22034 - GERIATRIC PHYSIOTHERAPY

Subject type: Mandatory

Coordinator: Sara González Millán

Trimester: Third term

Credits: 4

• Spanish
• Catalan

The main objective of this course is to make known the main manifestations associated with the biopsychosocial aging process of the person, taking into account both the preventive aspects of healthy and active habits, as well as psychomotor adaptation strategies and personal inventiveness, as well. such as the chronic and acute processes that may accompany this natural process. Also, different techniques for the attention and care of the person will be exposed and worked, from a perspective of active listening and empathetic attitude that allows an accompaniment adapted to the needs of the same. The theoretical-practical content of the subject, aims to give a vision based on clinical evidence and based on published scientific evidence

• Identifies the main treatments used in physiotherapy interventions in geriatrics. Classify them according to their effect and importance and establish order of priorities in their therapeutic application    

• Analyze the effects produced by the interventions. Evaluates benefits and risks and establishes an intervention criterion based on the priorities and effects pursued

• Analyzes the patient's expectations regarding their evolution, demands and needs

• Assess the patient's physical and mental condition. It determines the level of severity, dysfunctions, disabilities and limitations both individually and socially 

• Interact with other health and physical activity professionals to base an intervention plan based on specific clinical diagnoses

• Applies advanced manual and instrumental techniques for the treatment of musculoskeletal dysfunctions

• Identifies the main respiratory, cardiac and neurological pathologies. Learn medical-surgical interventions, effects and results. Contribution of physiotherapy in the treatment and improvement of these interventions

GENERAL ASPECTS OF GERIATRICS APPLIED TO PHYSIOTHERAPY

SUBJECT 1. THE PROCESS OF AGING

1.1. Aging, comorbidity, multimorbidity, function and disability

1.2. Successful aging, active aging 

1.3. Fragility, intrinsic capacity and motor disability

SUBJECT 2. PRINCIPLES OF GERIATRIC WORK

2.1. Comprehensive geriatric assessment (VGI)

2.2. The individualized treatment plan

2.3. Interdisciplinary teamwork, leadership and skills

2.4. Person-centered care, participatory care and professional-patient communication 

2.5. The role of caregivers

2.6. Complexity and decision making

SUBJECT 3. FUNDAMENTALS OF GERIATRICS

3.1. Geriatric syndromes: dementia and sensory disturbances (sight and hearing)

3.2 Geriatric syndromes: the "vicious circle" immobility, delirium, sarcopenia, falls, fractures and physical restraints

3.3. Evidence-based multidisciplinary interventions: the WHO ICOPE report

UNIT 4. COMPLEMENTARY ASPECTS

4.1. Physical activity and therapeutic exercise

4.2. Integrated care and care transitions

4.3. Physiotherapy in the different geriatric resources (Round table)

SPECIFIC ASPECTS OF PHYSIOTHERAPY

SUBJECT 1. PHYSICAL ACTIVITY AND PSYCHOMOTRICS GROUP 

1.1. Basic attitudes

1.2. Material

1.3. Group dynamics

SUBJECT 2. EVALUATION OF THE MOTOR FUNCTIONS AND FUNCTIONAL CAPACITY 

2.1. Clinical and Observational Exploration

2.2. Clinical Evaluation Tests and Tests 

SUBJECT 3. EVALUATION OF THE SEQUENCES OF RECTIFICATION 

3.1. Natural Pattern of Movement

3.2. Clinical Evaluation Tests and Tests 

3.3. Observational Methodology

3.4. Straightening Sequences 

SUBJECT 4. DISPLACEMENT AND MARCH OF THE OLD PERSON 

4.1. Adapted Natural Displacement

4.2. Intentional Reinforcement and Neuromotor Facilitation of Walking 

4.3. Accompaniments to the March

4.4. Walking Support Products 

SUBJECT 5. INTEGRAL CARE CENTERED IN THE PERSON (AICP) - DEMENTIA - SIGNIFICANT INTERVENTIONS 

5.1. Psychological and Behavioral Symptomatology Associated with Dementia 

5.2. Significant Activities

5.3. Non-Pharmacological and Free Restricted Interventions

5.4. Multisensory stimulation. Snoezelen therapy 

5.5. Communication Skills and Interpersonal Relationships 

UNIT 6. FALLS AND PSYCHOMOTOR DISAPPOINTMENT SYNDROME 

6.1. Extrinsic and Intrinsic Causal Mechanisms and Factors

6.2. Characteristics of Psychomotor Disorder Syndrome (Retropulsion)

6.3. Assessment of Balancing Functions (anticipatory postural activities)

6.4. Balance Self-Learning Work

6.5. Balance Reeducation Programs and Techniques

6.6. Psychomotor Reprogramming of the Sequence of Ascent and Descent of Stairs 

6.7. Psychomotor Reprogramming of the Sequence to get up from the ground 

SUBJECT 7. MOBILIZATION, MOBILITY AND SAFE DISPLACEMENT 

7.1. Principles of the “Safe Mobilization and Displacement” Model 

7.2. Clinical Bed Use and Optimization (Facilities and Precautions) 

7.3. Use of Friction Reduction Surfaces

7.4. Use of Sitting Transfer Equipment

7.5. Postural changes

To pass the course it is necessary to obtain a grade equal to or higher than 5 in the final exam. The final grade of the course is the result of the sum of percentages of all grades obtained during the term (according to weighting table). If the average of the same does not leave approved, the asignatura will be suspended even if it has approved the examination of Ordinary Call or Recovery.

The grades obtained in the continuous assessment will be kept as part of the final grade of the subject, both passed and not passed, to preserve the criteria of continuous assessment, maintaining the same weighting as in the Ordinary Call.

In accordance with current regulations, you can only opt for recovery, if it has been suspended the subject. If the rating is Not presented, you will not be eligible for recovery.

Guccione AA, Wong RA, Avers D. Geriatric physical therapy. Elsevier / Mosby; 2012. 611

Rodríguez P. INTEGRAL AND PERSON-CENTERED ATTENTION. 2013.

Abizanda P, Espinosa JM, Vela R, López A. Consensus document on the Prevention of Fragility and Falls in the Elderly. Health Promotion and Prevention Strategy in the NHS.