This course will examine the frailest of frail elderly providing the course participants with the most advanced and up to date information on the evaluation and treatment of the elderly individual with multisystem involvement. Practice in integrating evaluative information in medically complicated patients towards a comprehensive intervention program will follow critical pathways of care. Recent research in strength and flexibility training using hands-on and video-guided exercise protocols will be presented. The use of complementary therapies in improving function will be presented with substantiating research provided. All care settings will be discussed from acute care, sub-acute, nursing home, outpatient, assisted living, home, senior and community centers, to fitness facilities. Critical pathways are presented for therapeutic involvement in the rehabilitation therapies across this spectrum of care and include reimbursement issues and current legislative initiatives involving health maintenance and promotion. Exercise strategies for preventing falls and improving balance will be highlighted