a comprehensive approach to subjects in their environment. The approach in terms of risk of frailty tracking and personalized services for prevention is particularly adapted to the situation of elderly people.The experimentation showed the relevance of the tool and its ease of use. It is emphasised that this experiment is part of Sunfrail project recognised by the European Commission and led by the Emilia Romagna region.

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