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  1. Iriarte, Evelyn MSN, BSN, RN
  2. Cianelli, Rosina PhD, MPH, RN, IBCLC, FAAN
  3. De Santis, Joseph PhD, APRN, ACRN, FAAN


Despite advances in knowledge about older people living with HIV infection (PLWH), frailty remains a challenge to HIV care. Numerous studies have documented its impact; however, the concept remains unclear. Concept exploration of frailty in the context of older PLWH was conducted to provide a comprehensive understanding of the concept based on the Walker and Avant method. After the literature review, a concept analysis and a definition of frailty among older PLWH emerged. Implications for further practice, education, public policy, and research are presented to use the concept consistently, develop interventions to prevent frailty, and improve health outcomes.