Living on the margin: Understanding the experience of living and dying with frailty in old age

► Frailty in older age is a period “betwixt and between” active living and clinically recognised dying. ► Frail elders actively engage in creating and sustaining connections to manage their uncertain, protracted dying trajectory. ► Accumulated losses, including loss of social networks, militate against connection with health and social care services. ► Older frail people's experience between the Third and Fourth Age can be conceptualised as persistent liminality.