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Age Ageing. 2017 Nov 1;46(6):882-888. doi: 10.1093/ageing/afx150.

New horizons in multimorbidity in older adults.

Author information

1
AGE Research Group, Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
2
NIHR Newcastle Biomedical Research Centre, Newcastle upon Tyne Hospitals NHS Foundation Trust and Newcastle University, Newcastle upon Tyne, UK.
3
Academic Unit of Elderly Care & Rehabilitation, University of Leeds, Leeds, UK.
4
Division of Geriatric Medicine, Department of Medicine, Dalhousie University, Halifax, Canada.
5
Institute for Health and Society, Newcastle University, Newcastle upon Tyne, UK.
6
School of Psychology, Bangor University, Bangor, UK.
7
Llandudno Hospital, Betsi Cadwaladr University Health Board, Llandudno, UK.

Abstract

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:

frailty; long-term conditions; multimorbidity; older people

PMID:
28985248
PMCID:
PMC5860018
[Available on 2018-11-01]
DOI:
10.1093/ageing/afx150
[Indexed for MEDLINE]
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