MDGE0222 Gerontology II

Faculty of Medicine
Spring 2016
Extent and Intensity
0/0/0. 4 credit(s). Type of Completion: zk (examination).
Teacher(s)
MUDr. Hana Meluzínová (lecturer)
prof. MUDr. Pavel Weber, CSc. (lecturer)
Guaranteed by
prof. MUDr. Pavel Weber, CSc.
Department of General Internal Medicine – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Contact Person: Hana Cahová
Supplier department: Department of General Internal Medicine – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Prerequisites (in Czech)
MDGE0121 Gerontology I
Course Enrolment Limitations
The course is also offered to the students of the fields other than those the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
The care for permanently growing number of the elderly, which are currently multi-morbid and deteriorated in the psychic and social sphere, will be more demanding not only in terms of the system of the organization of the health and social care but also due to increasing requirements of higher degree of knowledge and skills both with the professionals and all other care providers. It is not just the question of assistance for the patients, it will be more and more necessary to understand them and their specifics in diagnostics, therapy and overall care in medical and social institutions and facilities. Present reality requires complete change of the elderly population awareness both in the professional community and in the general public, which is also one of the tasks for gerontological education. Geriatric patient is special since their etiopathogenetic diagnosis made with classical diagnostic biomedical methods does not say anything about the quantitative extent of required care, dependency on the environment and quality of their further life. The influence of any disease present is much more significant in old age than with younger patients as long as management of independent life is concerned. The overall treatment of any disease in the elderly should be necessarily focused not only on the causing disease but also on maintenance (or contingent improving) of self-sufficiency, functioning social connections and relationships in the families and community. Geriatric patient should be seen as a “frail” senior with limited (or mostly decreased) functional capacity and impaired adaptability. Such person is long-term threatened by decompensation of the functional status and needs specific modification of professional attitude to the regimen and therapeutic measures. The subject is aimed at offering a useful manual for daily work and activity to the future graduates of the master degree studies (medicine, nursing, social workers and other professionals caring for the elderly people). The tuition is focused not only on enlargement of the professional knowledge and skills, but also on higher level of understanding the elderly in the medical, psychological and social sphere. The main effort of the seminars and lectures is to introduce to the students questions and problems which they will come across most likely very often in contact with the elderly such as the so called geriatric giants: immobility, instability, incontinence and intellectual impairments. They are closely connected with decubitus, falls, delirium, dementia and depression. Problems of the general and special geriatrics are discussed according to the organ systems. The subject is by no means understood as a mere overview of gerontology and geriatrics, on the other hand it does not claim to be a full explanation of very complicated comprehensive clinical picture of the diseases and clinical syndromes. In a limited framework the contents of the subject reflects modern pieces of knowledge from recent years in epidemiology, etiology, pathogenesis, clinical picture, prognosis and therapy, including their social consequences such as handicapping and disability resulting in the need of assistance and care.
Syllabus
  • 1. Gerontology – introduction, characterization of the scientific discipline 2. General specialities of the diseases in old age 3. Ageing and aging, theories, common parameters 4. Particularities of pharmaco-therapy in the elderly 5. Current demographic situation in Czech Republic and in Brno 6. Prognosis of the demographic evolution in Czech Republic and in Brno 7. Network of the institutions for elderly care in Czech Republic and in Brno 8. Ethical questions in old age 9. Primary care in the community and comprehensive geriatric assesment 10. Immobility – decubitus, bedsore 11. Instability – falls 12. Inkontinence urinary and fecal 13. Intelectual impairments: common mental and behavioural disturbances in old age; delirium, dementia, depression 14. Preventive attitudes in the diseases in old age 15. Sleeping disorders in the elderly 16. Common diseases of the cardiovascular and respiratory tract in old age and their social sequels 17. Common diseases of the digestive and urogenital system in old age and their social sequels 18. Diabetes and thyreoidal disturbances in the old age; visual and auditive disorders in old age and their social sequels
Literature
    recommended literature
  • KALVACH, Zdeněk. Geriatrie a gerontologie. 1. vyd. Praha: Grada, 2004, 861 s. ISBN 8024705486. info
  • KALVACH, Zdeněk. Geriatrické syndromy a geriatrický pacient. Vyd. 1. Praha: Grada, 2008, 336 s. ISBN 9788024724904. info
  • JIRÁK, Roman and František KOUKOLÍK. Demence : neurobiologie, klinický obraz, terapie. 1. vyd. Praha: Galén, 2004, 335 s. ISBN 8072622684. info
  • Principles and practice of geriatric medicine. Edited by M. S. J. Pathy - Alan Sinclair - John E. Morley. Chichester: Wiley, 2006, 2 sv. ISBN 0470090553. info
    not specified
  • WEBER, Pavel. Minimum z klinické gerontologie : pro lékaře a sestru v ambulanci. 1. vyd. Brno: IDVPZ, 2000, 151 s. ISBN 8070133147. info
  • TOPINKOVÁ, Eva. Geriatrie pro praxi. 1. vyd. Praha: Galén, 2005, 270 s. ISBN 8072623656. info
Teaching methods
Forms of teaching of the subject: lectures, seminars, independent study Consultations: 14 + 14 hrs. / Semester (spring / autumn semester) Credit Requirements - systematic attendance at lectures, active participation in seminars and processing one set topic of gerontological issues (from literature) through a short presentation (= paper) associated with the management discussion on the subject (working groups of 2-3 participants).
Assessment methods
GERONTOLOGY I - written test GERONTOLOGY II - oral exam
Language of instruction
Czech
Further comments (probably available only in Czech)
The course is taught annually.
The course is taught: in blocks.
Information on the extent and intensity of the course: 12 hod./semestr.
The course is also listed under the following terms Spring 2010, Spring 2011, Spring 2012, Spring 2013, Spring 2014, Spring 2015.
  • Enrolment Statistics (recent)
  • Permalink: https://is.muni.cz/course/med/spring2016/MDGE0222