MMOA Podcast - Physical Therapy | Fitness | Geriatrics · Institute of Clinical Excellence - Older Adult Division

Overcoming Orthostatics: A Case Study

·17 min·1 clip

Jim's blood pressure plummeted from 132/74 to 94/56, causing such severe lightheadedness he needed immediate support to sit down.

Macy Bolt presents a case study of Jim, a 77-year-old with complex medical issues, detailing how she diagnosed and managed his orthostatic hypotension. She explains the condition, screening methods, and a three-pillar short-term approach (hydration, transition speed, preloading exercises), followed by long-term strategies involving medical team collaboration and fitness. The episode concludes with Jim's successful recovery and return to an active lifestyle.

As heard by us

A clear clinic walkthrough of orthostatic hypotension, testing, and practical next steps.

Macy Bolt treats orthostatic hypotension as a real clinic problem, not a textbook label. The piece walks through what the blood pressure drop means, how it shows up, and how to test for it, then keeps the focus on what happens in the room with the patient.

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Why you'd press play

Need a cleaner way to sort orthostatic hypotension from vertigo-like dizziness?

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