Frailty in Older People

  • Shahrul Bahyah KamaruzzamanEmail author


The conceptualization of frailty in older adults remains a challenge to healthcare providers in terms of its recognition and management. Translating the existing frailty measures into a standard, clinically practical tool to precisely measure frailty has been a mandate of those working in the care of older persons. Despite the controversies and different viewpoints surrounding the literature on frailty, the unifying goal appears to be the identification of vulnerable older people so as to delay or prevent the onset of serious adverse events such as falls, institutionalization, hospitalization and death. The level of commitment made to the detection, prevention and treatment of frailty in older people is seen as an important step closer towards reducing the increased burden of cost and care to the providers of healthcare services, social services and the economy, the society in which the individuals themselves and their carers live in. This chapter illustrates three cases of frail older people in various circumstances with examples of the complexity and challenges in terms of their presentation and treatment. The frailty scenarios are discussed with recommendations for management as well as the introduction of an advanced care plan where appropriate.


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Copyright information

© The Editor(s)  2018

Authors and Affiliations

  1. 1.Department of Medicine, Faculty of MedicineUniversity of MalayaKuala LumpurMalaysia

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