Frailty is frequently the outcome of one or more other systemic or acquired illnesses, such as diabetes or heart failure, as well as traumas, such as those sustained in combat.
Among other things, frailty is associated with demographic characteristics such as being a woman and growing older 5, as well as the existence of unfavorable health events such as impaired cognitive status 6, polypharmacy 7, sarcopenia 8, falls 9, institutionalization, hospitalization, and mortality 11.
Frailty is exacerbated by factors such as inactivity, poor diet, social isolation or loneliness, and the use of many prescription drugs. When you are feeble, your body lacks the ability to cope with small ailments that would ordinarily have only a tiny impact if you were healthy. This is especially true when you are elderly.
Frailty is characterized using assessments of five phenotypic criteria, which are as follows: accidental weight loss, tiredness, low energy expenditure, low grip strength, and/or reduced walking speed, as determined by this instrument.
Risk Factors: Sarcopenia is most commonly caused by malnutrition or a lack of physical exercise. Chronic illnesses and low hormone levels are two more factors that might be involved. Historical background and symptoms: Muscle weakness can manifest itself either suddenly, over a period of weeks or months, or gradually over a period of years.
The frail old are adults over the age of 65 who are reliant on others to perform activities of daily living and who are frequently placed in institutions.
A person with an eFI showing extreme frailty has an average life expectancy of 3.5 years, regardless of their age, according to the World Health Organization. Individuals who are severely fragile should be viewed as being nearing the end of their lives and should be given the chance to express their desires and choices for future care and support.
The most effective preventative, according to Nicklas, is physical exercise, particularly strength training and resistance training. The need of maintaining a healthy weight is often stressed, particularly in middle life. People who are overweight are more likely to become fragile in later life.’
Despite the fact that frailty is a primary cause of mortality in older individuals, it is not often recognized or taken into consideration near the end of life.Late recognition might limit both the selection of a health-care facility and the making of patient-centered decisions.Both lead to inadvertent life-saving treatments and inadequate management of palliative symptoms and concerns in the dying patient.
Despite the fact that frailty can lead to mortality, it is often possible to prevent or even reverse its progression with sufficient intervention.