Unit GERONTOLOGY AND GERIATRICS

Course
Medicine and surgery
Study-unit Code
GP005808
Curriculum
In all curricula
CFU
5
Course Regulation
Coorte 2017
Offered
2022/23
Type of study-unit
Obbligatorio (Required)
Type of learning activities
Attività formativa integrata

GERONTOLOGY AND GERIATRICS - MOD. 1

Code GP005839
CFU 2
Teacher Carmelinda Ruggiero
Teachers
  • Carmelinda Ruggiero
Hours
  • 25 ore - Carmelinda Ruggiero
Learning activities Caratterizzante
Area Formazione clinica interdisciplinare e medicina basata sulle evidenze
Academic discipline MED/09
Type of study-unit Obbligatorio (Required)
Language of instruction Italian
Contents Demography of aging. Principles of biology and physiology of aging. Elderly patients and geriatric patients. Main geriatric syndromes. Recurring clinical issues in geriatric medicine. Aspects of physical therapy and assistance in the elderly. Ethical controversies in geriatric medicine.
Reference texts - Paziente anziano. Paziente geriatrico. Medicina della complessità. Fondamenti di Gerontologia e Geriatria. Senin Umberto, Polidori Maria Cristina, Cherubini Antonio, Mecocci Patrizia, 4th Edition EdiSes Napoli (Italy), 2020
- Hazzard's Geriatric Medicine and Gerontology, Sixth Edition (Principles of Geriatric Medicine & Gerontology) Mcgraw-Hill
Educational objectives The course aims to acquaint the student with the principles of Gerontology and Geriatrics, a completely autonomous discipline, with its own cultural and professional area. Discussed topics should bring to light the originality of the elderly patient, which differs from the adult in terms of anatomy, physiology, pathology, and clinical care; the relationship between evidence-based medicine, medical complexity and geriatric medicine; the frail elderly; the geriatric syndromes; the main recurrent diseases in geriatrics; behavioral principles in geriatric medicine. Upon this knowledge the student must be able to recognize the unique aspects of aging, atypical presentation of many systemic and organic diseases and the complexity of multimorbidity, interactions between psychic and organic conditions able to amend the prognosis of diseases, the risks associated with polypharmacy, the value of multidimensional geriatric assessment in different health care settings.
Prerequisites Good knowledge of the main organic diseases and systemic syndromes in the internal medicine field is required in order to understand them and identify them in the elderly, the oldest old and the frail.
Teaching methods Lectures and theoretical-practical activity in the acute care unit.
Other information Calendario delle attività didattiche:
Available on the School of Medicine website at http://terni.unipg.it/indexphp?page=medicina
Learning verification modality The exam includes a 30-minutes oral discussion to ascertain the level of knowledge and skills of deduction and clinical application on theoretical and practical content of the program. To this intent, practical training is essential. This must be carried out before the oral exam at the S.S. Geriatrics (registration on line: http://terni.unipg.it/indexphp?page=medicina).
Extended program Demographic aspects of aging in Italy, in Europe and in non-European countries: implications in the clinical field
Principles of Biology and Physiology of aging
Introduction to the clinical method. Relationship between scientific method and clinical method. The clinical method in the light of the Evidence-Based Medicine and Narrative Medicine
Geriatric medicine as medicine of complexity
Chronic diseases, polypathology and disability; concept pertaining to active life
The congestive terminal (failure to thrive)
The concept of geriatric syndrome, atypical presentation of diseases in the elderly
“Frail Elderly”; poverty, isolation, neglect
Multidimensional geriatric rating: concepts, methods and instruments; Geriatric Assessment Units and teamwork
First and second generation VMD Tools
Geriatric care Network (UO Geriatric acute; Integrated Home Care, Residential Health Care, Day Care Centre)
Elderly assistance; social aspects and integration between healthcare and social care; interaction with the General Practitioner
Strategy of therapeutic decision. Methods of adherence to treatment and efficacy / tolerability monitoring
Principles of geriatric treatment: clinical implications of specific pharmacokinetic and pharmacodynamic processes
The iatrogenic disease. Risk of iatrogenic disease in peculiar conditions (elderly, polypharmacy, drug abuse, etc.)
Brain aging, cognitive disorders in the elderly, dementia in elderly; delirium
Depression in the elderly
Heart failure in the elderly
Sensory deficits and related clinical and practical complications
Postural instability, dizziness, sarcopenia, osteoporosis, falls and fractures in the elderly
Dizziness, postural hypotension, syncope
Nutritional problems in the elderly
Immobilization; bedsores
Urinary Incontinence
The role of physical activity and lifestyle changes in the treatment and prevention of diseases
Supporting health in the old age: primary and secondary prevention. Principles of physical therapy
Ethical controversies in geriatric medicine

