Advanced Practitioner in Frailty and End-of-Life Care

Hasan H. Alsararatee Senior Lecturer in Advanced Practice at Northampton General Hospital, England, and a Senior Lecturer in Advanced Practice at Buckinghamshire New University, London, England. He serves as a Committee Member of the Association of Advanced Practice Educators (AAPE), UK, and as an Editorial Board Member of the International Journal of Advancing Practice, as well as a peer reviewer across various peer-reviewed journals. He is also the winner of the UHN Research, Innovation and Improvement Excellence Award 2024.

• About the Author viiPreface viiiAcknowledgements ixSection I Foundations of Frailty and Advanced Practice 1Chapter 1 The Advanced Practitioner in Frailty and End-of- Life Medicine 3Chapter 2 Conceptual Foundations of Frailty 15Chapter 3 Frailty and Intrinsic Capacity: Frameworks for Healthy Ageing and Advanced Practice 34Chapter 4 Epidemiology of Frailty 46Chapter 5 Frailty Risk Factors, Interventions, and Related Complications 56Section II Clinical Assessment and Frailty Assessment Tools 75Chapter 6 History-taking and Physical Examination Within the Context of Frailty 77Chapter 7 Comprehensive Geriatric Assessment in Clinical Practice 98Chapter 8 Frailty Assessment Tools 132Chapter 9 Polypharmacy and Deprescribing 148Chapter 10 Sarcopenia and Frailty 163Chapter 11 Ageing and Physiological Changes 175Section III Geriatric Medicine 195Chapter 12 Neurology System 201Chapter 13 Psychiatry 217Chapter 14 Cardiology 234Chapter 15 Respiratory Medicine 253Chapter 16 Gastroenterology 267Chapter 17 Genitourinary System 279Chapter 18 Renal System 289Chapter 19 Endocrinology System 300Chapter 20 Skin 315Chapter 21 Musculoskeletal System 325Section IV End- of-Life Medicine and Ethical Dimensions 345Chapter 22 Advance Care Planning and Difficult Conversations 347Chapter 23 Managing the Most Common Symptoms in End-of- Life Medicine 357Chapter 24 Ethical Consideration in Frailty and End-of- Life Medicine 369Section V Future Directions 387Chapter 25 The Future of Frailty and End-of-Life Medicine 389Index 398

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