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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

Preventing Hospitalization and Extended Stays for Older Adults (ALC Leading Practices Guide)

Older Adult focused Social Prescribing Programs & Services Presentation and Template

PGLO Care Partner Experience Survey

Caregiver Needs Assessment & Support in Community Specialized Geriatric Services Guidance Document

Frailty Screening and Management in Community Poster

SfCare Framework

Caregiver Needs Assessment and Support in Primary Care Guidance Document

Frailty Screening and Management in Primary Care Poster

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

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