Health and Disease among the Oldest Old: A Clinical Perspective

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Abstract
Interactions of aging and disease are poorly understood by both clinicians and the aged themselves. The altered expressions of illness in the oldest old--in severity, presentation, and perception--provide a clinical challenge to treatment as well as to the formulation of health policy. A progressively diverse population, the oldest old will require new strategies for individualized care (acute and long-term), case-finding, research and training, and health promotion.

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