Executive Solution Overview
3 references **files (1)** – ## CASESTUDY3.docx **## CASESTUDY3.docx** **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…
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3 references
**files (1)**
– ## CASESTUDY3.docx
**## CASESTUDY3.docx**
**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)_
**## CASESTUDY3.docx**
**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)_
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