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Předmět, akademický rok 2024/2025
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Internal Medicine - Geriatrics - B80602
Anglický název: Internal Medicine - Geriatrics
Zajišťuje: Geriatrická klinika 1. LF UK a VFN (11-00590)
Fakulta: 1. lékařská fakulta
Platnost: od 2024
Semestr: zimní
Body: 2
E-Kredity: 2
Způsob provedení zkoušky: zimní s.:
Rozsah, examinace: zimní s.:0/25, Z [HS]
Rozsah za akademický rok: 25 [hodiny]
Počet míst: neomezen
Minimální obsazenost: neomezen
4EU+: ne
Virtuální mobilita / počet míst pro virtuální mobilitu: ne
Stav předmětu: vyučován
Jazyk výuky: angličtina
Způsob výuky: prezenční
Vysvětlení: prof. MUDr. Topinková Eva, CSc.student´s identity card
Další informace: http://geri.lf1.cuni.cz
Staré označení: 602
Garant: prof. MUDr. Eva Topinková, CSc.
Patří mezi: Compulsory for GM 5.y._24/25
Atributy: Lékařství
Klinický předmět
Prerekvizity : B80386, B80632, B83161, B83162
Je prerekvizitou pro: B81056
Anotace - angličtina
Internal medicine – Geriatrics is taught during one-week clinical rotation at the Department of Geriatrics 1.LF and VFN in the broader context of general internal medicine. During the rotation students receive theoretical background and clinical practice and demonstrations in the form of lectures, seminars and bedside training focused on specific aspects of clinical presentation, diagnostic workout and treatment of common diseases in old age.
Poslední úprava: Kolářová Jana (05.03.2021)
Literatura - angličtina

LITERATURE

Textbooks
The Merck Manual of Geriatrics www.merck.com/mrkshared/mmg/home.jsp
Geriatrics at Your Fingertips

CEDERHOLM, Tommy, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical Nutrition, 2017, 36.1: 49-64.
CRUZ-JENTOFT AJ., et al. Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing, 2018, 48.1: 16-31.
DRUML, Christiane, et al. ESPEN guideline on ethical aspects of artificial nutrition and hydration. Clinical Nutrition, 2016, 35.3: 545-556.
JENSEN, Gordon L., et al. GLIM criteria for the diagnosis of malnutrition: a consensus report from the global clinical nutrition community. Journal of Parenteral and Enteral Nutrition, 2019, 43.1: 32-40.
SOBOTKA,L. (Ed.). Basics in Clinical Nutrition. 2. vyd. Praha: Galen, 2000.
VOLKERT D, et al. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clinical Nutrition, 2019, 38.1: 10-47.
VOLKERT D et al. ESPEN guidelines on nutrition in dementia. Clinical nutrition, 2015, 34.6: 1052-1073.

Important websites:
MedScape www.medscape.com
NICE (National Institute for Health and Clinical Excellence) www.nice.org.uk
WHO aging www.who.int/topics/ageing

Geriatric societies
Česká gerontologická a geriatrická společnost ČLS www.cggs.cz
EUGMS (European Union Geriatric Medicine Society) www.eugms.org
British Geriatrics Society www.bgs.org.uk
American Geriatrics Society www.americangeriatrics.org

Scientific journals

Age and Ageing http://ageing.oupjournals.org
Aging (Milano) www.aging.it
European Geriatric Medicine https://www.eugms.org/publications/egm-publication.html

Clinical Interventions in Aging https://www.dovepress.com/clinical-interventions-in-aging-journal

Journal of Americal Geriatric Society https://onlinelibrary.wiley.com/journal/15325415

Drugs and Aging https://link.springer.com/journal/40266

Journal of Nutrition, Health and Aging www.serdi-fr.com/jnha
Reviews in Clinical Gerontology http://uk.cambridge.org/journals.rcg

Poslední úprava: Michálková Helena, Mgr., Ph.D. (02.12.2024)
Metody výuky - angličtina

Location:        Attention new address

Klinika geriatrie a interní medicíny 1. LF UK a VFN, 
Department of Geriatrics and Internal Medicine
Šermířská 1921/4, 169 00 Praha 6 - Strahov

