Phys Clinical Cases · general-medicine

Multi-morbidity and Complex Care — DCE Clinical Case

DCE long-case clinical station: comprehensive assessment of an 82-year-old woman with heart failure with reduced ejection fraction, atrial fibrillation, type 2 diabetes, stage 3b CKD, osteoporosis and mild cognitive impairment, admitted with a mechanical fall, on 14 medications — covering the comprehensive multi-morbidity assessment (CGA, medication reconciliation and review with STOPP/START and Beers, function, cognition, frailty, social), the integrated and prioritised management plan anchored to her goals, the deprescribing plan, the advance care plan, and the coordinated follow-up — structured for FRACP DCE and MRCP PACES.