Program Information

This module teaches clinicians how to document and justify complex geriatric decisions, particularly when deviating from disease-based guidelines.

Key Topics:

• Medical decision-making documentation
• Linking FCMSG to assessment and plan
• Risk-benefit justification
• Goals of care as legal/ethical anchor
• Communication with families and teams

Target Audience

This activity is appropriate for the following audiences:

• Nurse Practitioners

Learning Objectives

Upon completion of this activity, participants should be able to do the following:

• Apply the FCMSG framework to systematically assess function, cognition, medications, geriatric syndromes, and goals of care in complex older adults.
• Differentiate atypical disease presentations, medication-related symptoms, and geriatric syndromes using clinical findings and patient history. 
• Identify high-risk or potentially inappropriate medications and develop an individualized deprescribing plan using the STOP framework. Formulate prioritized, goal-concordant care plans that promote patient safety, function, and quality of life. 
• Document geriatric clinical reasoning, risk–benefit decisions, and interdisciplinary care recommendations in a clear and defensible manner.

AMA Designation Statement

Moses/Weitzman Health System Inc. designates this Enduring material for a maximum of 5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.