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General practitioners who need a simpler approach to frailty evaluation may find assessment of the frailty phenotype to be more feasible [ 15].
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The potential physical, emotional and social impact of providing care [ 17] is further cause to include reactions to caregiving in frailty intervention evaluations.
Identifying frailty requires the evaluation of the complete patient [15], something that may be readily supported by a generalist's knowledge and their longitudinal observation of the patient [16].
Improving the process selection is difficult [10, 30 33]; recently, evaluation of frailty [34] was added to the making decision process [35, 36].
The intervention was individually tailored based on frailty characteristics and geriatric evaluation, and facilitated and coordinated via case management.
The considerable consequences of reactions to caregiving necessitate the inclusion of carers in the investigation and evaluation of frailty interventions.
Accordingly, we hypothesize that the objective evaluation of frailty in critical illness may complement and/or contribute important prognostic information in the clinical care of patients.
Despite the use of known criteria to assess frailty, we consider the evaluation of physical activity less useful in determining the fenotype of frailty, although a high index of sedentary behavior was found.
To encourage more widespread evaluation of frailty – a goal encouraged by many groups [ 12- 14] – we present a detailed, step-by-step procedure to describe which potential variables can be included in a frailty index, and how to establish cut-points for continuous variables.
More and more oncological therapies become available to older cancer patients, but an accurate evaluation of clinical frailty and general health status is crucial in treatment decision making.
As such, frailty assessment, along with an evaluation of a patient's psychosocial resources is highly recommended as part of a patient's Comprehensive Geriatric Assessment (CGA).
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