CASE STUDY 3 – Geriatric Syndrome: Falls, Polypharmacy, and Cognitive Change       Case Scenario Mr. A.S. is a 78-year-old male presenting after two falls in the past month. History: •PMH: HTN, osteoarthritis, insomnia, BPH

CASE STUDY 3 – Geriatric Syndrome: Falls,

Polypharmacy, and Cognitive Change      

Case Scenario

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 Student Assignment Requirements  

•            MMSE: borderline impairment

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%)

4. APA & Professional Writing (10 points)