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The vast majority of older persons in the
Netherlands feel healthy and happy for a long time. A smaller group of mostly
very elderly persons have become dependent on care and support. It is in the
transition between these two groups that vulnerable older persons are found.
At first sight, these persons appear to be healthy and they also still feel
well, which means that help is generally sought or offered too late when
health problems arise.
In some cases, it transpires after the event that admission to a care or
nursing home could perhaps have been avoided if their vulnerability had been
identified earlier and minor interventions could have helped them maintain
their quality of life. How many vulnerable older persons are there in the
Netherlands? Will their number increase markedly in the years ahead? This
report presents the first national description of older persons in the
Netherlands with multiple problems who are consequently at risk of becoming
care-dependent within a few years and of losing their independence. This
report provides a description for care professionals, policymakers,
researchers and older persons themselves of what vulnerability in the final
phase of life is and how it develops. This report also explores the question
of what might protect older persons against vulnerability. It compares
characteristics of the residential setting and lifestyle of vulnerable and
healthy older persons. It also examines what care and support vulnerable
older persons receive and which older persons do not receive any care or
support. The report concludes with policy recommendations and a look to the
future.