New horizons in multimorbidity in older adults

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DOI

  • Alison J Yarnall
    Newcastle UniversityNIHR Newcastle Biomedical Research Centre
  • Avan A Sayer
    NIHR Newcastle Biomedical Research CentreNewcastle University
  • Andrew Clegg
    University of Leeds
  • Kenneth Rockwood
    Dalhousie University, Halifax
  • Stuart Parker
    Newcastle University
  • John V Hindle
    School of Psychology, Bangor University Llandudno Hospital, Betsi Cadwaladr University Health Board

The concept of multimorbidity has attracted growing interest over recent years, and more latterly with the publication of specific guidelines on multimorbidity by the National Institute for Health and Care Excellence (NICE). Increasingly it is recognised that this is of particular relevance to practitioners caring for older adults, where multimorbidity may be more complex due to the overlap of physical and mental health disorders, frailty and polypharmacy. The overlap of frailty and multimorbidity in particular is likely to be due to the widespread health deficit accumulation, leading in some cases to functional impairment. The NICE guidelines identify 'target groups' who may benefit from a tailored approach to care that takes their multimorbidity into account, and make a number of research recommendations. Management includes a proactive individualised assessment and care plan, which improves quality of life by reducing treatment burden, adverse events, and unplanned or uncoordinated care.

Keywords

  • Multimorbidity, Long term conditions, Frailty, Older People
Original languageEnglish
Pages (from-to)882-888
Number of pages7
JournalAge and Ageing
Volume46
Issue number6
Early online date4 Sept 2017
DOIs
Publication statusPublished - 1 Nov 2017
Externally publishedYes

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