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Integrating Frailty into Chronic Disease Management: Enhancing Care for Complex Older Adults

Unrecognized or unmanaged frailty can impact the achievement of desired outcomes for individuals living with chronic conditions such as Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure (CHF), Diabetes Mellitus (DM), etc. This resource is a primary care decision-tree identifying opportunities for frailty screening, and the role Specialized Geriatric Services (in conjunction with Primary Care Providers and other specialists) in chronic disease management for older adults living with frailty.


Related Resources:

Related Resources

Related Resources

Older Adult focused Social Prescribing Programs & Services Presentation and Template

SfCare Framework

Designing Integrated Care for Older Adults 

Frailty Screening and Management in Community Poster

Central East Region Intra-COVID Hybrid Adult Day Program Model Guidelines

Specialized and Focused Geriatric Services Asset Inventory 

Frailty Screening and Management in Primary Care Poster

Central East Adult Day Program Guidelines 2020

Population Health Planning

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