Balancing Acute Complications and Chronic Care: The Challenges of Optimizing Perioperative Management for Older Patients with Multiple Comorbidities Prepared by: Dr Jeannie Phang Yik Tien Supervised by: Dr Elizabeth Chong Gar Mit Madam SA, a 72yearold Indian lady with multiple comorbidities and a Clinical Frailty Score (CFS) of 4, presented to the emergency department with right hip pain following a fall on a slippery floor. She sustained a right neck of femur fracture. Comor

Hip fracture and multiple unstable comorbidities in an octogenarian - a conundrum for surgery Prepared by: Dr Sofiatulakmal binti Ashari Supervised by: Dr Yusliza Azreen binti Mohd Yusoff Puan Z, an 82-year-old lady with Type 2 Diabetes Mellitus, Hypertension, Dyslipidaemia, and Ischaemic Heart Disease complicated by Non-Valvular Atrial Fibrillation; on Apixaban, Bisoprolol, and Frusemide had multiple admissions in 2025 for acute decompensated heart failure, predominantly pre

The Last Chapter: Planning the END, Leaving in PEACE Prepared by: Dr Sharalaa Devi Engatramana Supervisor: Dr Loh Siew Ping Location: Hospital Tengku Ampuan Rahimah, Klang Case 1 Madam SG is a 74-year-old Indian woman who has been a nursing home resident since 2020. She has a Clinical Frailty Scale (CFS) score of 7, with a background history of advanced Alzheimer’s disease with behavioural and psychological symptoms of dementia (BPSD) Stage 7C, as well as diabetes and hyperte