Frailty syndrome in the elderly: conceptual analysis according to Walker and Avant

Abstract

Objective: To analyze the concept of “frailty syndrome” in the literature, according to the method proposed by Walker and Avant. Methods: It is a concept analysis, guided by the method proposed by Walker and Avant, made operational through an integrative literature review. The search in a scientific database was carried out using the descriptors: Frail elderly, syndrome, phenotype, geriatric assessment, and aging. The literary corpus comprised 66 studies. Results: The study found the antecedents and attributes (categorized as physical, sociodemographic, and behavioral/environmental) that integrate the signs and symptoms evidenced in the “frailty syndrome,” as well as the consequences of this concept. The variables were analyzed with emphasis on the conceptions that influence the frailty process of the elderly. Conclusion: The study demonstrated the complexity arising from the multifactorial genesis of the referred syndrome, emphasizing the specificities of the elderly’s frailty. However, we recommend conducting further research involving the phenomenon in question to understand the construct better.

Nursing Diagnosis Frail Elderly Syndrome: an integrative review

“…Na amostra final, no que se refere às bases de dados consultadas e aos estudos incluídos na revisão, houve predominância da CINAHL, com quatro acha- Rev Bras Enferm (15) Estudo metodológico Rev Bras Enferm (16) Análise conceitual…”

“…A característica definidora Mobilidade Física Prejudicada caracteriza-se como uma manifestação comum da fragilidade, sendo um marcador sensível de doença aguda e um dos principais componentes da gênese da fragilidade (16) . É definida como a limitação do movimento independente e voluntário do corpo ou de uma ou mais extremidades, (11) e está associada à perda de força e/ou de função que caracteriza a sarcopenia.…”

Explaining the Concept of Self-Care Competence and Its Dimensions in Elderly Women with Knee Osteoarthritis in Iran: A Qualitative Study

“…Aging is the final part of the human life cycle and reaching this stage is a significant progress for humanity ( 1 ). According to the World Health Organization, 20% of the world's population will be over 60 years old by 2050 ( 2 ).…”

“…Self-care activities are viable when the individual has the potential for self-care competence ( 15 ). Since self-care competence is an individual's ability to recognize their needs, evaluate internal and external resources, and select self-care measures to achieve the desired goals of well-being and independence ( 1 ), it refers not only to functional ability, but also the cognitive and emotional component as well. As a process, self-care includes strategies and actions that enable s senior to modify or change their health status and subsequently adapt or expand their functional abilities.…”

Clinical validation of nursing diagnosis Fragile Elderly Syndrome

“…Furthermore, it is emphasized that the referred investigation did not involve the categories of the population at risk and associated conditions, since at the time of its development the taxonomy did not present these topics in its structure (7) . Another investigation that also carried out the analysis of that concept, found twenty antecedents, seventeen attributes, and eight consequences for the same concept (8) .…”