Better detect weaknesses to delay the transition to dependence. This is the ambition of the “frailty” and “falls” consultations open at the Nice University Hospital. The first one “Aims to delay the addiction process of frail elderly people over 65”. Concretely, patients carry out a clinical assessment then a functional evaluation on the frailty platform. They then benefit from personalized support in adapted physical activity (APA) and nutrition. “When we were created in 2013, the main idea was to take care, which we always do, says Frédéric Chorin, scientific manager of the platform. But we realized that doing prevention was better. Now, we are making this platform available to outside people through a research program, which gives us a model of aging well. “
Regarding the “frailty” consultation, it aims to delay the process of becoming dependent on the elderly.
There are 16 million today, they will be 20 million by 2030 according to INSEE. The ranks of the over-60s continue to grow. While we should obviously be pleased with the increase in life expectancy, we should not dodge the problems associated with it. How best to support this population so that they remain independent as long as possible? How can we best organize ourselves to care for and follow up on vulnerable elderly people?
Nice, whose population is already 30% over the age of 60, has made the demographic shift with a decade ahead of the rest of the country. Today, it is used as a laboratory to experiment with solutions to deal with these major developments. In this context, the ambition of the Nice University Hospital and its partners (1) is D’ “Inventing the model of aging well and the future of health”. Quite simply.
1. Malakoff Humanis, Inter Mutuelle Assistance, Sanofi Pasteur, Nutrisens and ARS.
Improving patient follow-up involves creating a continuum of patient care after discharge from the hospital and developing links between the CHU, the patient, the city and other healthcare establishments. A device of this type already exists with regard to cancer, notably involving case manager, responsible for providing a hotline to respond to requests from healthcare professionals, regulate the actions to be implemented and also advise patients. Another team made up of “scouts” participates in the promotion of good practices in oncogeriatrics through training for patients and professionals.
The success of the personalized telephone follow-up program for elderly cancer patients (Careline) launched by Dominique Saja and Dr Boulahssass, geriatrician at Cimiez hospital in Nice, demonstrates the importance of patient support.
How to better care? By improving knowledge on aging. Individuals are not equal when it comes to aging, and chronological age is often overlooked in relation to biological age. Thanks to metabolomics – the field of expertise of Pr Thierry Pourcher director of UMR-4320 at the University of Côte d’Azur – medicine should have in the near future an increasing number of markers allowing to evaluate the way which an organism ages, good or bad. Thanks to these biomarkers, we will be able to better target care, refine diagnoses and personalize treatments.