ABFM Geriatric Medicine case studies
ABFM Geriatric Medicine · Put your knowledge to work in context.
The Certificate of Added Qualification (CAQ) in Geriatric Medicine is an added qualification credential offered by the American Board of Family Medicine in conjunction with the American Board of Internal Medicine. It recognizes a family physician's training and knowledge in the care of older adults. The ABFM Geriatric Medicine case studies are 5 cases and about 2,338 words.
1Recurrent Falls, Nighttime Sedation, and Bladder Symptoms
An 84-year-old woman presents after her third fall in six months, this time in the bathroom at night; she had no loss of consciousness and no head strike, but she has a 2-cm bruise over the left hip and can bear weight. She lives alone in a two-story home with a bedroom upstairs and one bathroom downstairs.
539 words, about 3 min2Driving Safety and Financial Capacity in Early Dementia
A 78-year-old retired accountant with mild-to-moderate Alzheimer's disease (MMSE 21/30, CDR 1) lives with his wife. He still drives to the grocery store and church, but his wife reports he ran a red light and became lost once.
482 words, about 2 min3Acute Confusion in Assisted Living: Delirium Superimposed on Dementia
An 82-year-old woman in assisted living with vascular dementia (baseline MMSE 18) and osteoarthritis becomes more confused, agitated, and hallucinatory over 3 days. She has visual hallucinations, is falling asleep during conversation, and has new incontinence and decreased oral intake.
424 words, about 2 min4Catheter, Pressure Injury, and Discharge Planning After Hip Fracture
An 88-year-old man is in a skilled nursing facility 3 weeks after a hip hemiarthroplasty for a fall. He has urinary incontinence, an indwelling catheter placed in the hospital, a stage 2 pressure injury over the sacrum, and deconditioning.
436 words, about 2 min5PEG Feeding, Family Conflict, and Goals of Care in Advanced Illness
A 91-year-old woman with severe COPD (FEV1 30%), moderate dementia, and recent aspiration pneumonia has had two ICU admissions in 6 months. She has dysphagia, an 8-lb weight loss, and a sacral blister.
457 words, about 2 min