Identifying Data 2022/23
Subject (*) Clinic Gerontology I Code 653540005
Study programme
Máster Universitario en Xerontoloxía
Descriptors Cycle Period Year Type Credits
Official Master's Degree 1st four-month period
First Obligatory 4
Language
Spanish
Galician
Teaching method Face-to-face
Prerequisites
Department Fisioterapia, Medicina e Ciencias Biomédicas
Coordinador
Pérez Fontán, Miguel
E-mail
miguel.perez.fontan@udc.es
Lecturers
Millan Calenti, Jose Carlos
Pérez Fontán, Miguel
Rodriguez-Villamil Fernandez, Jose Luis
E-mail
jose.millan.calenti@udc.es
miguel.perez.fontan@udc.es
jose.luis.rodriguez-villamil@udc.es
Web
General description Esta asignatura pretende formar o estudiante nas características xerais dos cambios fisiolóxicos que o envellecemento humán xenera nos diferentes órganos e sistemas do corpo humán, así como nas bases fisiopatolóxicas dos principais síndromes e enfermidades asociadas ao envellecemento, para servir como base ao estudo posterior das enfermedades das persoas maiores.

Study programme competencies
Code Study programme competences
A1 To be able to recognize the main pathologies and geriatric syndromes through the application of new and innovative work methodologies adapted to the field of gerontology
A2 Be able to apply the method of comprehensive geriatric and gerontological assessment in order to establish the bases for implementing the individualized care plan
A3 To be able to incorporate the Geronto-geriatric intervention methodology into the individualized intervention plans
A4 To be able to assume responsibility for their own professional development and their specialization in both the socio-health and health care for the older people in order to join the interdisciplinary teams of Geronto-geriatric assessment and intervention
A5 Acquire knowledge that allows the student to establish the appropriate Geronto-geriatric resource according to the characteristics of the older person
A6 Develop sufficient autonomy to participate in research projects and scientific or technological collaborations within the field of Gerontology, in interdisciplinary contexts both public and private and, where appropriate, with a high component of knowledge transfer.
A7 Acquire advanced knowledge and demonstrating, in a context of scientific and technological or highly specialized research, a detailed and informed understanding of the theoretical and practical aspects and the methodology of work in the field of Gerontology
A8 Know how to apply and integrate the knowledge acquired, the understanding of these, its scientific foundation and its problem-solving capabilities in social and socio-sanitary environments and defined in an imprecise way, including multidisciplinary contexts both researchers and professionals in the field of gerontology
B1 Possess and understand knowledge that provides a basis or opportunity to be original in the development and/or application of ideas, often in a research context
B2 That students know how to apply the knowledge acquired and their ability to solving problems in new or little-known environments within broader (or multidisciplinary) contexts related to gerontology and geriatrics
B3 That students are able to integrate knowledge and face the complexity of making judgments from information that, being incomplete or limited, includes reflections on the social and ethical responsibilities linked to the application of their knowledge and judgments.
B4 That students know how to communicate their conclusions – and the knowledge and ultimate reasons that support them – to specialized and non-specialized audiences in a clear and unambiguous way
B5 That students possess the learning skills that allow them to continue studying in a way that will be largely self-directed or autonomous
C1 Adequate oral and written expression in the official languages
C2 Mastering oral and written expression in a foreign language
C3 Using ICT in working contexts and lifelong learning
C4 Acting as a respectful citizen according to democratic cultures and human rights and with a gender perspective
C5 Understanding the importance of entrepreneurial culture and the useful means for enterprising people
C6 Acquiring skills for healthy lifestyles, and healthy habits and routines
C7 Developing the ability to work in interdisciplinary or transdisciplinary teams in order to offer proposals that can contribute to a sustainable environmental, economic, political and social development
C8 Valuing the importance of research, innovation and technological development for the socioeconomic and cultural progress of society
C9 Ability to manage times and resources: developing plans, prioritizing activities, identifying critical points, establishing goals and accomplishing them
C10 Know and apply the scientific method in the writing of projects
C11 Know how to disseminate the results obtained in the development of its activity through the sources of information available to the scientific community
C12 Broadening care, teaching and research perspectives through the exchange of students and teachers
C13 Know the possibilities of research in the field of gerontology in order to motivate students to join it, enabling the realization of doctoral theses

