“This Is Not Him”: The Long Road Back to Baseline Prepared by: Dr Nuur Habibah Ghazali Supervised by: Dr Nurul Huda Mohd Zambri Case Summary Mr A was a 79-year-old gentleman with untreated hypertension and a history of male breast cancer treated with surgery and chemoradiotherapy. He lived with two of his sons and was previously independent in his basic activities of daily living. He walked without an aid, prepared his own breakfast, bought food and helped at his son’s stall.

The Valproate Trap: When Parkinson’s" and Dementia Are Found in a Pillbox Prepared by Dr. Khaw Mae Jane Supervised by Dato Dr. Tunku Muzafar Shah, Dr. Chee Sing Hui Case Summary Patient Profile Background Mdm PCL is a 64-year-old Chinese lady (Clinical Frailty Scale 4) who was referred to the Geriatrics Clinic from a private neuropsychiatry practice. She lives with her 73-year-old husband in an urban condominium. She demonstrates excellent functional capacity, independen

Heart Failure Treatment in Frail Older Adults: Balancing Guidelines and Individual Needs Prepared by Dr Siti Khairizan Rahim Supervised by Dr Rizah Mazzuin Razali Case Summary Heart failure in older adults significantly aggravates frailty, malnutrition and cachexia and impacts overall prognosis. Frailty causes further functional decline, hospitalisation, longer hospital stays and a higher mortality rate. While malnutrition in heart failure is due to appetite loss, malabsorpti