Parkinson’s Disease and Orthostasis

Mr. P is a 76-year-old male living in assisted living. He moved into the facility because his care needs exceeded his family’s capacity to care for him at home. He has multiple medical comorbidities, including a history of falls, and he requires complex medical management. He uses a walker to assist with ambulation. Over the past few weeks, he has been falling frequently and is experiencing a functional decline, which necessitates staff assistance with transfers and ambulation. He expresses feelings of dizziness when sitting up; his blood pressure in a prone position is 200/84, and it drops to 110/70 with dizziness when he stands.