The Advanced Practitioner in Frailty and End-of-Life Care

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.

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