ArticleAge and ageing2025
A qualitative study regarding older people's goals of care in relation to frailty status: finding meaning in 'smaller things' in life.
Article in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Multimorbidity, polypharmacy and frailty in critically ill older adults.European geriatric medicine · 2026Review
- Geriatric critical care assessment: key considerations.European geriatric medicine · 2026Review
- What really matters to older adults in life and treatment: a qualitative study on the role of connectedness in person-centered care.BMC geriatrics · 2026Article
- Assessing what matters most in older emergency department patients.Age and ageing · 2025Observational
- Quality of life and associated factors in institutionalized older adults: implications for gerontological nursing. Analytical study.Revista CuidarteArticle
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Authors and funding
9 authors.
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Abstract
backgroundIncreasingly frailty assessment is part of the shared decision-making process of older patients. However, little is known of the role of frailty in goals of care among the diverse group of older persons.
objectiveTo explore the role of frailty in older people's perspectives on goals of care in case of acute and/or severe disease.
methodsWe conducted semi-structured interviews with people aged ≥70 years in the Netherlands (n = 26), which were purposively sampled based on a self-reported Clinical Frailty Scale. The interviews were analysed using thematic content analysis to compare frailty subgroups.
resultsThree themes regarding goals of care emerged: (1) preserving well-being in one's lifeworld through life goals; (2) goals related to care, as access to appropriate care, good contact with care professionals and a dignified end-of-life; (3) differences in attainment and adaptation of goals of care according to frailty status. The first two themes appeared to be independent of frailty status. However, differences were seen in theme 3, as fit older people primarily strengthened their capacity to attain goals of care, while frail older people primarily adapted the meaning ascribed to goals of care and had higher acceptance of the life cycle.
conclusionGoals of care that older people want to attain are driven by life goals, independent of frailty. Therefore, older people with varying frailty status could be treated similarly in goal-setting and life goals. However, different support may be needed for the attainment and adaptation of their goals of care.
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