[Prevention of loss of functional independence and institutionalization].
LOSS OF FUNCTIONAL INDEPENDENCE: This is a serious problem in the management of older subjects. Prevention is necessary in order to assure better quality of life and avoid definitive institutionalization in a medical or social center.
An analysis of the literature on the risk of loss of functional independence points out several medical (comorbidity, falls, cognitive capacity, sensorial deficiencies, nutrition, drugs), psychological (depression), and physical activity and social factors related to functional independence.
The risk is related to functional limitations and especially declining cognition, as well as social factors and the role of the primary care giver.


CONCLUSIONS
Systematic screening for risk factors is needed. The impact of measures to remedy certain medical risk factors has been clearly demonstrated. Specific programs can improve functional status, avoid institutionalization, and perhaps prolong survival.
Groupe Hospitalier Sainte Périne, AP-HP UFR Paris Ouest. joel.ankri@spr.ap-hop-paris.fr
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Ankri
D000203:Activities of Daily Living; D000368:Aged / Q000706:statistics & numerical data; D003072:Cognition Disorders / Q000517:prevention & control; D015897:Comorbidity; D006233:Persons with Disabilities / Q000706:statistics & numerical data; D005602:France; D015577:Geriatric Assessment; D006293:Health Promotion; D006801:Humans; D007326:Institutionalization; D009752:Nutritional Status; D011788:Quality of Life; D012307:Risk Factors