FAIR Frailty Clinic

Frailty Assessment & Individualized Report (FAIR) Clinic. Aiming to preserve function and quality of life in the healthy & at risk older adult population.

[FAIR Frailty Clinic @fair_rush]

CGA evals identify previously missed medical conditions & preclude unnecessary interventions, leading to improved health outcomes. Timely medical interventions in addition to functional and nutritional optimization can reverse onset of frailty. #AGS24 #gerionc #fightfrailty

[Jackson Fyfe, PhD @jacksonfyfe]

3 sets of repeated chair stands (5 or 10 reps per set), 3 times per week.

Sound feasible?

Over 8 weeks, this was enough to improve:

Muscle thickness: ⬆️8-9%
Muscle quality index: ⬆️40-45%
Relative sit-to-stand power: ⬆️29-38%

Resistance training doesn’t have to be fancy to be effective.

https://t.co/hpeHCnU0nO

[Magdalena Bednarczyk @MBednarczykMD]

Time is a precious commodity. Evaluating time toxicity in addition to traditional adverse side effects of treatment is an important consideration in a patient’s remaining quality of life. #gerionc #oncology #patientcenteredcare https://t.co/Vbz85Q9U1c

[FAIR Frailty Clinic @fair_rush]

Modifiable and non modifiable vulnerability indicators increase post op recovery time and risk of complications. A multidisciplinary team involving geriatricians and surgeons can improve some of these post op outcomes. #CGA

[Magdalena Bednarczyk @MBednarczykMD]

Geriatric vulnerability and the burden of disability after major surgery - Gill - - Journal of the American Geriatrics Society - Wiley Online Library https://t.co/BTJaTIH51G

[Clark DuMontier, MD, MPH @cdumonti]

1/ More compelling evidence suggesting that GA-driven interventions lead to improved outcomes in older adults with cancer. So much in this paper, but some thoughts on validity and interpretation (thread) @AmerGeriatrics @myCARG @SIOGorg @ASCO

https://t.co/NiD7j90FnE

[Magdalena Bednarczyk @MBednarczykMD]

#Telemedicine use has increased. Yet, without addressing: low levels of comfort with technology, lack of smartphone ownership, and internet access; many older adults, esp over 80 years old and of low socioeconomic status, will be left behind. @DrSwantek https://t.co/AY8xMjqbC2

[Magdalena Bednarczyk @MBednarczykMD]

In order to deliver high quality care, we need to eliminate the barriers. #Telemedicine, when used appropriately, is a great resource in providing care to our patients. #thisisgeriatrics #AFHS @RushMedical @AmerGeriatrics

[FAIR Frailty Clinic @fair_rush]

Step 1: recognize delirium. Step 2: rule out reversible causes, such as infection. Must keep #COVID19 as part of the #differentialdiagnosis.

[Nazli Dizman @NazliDizman]

🔊An outstanding, large (n=600), randomized study by @DanengLi & @WilliamDale_MD of @cityofhope @ASCO #ASCO20 Oral sessions

Geriatric assessment-driven interventions by a multidisciplinary group (incl #oncologist, NP, social worker, nutritionist ...) led to ⬇️#chemo toxicity

[FAIR Frailty Clinic @fair_rush]

The #CGA, a well established concept in geriatric medicine continues to show improved outcomes for older adults undergoing cancer treatment. #functionmatters #indivudualizedcare

[THEGeriatricOncologist @GeriOncologist]

Congratulations to @KhengSoo1 such a great study showing the impact of geriatric assessment/management on outcomes of #gerionc pts. @ASCO #ASCO2020

[FAIR Frailty Clinic @fair_rush]

A great message! Don’t forget to reach out to our families and more socially isolated older adults.

[Mike Wasserman @wassdoc]

COVID-19 can be a silent assasin to frail OA’s. “We've had patients who, within an hour's time, show no symptoms to going to acute symptoms...and die relatively quickly under those circumstances.” Even if we find Tx, how to address this? #Geriatrics @AMDApaltc @AmerGeriatrics

[FAIR Frailty Clinic @fair_rush]

Vice Chair for Research within @RushDOIM, Dr. Alan Landay organized a fun, informative and inspiring Research Retreat, bringing together clinicians and basic scientists together. Opportunities for collaboration abound! #aging #innovation

[FAIR Frailty Clinic @fair_rush]

Addressing all determinants of #frailty, including psychosocial frailty, can improve patient outcomes.

[john morley @drjohnmorley]

PsychoSocial Frailty is separate from physical frailty and is highly predictive of poor outcomes in older persons

[FAIR Frailty Clinic @fair_rush]

Sometimes a picture is worth a thousand words. Shout out to @MSK_GeriOnc for his passion in reducing #frailty, poor outcomes while preserving #QOL in older adults. #donoharm #bettercare

[THEGeriatricOncologist @GeriOncologist]

If at the End of "Curative" Cancer Treatment, Pt on the Left Changes to Pt on the Right, We have Failed.

#gerionc #gerisurgonc

[FAIR Frailty Clinic @fair_rush]

Estb a new subspecialty clinic requires a great team and multiple mentors. We would like to thank @UChicagoGeriPal @Ashley_Rosko1 @LandayAlan for their expertise and the Rush Center for Excellence in Aging for the pilot grant funding. #frailty #bettercare @RushDOIM @RushMedical