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Interventions in Acute Frailty / ALEXANDRA BURGESS

Swansea University Author: ALEXANDRA BURGESS

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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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Published: Swansea University 2026
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
first_indexed 2026-02-05T14:01:34Z
last_indexed 2026-02-06T06:54:56Z
id cronfa71391
recordtype RisThesis
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spelling 2026-02-05T14:08:29.6499019 v2 71391 2026-02-05 Interventions in Acute Frailty 8f6d02bdcea1ff792f466da4b8afe437 ALEXANDRA BURGESS ALEXANDRA BURGESS true false 2026-02-05 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. E-Thesis Swansea University frailty, comprehensive geriatric assessment, geriatrics, clinical frailty scale, older adults, medicine 30 1 2026 2026-01-30 10.23889/SUThesis.71391 COLLEGE NANME COLLEGE CODE Swansea University Stephen, J. W. and Min, T. Doctoral M.D 2026-02-05T14:08:29.6499019 2026-02-05T13:48:50.3048080 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine ALEXANDRA BURGESS 1 71391__36194__76b2e22f97f24e7aba3367a5c41bad3a.pdf 2025_Burgess_A.final.71391.pdf 2026-02-05T14:00:36.1134718 Output 2834556 application/pdf E-Thesis – open access true Copyright: the author, Alexandra Jayne Burgess, 2025 true eng
title Interventions in Acute Frailty
spellingShingle Interventions in Acute Frailty
ALEXANDRA BURGESS
title_short Interventions in Acute Frailty
title_full Interventions in Acute Frailty
title_fullStr Interventions in Acute Frailty
title_full_unstemmed Interventions in Acute Frailty
title_sort Interventions in Acute Frailty
author_id_str_mv 8f6d02bdcea1ff792f466da4b8afe437
author_id_fullname_str_mv 8f6d02bdcea1ff792f466da4b8afe437_***_ALEXANDRA BURGESS
author ALEXANDRA BURGESS
author2 ALEXANDRA BURGESS
format E-Thesis
publishDate 2026
institution Swansea University
doi_str_mv 10.23889/SUThesis.71391
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description 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.
published_date 2026-01-30T07:00:51Z
_version_ 1861427974630277120
score 11.100739

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