To provide the cultural basis to learn about the epidemiology, specificity and clinical presentation of the elderly's illnesses. Main aspects of geriatric diseases. Development of the decision-making process for an appropriate assessment request (differential diagnostics) of the most common pathologies of geriatric interest and the knowledge necessary to conduct the multidimensional evaluation of the elderly patient. Approach to therapeutic, pharmacological and non-pharmacological orientation in the elderly patient. Approach to preventive measures in elderly patients.
Frontal lessons
GERONTOLOGY Biology, physiology, demographic and epidemiological aspects of aging: classification and types of aging. Aging theories and hallmarks (distinctive traits). Age-related changes in the endocrine system: somatopause, adrenopause, late-onset hypogonadism (LOH)
GERIATRIC MEDICINE: the geriatric patient and his clinical evaluation: Care models in Geriatrics (bio-medical, bio-psycho-social, functional). Specific aspects of presentation of diseases in old age: the elderly "complex"; the frail elderly, the polypathology, the concept of disability and the multidimensional assessment tools (VMD)
Geriatric Syndromes: cognitive impairment, incontinence, falls, malnutrition, s. from immobilization, bedsores;
Sarcopenia. Osteoporosis - Pain in the elderly - Parkinson's disease and parkinsonism --Dementia (primary and secondary) - Depression. --Delirium
BPH -- Urinary tract infections in the elderly -- Inflammatory prostatitis in the elderly and its comorbidities (UPOINT phenotype)
Sexual dysfunction in the elderly male --
Cardiovascular diseases: arterial hypertension in the elderly; heart failure. Syncope; AOCP; stroke
Endocrine diseases in the elderly: senile diabetes, hypo and hyperthyroidism, s. from low T3
DVT and pulmonary embolism.
Anemias in the elderly
Principles of care for the elderly in different care situations: integrated network of services in geriatrics; the Geriatric Evaluation Unit; the continuity of care between the hospital and the territory; Healthcare Residences.
1. Manuale Merck di Geriatria;
2. Linee guida nel trattamento e nella gestione delle malattie geriatriche. M. Palleschi, S.M. Zuccaro, F. Nico. Cesi
3. Paziente anziano, paziente geriatrico e medicina della complessità. Fondamenti di gerontologia e geriatria. U. Senin, A, Cherubini, P. Mecocci - Edises