Teaching GuideTerm Faculty of Health Sciences
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|Grao en Terapia Ocupacional|
|Graduate||2nd four-month period
|BLOCK I. COMPREHENSIVE GERIATRIC ASSESSMENT||EXPOSITORY TEACHING
1. Gerontology and Geriatrics. Background and objectives. Major changes in relation to aging. Clinical history and geriatric interview. Characteristics of illness in the elderly patient. Geriatric syndromes concept. Bibliography.
2. Epidemiology and prevention in geriatrics. Most common pathologies in the elderly patient. Risk factors and prevention. Prevention of disability by the use of standards and protocols specific to each disease. Bibliography.
3. Comprehensive Geriatric Assessment. Concept and objectives. Interdisciplinary intervention team. Physical examination and clinical assessment. Assessment instruments and their characteristics. Functional assessment. Assessment of mental state: cognitive and affective. Social and quality of life assessment. Bibliography
Functional assessment instruments. Basic Activities of Daily Living (BADL) (Katz and Barthel Indexes), Bedford Alzheimer Nursing Severity Scale-BANS. Instrumental Activities of Daily Living (IADL) (Lawton and Brody Scale). BADL and IADL (Disability Assessment Scale for Dementia-DAD).
Instruments for the evaluation of gait and balance (Short Physical Performance Battery-SPPB, speed of gait, Timed Get Up and Go Test (TUG), Tinetti Scale)
|BLOCK II. GERIATRIC SYNDROMES
4. Frailty. Introduction and concept. Frailty Phenotype. Cognitive frailty and Social frailty. Main instruments of evaluation. Intervention. Bibliography.
5. Malnutrition. Epidemiology and concept. Causes and consequences. Nutritional requirements. Assessment of nutritional status. Bibliography
6. Immobility, instability, and falls. Background. Causes, assessment, and intervention. Evaluation instruments. Scales for the assessment of gait and balance. Intervention. Bibliography.
7. Incontinence and urinary retention. Constipation and fecal incontinence. Acute Confusional State. Sleep disorders. Sensory deprivation. Pharmacology and iatrogenesis. Bibliography.
Instruments for frailty assessment (Fried Phenotype, Kihon Checklist, Frail Scale, Clinical Frailty Scale of Rockwood, Tilburg Frailty Indicator (TFI), Groningen Frailty Index, Frail-VIG Index)).
Instruments for malnutrition assessment (Mini Nutritional Assessment-MNA, MNA-Short Form)
Instruments for the evaluation of social resources and support (Older Americans Resources and Services (OARS), Gijón Socio-Family Evaluation Scale)).
Instruments for the evaluation of quality of life (WHOQOL-OLD, WHOQOL-BREF, Quality of Life in Alzheimer's Disease Measure (QOL-AD), Quality of life in late-stage dementia (QUALID) Scale.
|BLOCK III. OTHER DISEASES OF RELEVANCE IN OLDER ADULTS||EXPOSITORY TEACHING
8. Cognitive decline, depression, and anxiety. Age-Associated Memory Impairment (AAMI). Mild Cognitive Impairment (MCI). Dementias. Types. Main instruments of evaluation. Therapeutic intervention. Depression. Concept. Epidemiology and pathogenesis. Classification, clinical manifestations, and differential diagnosis. Evaluation instruments. Therapeutic intervention. Anxiety. Concept and assessment. Therapeutic intervention. Bibliography
9. Brain-vascular disease and Parkinson's disease. Stroke. Epidemiology. Risk factors. Pathophysiology. AUNT. Types and clinical profiles. Clinical diagnosis. Glasgow Coma Scale. Therapeutic intervention. Extrapyramidal syndromes. Parkinson's disease. Epidemiology. Symptomatology. Evolutionary phases. Therapeutic intervention. Bibliography.
Instruments for cognitive assessment (Mini-Mental State Examination (MMSE), Severe-MMSE, Global Deterioration Scale for Assessment of Primary Degenerative Dementia (GDS)).
Instruments for depression and anxiety assessment (Geriatric Depression Scale (GDS), Cornell Scale for Depression in Dementia, Hamilton Depression Rating Scale (HDRS), Beck Depression Inventory (BDI), Goldberg Anxiety and Depression Scale (GADS)).