Journal of Primary Care & Community Health (Jul 2021)

Customizing a Program for Older Adults Living with Frailty in Primary Care

  • Jananee Rasiah,
  • Tammy O’Rourke,
  • Brian Dompé,
  • Darryl Rolfson,
  • Beth Mansell,
  • Rachel Pereira,
  • Titus Chan,
  • Karen McDonald,
  • Anne Summach

DOI
https://doi.org/10.1177/21501327211034807
Journal volume & issue
Vol. 12

Abstract

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Coordination of primary care is essential to improving care delivery within health systems, especially for older adults with increased health/social needs. A program jointly funded by the Canadian Foundation for Healthcare Improvement and Canadian Frailty Network, was implemented in a nurse practitioner-led clinic to address the gap in frailty care for older adults. The clinic was situated within a health and social services organization with a mandate to enhance the quality of life of older adults living in the community. Through this program, a frailty assessment pathway and social/clinical prescriptions were implemented with necessary adaptations as a result of COVID-19.