Learning aims
Learning outcomes Study programme competences
That the student understands th physiologic changes of the organism in older age AJ1
AJ2
AJ3
AJ4
AJ5
AR1
AR2
AC1
BC1
BC2
BC3
BC4
BC5
CC1
CC2
CC3
CC4
CC5
CC6
CC7
CC8
CC9
CC10
CC12
That the student may be able to identify the needs of carederived from the main disordersand geriatric síndromes affecting the elderly. AJ1
AJ2
AJ3
AJ4
AJ5
AR1
AR2
AC1
BC1
BC2
BC3
BC4
BC5
CC1
CC2
CC3
CC4
CC5
CC6
CC7
CC8
CC9
CC10
CC11
CC12
CC13
Planning, together with other members of an interdisciplinary team, the best care parameters, from a holistic bpoint of view of the human being. AJ1
AJ2
AJ3
AJ4
AJ5
AR1
AR2
AC1
BC1
BC2
BC3
BC4
BC5
CC1
CC2
CC3
CC4
CC5
CC6
CC7
CC8
CC9
CC10
CC11
CC12
CC13
Establishing the the background for a therapeutic and communication relationship with older persons. AJ1
AJ2
AJ3
AJ4
AJ5
AR1
AR2
AC1
BC1
BC3
BC4
BC5
CC1
CC2
CC3
CC4
CC5
CC6
CC7
CC8
CC9
CC10
CC11
CC12
CC13
Knowing and applying the necessary care to carry out a correct preparation of the elderly for a diagnostic test, and understanding its relevance. AJ1
AJ2
AJ3
AJ4
AJ5
AR1
AR2
AC1
BC1
BC2
BC3
BC4
BC5
CC1
CC2
CC3
CC4
CC5
CC6
CC7
CC8
CC9
CC10
CC11
CC12
CC13
Keeping a respectful atttitude in relatoin to the rights of information, autonomy and consent by the patient. AJ1
AJ2
AJ3
AJ4
AJ5
AR1
AR2
AC1
BC1
BC2
BC3
BC4
BC5
CC1
CC2
CC3
CC4
CC5
CC6
CC7
CC8
CC9
CC10
CC11
CC12
CC13
Identifying the adequate sources of information with a sanitary interest, and managing the contents. AJ1
AJ2
AJ3
AJ4
AJ5
AR1
AR2
AC1
BC1
BC2
BC3
BC4
BC5
CC1
CC2
CC3
CC4
CC5
CC6
CC7
CC8
CC9
CC10
CC11
CC12
CC13
Developing the capacity for autonomous learning AJ1
AJ2
AJ3
AJ4
AJ5
AR1
AR2
AC1
BC1
BC2
BC3
BC4
BC5
CC1
CC2
CC3
CC4
CC5
CC6
CC7
CC8
CC9
CC10
CC11
CC12

Contents
Topic Sub-topic
Topic 1. Introduction to Gerontoloxy and Geriatrics 1.1. Bases conceptuais e obxectivos da xerontoloxía
1.2. A figura do xerontólogo
1.3 Saúde e envellecemento
1.4 Características da enfermidade do paciente ancián
1.5 Paciente ancián / xerontolóxico / xeriátrico / fráxil
Topic 2. Comunication and interaction in Gerontology 2.1 Comunicación: Concepto e tipos.
2.2 Habilidades e destrezas para comunicar
2.3 Chaves da boa comunicación
2.4 Interacción en Xerontoloxía: equipo interdisciplinar
2.5 Interacción: Proceso, obxectivo e campos principais de actuación
Topic 3. Physical examination of the aged patient 3.1 Historia clínica xeriátrica: semellanzas e diferencias
3.2 Condicións específicas da exploración clínica ao paciente maior
3.3 Exploración física por órganos, aparatos e sistemas
3.4 Presentación atípica de enfermedades comúns no ancián
3.5 Exploracións complementarias
Topic 4. Polipharmacy in the aged patient 4.1 Concepto de farmacodinamia e farmacocinética
4.2 Farmacodinamia: Tipos e lugares de acción
4.3 Factores que modifican a acción farmacolóxica
4.4 Farmacocinética: Absorción, distribución, eliminación e excreción
4.5 Toxicidade. Reaccións adversas. Reaccións iatroxénicas
4.6 Seguridade na prescripción
Topic 5. Epidemiology and prevention in Geriatrics: Main syndromes 5.1 Introducción á epidemioloxía e concepto de prevención en Xerontoloxía
5.2 Factores de risco e de protección
5.3 Concepto e tipos de prevención
5.4 Estudio das patoloxías mais frecuentes no ancián susceptibles de tratamento preventivo
5.5 Recomendacións de prevención

