Assigment .Apa seven . All instructions attached.
butterflyl
a month ago
20
files (1)Casesstudy3.docx
Casesstudy3.docx
dvanced Primary Care of Family I-HBN-HY01 Luis Serrano
🩺 CASE STUDY 3: Geriatric Syndrome: Falls, Polypharmacy, and Cognitive Change
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
· 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%)
RUBRIC – CASE STUDY 3 - Geriatric Falls, Polypharmacy & Cognitive Change (100 Points)
1. Aging & Pathophysiology (25 points)
|
Level |
Description |
|
Excellent (23–25) |
Demonstrates strong understanding of age-related physiologic changes and medication sensitivity with direct application to falls and cognition. |
|
Satisfactory (18–22) |
Correct explanation with minor gaps or limited synthesis. |
|
Unsatisfactory (13–17) |
Partial understanding of geriatric physiology. |
|
Poor (1–12) |
Inaccurate or minimal explanation. |
|
Not Submitted (0) |
Section not submitted or missing. |
2. Geriatric Assessment & Safety (35 points)
|
Level |
Description |
|
Excellent (33–35) |
Comprehensive geriatric assessment including falls, cognition, medications, and safety planning. |
|
Satisfactory (26–32) |
Assessment covers major areas but lacks depth or prioritization. |
|
Unsatisfactory (18–25) |
Incomplete or fragmented assessment. |
|
Poor (1–17) |
Clinically unsafe or insufficient evaluation. |
|
Not Submitted (0) |
Section not submitted or missing. |
3. Pharmacology & Deprescribing (30 points)
|
Level |
Description |
|
Excellent (28–30) |
Identifies high-risk medications and presents a safe, patient-centered deprescribing plan supported by evidence. |
|
Satisfactory (22–27) |
Deprescribing plan is reasonable but incomplete. |
|
Unsatisfactory (16–21) |
Limited understanding of medication risk or deprescribing principles. |
|
Poor (1–15) |
Unsafe medication decisions. |
|
Not Submitted (0) |
Section not submitted or missing. |
4. APA & Professional Writing (10 points)
(Same descriptors as Case 1)
Submission
Drag files here
Maximum size: 512 MB
or
Details & Information
