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