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  • Around a quarter of all older people have disability during the last 2 years of life, with prevalence higher among women and those aged over 80 years

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Care of the older person
Cohort study
Around a quarter of all older people have disability during the last 2 years of life, with prevalence higher among women and those aged over 80 years
  1. Calvin H Hirsch
  1. Division of General Medicine, University of California, Davis Medical Center, Sacramento, California, USA
  1. Correspondence to: Dr Calvin H Hirsch, Division of General Medicine, University of California, Davis Medical Center, PSSB 2400, Sacramento, CA 95817, USA; chhirsch{at}ucdavis.edu

http://dx.doi.org/10.1136/eb-2013-101629

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    Commentary on: Smith AK, Walter LC, Miao Y, et al. Disability during the last two years of life. JAMA Intern Med 2013;173:1506–13.OpenUrlCrossRefPubMedWeb of Science

    Implications for practice and research

    • A better understanding of the preventability of perimortal disability is needed.

    • Clinicians must regularly assess caregiver burden and be knowledgeable about resources for family caregivers.

    Context

    The rapidly growing number of disabled elderly is expected to tax health delivery systems, whose focus has been the management of disease rather than the prevention and management of disability. The burden of caring for the disabled rests largely with family caregivers, who commonly experience physical and emotional strain. The network of community services designed to assist caregivers is fragmented, variable and costly. The …

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