Geriatrics I
Study Course Implementer
Residency Speciality
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About Study Course
Objective
Learning Outcomes
Knowledge
1.- Ageing process, changes in tissues, organs, physiological functions and homeostasis of the human body. Ageing theories. Psychologicalageing, social ageing. Demographic aspects. - Ageing-related changes in epidemiology of diseases, incidence andsymptoms of diseases. Changes in medication pharmacodynamics and pharmacokinetics. - Complex, comprehensive assessment of the health condition of elderly people, including anamnesis andphysical examination. - Knowledge of geriatric syndromes (instability, falls, incontinence, cognitive disorders, dementia).
Skills
1.- Assess a patient’s health condition by taking into account the clinical situation (collection of anamnesis, physicalexamination, analysis of the previous laboratory and instrumental data). - Usage of the functional condition assessment tools upon making a functional condition assessment of elderly patients. Fills out the “Scale of basic daily activities”, “Scale of daily instrumental activities”, gait and balance assessment test. - Uses instruments for determination of the cognitive functionby making the MMSE test, “Clock test”.
Competences
1.-Formulation of diagnosis. Description of geriatric problems - syndromesin the medical documentation." -Develops the treatment and care plan for patients by taking into account medical indications, (careful clinical assessment, functional condition, guidelines). -Defines and explains health-relatedproblems toa patient or to relatives of a patient in particular cases.
Assessment
Individual work
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To prepare a presentation on one of the topics.
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Examination
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Analysis of the clinical situation 50%. Attendance 50%.
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Study Course Theme Plan
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Bibliography
Required Reading
Measurment Scales Used in Elderly Care. Abhaya Gupta. 2008. 154pp.
The Merck Manual of Geriatrics. 3rd Edition. Mark H.Beers, M.D., and Robert Berkow, M.D. 2000. 1507pp. 763pp.
Oxford Textbook of Geriatric Medicine. Third edition. Oxford. 2018, 1356 pp.
Adult-Gerontology Practice Guidelines. Jill C.Cash, Cheryl A. Glass. Springer Publishing Company, 2016, 1088 pp.
Molecular Basis of Nutrition and Aging. Maco Malavolta, Eugenio Mocchegiani, 2016, 758 pp.
Geriatric Emegrencies. A Discussion-based Review. Amal Mattu,Shamal A. Grossman &Peter L.Rosen. Wiley Blackwell.2016, 435 pp.
Primary Care Geriatrics a Case- Based Approach. 5th Edition. 2007. 641pp
Principles of Geriatrc Medicine & Gerontology. William R.Hazard et all. 5th Edition, 2003, 1648 pp.
Kristofs Gūtenbrunners, Žans Žaks Glēzeners. Rehabilitācija, fizikālā medicīna un dabas dziedniecība. Nacionālais apgāds, 2008, 216 lpp.
Eiropas Savienības Ministru padomes rekomendācijas Rec (2003) 24 Eiropas Savienības dalībvalstīm par paliatīvās aprūpes organizēšanu. Nacionālais apgāds, 2005. 63 lpp.
N.Andrejevs, T.Andrejeva. Praktiskā geriatrija. Rīga, 2006.
Other Information Sources
UpToDate: pieejams: https://www.uptodate.com/login
PubMed: pieejams: https://pubmed.ncbi.nlm.nih.gov
Clinikal Key: pieejams: https://www.clinicalkey.com