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CM12.1-5 | Geriatric Services — Assignment

Grading Rubric — Geriatric Services Assignment Rubric

Criterion	Points	Full-marks descriptor
Geriatric concepts and syndromes (CM12.1)	5 pts	Exceeds: Accurately defines geriatric services, correctly identifies ≥2 geriatric syndromes from the case with precise definitions, and applies the geriatric presentation paradox insightfully with a concrete mechanism.
Health problem identification and pharmacological risk (CM12.2)	5 pts	Exceeds: Systematically identifies health problems across all three domains (physical, mental, psychosocial); correctly names diazepam's pharmacological hazard in the elderly (Beers Criteria / reduced renal clearance / CNS sensitivity); applies multi-factorial fall causation accurately.
Comprehensive Geriatric Assessment tool selection and interpretation (CM12.5)	6 pts	Exceeds: Correctly names ≥4 validated CGA tools (MMSE, GDS-15, TUG, Katz ADL / Lawton-Brody IADL) with correct cut-offs; explicitly addresses MMSE education bias and proposes an appropriate adjustment; correctly interprets TUG=17s and recommends ≥2 evidence-based next steps.
Application of prevention levels (CM12.3)	4 pts	Exceeds: Correctly assigns specific, distinct interventions to primary, secondary, and tertiary prevention levels with clinical justification; operationalises early identification with a practical community-level approach.
NPHCE structure and care pathway (CM12.4)	5 pts	Exceeds: Accurately describes all 4 NPHCE tiers; correctly assigns Mr. Sharma's needs to appropriate tiers; names ≥2 specific PHC-level NPHCE services; identifies the correct tier for specialist referral; includes ≥1 social protection measure.