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February 6, 2026

Geriatric Syndrome: Falls, Polypharmacy, and Cognitive Change

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%)

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