dvanced Basic Care of Family I-HBN-HY01 Luis Serrano
🩺 CASE STUDY 3: Geriatric Syndrome: Falls, Polypharmacy, and Cognitive Trade
CASE STUDY 3 – Geriatric Syndrome: Falls, Polypharmacy, and Cognitive Trade
Case Distress
Mr. A.S. is a 78-year-stale male presenting after two falls in the previous month.
History:
- PMH: HTN, osteoarthritis, insomnia, BPH
- Medications: Hydrochlorothiazide, diphenhydramine nightly, tamsulosin, ibuprofen PRN
- Reports dizziness and forgetfulness
Vitals:
- Orthostatic BP sure
- MMSE: borderline impairment
Student Assignment Requirements
1. Pathophysiology (25%)
- Increasing outdated physiology and medicine sensitivity
- Mechanisms of orthostasis and cognitive impairment
- Fall-associated morbidity
2. Geriatric Review (35%)
- Treatment reconciliation and Beers Requirements utility
- Cognitive and descend-threat overview
- Functional and security overview
3. Pharmacology & Deprescribing Opinion (30%)
- Identification of excessive-threat medications
- Deprescribing approach with rationale
- Non-pharmacologic interventions
4. APA & Educated Writing (10%)
RUBRIC – CASE STUDY 3 – Geriatric Falls, Polypharmacy & Cognitive Trade (100 Capabilities)
1. Increasing outdated & Pathophysiology (25 suggestions)
|
Level |
Description |
|
Very perfect (23–25) |
Demonstrates stable thought of age-associated physiologic adjustments and medicine sensitivity with yelp utility to falls and cognition. |
|
Enough (18–22) |
Correct explanation with minor gaps or restricted synthesis. |
|
Unsatisfactory (13–17) |
Partial thought of geriatric physiology. |
|
Dreadful (1–12) |
Inaccurate or minimal explanation. |
|
No longer Submitted (0) |
Fragment no longer submitted or lacking. |
2. Geriatric Review & Safety (35 suggestions)
|
Level |
Description |
|
Very perfect (33–35) |
Comprehensive geriatric overview including falls, cognition, medications, and security planning. |
|
Enough (26–32) |
Review covers predominant areas but lacks depth or prioritization. |
|
Unsatisfactory (18–25) |
Incomplete or fragmented overview. |
|
Dreadful (1–17) |
Clinically unsafe or insufficient overview. |
|
No longer Submitted (0) |
Fragment no longer submitted or lacking. |
3. Pharmacology & Deprescribing (30 suggestions)
|
Level |
Description |
|
Very perfect (28–30) |
Identifies excessive-threat medications and gifts a gain, affected person-centered deprescribing conception supported by proof. |
|
Enough (22–27) |
Deprescribing conception is sensible but incomplete. |
|
Unsatisfactory (16–21) |
Restricted thought of medication threat or deprescribing principles. |
|
Dreadful (1–15) |
Unsafe medication choices. |
|
No longer Submitted (0) |
Fragment no longer submitted or lacking. |
4. APA & Educated Writing (10 suggestions)
(Identical descriptors as Case 1)
Submission
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