This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Topic Collections  • Aging/ Geriatrics  • Perspectives on Care at the Close of Life  • End-of-life Care/ Palliative Medicine  • Alert me on articles by topic

Amy J. Markowitz, JD; Steven Z. Pantilat, MD

JAMA. 2006;296:2967.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

On November 9, 2006,¹ authors Kenneth S. Boockvar and Diane E. Meier introduced a frail older patient, Mrs K, an 89-year-old woman with frailty characterized by multiple medical problems and several years of declining physical condition. Throughout, she was cared for by her long-time physician, Dr T. The core clinical features of frailty include loss of strength, weight loss, low levels of activity, poor endurance, and fatigue. The presence of 3 or more of these characteristics is associated with adverse outcomes including falls, new or worsened functional impairment, hospitalization, and death. Using Mrs K's course, the authors described the challenges of recognizing frailty in clinical practice and identified it as a condition for which palliative care would be appropriate. They also provided approaches to common problems and symptoms that frail older adults experience. Advance care planning, patient-clinician communication, and appropriate palliative care . . . [Full Text of this Article]