Journal of Medical Ethics 37 (2):126-128 (2011)

Abstract
While the medical treatment of older individuals often results in desirable outcomes, indiscriminate use of aggressive treatment at the end-of-life can cause paradoxical harm and suffering. Comprehensive assessment and communication can help foster decisions that consider the effect of frailty on health outcomes
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DOI 10.1136/jme.2010.040147
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