Teachers:                 

prof. MUDr. Topinková Eva, CSc.,

doc. PharmDr. Daniela Fialová, PhD,

Ing. Mgr. Tereza Vágnerová, Ph.D.,

MUDr. Jan Klán,

MUDr. Ludmila Pavlíčková,

 

Contacts:  prof. MUDr. Topinková Eva, CSc.   e-mail: eva.topinkova@vfn.cz

Technical support: Mgr. Helena Michálková, Ph.D. e-mail Helena.michalkova@lf1.cuni.cz


Internal Medicine – Geriatrics

Geriatrics B800602

English Parallel 5th year   

Group 5054

 

Dear student colleagues,

welcome in our Department of Geriatrics and Internal Medicine. Our training will be held on-site. The department is located on Šermířská 1921/4 Street, Prague 6 in Strahov. From Karlovo náměstí, take bus number 176 to the final stop Stadion Strahov. Or from Metro Dejvická station, take bus 143 or 149 to the Koleje Strahov stop.

Here is some information for you.

Classes start 8.30, please, take sufficient time to get there. Please bring your ID, stethoscope, and CLEAN white coat for Clinical demonstrations (see the course program). The whole group will be divided into groups 1 and 2 which will enable us to assess and discuss geriatric patient and clinical case studies in smaller groups.

Attached is the program for the week: 17th March-21st March 2025. Additionally, we have prepared training materials for each day of the rotation which are available in Moodle for you after you sign in for the course (Internal Medicine – Geriatrics) – you should have received the invitation for Moodle. The materials consist of presentations, obligatory and elective reading, clinical skills and tools for assessing geriatric syndromes and comprehensive assessment of mental, somatic and functional status. Feel free to look for additional resources - professional scientific journals Age and Ageing, European Geriatric Medicine, Clinical Interventions in Aging, Drugs and Aging … or other resources from websites of universities British or American Geriatric Societies, European Geriatric Society. EUGMS and geriatric societies in your countries of residence.

With best regards

prof. Eva Topinková, MD, PhD

 

 

Internal Medicine - Geriatrics B800602 AR 2024/2025

MOODLE Course: B80602 Internal Medicine - Geriatrics AR 2024/2025

 

Program  17-21 March, 2025:

MONDAY

8,30 - 10,00  lecture

Geriatrics and gerontology. Atypical disease presentation in old age. Basics of physical assessment and Comprehensive Geriatric Assessment (CGA)

10,15 - 12,00 clinical rotation + demonstration

Group 1  Multimorbidity, Comprehensive Geriatric Assessment in clinical practice prof Topinková

Group 2  Mobility disorders, falls, accidents  MUDr. Klán

 

TUESDAY

8,30 - 10,00 lecture
Geriatric syndromes (frailty, malnutrition, sarcopenia, cognitive disorders, falls, incontinence, disability, sensoric deficits) MUDr. Pavlíčková

10,15 - 12,00 clinical rotation + demonstration

Group 1 Chronic wound management prof. Topinková, Mgr Koutná

Group 2 Multimorbidity, Comprehensive Geriatric Assessment in clinical practice MUDr. Pavlíčková

 

WEDNESDAY

8,30 – 9,30 lecture 

Frailty and sarcopenia  prof. Topinková

9,30-11,00 lecture
Principles of geriatric pharmacotherapy. Polypharmacy. doc Fialová

11,15 - 12,15 clinical demonstration

Pharmacology case studies. doc Fialová

 

THURSDAY

8,30 - 10,00  lecture

Nutrition in older patients  Ing. Vágnerová

10,15 - 12,00 clinical rotation + demonstration

Group 1 Malnutrition  Ing. Vágnerová

Group 2 Chronic wound management prof. Topinková, Mgr Koutná

 

FRIDAY

8,30 - 10,00 clinical rotation + demonstration

Group 1 Mobility disorders, falls, accidents  MUDr. Klán

Group 2  Malnutrition  Ing. Vágnerová

10,15 - 11,30 seminar

Credit group discussion. prof Topinková

 

