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Severe frailty is an end-of-life state and should trigger a healthcare professional to identify and sensitively discuss end of life needs and preferences. The Comprehensive Geriatric Assessment (CGA) can be a useful tool to identify needs and to direct a focused care plan. There are several tools to help identify people nearing end of life ...
Although frailty can be accompanied by increased health-related suffering, fully integrated generalist and specialist palliative care are often forgotten necessities for frail older people with physical and cognitive decline. Take Anne (pseudonym) for instance: a 96-year-old widow with lumbar disc degeneration and worsening dementia, now wheelchair bound and needing assistance for all ...
The early identification of people needing palliative care and the more accurate definition of the various end-of-life trajectories opened the door to a novel perspective of palliative care.50 In this regard, the use of frailty as an overarching concept in the assessment of all people in an end-of-life situation—at least of those with a multimorbid profile—might contribute to go one step ...
- Jordi Amblàs-Novellas, Scott A Murray, Ramon Oller, Anna Torné, Joan Carles Martori, Sébastien Moine...
- 2021
Jul 11, 2022 · The end-of-life trajectories of frail older people have a major impact on the care that needs to be provided. Older people develop different physical, psychological, and/or social needs in varying intensity during the last years of life. Moreover, determining a clear terminal phase of life is difficult in this population.
Feb 18, 2019 · There are few specialist end-of-life services for frailty, despite its high prevalence in older people, and suggestions that frailty should signal a need to adopt a palliative care approach. 11,12 Many established palliative care pathways were designed to meet the needs of people with cancer, and it is unclear how appropriate these are for people with frailty. 13,14 Recent work in England ...
- Daniel Stow, Gemma Spiers, Fiona E Matthews, Barbara Hanratty
- 2019
Oct 20, 2016 · Multidimensional end-of-life trajectories for frail older people differed from those with other conditions. Alleviating psychological, social and existential distress should be a priority of care as frail older people reach the end of life. The current palliative care model is problematic for this g …
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Jul 1, 2022 · Abstract. Even though many older people will live longer in good health, many will also be confronted with frailty, multi-morbidity, cognitive decline, disability and serious illnesses in the last years of their life. The end-of-life trajectories of frail older people have a major impact on the care that needs to be provided.
