An overview to the history, research, ethics, and issues affecting advanced nursing practice in Canada and internationally. Attention is paid to Christian values and principles as students explore the history of advanced nursing practice and the inter-professional and sociopolitical contexts in which it operates. The interrelated domains of advanced nursing practice (ANP), consultation, education, research, and leadership are explored in the context of older adult care, as well as ANP practice roles such as clinical nurse specialist, clinician, and professional practice leader. Attention is given to the moral issues surrounding aging, including end-of-life issues.