Topic 6. Nonspecific forms of organic reponse 6.1 Concepto e tipos de reaccións: inespecífica, resposta inmune específica.
6.2 Reacción inflamatoria: concepto, ámbito de actuación, finalidade
6.3 Fenómenos tisulares característicos da inflamación
6.4 Mediadores plasmáticos e celulares
6.5 Resposta inflamatoria sistémica: reactantes en fase aguda. Síndrome de respuesta inflamatoria sistémica (SRIS). Reacción febril. Síndrome general de adaptación al estrés
Topic 7. Disorders of the immune reponse in the elderly 7.1 Resposta inmune. Inmunidade innata e adaptativa
7.2 Concepto de inmunosenescencia
7.3 Cambios na inmunidade innata e adaptativa có envellecemento
7.4 Marcadores de inmunosenescencia
7.5 O entorno proinflamatorio do ancián
7.6 Consecuencias de la inmunosenescencia
7.7. Efecto da inmunosenescencia sobre a resposta ás vacunas
Topic 8. Disorders of the nervous system in the elderly 8.1 O estado cognitivo do ancián normal
8.2 Efectos estructurais e funcionais do envejellecemento sobre o sistema nervioso central
8.3 Exploración neurolóxica cerebral no ancián
8.4 Cambios neuronales asociados ao envellecemento
8.5 Consecuencias das enfermidades sobre as funcións cognitivas no ancián
8.6 Efecto de los fármacos sobre la función cognitiva del anciano
8.7 Medidas que enlentecen el envejecimiento cerebral
Topic 9. Sensorial disorders in the elderly 9.1 Trastornos da audición no ancián. Presbiacusia
9.2 Epidemioloxía da presbiacusia
9.3 Factores de risco para presbiacusia
9.4 Cambios estructurais e funcionais có envellecemento auditivo
9.5 Tipos de presbiacusia
9.6 Prevención e tratamento da presbiacusia
9.7 Cambios estructurais no ollo do ancián
9.8 Cambios funcionais na visión asociados ao envellecemento
9.9 Manexo dos déficits visuais no ancián
9.10 Alteracións no gusto, olfato e tacto no ancián
Topic 10. Glandular and reporductory disorders inb the elderly 10.1 Alteracións hormonais no envellecemento normal
10.2 Alteracións neuroendocrinas no ancián
10.3 Alteracións do eixo hipotálamo-hipofisis-suprrerenal
10.4 Prolactina
10.5 Catecolaminas
10.6 Eixo renina-anxiotensina-aldosterona
10.7 Hormona de crecemento
10.8 Cambios endocrinos tras da menopausia
10.9 Cambios no eixo hipotálamo-hipófisos-testicular
10.10 Alteracións hormonais na enfermidade de Alzheimer
Topic 11. Cardiovascular disorders of the elderly 11.1 Cambios na estructura cardíaca durante o envellecemento normal
11.2 Cambios funcionais cardíacos no envellecemento normal
11.3 Cambios estructurais vasculares nol envellecemento normal
11.4 Cambios funcionais vasculares no envellecemento normal
11.5 Arteriosclerosis vs aterosclerosis no ancián
Topic 12. Bone, muscle and articular disorders in the elderly 12.1 Descripción anátomo-fisiolóxica de óso, músculo e articulación
12.2 Metabolismo e función de óso, músculo e articulación
12.3 Fisiopatoloxía ósea, muscular e articular
12.4 Afeccións óseas, musculares e articulares mais frecuentes
Topic 13. Disposal disorders of the elderly 12.1 Estructura e funcións do ril normal
12.2 Cambios renais funcionales e estructurales asociados ao envellecemento
12.3 Estimación do filtrado glomerular no ancián
12.4 Enfermidade renal crónica no ancián
12.5 Tensión arterial no ancián
12.6 Infección urinaria e bacteriuria asintomática no ancián
12.7 Prostatismo e cancro de próstata no ancián
12.8 Función eréctil no ancián
12.9 Incontinencia urinaria no ancián
Topic 14. Mood and sleep disorders in the elderly 14.1

Planning
Methodologies / tests Competencies Ordinary class hours Student’s personal work hours Total hours
Guest lecture / keynote speech A1 A2 A3 A5 A4 A6 A7 A8 B1 B2 B3 B4 B5 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11 C12 C13 20 0 20
Problem solving A1 A2 A3 A5 A4 A6 A7 A8 B1 B2 B3 B4 B5 C2 C3 C4 C5 C6 C7 C8 C9 C10 C12 C13 4 0 4
Seminar A1 A2 A3 A5 A4 A6 A7 A8 B1 B2 B3 B4 B5 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11 C12 C13 14 0 14
Supervised projects A1 A2 A3 A5 A4 A6 A7 A8 B1 B2 B3 B4 B5 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11 C12 C13 0 20 20
Document analysis A1 A2 A3 A5 A4 A6 A7 A8 B1 B2 B3 B4 B5 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11 C12 C13 0 38 38
Multiple-choice questions A1 A2 A3 A5 A4 A6 A7 A8 B1 B2 B3 B4 B5 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11 C12 C13 2 0 2
 
Personalized attention 2 0 2
 
(*)The information in the planning table is for guidance only and does not take into account the heterogeneity of the students.

