UK-N/A-2400374 | September 2025
Authors:
Dr Anne Holdoway
Dr Clifford Lisk
Publish Date:
November 2024 | 25 mins
Abstract:
Delve into the multifaceted concept of frailty and learn about its prevalence and implications at a national level. You will be presented with a real-life scenario to demonstrate the clinical implications of frailty and how medications and polypharmacy affect patient outcomes, as well as nutrition and exercise strategies to combat or mitigate frailty.
Once you have watched this video, please remember to complete your self-reflective notes to contribute towards your continuing professional development. You will then be able to access your Certificate of Completion.
LEARNING OBJECTIVES
Examine frailty within the national context.
Illustrate the role of medicines and polypharmacy in frailty via a real-life case.
Review the concept of the frailty syndrome as a long-term condition with increased vulnerability to minor stressors and how it might present.
Discuss the importance of physical action and nutrition on frailty and illustrate the perspectives of managing frailty through the lenses of a geriatrician.
AUTHOR(S) BIO
DR ANNE HOLDOWAY
Consultant dietitian
Anne’s 35-year career as a dietitian includes senior positions in the medical nutrition industry and clinical dietetics. Combining teaching and consultancy work with clinical practice, Anne currently utilises her skill set to provide direct care, education and resources on the management of long-term conditions, drawing on expertise gained in gastroenterology, oncology, palliative care, nutrition support, intensive care, neurorehabilitation, and surgery.
Over the past 15 years, Anne has dedicated considerable personal time to support national organisations including the National Institute for Health and Care Excellence (NICE), the Royal College of Physicians and the Royal College of GPs and has held numerous positions in the British Dietetic Association (BDA) including several terms as Chair of PENG and a term Chair Elect for the BDA in which she drove the outcome agenda and campaigned for the recognition of the value of dietitians in primary care.
Anne has also worked in numerous committees and within the Executive team for the British Association for Parenteral and Enteral Nutrition (BAPEN). In recognition of her contribution to the field of nutrition she was awarded the prestigious fellowship of the BDA in 2016 and the BAPEN John Lennard-Jones medal in 2020.
As Chair of the UK multi-professional ‘Managing Audit Malnutrition in the Community’ (Malnutrition Pathway) advisory board, Anne has led on the development of free to access resources to support health and care professionals, patients, and carers in identifying, treating, and preventing disease-related malnutrition in the community.
Anne’s doctorate focused on the role of nutrition in palliative care (as perceived by patients, carers, and healthcare professionals), and working part-time in the hospice and community settings Anne, along with colleagues, introduced a new approach to integrating nutrition into palliative care management, working closely with the Physiotherapy team to achieve a dual approach to nutrition and activity. Anne regularly presents at national and international events, has numerous publications under her belt and is Editor for Complete Nutrition through which she aims to spread the word on the role of nutrition as a modifiable component in modern health care to influence person-centred outcomes.
DR CLIFFORD LISK
Consultant physician in Acute medicine and Geriatric medicine, Barnet Hospital, Royal Free Hospitals NHS Foundation Trust.
Deputy head, London School of Medicine and the Medical Specialties, NHSE.
Honorary clinical associate professor, UCL Medical School.
Dr Lisk is a Consultant physician in Acute medicine and Geriatric medicine at Barnet hospital with interests in medical education, community geriatrics and appropriate medicines use in older adults.
He is Deputy Head of School for Medicine and the Medicine specialties NHSE London, Quality lead for the Royal College of Physicians Specialty Advisory committee for Internal Medicine stage 1 training, Host examiner to the Membership of the Royal Colleges of Physicians practical assessment of clinical examination skills examinations and examiner to University College London MBBS final year examinations.
He is also Clinical Associate Professor to UCL Medical school.
