RT Journal Article
SR Electronic
T1 Frailty, inequality and resilience
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 219
OP 223
DO 10.7861/clinmedicine.19-3-219
VO 19
IS 3
A1 Matthew Hale
A1 Sarwat Shah
A1 Andrew Clegg
YR 2019
UL http://www.rcpjournals.org/content/19/3/219.abstract
AB Frailty is a common condition in later life in which minor stressors may result in major changes in health. While the biological mechanisms of frailty are increasingly understood, relationships with the wider determinants of health, health inequalities and the concept of resilience are less well-established and the role of the clinician in their modification is less well understood.The wider determinants are the modifiable conditions in which people are born, grow, work and live, and the wider set of systems shaping the conditions of daily life. They interact across the life course, driving a well-recognised social gradient in health. The wider determinants are closely linked to the concept of resilience, which is the process of effectively negotiating, adapting to or managing significant sources of stress or trauma. Better recognition of the relationship between frailty, the wider determinants, inequalities and resilience can enable a framework around which policy responses may be developed to build resilience in people living with frailty at an individual and community level as well as enabling clinicians to better identify how they may support their patients.