General information


Subject type: Mandatory

Coordinator: Esther Wall Gimeno

Trimester: Third term

Credits: 4

Teaching staff: 

A hard tackle from Luz Adriana Varela to Vásquez
Marc Terradellas Fernández 

Skills


Basic skills
  • B2_That students know how to apply their knowledge to their job or vocation in a professional way and have the skills that are usually demonstrated by developing and defending arguments and solving problems within their area of ​​study

     

  • B4_That students can convey information, ideas, problems and solutions to both specialized and non-specialized audiences

     

Specific skills
  • E5_Assess the functional state of the patient, considering the physical, psychological and social aspects

     

  • E6_Assess the diagnosis of physiotherapy care according to standards and with internationally recognized validation instruments

     

  • E7_Design the physiotherapy intervention plan according to the criteria of adequacy, validity and efficiency

     

  • E8_Execute, direct and coordinate the physiotherapy intervention plan, using its own therapeutic tools and taking into account the individuality of the user

     

  • E9_Assess the evolution of the results obtained with the treatment in relation to the objectives set

     

  • E10_Prepare the discharge report for physiotherapy care once the proposed objectives have been met

     

  • E13_Ability to work in professional teams as a basic unit in which professionals and other staff of healthcare organizations are structured in a unified or multidisciplinary and interdisciplinary way

     

  • E16_Ability to carry out physiotherapeutic interventions based on comprehensive health care that involves multiprofessional cooperation, integration of processes and continuity of care

     

Transversal competences
  • T1_Acquire the ability to communicate in a foreign language and work in an international context

     

  • T2_Demonstrate ability to organize and plan

     

  • T3_The student must be able to develop skills in interpersonal relationships and be able to work within an intra and interdisciplinary team

     

Description


The subject of Physiotherapy in Geriatrics is part of the compulsory training of the Degree in Physiotherapy of the subject Physiotherapy in Clinical Specialties. This subject aims to bring the student closer to issues related to the health of the elderly, in order to gain knowledge for a comprehensive approach to the care of aging. There is an increasing increase in the population over the age of 65, and achieving active aging is a global socio-health challenge. The main objective of the course is to acquire the basic and specific knowledge to attend, assess and treat from the field of Physiotherapy, the different acute and chronic pathologies associated with the aging process as well as to know the different clinical manifestations and geriatric syndromes. of this stage of life. The theoretical and practical content of the subject, aims to give a vision based on clinical evidence and based on published scientific evidence.

This subject has methodological and digital resources to make possible its continuity in non-contact mode in the case of being necessary for reasons related to Covid 19. In this way it will facilitate the achievement of the knowledge and skills specified in this teaching plan. However, in relation to those practical contents of the subject in which the acquisition of procedural and attitudinal skills by students is essential, it can be considered, if the health situation requires it, the partial and temporary suspension of this with the consequent postponement in its continuity until the health situation allows it.

Learning outcomes


LO28. Identify 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.

LO29. Analyze the effects produced by the interventions. Assess benefits and risks and establish an intervention criterion based on the priorities and effects pursued.

LO30. Analyze the patient's expectations regarding their progress, demands and needs.

LO22. Establish the intervention protocol based on the joint negotiation between physiotherapist and patient.

LO31. Assess the patient's physical and mental status. Determine the level of severity, dysfunctions, disability and limitations both at an individual and social level.

LO33. Carry out the specific physiotherapy diagnosis for each of the clinical specialties in order to determine the dysfunctions and disabilities that will require a specific physiotherapy intervention

LO52. Interact with other health and physical activity professionals to establish an intervention plan based on specific clinical diagnoses.

RA35. Apply advanced manual and instrumental techniques for the treatment of musculoskeletal, osteo-articular, cardiorespiratory and neurological dysfunctions most prevalent in the elderly. Evaluation of results and adverse effects.

LO36. Learn the medical-surgical interventions, effects and results to evaluate and determine the best contribution of physiotherapy in the treatment of these interventions.

RA27. Interacts with medical professionals to gain therapeutic effectiveness. Establish joint intervention objectives.

Working methodology


TRAINING ACTIVITIES HOURS

AF1. Theoretical classes 17,5

AF5. Tutorials 5

AF3. Practical classes 17,5

AF6. Study and group work 10

AF7. Independent study and work, individual 50

                                                             TOTAL 100

Contents


THEORY OF PHYSIOTHERAPY IN GERIATRICS

- Introduction to geriatrics and general aspects applied to physiotherapy.

- Introduction to the method of maintenance and postural changes.

- The process of physiological and pathological aging.

- Comprehensive geriatric assessment. Functional assessment scales.

- Major geriatric syndromes.

- Gait disorders. falls

- Physical activity in the elderly. Gerontopsychomotor skills. Physical exercise and fragility.

- Comprehensive person-centered care.

- Introduction to dementias. Physical restraints. Attention to the end of life.

- Addressing the main pathologies in the geriatric field and home rehabilitation.