 

TRAINING MATERIALS

MOODLE Kurz: Kurz: B80602 Internal Medicine - Geriatrics AR 2024/2025 

 

Monday:
Presentations: Introduction to Geriatric medicine for medical students
                        Geriatric medicine physical examination

Obligatory reading: Comprehensive Geriatric Assessment , multidisciplinary team

Clinical skills: Decubitus ulcer and chronic wounds (definition, type of wounds, wound evaluation, wound healing and management)

 

Tuesday
Presentations: Frailty (ppt)

Obligatory reading: Frailty guideline, 2017
                        Sarcopenia: revised European consensus on definition and diagnosis

Clinical skills: Falls in the elderly (ppt)

Tools for evaluation of activities of daily living (ADL/IADL), frailty and sarcopenia (Fried Frailty Criteria, Clinical Frailty Scale, Short Physical Performance Battery)

 

Wednesday
Presentations:  Pharmacotherapy in old age

Obligatory reading: Prescribing to geriatric patient

Clinical skills: case study

 

Thursday
Presentations:  Nutrition in older people, malnutrition

Obligatory reading: ESPEN guidelines/recommendations, GLIM malnutrition criteria

Clinical skills: 2 case studies enteral and parenteral nutrition

Tools for evaluation of nutritional status

 

Friday
Presentations:  Urinary incontinence

Obligatory reading: Delirium

Tools for evaluation of cognitive and affective functions: Geriatric Depression Scale, Mini Mental State Examination, Minicog + Clock Drawing Test

Poslední úprava: Michálková Helena, Mgr., Ph.D. (06.03.2025)
Požadavky ke zkoušce - angličtina

Location:        Attention new address

Klinika geriatrie a interní medicíny 1. LF UK a VFN, 
Department of Geriatrics and Internal Medicine
Šermířská 1921/4, 169 00 Praha 6 - Strahov

Teachers:                 

prof. MUDr. Topinková Eva, CSc.,

doc. PharmDr. Daniela Fialová, PhD,

Ing. Mgr. Tereza Vágnerová, Ph.D.,

MUDr. Jan Klán,

MUDr. Ludmila Pavlíčková

 

Contacts:  prof. MUDr. Topinková Eva, CSc.   e-mail: eva.topinkova@vfn.cz

Technical support: Mgr. Helena Michálková, Ph.D. e-mail Helena.michalkova@lf1.cuni.cz


Internal Medicine – Geriatrics

Geriatrics B800602

English Parallel 5th year   

Group 5054

 

Dear student colleagues,

welcome in our Department of Geriatrics and Internal Medicine. Our training will be held on-site. The department is located on Šermířská 1921/4 Street, Prague 6 in Strahov. From Karlovo náměstí, take bus number 176 to the final stop Stadion Strahov. Or from Metro Dejvická station, take bus 143 or 149 to the Koleje Strahov stop.

Here is some information for you.

Classes start 8.30, please, take sufficient time to get there. Please bring your ID, stethoscope, and CLEAN white coat for Clinical demonstrations (see the course program). The whole group will be divided into groups 1 and 2 which will enable us to assess and discuss geriatric patient and clinical case studies in smaller groups.

Attached is the program for the week: 17th March-21st March 2025. Additionally, we have prepared training materials for each day of the rotation which are available in Moodle for you after you sign in for the course (Internal Medicine – Geriatrics) – you should have received the invitation for Moodle. The materials consist of presentations, obligatory and elective reading, clinical skills and tools for assessing geriatric syndromes and comprehensive assessment of mental, somatic and functional status. Feel free to look for additional resources - professional scientific journals Age and Ageing, European Geriatric Medicine, Clinical Interventions in Aging, Drugs and Aging … or other resources from websites of universities British or American Geriatric Societies, European Geriatric Society. EUGMS and geriatric societies in your countries of residence.

