E-Thesis 109 views 27 downloads
Interventions in Acute Frailty / ALEXANDRA BURGESS
Swansea University Author: ALEXANDRA BURGESS
DOI (Published version): 10.23889/SUThesis.71391
Abstract
Frailty needs to be considered as part of a whole systems approach. A ‘one size fits all’ does not work as work, as frailty cannot occur in isolation. It must fit with a health care system’s strategic plan recognising the need to deliver a high-quality and sustainable system. During the admission-de...
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Swansea University
2026
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| Institution: | Swansea University |
| Degree level: | Doctoral |
| Degree name: | M.D |
| Supervisor: | Stephen, J. W. and Min, T. |
| URI: | https://cronfa.swan.ac.uk/Record/cronfa71391 |
| Abstract: |
Frailty needs to be considered as part of a whole systems approach. A ‘one size fits all’ does not work as work, as frailty cannot occur in isolation. It must fit with a health care system’s strategic plan recognising the need to deliver a high-quality and sustainable system. During the admission-decision process, shared decision making, especially in frailer adults is essential. This MD proposal aimed to examine the different approaches and how they affect adverse patient outcomes and experiences.To combat this, innovative models of service delivery are required to provide Comprehensive Geriatric Assessment (CGA) for older patients presenting to the emergency department (ED) with frailty syndromes. When a frailer, older adult presents to an urgent care setting, a multifactorial approach must be adopted to enable early shared decision-making with accurate risk stratification about whether hospital admission is in that person’s best interests. There is also a lack of evidence of who is best placed to deliver a CGA and whether a dedicated frailty team are best place to deliver this in a unit based or liaison-based model. |
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| Keywords: |
frailty, comprehensive geriatric assessment, geriatrics, clinical frailty scale, older adults, medicine |
| College: |
Faculty of Medicine, Health and Life Sciences |