Geriatric medicine is challenging - people present with multiple problems at the same time, and case studies provide a good way to discuss this complexity. This book describes 30 cases of older people with frailty presenting to acute medical services. They cover a wide range of common presentations and management issues and explore the interplay of acute illness, multimorbidity, and physical and cognitive impairments. The book focuses on medicine optimisation, shared decision-making and advance care planning using key test results and imaging studies. Management options are discussed where disease-specific guidelines may not provide the solution when treating older adults.

Key Features:

• Provides real-world complex examples with consequent nuanced decision-making.
• Uses case studies to address interactions of acute illnesses, polypharmacy and physical and cognitive impairments for clinicians and trainees in geriatric and general internal medicine and general practitioners.
• Discusses patient-centred management - balance of risks and benefits of different options, including shared decision-making and advance care planning.

Dr Henry J Woodford was born in York and trained in medicine at King's College London. He is currently employed as a consultant geriatrician at Northumbria Healthcare in the northeast of England. He has a particular interest in medicine optimisation for older people and is current chair of the relevant British Geriatrics Society special interest group. His publications include the textbooks Essential Geriatrics and co-authoring Geriatric Medicine: 300 Specialty Certificate Exam Questions. Outside of work, he tries to keep fit through circuit training, running and indoor bouldering.

Dr Francis J A Collin was born in Nottingham and trained in medicine at the University of Bristol. He works as a consultant geriatrician at Northumbria Healthcare and has a particular interest in liaison working having worked as an orthogeriatrician and set up surgical geriatrics and community-based intermediate care services. Outside of work he is a husband and father to two wonderful children and still plays Ultimate Frisbee internationally, having represented Great Britain.