With best regards

prof. Eva Topinková, MD, PhD

 

 

Internal Medicine - Geriatrics B800602 AR 2024/2025

MOODLE Course: B80602 Internal Medicine - Geriatrics AR 2024/2025

 

Program  17-21 March, 2025:

MONDAY

8,30 - 10,00  lecture

Geriatrics and gerontology. Atypical disease presentation in old age. Basics of physical assessment and Comprehensive Geriatric Assessment (CGA)

10,15 - 12,00 clinical rotation + demonstration

Group 1  Multimorbidity, Comprehensive Geriatric Assessment in clinical practice prof Topinková

Group 2  Mobility disorders, falls, accidents  MUDr. Klán

 

TUESDAY

8,30 - 10,00 lecture
Geriatric syndromes (frailty, malnutrition, sarcopenia, cognitive disorders, falls, incontinence, disability, sensoric deficits) MUDr. Pavlíčková

10,15 - 12,00 clinical rotation + demonstration

Group 1 Chronic wound management prof. Topinková, Mgr Koutná

Group 2 Multimorbidity, Comprehensive Geriatric Assessment in clinical practice MUDr. Pavlíčková

 

WEDNESDAY

8,30 – 9,30 lecture 

Frailty and sarcopenia  prof. Topinková

9,30-11,00 lecture
Principles of geriatric pharmacotherapy. Polypharmacy. doc Fialová

11,15 - 12,15 clinical demonstration

Pharmacology case studies. doc Fialová

 

THURSDAY

8,30 - 10,00  lecture

Nutrition in older patients  Ing. Vágnerová

10,15 - 12,00 clinical rotation + demonstration

Group 1 Malnutrition  Ing. Vágnerová

Group 2 Chronic wound management prof. Topinková, Mgr Koutná

 

FRIDAY

8,30 - 10,00 clinical rotation + demonstration

Group 1 Mobility disorders, falls, accidents  MUDr. Klán

Group 2  Malnutrition  Ing. Vágnerová

10,15 - 11,30 seminar

Credit group discussion. prof Topinková

 

 

TRAINING MATERIALS

MOODLE Kurz: Kurz: B80602 Internal Medicine - Geriatrics AR 2024/2025 

 

Monday:
Presentations: Introduction to Geriatric medicine for medical students
                        Geriatric medicine physical examination

Obligatory reading: Comprehensive Geriatric Assessment , multidisciplinary team

Clinical skills: Decubitus ulcer and chronic wounds (definition, type of wounds, wound evaluation, wound healing and management)

 

Tuesday
Presentations: Frailty (ppt)

Obligatory reading: Frailty guideline, 2017
                        Sarcopenia: revised European consensus on definition and diagnosis

Clinical skills: Falls in the elderly (ppt)

Tools for evaluation of activities of daily living (ADL/IADL), frailty and sarcopenia (Fried Frailty Criteria, Clinical Frailty Scale, Short Physical Performance Battery)

 

Wednesday
Presentations:  Pharmacotherapy in old age

Obligatory reading: Prescribing to geriatric patient

Clinical skills: case study

 

Thursday
Presentations:  Nutrition in older people, malnutrition

Obligatory reading: ESPEN guidelines/recommendations, GLIM malnutrition criteria

Clinical skills: 2 case studies enteral and parenteral nutrition

Tools for evaluation of nutritional status

 

Friday
Presentations:  Urinary incontinence

Obligatory reading: Delirium

Tools for evaluation of cognitive and affective functions: Geriatric Depression Scale, Mini Mental State Examination, Minicog + Clock Drawing Test

Poslední úprava: Michálková Helena, Mgr., Ph.D. (06.03.2025)
Sylabus - angličtina

Definition and content of gerontology and geriatrics, organization of geriatric Services and care, education in geriatric medicine in CR and Europe.

Multimorbidity, disability, frequent geriatric syndromes; Pharmacological treatment in old age.

Comprehensive Geriatric Assessment (CGA) - health status, physical performance and self-sufficiency, nutrition, frailty, mental status, geriatric risk stratification with the use of standardized assessment tools and scales.

The most common clinical problems in geriatrics (geriatric patient with dementia/depression/delirium, patient with falls/instability, with sarcopenia, frailty, heart failure, stroke, chronic skin defects ect.)

Poslední úprava: Kolářová Jana (05.03.2021)
 
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