Geriatric health care in rural setting: a community-based case report of an older adult with hypertension

Abstract

India’s demographic transition is increasing the burden of chronic diseases, functional decline, and psychosocial problems among older adults. Hypertension remains a leading contributor to cardiovascular morbidity, while sarcopenic obesity is emerging as an important but under-recognized geriatric concern, particularly in rural areas. A 65-year-old man from a remote village with an eight-year history of hypertension on angiotensin receptor blockers presented with mild breathlessness, body ache, and intermittent headache. He was overweight with a calorie-rich, protein-poor diet, predisposing him to sarcopenic obesity. Long-term tobacco use was a major risk factor, while strong family support acted as a protective psychosocial determinant. Household overcrowding and poor ventilation were noted. The case highlights the need for a comprehensive geriatric approach integrating nutritional, psychosocial, environmental, and medical management to improve healthy ageing in rural elderly populations.