Description
Integrate frailty and end-of-life care within advanced practice frameworks
The Advanced Practitioner in Frailty and End-of-Life Care delivers the first comprehensive resource integrating frailty and end-of-life care within advanced practice. This pioneering textbook aligns with frailty and end-of-life specialty frameworks and the four pillars of advanced practice (clinical practice, leadership management, education, and research), equipping practitioners with evidence-based strategies to address the clinical and ethical complexities of frailty in ageing populations.
Readers will also find:
- Comprehensive guidance on frailty-specific assessment tools including the Clinical Frailty Scale and Comprehensive Geriatric Assessment
- Evidence-informed management strategies for common geriatric conditions across neurological, cardiovascular, respiratory, renal, and endocrine systems
- Ethical and legal frameworks for end-of-life decision-making, advance care planning, capacity assessment, and proportionality
- Case-based learning approaches supporting multidisciplinary collaboration and person-centred care planning across diverse clinical settings
- Coverage of digital transformation in frailty care including artificial intelligence, telehealth applications, and electronic frailty indices
Perfect for advanced practitioners, consultant practitioners, and postgraduate students in frailty, gerontology, palliative care, acute medicine, and emergency care. This resource also benefits allied health professionals, specialist nurses, general practitioners, and healthcare leaders designing integrated services.
Table of Contents
About the Author vii
Preface viii
Acknowledgements ix
Section I Foundations of Frailty and Advanced Practice 1
Chapter 1 The Advanced Practitioner in Frailty and End-of- Life Medicine 3
Chapter 2 Conceptual Foundations of Frailty 15
Chapter 3 Frailty and Intrinsic Capacity: Frameworks for Healthy Ageing and Advanced Practice 34
Chapter 4 Epidemiology of Frailty 46
Chapter 5 Frailty Risk Factors, Interventions, and Related Complications 56
Section II Clinical Assessment and Frailty Assessment Tools 75
Chapter 6 History-taking and Physical Examination Within the Context of Frailty 77
Chapter 7 Comprehensive Geriatric Assessment in Clinical Practice 98
Chapter 8 Frailty Assessment Tools 132
Chapter 9 Polypharmacy and Deprescribing 148
Chapter 10 Sarcopenia and Frailty 163
Chapter 11 Ageing and Physiological Changes 175
Section III Geriatric Medicine 195
Chapter 12 Neurology System 201
Chapter 13 Psychiatry 217
Chapter 14 Cardiology 234
Chapter 15 Respiratory Medicine 253
Chapter 16 Gastroenterology 267
Chapter 17 Genitourinary System 279
Chapter 18 Renal System 289
Chapter 19 Endocrinology System 300
Chapter 20 Skin 315
Chapter 21 Musculoskeletal System 325
Section IV End- of-Life Medicine and Ethical Dimensions 345
Chapter 22 Advance Care Planning and Difficult Conversations 347
Chapter 23 Managing the Most Common Symptoms in End-of- Life Medicine 357
Chapter 24 Ethical Consideration in Frailty and End-of- Life Medicine 369
Section V Future Directions 387
Chapter 25 The Future of Frailty and End-of-Life Medicine 389
Index 398



