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Hospital-associated deconditioning — DGM MCQ

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ModerateComprehensive geriatric assessmentHospital-associated deconditioningDGM

A 90-year-old woman has lost mobility after ten days in hospital for a urinary infection. She has no new focal neurology and inflammatory markers have improved. She now needs two people to transfer after prolonged bed rest. Current medicines include amlodipine. What is the most likely diagnosis?

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Correct answer: B — Hospital-associated deconditioning

Loss of strength and mobility after bed rest during acute admission without focal neurology suggests hospital-associated deconditioning. Stroke would have focal signs, motor neurone disease is progressive, BPPV causes vertigo, and normal ageing does not explain abrupt inpatient decline. Early mobilisation is a core inpatient geriatric intervention.

Reference: BGS CGA toolkit