MGGE0222 Gerontology II

Faculty of Medicine
Spring 2010
Extent and Intensity
20/0/0. 4 credit(s). Type of Completion: zk (examination).
Teacher(s)
prof. MUDr. Pavel Weber, CSc. (lecturer), MUDr. Hana Meluzínová (deputy)
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
Prerequisites (in Czech)
MGGE0121 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
ANNOTATION Up to the fifties of the 20th century people died prematurely. During the last hundred years the life expectancy (LE) has almost doubled. The length of human life nowadays begins to approach to its biological limit. One of the main attributes of the present world population is both an absolute and relative growth of numbers of the older people – not only in industrially advanced states but also in developing countries. At present there are over 580 million people 60+ y. all over the world and in the year 2020 we envisage 1 billion. In 2050 there will be already 2 billion older people on earth. From the demographic viewpoint ageing of population is a consequence of changing mortality and natality – less children are born and more people live to the high age. The crucial role is played by better life standard than in the past and progresses in medicine. In the beginning of 20th century the share of people 65+ y. in European industrially advanced countries was 3-5%. Today it is 14 – 18%. In the EU countries LE is by several years higher than in CR. At present (2005) in CR there are almost 10.3 million of people whose mean age increases each year. Nowadays it is for both genders about 40 years. 14.4% of the inhabitants of CR are of 65+ y. (60+ y. = 22.8%). 3.2% of the people in CR are of 80+ y. (1.1% of 85+ y.). Life expectancy now in CR is 73.5 y. for the male and 79.7 y. for the female. In order to assess the share of the old population we also use the ageing index = number of people 65+ in relation to 100 children below 14 y. Its average in CR constantly increases and it is for the whole of CR 111.8; in Brno it is the second highest in CR, i.e. 128 and in Prague even 130.2. This is actual ageing of the old population. Demographic prognosis of the Czech population for the future presumes the growth of the seniors by about 40-80% (up to the year 2030). The LE is expected to increase by up to four years and the number of people aged 65+ y. will be about 23-25% in 2030 (with people aged 80+ y. the growth by 5-8% is expected - it is nearly tree times more). The ageing index will grow in CR to 243 in 2025 and 296 in 2050. This tendency will continue up to 2050, in CR – 60+ y. = 40%; 65+ y. = 33% and 80+ y. nearly 10% of inhabitants CR. Every twentieth citizen of CR will be 85+ y. Ageing and its expressions in the usual conception, incl. frailty and decrease of mental abilities are not normal signs of the process of ageing, but in the majority of cases they are the sequels of contemporarily running diseases. Gerontology approaches to old generation from the point of view between borders of the health and social sphere. Geriatrics as a medical branch is a typical interdisciplinary approach to the diagnostic, therapy and rehabilitation of diseases and disability in the elderly.
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
  • Weber P. a kol.: Minimum z klinické gerontologie, IPVZ, Brno 2000.
  • Z. Kalvach, Z. Zadák, Jirák R., Zavázalová H., Holmerová I., Weber P. a kolektiv: Geriatrické syndromy a geriatrický pacient. Galén, Praha, 2008, 336 s.
  • Kalvach Z, Zadák Z, Jirák R et al. Geriatrie a gerontologie – 1.vydání. Praha: Avicenum, Grada, 2004: 861.
Teaching methods
Lectures, class discussion.
Assessment methods
Subject: Gerontology I and II Forms of a subject education: lecture, semminary, selfstudy Consultiation hours: 14 + 14/therm (spring/autumn therm) How to finish studying the subject: credit, exam Requests for the credit: - systematic attendance on lectures, active attendance on semminaries and elaboration of one topic from gerontologic problems (by a litarature) as a short presentation (= a report) connected with a leading of the discussion about the topic (working groups of 2-3 attendants) contact education yes 14 hours selfstudy yes study finish GERONTOLOGY I credit GERONTOLOGY II exam Time table is divided to two therms.
Language of instruction
Czech
Further Comments
Study Materials
The course is also listed under the following terms Autumn 2006, Autumn 2007, Spring 2008, Autumn 2008, Spring 2009, Autumn 2009, Autumn 2010.
  • Enrolment Statistics (Spring 2010, recent)
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