06 Feb Geriatric Syndrome: Falls, Polypharmacy, and Cognitive Change
Mr. A.S. is a 78-year-old male presenting after two falls in the past month.
History:
· PMH: HTN, osteoarthritis, insomnia, BPH
· Medications: Hydrochlorothiazide, diphenhydramine nightly, tamsulosin, ibuprofen PRN
· Reports dizziness and forgetfulness
Vitals:
· Orthostatic BP positive
· MMSE: borderline impairment
Student Assignment Requirements
1. Pathophysiology (25%)
· Aging physiology and medication sensitivity
· Mechanisms of orthostasis and cognitive impairment
· Fall-related morbidity
2. Geriatric Assessment (35%)
· Medication reconciliation and Beers Criteria application
· Cognitive and fall-risk evaluation
· Functional and safety assessment
3. Pharmacology & Deprescribing Plan (30%)
· Identification of high-risk medications
· Deprescribing strategy with rationale
· Non-pharmacologic interventions
4. APA & Professional Writing (10%)
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