Methodologies
Methodologies Description
Guest lecture / keynote speech Oral presentations (lectures) by the professors, using interactive fomats, concerning the main topics of the course.
Problem solving Individual or small group tutorials, destinated to dispel doubts and deepening knowledge.
Seminar Tutorized activities, oriente to improve knowledge.
Supervised projects Review or research studies, carried out by the student, tutorized by the professors.
Document analysis Time dedícate by the students to study the course
Multiple-choice questions Evaluation of knowledge. Test, with 40 questions (4 posible answers), only one correct).

Personalized attention
Methodologies
Guest lecture / keynote speech
Seminar
Problem solving
Supervised projects
Document analysis
Multiple-choice questions
Description
Interactive lecture

Individualized or small-group tutorials, with particular dedication to students with partial time dedication

Supervised tasks

Revisión or research Works, carried out individually, under professor's supervision.

Does not demand individualized supervisión.

Does not apply.

Assessment
Methodologies Competencies Description Qualification
Guest lecture / keynote speech A1 A2 A3 A5 A4 A6 A7 A8 B1 B2 B3 B4 B5 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11 C12 C13 Valorarase a participación activa 10
Seminar A1 A2 A3 A5 A4 A6 A7 A8 B1 B2 B3 B4 B5 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11 C12 C13 Valorarase a participación activa 5
Problem solving A1 A2 A3 A5 A4 A6 A7 A8 B1 B2 B3 B4 B5 C2 C3 C4 C5 C6 C7 C8 C9 C10 C12 C13 Valorarase a participación activa 5
Supervised projects A1 A2 A3 A5 A4 A6 A7 A8 B1 B2 B3 B4 B5 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11 C12 C13 Valoración do interese e calidade 20
Multiple-choice questions A1 A2 A3 A5 A4 A6 A7 A8 B1 B2 B3 B4 B5 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11 C12 C13 Proba de resposta múltiple. 40 preguntas tipo test, con catro respostas posibles, solo unha correcta 60
 
Assessment comments
To pass the course, the students will have to fulfill two conditions:
1) Passing the multiple response test, which implies a mínimum score of 60%, taking into account that every three wrong answers will discount one correct answer.
2) Obtaining a global score of, at least, 5 points (over 10) in the global evaluation.

Fraudulent behavior during the tests or any other evaluated activities will imply directly the qualification of failing grade of the topic in the corresponding call, invalidating any qualification obtained for any of the activities regarding the upcoming extraordinary call.

Sources of information
Basic Walter LC (2021). Current Diagnosis & Treatment Geriatrics. McGraw Hill
Halter JB (2017). Geriatric Medicine and Gerontology. McGraw Hill
Kane RL (2018). Principios de Geriatría Clínica. McGraw Hill
Abizanda Soler (2020). Tratado de Medicina Geriátrica. Elsevier

Complementary Taffet GE (2021). Normal ageing. UptoDate (online)


Recommendations
Subjects that it is recommended to have taken before
Biology of Aging/653540021
Old Age Demography/653540001

Subjects that are recommended to be taken simultaneously
Social Gerontology I/653540004

Subjects that continue the syllabus
Geriatric Pathology and Intervention/653540008
Intervention in Gerontology/653540003

Other comments
To help attainement of a sustainable environment, and with the aim of fulfilling the stretaegic objectives 1 and 2 of the "III Plan de Acción do Programa Green Campus FCS (2018-2020)", documental Works performed for this topic: a.- Will be preferentially presented under a virtual format. b.- In case they are prsented in paper: - Use of plastics will be avoided. - Double-face printing will be preferable. - Recycled paper will be preferred. - Drafts will be avoided, whenever possible.


(*)The teaching guide is the document in which the URV publishes the information about all its courses. It is a public document and cannot be modified. Only in exceptional cases can it be revised by the competent agent or duly revised so that it is in line with current legislation.