The concept of senile asthenia in the modern geriatrics
G.I. NURULLINA1, T.N. KHALFINA1, R.Z. ABDRAKIPOV2, E.V. SUKHORUKOVA2, E.S. ZAMANOVA2, D.R. SADYKOVA1, A.I. KHALIMOV1
1Kazan State Medical University, Kazan
2Republic Clinical Hospital of the MH of RT, Kazan
Contact details:
Nurullina G.I. — PhD (medicine), Assistant Lecture of the Hospital Therapy Department
Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7 (843) 290-18-20, e-mail: nurguzel@yandex.ru
The article analyzes the current status of the issue of senile asthenia as a key geriatric syndrome. The definition, epidemiology, risk factors, diagnosis and prevention of senile asthenia are considered. The pathogenetic mechanisms of senile asthenia are described, on which the treatment, rehabilitation and prevention of this syndrome are based. The detailed characteristic of risk factors is given, which are divided into categories: physiological, medical diseases / comorbidities, socio-demographic, psychological states, and disability. The main components of a comprehensive geriatric assessment are reflected, including the study of the functional, physical, social and psychological status of the patient. The emphasis is made on using the most convenient and available tools for assessing the health of the elder, describing their advantages and principles of application. The most useful strategies to prevent senile asthenia are considered, which are aimed at improving the quality of life of the aged patients and reducing the frequency of adverse outcomes.
Key words: senile asthenia, risk factors, diagnostic scales, prevention.
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