ABSTRACT

This chapter looks at why quality of life in frailty is so important, and how it can be affected in a selection of medical conditions. It considers why we should want to identify people who are 'frail' or 'pre-frail' at all, including the pivotal importance of the comprehensive geriatric assessment. Supporting individual decisions and choices, and supporting self-care, can make a significant contribution to improving quality of life for people living with frailty. Measures of quality of life vary. The metabolic syndrome (MetS) results from a combination of risk factors for type 2 diabetes and cardiovascular events. With respect to the ageing heart failure (HF) population, there is an urgent need to address the potential for this distinction. As patients living with HIV grow older, some accumulate multiple health problems earlier than the noninfected patients, in particular frailty phenotypes. It is apparent that any relationship between androgen levels and frailty in ageing men may be modest.