Unit GERONTOLOGY AND GERIATRICS

GERONTOLOGY AND GERIATRICS - MOD. 1

Code	GP005839
Location	TERNI
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. Main age-related diseases. 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, Eighth Edition (Principles of Geriatric Medicine & Gerontology) Mcgraw-Hill, June 2022
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. Therefore, it is advisable to take the Gerontology and Geriatrics exam after having completed and/or acquired competencies related to the training objectives of Internal Medicine.
Teaching methods	Lectures and theoretical-practical activities 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	EXAM CONDUCTION METHOD: Oral exam lasting approximately 20/30 minutes divided into questions relating to the main socio-health implications of aging at an individual and population level, gerontology (biological and physiological aspects of aging), geriatrics ( main geriatric syndromes, main age-related pathologies, and specificity of classification and care in the old-age patient, problems relating to multimorbidity and polypharmacy), multidimensional geriatric evaluation and management to support personalized and proactive medicine interventions, socio-health aspects in the care of the old age-preson, ethical and end-of-life aspects. TESTING OF CLINICAL SKILLS: knowledge and description of the scales/tests used in the multidimensional geriatric assessment and of the principles of behavior in the classification and management of the elderly patient, particularly if frail, in acute conditions. of chronicity and in different areas or health and welfare services. VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: discussion and/or simulation of a clinical case. 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	Aging: demographics in Italy, in Europe and outside Europe: implications in clinical practice 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 older people Robust, frail and terminal illness patients; 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 (old age, oldest old age, polypharmacy, drug abuse, etc.) Brain aging, cognitive disorders and dementia in the old age persons; delirium Depression in old age persons Heart failure in the old age persons Sensory deficits and related clinical and practical complications Postural instability, dizziness, sarcopenia, osteoporosis, falls and fragility fractures in the frail persons Dizziness, postural hypotension, syncope Nutrition and malnutritional problems associated with aging and omorbidity Immobilization and multisystemic complications Acute 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
Obiettivi Agenda 2030 per lo sviluppo sostenibile	Quality education

GERONTOLOGY AND GERIATRICS - MOD. 2

Code	GP005840
Location	TERNI
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	- 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. - Hazzard's Geriatric Medicine and Gerontology, Eighth Edition Mcgraw-Hill, 2022.
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
Obiettivi Agenda 2030 per lo sviluppo sostenibile	quality education

PROFESSIONALISING TRAINING IN GERONTOLOGY AND GERIATRICS I

Code	GP005841
Location	TERNI
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. Main age-related diseases. 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, Eighth Edition (Principles of Geriatric Medicine & Gerontology) Mcgraw-Hill, June 2022.
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. Therefore, it is advisable to take the Gerontology and Geriatrics exam after having completed and/or acquired competencies related to the training objectives of Internal Medicine.
Teaching methods	Lectures and theoretical-practical activities 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	EXAM CONDUCTION METHOD: Oral exam lasting approximately 20 minutes divided into three questions relating to the main socio-health implications of aging at an individual and population level, gerontology (biological and physiological aspects of aging), geriatrics ( main geriatric syndromes, main age-related pathologies, and specificity of classification and care in the old-age patient, problems relating to multimorbidity and polypharmacy), multidimensional geriatric evaluation and management to support personalized and proactive medicine interventions, socio-health aspects in the care of the old age-preson, ethical and end-of-life aspects. TESTING OF CLINICAL SKILLS: knowledge and description of the scales/tests used in the multidimensional geriatric assessment and of the principles of behavior in the classification and management of the elderly patient, particularly if frail, in acute conditions. of chronicity and in different areas or health and welfare services. VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: discussion and/or simulation of a clinical case. 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	Aging: demographics in Italy, in Europe and outside Europe: implications in clinical practice 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 older people Robust, frail and terminal illness patients; 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 (old age, oldest old age, polypharmacy, drug abuse, etc.) Brain aging, cognitive disorders and dementia in the old age persons; delirium Depression in old age persons Heart failure in the old age persons Sensory deficits and related clinical and practical complications Postural instability, dizziness, sarcopenia, osteoporosis, falls and fragility fractures in the frail persons Dizziness, postural hypotension, syncope Nutrition and malnutritional problems associated with aging and omorbidity Immobilization and multisystemic complications Acute 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.
Obiettivi Agenda 2030 per lo sviluppo sostenibile	Quality education

PROFESSIONALISING TRAINING IN GERONTOLOGY AND GERIATRICS II

Code	GP005842
Location	TERNI
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	Physiological brain aging and the main neurodegenerative diseases in advanced age.
Reference texts	- 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 - Hazzard's Geriatric Medicine and Gerontology, Eight Edition McGraw-Hill, June 2022.
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 old age person, the oldest-old and the frail. Therefore, it is advisable to take the Gerontology and Geriatrics exam after taking the Clinical Medical exam.
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	EXAM CONDUCTION METHOD: Oral exam lasting approximately 20/30 minutes divided into questions relating to the main socio-health implications of aging at an individual and population level, gerontology (biological and physiological aspects of aging), geriatrics ( main geriatric syndromes, main age-related pathologies, and specificity of classification and care in the old-age patient, problems relating to multimorbidity and polypharmacy), multidimensional geriatric evaluation and management to support personalized and proactive medicine interventions, socio-health aspects in the care of the old age-preson, ethical and end-of-life aspects. TESTING OF CLINICAL SKILLS: knowledge and description of the scales/tests used in the multidimensional geriatric assessment and of the principles of behavior in the classification and management of the elderly patient, particularly if frail, in acute conditions. of chronicity and in different areas or health and welfare services. VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: discussion and/or simulation of a clinical case. 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
Obiettivi Agenda 2030 per lo sviluppo sostenibile	quality education