for Clinical Accuracy:
Estimated time to complete:
This case demonstrates the evaluation and care of an elderly gentleman who has fallen. The complexity of caring for the geriatric patient becomes evident early in the case. The following points are emphasized:
(1) medical problems common in elderly patients include falls, fluid and nutrition problems;
(2) the elderly often present with common problems in an atypical way;
(3) the morphologic, microbiologic, and epidemiologic aspects of tuberculosis;
(4) interprofessional teams are needed to provide optimal care.
The students will be able to formulate a broad differential diagnosis for an elderly patient after receiving physical and history information. It is important to stress the difficulties in formulating a differential diagnosis when patient history is lacking, but also to discuss strategies to overcome these barriers (e.g. multi-professional evaluation, collateral source history). The students will then be given additional laboratory and x-ray results and more history from the patient's nephew. This will allow the students to narrow differential diagnoses down. There is much happening with this patient. Students will understand that patients, especially the elderly, do not always present with one problem. By the end of the session, the students will be able to review the care of the patient and have a good understanding of most learning objectives in the case, including those for tuberculosis and community acquired pneumonia.
Additional information/Special implementation requirements or guidelines:
This case will be used with second-year medical students as part of the Introduction to Disease Processes Core. This Interprofessional Problem-Based Learning Case will be used as a small group activity (10-12 students) with 1-2 faculty leaders.
Date Submitted or Reviewed/Updated for Clinical Accuracy:
, , , , , , , , , and . "The Case of Sherman Davis: An Interprofessional Analysis of Geriatric Medical Problems". POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/208