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Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults.

Publication ,  Journal Article
Gijzel, SMW; Whitson, HE; van de Leemput, IA; Scheffer, M; van Asselt, D; Rector, JL; Olde Rikkert, MGM; Melis, RJF
Published in: J Am Geriatr Soc
December 2019

BACKGROUND: Geriatricians are often confronted with unexpected health outcomes in older adults with complex multimorbidity. Aging researchers have recently called for a focus on physical resilience as a new approach to explaining such outcomes. Physical resilience, defined as the ability to resist functional decline or recover health following a stressor, is an emerging construct. METHODS: Based on an outline of the state-of-the-art in research on the measurement of physical resilience, this article describes what tests to predict resilience can already be used in clinical practice and which innovations are to be expected soon. RESULTS: An older adult's recovery potential is currently predicted by static tests of physiological reserves. Although geriatric medicine typically adopts a multidisciplinary view of the patient and implicitly performs resilience management to a certain extent, clinical management of older adults can benefit from explicitly applying the dynamical concept of resilience. Two crucial leads for advancing our capacity to measure and manage the resilience of individual patients are advocated: first, performing multiple repeated measurements around a stressor can provide insight about the patient's dynamic responses to stressors; and, second, linking psychological and physiological subsystems, as proposed by network studies on resilience, can provide insight into dynamic interactions involved in a resilient response. CONCLUSION: A big challenge still lies ahead in translating the dynamical concept of resilience into clinical tools and guidelines. As a first step in bridging this gap, this article outlines what opportunities clinicians and researchers can already exploit to improve prediction, understanding, and management of resilience of older adults. J Am Geriatr Soc 67:2650-2657, 2019.

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Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

December 2019

Volume

67

Issue

12

Start / End Page

2650 / 2657

Location

United States

Related Subject Headings

  • Resilience, Psychological
  • Recovery of Function
  • Precision Medicine
  • Multimorbidity
  • Humans
  • Geriatrics
  • Aging
  • Aged
  • Adaptation, Psychological
  • 52 Psychology
 

Citation

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Chicago
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Gijzel, S. M. W., Whitson, H. E., van de Leemput, I. A., Scheffer, M., van Asselt, D., Rector, J. L., … Melis, R. J. F. (2019). Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults. J Am Geriatr Soc, 67(12), 2650–2657. https://doi.org/10.1111/jgs.16149
Gijzel, Sanne M. W., Heather E. Whitson, Ingrid A. van de Leemput, Marten Scheffer, Dieneke van Asselt, Jerrald L. Rector, Marcel G. M. Olde Rikkert, and René J. F. Melis. “Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults.J Am Geriatr Soc 67, no. 12 (December 2019): 2650–57. https://doi.org/10.1111/jgs.16149.
Gijzel SMW, Whitson HE, van de Leemput IA, Scheffer M, van Asselt D, Rector JL, et al. Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults. J Am Geriatr Soc. 2019 Dec;67(12):2650–7.
Gijzel, Sanne M. W., et al. “Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults.J Am Geriatr Soc, vol. 67, no. 12, Dec. 2019, pp. 2650–57. Pubmed, doi:10.1111/jgs.16149.
Gijzel SMW, Whitson HE, van de Leemput IA, Scheffer M, van Asselt D, Rector JL, Olde Rikkert MGM, Melis RJF. Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults. J Am Geriatr Soc. 2019 Dec;67(12):2650–2657.
Journal cover image

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

December 2019

Volume

67

Issue

12

Start / End Page

2650 / 2657

Location

United States

Related Subject Headings

  • Resilience, Psychological
  • Recovery of Function
  • Precision Medicine
  • Multimorbidity
  • Humans
  • Geriatrics
  • Aging
  • Aged
  • Adaptation, Psychological
  • 52 Psychology