Care of Elderly, Falls and Frailty Assessment
Activity
Clinical Skills Sessions
Clinical Skills Sessions
To practice a history and physical exam for Falls assessment, including visual acuity, neuro exam, GALS screening MSK exam, cardiovascular exam, orthostatic vitals, and diabetes foot exam. Case stem: Taylor is an 80 year-old presenting in follow-up to your family medicine clinic after recent hospitalization for delirium, falls and urinary tract infection. Their daughter, June, is in the waiting room.
Curriculum Block
Integration Foundation / Maternal Health Risks/Aging-Related Care / Part 5 / Week 3
- Indicates most relevant
Objectives
Activity Objectives
- To practice a history and physical exam for Falls assessment, including visual acuity, neuro exam, GALS screening MSK exam, cardiovascular exam, orthostatic vitals, and diabetes foot exam.
- To review the 5Ms of Geriatric Care (Mind, Mobility, Medications, Multi-Complexity, and Matters Most).
- To practice using likelihood ratios from the JAMA Rational Clinical Exam Article Will my patient fall? to formulate a post-test probability of falls in the next 12 months in this case.
- To identify clinical risk factors for falls in the clinical case, and opportunities for intervention to reduce falls risk.
- To discuss the diagnosis of clinical frailty and stage according to the Clinical Frailty Scale.
- To discuss how clinical frailty can inform discussions around goals of care and managing multimorbidity.
Assessments
Objectives Structured Clinical Examination
End-Unit Clinical Skills Assessment
Tags
Curriculum Block
Integration Foundation
Maternal Health Risks/Aging-Related Care
Part 5
Week 3
Curriculum Week
IF
Week 11
Discipline
Family medicine
Geriatrics
MCC Presentations
Falls
Frailty in older adults
Periodic health encounter/Preventive health advice
MeSH
Aged, 80 and over [M01.060.116.100.080]
Clinical Competence [I02.399.630.210]
Frail Elderly [M01.060.116.100.540]
