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|Title:||Managing frailty as a long-term condition|
|Authors:||Harrison, Jennifer K.|
Conroy, Simon P.
|Publisher:||Oxford University Press (OUP) for British Geriatrics Society.|
|Citation:||Age and Ageing, 2015, 44 (5), pp. 732-735|
|Abstract:||Frailty is a distinctive late-life health state in which apparently minor stressor events are associated with adverse health outcomes. This article considers how the conceptualisation of frailty as a long-term condition offers new management approaches based on systematically applied preventative and proactive interventions. Frailty shares the key features of the common longterm conditions: it can be ameliorated but not cured; it is costly at an individual and societal level; it is progressive; it impacts adversely on life experience and it has episodic crises. The recognition of frailty as a long-term condition is not merely a semantic issue-a wide range of benefits can be anticipated. Primary care-based registers for frailty could be established and chronic disease models applied systematically for co-ordinated and person-centred preventative and proactive care. A team approach is a key component of long-term condition management, incorporating support, follow-up and behaviour change interventions that go beyond the scope of a traditional medical approach. This approach would ideally require changes in secondary care to embrace greater community-based working and closer relationships with the primary health and care team. Although our understanding of interventions to modify or treat frailty has improved, there is considerable scope for further development. Identifying frailty as a long-term condition would be an important step in distinguishing people with frailty as a discrete population for new research.|
|Rights:||Copyright © The Author 2015. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: email@example.com. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Age and Ageing following peer review. The version of record Age Ageing (2015) 44 (5): 732-735 is available online at: dx.doi.org/10.1093/ageing/afv085|
|Description:||The file associated with this record is under a 12-month embargo from publication in accordance with the publisher's self-archiving policy, available at http://www.oxfordjournals.org/en/access-purchase/rights-and-permissions/self-archiving-policya.html. The full text may be available through the publisher links provided above.|
|Appears in Collections:||Published Articles, Dept. of Health Sciences|
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|A&A Frailty Revision.docx||Post-review (final submitted)||52.73 kB||Unknown||View/Open|
|A&A Frailty Revision.pdf||Post-review (final submitted)||188.8 kB||Adobe PDF||View/Open|
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