GERONTOLOGY AND GERIATRICS - MOD. 2

Code GP005840
CFU 1
Teacher Patrizia Mecocci
Teachers
  • Patrizia Mecocci
Hours
  • 12.5 ore - Patrizia Mecocci
Learning activities Caratterizzante
Area Formazione clinica interdisciplinare e medicina basata sulle evidenze
Academic discipline MED/09
Type of study-unit Obbligatorio (Required)
Language of instruction Italian
Contents Physiological brain aging and the main neurodegenerative diseases in advanced age.
Reference texts 1. Paziente anziano. Paziente geriatrico. Medicina della complessità. Fondamenti di Gerontologia e Geriatria. Senin Umberto, Polidori Maria Cristina, Cherubini Antonio, Mecocci Patrizia, 4^ Edition EdiSes Napoli (Italy), 2020.
2. Hazzard's Geriatric Medicine and Gerontology, Seventh Edition Mcgraw-Hill, 2017.
Educational objectives The course aims to acquaint the student with physiological brain aging and the main neurodegenerative diseases in advanced age.
Prerequisites Good knowledge of the main organic diseases and systemic syndromes in the internal medicine field is required in order to understand them and identify them in the elderly, the oldest old and the frail.
Teaching methods Frontal lesson
Other information Calendar of educational activities:
Available on the School of Medicine website at https://www.terni.unipg.it/index.php?page=medicina
Learning verification modality The exam includes a 30-minutes oral discussion to ascertain the level of knowledge and skills of deduction and clinical application on theoretical and practical content of the program. To this intent, practical training is essential. This must be carried out before the oral exam at the S.S. Geriatrics (registration on line: http://terni.unipg.it/indexphp?page=medicina)
Extended program - Brain aging
- Cognitive impairment and dementia

PROFESSIONALISING TRAINING IN GERONTOLOGY AND GERIATRICS I

Code GP005841
CFU 1
Teacher Carmelinda Ruggiero
Teachers
  • Carmelinda Ruggiero
Hours
  • 25 ore - Carmelinda Ruggiero
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/09
Type of study-unit Obbligatorio (Required)
Language of instruction Italian
Contents Demography of aging. Principles of biology and physiology of aging. Elderly patients and geriatric patients. Main geriatric syndromes. Recurring clinical issues in geriatric medicine. Aspects of physical therapy and assistance in the elderly. Ethical controversies in geriatric medicine.
Reference texts - Paziente anziano. Paziente geriatrico. Medicina della complessità. Fondamenti di Gerontologia e Geriatria. Senin Umberto, Polidori Maria Cristina, Cherubini Antonio, Mecocci Patrizia, 4th Edition EdiSes Napoli (Italy), 2020
- Hazzard's Geriatric Medicine and Gerontology, Sixth Edition (Principles of Geriatric Medicine & Gerontology) Mcgraw-Hill
Educational objectives The course aims to acquaint the student with the principles of Gerontology and Geriatrics, a completely autonomous discipline, with its own cultural and professional area. Discussed topics should bring to light the originality of the elderly patient, which differs from the adult in terms of anatomy, physiology, pathology, and clinical care; the relationship between evidence-based medicine, medical complexity and geriatric medicine; the frail elderly; the geriatric syndromes; the main recurrent diseases in geriatrics; behavioral principles in geriatric medicine. Upon this knowledge the student must be able to recognize the unique aspects of aging, atypical presentation of many systemic and organic diseases and the complexity of multimorbidity, interactions between psychic and organic conditions able to amend the prognosis of diseases, the risks associated with polypharmacy, the value of multidimensional geriatric assessment in different health care settings.
Prerequisites Good knowledge of the main organic diseases and systemic syndromes in the internal medicine field is required in order to understand them and identify them in the elderly, the oldest old and the frail.
Teaching methods Lectures and theoretical-practical activity in the acute care unit.
Other information Calendar of educational activities:
Available on the School of Medicine website at http://terni.unipg.it/indexphp?page=medicina
Learning verification modality The exam includes a 30-minutes oral discussion to ascertain the level of knowledge and skills of deduction and clinical application on theoretical and practical content of the program. To this intent, practical training is essential. This must be carried out before the oral exam at the S.S. Geriatrics (registration on line: http://terni.unipg.it/indexphp?page=medicina).
Extended program Demographic aspects of aging in Italy, in Europe and in non-European countries: implications in the clinical field
Principles of Biology and Physiology of aging
Introduction to the clinical method. Relationship between scientific method and clinical method. The clinical method in the light of the Evidence-Based Medicine and Narrative Medicine
Geriatric medicine as medicine of complexity
Chronic diseases, polypathology and disability; concept pertaining to active life
The congestive terminal (failure to thrive)
The concept of geriatric syndrome, atypical presentation of diseases in the elderly
“Frail Elderly”; poverty, isolation, neglect
Multidimensional geriatric rating: concepts, methods and instruments; Geriatric Assessment Units and teamwork
First and second generation VMD Tools
Geriatric care Network (UO Geriatric acute; Integrated Home Care, Residential Health Care, Day Care Centre)
Elderly assistance; social aspects and integration between healthcare and social care; interaction with the General Practitioner
Strategy of therapeutic decision. Methods of adherence to treatment and efficacy / tolerability monitoring
Principles of geriatric treatment: clinical implications of specific pharmacokinetic and pharmacodynamic processes
The iatrogenic disease. Risk of iatrogenic disease in peculiar conditions (elderly, polypharmacy, drug abuse, etc.)
Brain aging, cognitive disorders in the elderly, dementia in elderly; delirium
Depression in the elderly
Heart failure in the elderly
Sensory deficits and related clinical and practical complications
Postural instability, dizziness, sarcopenia, osteoporosis, falls and fractures in the elderly
Dizziness, postural hypotension, syncope
Nutritional problems in the elderly
Immobilization; bedsores
Urinary Incontinence
The role of physical activity and lifestyle changes in the treatment and prevention of diseases
Supporting health in the old age: primary and secondary prevention. Principles of physical therapy
Ethical controversies in geriatric medicine

