Combined Bachelor's + Master's degree in Medicine and Surgery

Medical clinic, gerontology and medical treatment (2017/2018)

Course code
4S01141
Credits
24
Coordinator
Pietro Minuz

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
MEDICINA GENERALE, MEDICINA INTERNA E GERIATRIA 5 MED/09-INTERNAL MEDICINE Lezioni 2° semestre - 6° anno Luca Giuseppe Dalle Carbonare
Lidia Del Piccolo
Cristiano Fava
Nicola Martinelli
Pietro Minuz
Mauro Zamboni
INTERAZIONE CON ALTRE FIGURE PROFESSIONALI 1 MED/45-NURSING Lezioni 2° semestre - 6° anno Luisa Saiani
DIDATTICA PRATICA DI MEDICINA INTERNA 18 NN-- See the unit page See the unit page

Learning outcomes

Module: DIDATTICA PRATICA DI MEDICINA INTERNA

Knowing how to collect the patient's clinical history, identify hypotheses or diagnostic lines, set up a diagnostic / therapeutic procedure.

Module: INTERAZIONE CON ALTRE FIGURE PROFESSIONALI
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This course is aiming at to analyze the profile and the role of the different kind of health professionals, who works in cooperation with the physicians (eg nurses, midwifery, occupational therapist.. ).


Module: MEDICINA GENERALE, MEDICINA INTERNA E GERIATRIA
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Learning Outcomes (knowledge and skills acquired)
The teaching aims to analyze some physiopathologic , clinical and helpful aspects related to priority health problems, selected for their epidemiological and exemplarity importance, in a clinical instability’s situation and in a chronic disease/disability. It considers the changes due to people’s ageing and to the chronic-degenerative disease’s problems increasing. The approach focuses on management and identification of existing and possible problems’, considering various helpful contests and self-care abilities’ promotion and development.
In particular, at the end of the course, the student must be able to learn physiopatology and therapies of the main geriatric syndromes

Syllabus

Module: INTERAZIONE CON ALTRE FIGURE PROFESSIONALI
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The interprofessional collaboration as a key point for a good health team. How are the strategies to facilitate the integration between heath practitioner (eg pre- conferenze, post-conference ). The clinical outcome that are influenced by the interprofessional interactions.
How to deal with health needs of gerontological patients, which requires an interpofessional approach.
Multiprofessional approach and cooperation model development in the community care



Module: MEDICINA GENERALE, MEDICINA INTERNA E GERIATRIA


Topics:
Heart failure in the elderly with comorbidities,
Aatrial fibrillation clinic and therapy, anticoagulation therapy
Obesity and its management
Disorders of alimentary habits, diagnosis and treatment focuses on anorexia
Falls and hypotension in the elderly
Osteoporosis,
Hyperparathyroidism,
Thyroid dysfunctions-
Deficiency anemias
Anemia in patients-
Autoimmune hemolytic anemias
Microangiopathic anemia-
Treatment monitoring
Prescription error

Treatment with oral direct anticoagulants
Resistant/secondary or otherwise problematic arterial hypertension
Hyponatremia and hypo/hyperkalemia
Peripheral ischaemia (bowel or lower limbs)
TAeatment of following diseases:
Arterial hypertension,
Heart failure,
Ischemic heart disease,
Arrhythmias,
Cerebral vascular disease,
Vasculitis,
Venous thromboembolism
Gerd,
Peptic disease,
Chronic pancreatitis,
Peripheral artery disease,
Diabetes mellitus,
Hyperlipoproteinemia,
Hyperuricemia,
Anemia,
Bronchial Asthma.
COPD and respiratory infections
Antibiotics against the main infections of other districts,
Rheumatoid arthritis,
Osteoarthritis,
Thyroid dysfunctions,
Hyeprparathyroidism,
Chrnic and acute pain,
Renal failure,
Polypharmacotherapy

Assessment methods and criteria

The exam consists of a-multiple choice written test on topics of medical treatment described during the cycle of lectures followed by an oral examination focused on: 1) critical evaluation of the results of the written test; 2) discussion of a clinical case chosen from several structured clinical cases available to teachers.

Reference books
Author Title Publisher Year ISBN Note
Dennis Kasper, Anthony S. Fauci Harrison - Principi di Medicina Interna McGraw-Hill 2016
Ottavio Bosello, Mauro Zamboni Manuale di Gerontologia e Geriatria (Edizione 1) 978-88-299-2094-5 2011
Alan J. Sinclair - John E. Morley and Bruno Vellas PATHY'S PRINCIPLES AND PRATICE OF GERIATRIC MEDICINE (Edizione 1) Wiley-Blackwell 2012
Senin Paziente anziano e paziente geriatrico EdiSes, Napoli, ultima ed.  
Vazirani S, Hays RD, Shapiro MF, Cowan M Effect of a multidisciplinary intervention on communication and Am J Crit Care 2005 Jan;14(1):71-7
Reeves S, Pelone F, Harrison R, Goldman J, Zwarenstein M . Interprofessional collaboration to improve professional practice and healthcare outcomes Cochrane Database Syst Rev 2017




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