Appréhender l'incertitude en gériatrie et médecine palliative du sujet âgé : genèse du modèle FRAG

Elderly patients, whose number is constantly increasing, are at risk of either being treated over intensively or therapeutically abandoned. Their complexity is associated with the polypathologies they present, the prolonged evolution, the cognitive impairment and the intricate combination of somatic, psychological and social problems. In this context, it is often challenging to decide on the best or the least inappropriate therapeutic option. A crucial factor is therefore to be able to reduce this uncertainty in geriatric and palliative care in the elderly population. Therefore, it is important to have some simple aides that could be used as a guide to make the most appropriate decision in daily practice. We present our reflections that led to the creation of the FRAG model (for frailty, renouncement, autonomy, seriousness [FR: gravité]).