PROFESSIONALISING TRAINING IN GERONTOLOGY AND GERIATRICS II

Code GP005842
CFU 1
Teacher Patrizia Mecocci
Teachers
  • Patrizia Mecocci
Hours
  • 25 ore - Patrizia Mecocci
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/09
Type of study-unit Obbligatorio (Required)
Language of instruction Italian
Contents
Demography of aging. Principles of biology and physiology of aging. Elderly patients and geriatric patients. Main geriatric syndromes. Recurring clinical issues in geriatric medicine. Aspects of physical therapy and assistance in the elderly. Ethical controversies in geriatric medicine.
Reference texts
1. Paziente anziano. Paziente geriatrico. Medicina della complessità. Fondamenti di Gerontologia e Geriatria. Senin Umberto, Polidori Maria Cristina, Cherubini Antonio, Mecocci Patrizia, 4th Edition EdiSes Napoli (Italia), 2020.
2. Hazzard's Geriatric Medicine and Gerontology, Sixth Edition (Principles of Geriatric Medicine & Gerontology) Mcgraw-Hill
Educational objectives
The course aims to acquaint the student with the principles of Gerontology and Geriatrics, a completely autonomous discipline, with its own cultural and professional area. Discussed topics should bring to light the originality of the elderly patient, which differs from the adult in terms of anatomy, physiology, pathology, and clinical care; the relationship between evidence-based medicine, medical complexity and geriatric medicine; the frail elderly; the geriatric syndromes; the main recurrent diseases in geriatrics; behavioral principles in geriatric medicine. Upon this knowledge the student must be able to recognize the unique aspects of aging, atypical presentation of many systemic and organic diseases and the complexity of multimorbidity, interactions between psychic and organic conditions able to amend the prognosis of diseases, the risks associated with polypharmacy, the value of multidimensional geriatric assessment in different health care settings.
Prerequisites
Good knowledge of the main organic diseases and systemic syndromes in the internal medicine field is required in order to understand them and identify them in the elderly, the oldest old and the frail.
Teaching methods
Lectures and theoretical-practical activity in the acute care unit.
Other information
Calendar of educational activities:
Available on the School of Medicine website at https://www.terni.unipg.it/index.php?page=medicina
Learning verification modality
The exam includes a 30-minutes oral discussion to ascertain the level of knowledge and skills of deduction and clinical application on theoretical and practical content of the program. To this intent, practical training is essential. This must be carried out before the oral exam at the S.S. Geriatrics (registration on line: http://terni.unipg.it/indexphp?page=medicina).
Extended program
Demographic aspects of aging in Italy, in Europe and in non-European countries: implications in the clinical field
Principles of Biology and Physiology of aging
Introduction to the clinical method. Relationship between scientific method and clinical method. The clinical method in the light of the Evidence-Based Medicine and Narrative Medicine
Geriatric medicine as medicine of complexity
Chronic diseases, polypathology and disability; concept pertaining to active life
The congestive terminal (failure to thrive)
The concept of geriatric syndrome, atypical presentation of diseases in the elderly
“Frail Elderly”; poverty, isolation, neglect
Multidimensional geriatric rating: concepts, methods and instruments; Geriatric Assessment Units and teamwork
First and second generation VMD Tools
Geriatric care Network (UO Geriatric acute; Integrated Home Care, Residential Health Care, Day Care Centre)
Elderly assistance; social aspects and integration between healthcare and social care; interaction with the General Practitioner
Strategy of therapeutic decision. Methods of adherence to treatment and efficacy / tolerability monitoring
Principles of geriatric treatment: clinical implications of specific pharmacokinetic and pharmacodynamic processes
The iatrogenic disease. Risk of iatrogenic disease in peculiar conditions (elderly, polypharmacy, drug abuse, etc.)
Brain aging, cognitive disorders in the elderly, dementia in elderly; delirium
Depression in the elderly
Heart failure in the elderly
Sensory deficits and related clinical and practical complications
Postural instability, dizziness, sarcopenia, osteoporosis, falls and fractures in the elderly
Dizziness, postural hypotension, syncope
Nutritional problems in the elderly
Immobilization; bedsores
Urinary Incontinence
The role of physical activity and lifestyle changes in the treatment and prevention of diseases
Supporting health in the old age: primary and secondary prevention. Principles of physical therapy
Ethical controversies in geriatric medicine
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