Challenges and solutions for care of frail older adults

Research output: Contribution to journalArticlepeer-review

53 Scopus citations


Frail older adults are at risk for negative outcomes and are the most significant consumers of health resources across both acute and community settings. Both formal systems and families are involved in this care of frail elders. This article reviews health care issues for frail older adults and addresses the impact of frailty on the future health care system. It also presents challenges for future care, creative solutions that are currently being tested and explored, and suggestions for future nursing priorities. Challenges in the care of frail elders include: the organization and sustainability of the continuum of services, resource allocation, and cultural competence in service delivery. Creative solutions include intensive case management programs, targeting at risk older adults, partnerships with families, enhanced use of telemedicine and assistive technology, and promoting healthy aging. Nurses have the potential to improve elder health across settings through clinical practice, education, leadership, and research.

Original languageEnglish (US)
Pages (from-to)46-69
Number of pages24
JournalOnline Journal of Issues in Nursing
Issue number2
StatePublished - 2003
Externally publishedYes


  • Community-based services
  • Frailty
  • Gerontological nursing
  • Health care costs
  • Health care system
  • Hospitalization
  • Long-term care
  • Older adults
  • Resource allocation

ASJC Scopus subject areas

  • Nursing(all)


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