Ateneo - UPO

Definition and scope of the discipline. Approach to geriatric problems. Statistics and demography. Aging issues. pathogenetic theories. Biology of Aging. Homeostasis and homeostenosis. Loss of adaptive responses. Approach to the geriatric patient. Anamnesis. Objectivity. Typical and non-typical symptoms. Multidimensional Evaluation. Tools used (ADL; IADL; MMSE; GDS; TINETTI; other). Mental aging and quality of life. 2nd Nutrition and ageing. Constipation. Sphincteric (bladder) incontinence. Climacteric syndrome and menopause (symptoms in the short, medium, long term; risk of osteoporosis; hints of therapy). Physical activity and ageing. 3rd Pressure injuries. Causes. Stage classification. Risk assessment (Norton scale; Braden scale). Prevention and treatment of skin and appendages in the elderly. Falls and fractures. Causes, types and risk factors. Prevention and treatment. Physical restraint. 4th Osteoporosis. Classification, causes and consequences. Inflammatory and non-inflammatory arthropathies. Osteoarthritis. Rheumatoid arthritis. Brain aging. Parkinson's disease. 5th Acute and chronic cerebrovascular pathology. Dementias. Risk factors and clinical picture. vascular forms. Alzheimer's disease. Differential diagnoses. senile depression. Aging and longevity. Pharmacotherapy in the elderly. Adverse drug events. 6th Pain management. Biohumoral indices and ageing. Aging and cancer. The oral cavity in the elderly. Visual pathology of the elderly. Presbyopia. Cataract. Glaucoma. Retinopathy. macular degeneration. Hearing abnormalities. Aging of the hematopoietic system. Myelodysplastic syndromes. Chronic lymphocytic leukemia. Monoclonal gammopathy of uncertain significance. Waldenström's disease. Atherosclerosis. Cardiovascular ageing. Hypertension and arterial hypotension. Atrial fibrillation. 7th heart failure. Peripheral arterial disease. Aging of the gastrointestinal tract. Aging of the endocrine system. Hypothyroidism. Diabetes mellitus. Aging of the respiratory system. Pneumonia. Muscle aging. Renal aging. Prostatic hypertrophy. Urinary infections. rehabilitation strategies. Geriatric Nursing. Progression of care and continuity of care.

Geriatria. Fabrizio Fabris. Casa editrice Scientifica Internazionale, 2003. • Paziente Anziano Paziente Geriatrico - Medicina della Complessità Fondamenti di Gerontologia e Geriatria Senin - Cherubini - Mecocci Edizione: III / 2010 • Manuale di Gerontologia e Geriatria di Bosello Ottavio; Zamboni Mauro PICCIN EDITORE 2011 • Argomenti di geriatria - Manuale per le professioni sanitarie infermieristiche di Marci Massimo CESI 2011 • Manuale Merck di Geriatria on line: http://msd-italia.it/altre/geriatria/index_gen.html • L'assistenza all'anziano - Ospedale, territorio, domicilio di Mongardi Maria MCGRAW-HILL 2010 • Il nursing alla persona anziana - Demenze e malattia di parkinson: procedure, protocolli, linee guida di Prandelli C. CAROCCI 2004

Presentations in MS-Power Point format, by the teacher, with internet connection provided in the classroom

Students with physical disabilities, Learning Disabilities or Special Education Needs can request
specific services and tools via the Staff Sviluppo e Coordinamento Carriere e Servizi alle Studentesse
e agli Studenti, consulting the University webpage: https://www.uniupo.it/en/services/services-
students-physical-or-learning-disabilities
Students with disabilities, learning disabilities or special education needs, once they have contacted
the University Staff, can refer to the tutor in charge of the course to define the examination
modalities, concerning academic aspects.

The exam consists of a written test and an oral test. The written test consists of multiple choice questions on the topics in the program aimed at verifying knowledge and understanding of the disciplines of Neurology, Geriatrics, Physical and Rehabilitative Medicine and Dietary Sciences (14 questions per discipline for a total of 56 questions). Passing this test (60% for each discipline) gives access to the oral exam of Clinical Nursing in Chronicity and Disability. The oral exam aims to evaluate the autonomy of judgment, learning ability, communication ability in exposing and making connections between topics. The student must be able to autonomously use diagnostic reasoning and critical thinking, using and correlating the knowledge learned, addressing the in-depth discussion on specific welfare aspects related to two situations of people with disabilities and / or chronicity.