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Integrating Frailty into Chronic Disease Management: Enhancing Care for Older Adults living with Complexity

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. The Guidance Document details a practical, 4-step approach for integrating frailty-informed care into Chronic Disease Management for older adults. Frailty is a dynamic condition that influences clinical outcomes, self-management capacity, and risk of harm. Identifying and addressing frailty early allows primary care providers and specialty care teams to tailor care plans, mobilize appropriate supports, and improve quality of life.


Related Resources:

Related Resources

Related Resources

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ICIC 2026 Presentations: Frailty Pathways: A Population Health Management Strategy for Older Adults

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Falls Prevention and Management in the Community

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ICIC 2026 Presentations: Strengthening Specialized Geriatric Services: A Provider Experience Evaluation in Central East Ontario, Canada

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Frailty Screening & Management in the Community

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Adapted Comprehensive Geriatric Assessments for Vulnerable Older Adults, Including those experiencing Housing instability and Homelessness

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