Living with Frailty
From Assets and Deficits to Resilience

Increasingly, we question ?what makes us healthy??, as well as ?what makes us ill??. What does this shift mean for frailty? Almost wholly defined in negative terms, the term ?frail? tends to refer to a group of older people who are at highest risk of adverse outcomes such as falls, infections, disability, admission to hospital or the need for long-term care. This ground-breaking book takes a holistic approach to frailty. It connects the medical literature with the wider social science discourse on ageing, and focuses on promoting wellbeing and the building up of strengths.

Living with Frailty draws together the latest biomedical evidence and good practice in this emerging area and explores ideas about assets and resilience, the role of society and the social model of disability in relation to frailty, arguing that insufficient attention is paid to positive action such as developing bone strength, maintaining good nutrition and exercising. Chapters look at:

• existing models of frailty
• person-centred care
• assessing frailty and quality of life
• how falls, and fear of falls, relate to discussions of frailty
• delirium and frailty
• the environment and frailty
• sarcopenia.

Living with Frailty is an important introduction and reference for all practitioners, researchers and students with an interest in frailty, wellbeing and social approaches to health.

Forewords by Professors Ken Rockwood, Dalhousie University, and Adam Gordon, Nottingham University.

Foreword I (Ken Rockwood)

Foreword II (Adam Gordon)

Chapter 1 Frailty: from awareness to identity

Chapter 2 Living well with frailty: from identity to care

Chapter 3 Evidence-based practice in frailty: falls and activity

Chapter 4 Surgical outcomes, cognitive frailty and delirium

Chapter 5 Sarcopenia and frailty

Chapter 6 Interventions in frailty care and enhancing independence

Chapter 7 Person-centred integrated care and end of life

Afterword

Shibley Rahman is a freelance researcher and academic physician. He researches long-term conditions, particularly frailty and dementia, speaks regularly on the implications of diagnosis and post-diagnostic care, as well as wellbeing, and advocates rights-based approaches. Dr Rahman’s book, Living Well with Dementia, won the award for best book for health and social care in the BMA Book Awards 2015.