 

PRACTICE OF PHYSIOTHERAPY IN GERIATRICS

- Transfers and mobilization of elderly people with different levels of dependency.

- Postural changes. Anti-decubitus support products.

- Scales of physical and functional assessment.

- Vascular disorders in the elderly. Bandaged by venous insufficiency.

- Approaching the amputated patient. Stump bandage.

- Reeducation and accompanying the march. Walking support products.

- Prevention and treatment of falls. Proprioception in the elderly. Grounding.

- Physical exercise in the elderly: group dynamics.

- Physical restraints, transfer crane. Energy saving techniques.

- Clinical cases in geriatrics.

- Critical reading of scientific articles on physiotherapy in geriatrics.

Learning activities


Teaching methodologies (MD)

MD1. Expository method or master lesson: transmit knowledge and activate the student's cognitive processes through unidirectional learning.

MD2. Case study: acquire learning through the analysis of real or simulated cases.

MD6. Cooperative learning: Foster active and meaningful knowledge cooperatively.

Evaluation system


The subject of Physiotherapy in Geriatrics consists of different sections for the evaluation of acquired knowledge. The percentages of each section are detailed below:

Evaluation system Weighting

SE 1. Electronic portfolio 10%

SE 2. Oral presentation 50%

SE 3. Exam 40%

The final mark of the subject is the result of the sum of the percentages of all the grades obtained during the quarter (according to the weighting table). If the average of the same is not passed, the subject will be suspended even if the Ordinary Convocation or Recovery exam has been passed. Therefore, to pass the subject it is necessary to obtain a grade equal to or higher than 5 in all the sections that are evaluated.

It is mandatory to attend 80% of the practical block.

The grades obtained in the continuous assessment will be kept as part of the final mark of the subject, both those passed and those not passed, to preserve the criteria of the continuous assessment, maintaining the same weighting as in the Ordinary Call. The different practical and continuous assessment parts will be weighted average for the final percentage of the corresponding grade (30%). This percentage is part of the evaluation system SE 3. Final exam. In the case of continuous assessment activities where the student does not appear, there will be a "0" in that section, so that the rest of the continuous assessment activities can be averaged.

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

The total or partial copy in any of the learning activities will mean a "not presented" to the subject, therefore a suspended and without option to present in the proof of recovery and without prejudice of the opening of 'a record for this reason.

REFERENCES


Basic

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Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Aging. 2019; 48 (1): 16–31.

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Complementary

Rodríguez P. Integral and Person-Centered Care. 2013

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Bisquerra R. (2001) Emotional education and well-being (6th ed.). Barcelona Wolters Kluwer.

Bullo V, Gobbo S, Vendramin B, Duregon F, Cugusi L, Di Blasio A, et al. Nordic Walking can be incorporated in the exercise prescription to increase aerobic capacity, strength and quality of life for elderly: a systematic review and meta-analysis. Rejuvenation Res. 2018; 21 (2): 1–70.

Cadore EL, Casas-Herrero A, Zambom-Ferraresi F, Idoate F, Millor N, Gómez M, et al. Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians. Age Dordr Neth. 2014 Apr;36(2):773-85.

Carolyn Kisner and Lynn Allen Colby. (2005) Therapeutic exercise. Fundamentals and techniques. Editorial Padiotribo.

Carrillo R, Bermejo J, Carlos P, Gabriel U, Cortés C. Fragility and sarcopenia. Rev la Fac Med at UNAM. 2011; 54 (5): 12–21.

Dotte P. (1999 and 2001) Method of manual maintenance of patients. Volume I and II: generalities and specific gestural education and clinical applications. (5th ed.). Barcelona. Masson.

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Ferran Montagut and Gemma Flotats. (2005) Home rehabilitation. Barcelona. Masson Publishing.

Kauffman, TL., Scott, RW., Barr, JO., Moran, ML. (2014). A comprehensive guide to geriatric rehabilitation (3rd ed.). London: Churchill Livingstone.

Lam FM, Huang MZ, Liao LR, Chung RC, Kwok TC, Pang MY. Physical exercise improves strength, balance, mobility, and endurance in people with cognitive impairment and dementia: a systematic review. J Physiother. 2018; 64 (1): 4–15.

Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015; 25: 1–72.

Podsiadlo D, Richardson S. The timed «Up & Go»: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. February 1991; 39 (2): 142-8.

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Román Viñas B, Ribas Barba L, Ngo J, Serra Majem L. Validation in Catalan population of the international questionnaire of physical activity. Gac Sanit. 2013; 27 (3): 254–7.

SEGG Spanish Society of Geriatrics and Gerontology (2017). Therapeutic Manual in Geriatrics (2nd ed.). Madrid: Panamericana.

Staples, WH (2016). Geriatric Physical Therapy: a case study approach (1st ed.). New York: McGraw-Hill Education / Medical.

Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc. February 1986; 34 (2): 119-26.