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Health and the Older Person - #25690


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Directions to the Marian Center: Driving Directions from [2501-2739] W 84th St, Minneapolis, MN to MARIAN Center of St Paul, 200 Earl St, St Paul, MN

 

 
Paul Osterbauer, DC, MPH, Wolfe-Harris Center for Clinical Studies Team and Guest Lecturers
2
30
2
0

Students will learn the unique aspects of caring for elderly patients.

 
Please select from the list on the right.

The Institution-wide learning goals define the common ground that unites the programs within the university. They are purposefully broad so that the various colleges and schools can continue to develop their unique identities through varying ways in which the goals are met.

  1. Effective Communication
    Graduates will demonstrate effective verbal, non-verbal, and written communication skills in a wide variety of contexts, including collaborative activities.
  2. Self Directed and Lifelong Learning
    Graduates will be aware of the limits of one’s personal knowledge and experience and have an intellectual interest in scholarly and creative endeavors. Graduates will actively set appropriate learning goals, pursue them, and apply the knowledge gained.
  3. Ethical Reasoning
    Graduates will demonstrate a willingness to recognize the values of others while maintaining one’s own integrity, and act ethically and professionally in all endeavors.
  4. Individuals, Communities and Cultures
    Graduates will demonstrate awareness and sensitivity to the cultural and health practices of individuals and communities. Graduates will be able to identify appropriate health related resources.
  5. Service to the Community
    Graduates will understand and value the benefits of service to the community.
  6. Influence of Mind, Body and Spirit on Health
    Graduates will recognize the inter-relationship of the mind, body and spirit and the influence of extrinsic factors on an individual’s health.
  7. Critical Thought and Knowledge Acquisition
    Graduates will acquire, appraise and apply scientific information. Graduates will contextually organize and synthesize relevant information to address an issue or problem.
  8. Competence in one's Discipline
    Graduates will demonstrate competence of appropriate depth and scope for one's discipline.

Course Objectives
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  1. Describe demographic aging trends, and causes and implications.
  2. Describe current theories of aging and male and female longevity.
  3. List normal aging changes in the various body systems, and the subsequent complaints seen in older patients. Describe the difference between normal and disease processes, and between functional age and chronological age.
  4. Describe specific differences in the diagnostic work-up of an older patient, including history taking and the physical examination.
  5. Describe the components of successful aging.
  6. Describe the diagnosis and management of common geriatric conditions.
Materials
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A. Required Text(s):

Chiropractic Care of the Older Patient, Gleberzon B, ed., Butterworth-Heinemann, 2001

Notes for Geriatrics (available in the Bookstore)

 


B. Recommended Text(s):

The Aging Body, Bougie JD & Morgenthal AP, McGraw-Hill, 2001

Geriatric Practice-Specific Issues, Bougie JD. In: Haldeman S., ed. Principles and Practice of Chiropractic, 3rd edition, McGraw-Hill, 2005

Essentials of Clinical Geriatrics, 5th Edition, Kane RL, et al., McGraw-Hill, 2004

20 Common Problems: Geriatrics, Adelman & Daly, McGraw-Hill, 2001

 


C. Required Materials for Lab:
None
Assignments
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  1. Read all handout materials
  2. Lecture materials
  3. Geriatric Health Assessment Project: conducted at the Marian Center
  4. Optional Extra-Credit: 4 hours Volunteer Work at the Marian Center: Refer to "Resources" for a link to the details
Attendance
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Students are strongly encouraged to attend lecture and lab. When absent, the student is responsible for obtaining information covered. Poor attendance usually results in lower academic achievement.
Grading Criteria
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  1. Geriatric Health Assessment Project 50 pts: 50 points
  2. Midterm Written Examination: 100 points
  3. Final Written Examination: 100 points
  4. Quizzes may be unannounced, 0-40 points, student can drop 2 quizzes
  5. Optional Extra-Credit: Prepare a Power Point presentation summarizing your experience to present to class: 0-15 points

Guaranteed grades are as follows:

A = 93 - 100%
B = 85 - 92%
C = 75 - 84%
D = 70 - 74%
F = Below 70%
Course Competencies
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-

COGNITIVE DOMAIN


Students will be able to make case management decisions regarding common geriatric conditions based on their understanding to the the following information regarding each conditions. (see key on following page for description of codes.)

Conditions:
Clinical Condition
Etiol. & Epidem
Patho- phys
Nat.History & course
Exam & DX
RX/ Mgmt
Activity Assessment
2
1
2
1,2,3
1, 2, 3
Balance and Falls
1
2
2
1, 2, 3
1, 2, 3
Indigestion
1
1
2
1,2,3
1,3,5
Diverticulitis
1
2
2
1,2,3
1,3,5
Irritable Bowel Syndrome
1
1
2
1,2,3
1,3,5
Cataracts
1
1
2
1,2,3
3,5,6
Glaucoma
1
2
2
1,2
3,6
Senile Macular Degeneration
1
1
2
1,2,3
3,6
Diabetic Retinopathy
1
2
1
1,2
3,5,6
Presbyopia
2
2
1
1,2,3
3,6
Hearing Loss
1
2
2
1,2,3
3,6
Osteoarthritis
2
2
3
1,2,3,6
3,4,5,6
Rheumatoid Arthritis
2
2
2
1,2,3,6
1,3,4,5,6
Gout
1
2
1
1,2,3
1,3,4,5
Hypo/Hyperthermia
2
1
2
1,2,3
3,4,5
Diabetes Mellitus
2
2
3
1,2,3,5
1,3,4,5,6
Benign Prostatic Hypertrophy
2
1
2
1,2,3
3,4,5
Prostatic Cancer
2
2
2
1,2,3
5
Prostatitis
1
2
2
1,2,3,5
1,3,4,5
Depression
2
2
3
1,2,3
1,3,4,5,6
Dementia
2
2
2
1,2,3
3,5,6
Alzheimer's
2
2
3
1,2,3
3,5,6
Insomnia
2
1
2
1,2,3,5
1,3,4,5
Constipation
2
1
2
1,2,3
1,3,4,5
Chronic Obstructive Pulmonary Disease
2
2
2
1,2,3
1,3,4,5,6
Temporal Arteritis
2
2
2
1,2,3
5,6
Polymyalgia Rheumatica
1
0
0
1,2,3
3,5,6
Osteoporosis
2
2
2
1,2,3,5,6
1,3,4,5,6

Postherpetic Neuralgia
2
1
2
1,2,3
1,3,4,5,6
Advanced Directives/End of Life Issuses
1
0
0
0
5

Elaboration of Coding Definitions Regarding the Conditions

The following codes refer to the depth of coverage for Etiology and Epidemiology;
Pathophysiology, and; Natural History and Course:

0 No coverage or content
1 Introduction, without test items
2 Moderate class discussion and/or handout material, with test items
3 Extensive discussion and/or handout material, with test items

For Exam and Diagnosis, the following numbers indicate which aspects of exam and diagnosis of each condition are taught in this course:

1 Presenting SX: Presenting symptoms related to condition are discussed.
2 History findings: Relevant personal and family history are discussed.
3 Exam findings: General physical exam findings are discussed.
4 Chiro. findings: Posture, subluxation, muscle tone and length, trigger pts .
5 Lab findings: Blood, urine, CSF . . .
6 Imaging findings: Normal, CT, CAT, MRI . . .
7 Special test findings: eg. sweat test for cystic fibrosis, spirometry for asthma.

For Treatment/Management, the following numbers indicate which aspects of treatment and management of each condition are taught in this course:

1 Chiropractic: Adjustments, soft tissue techniques
2 PT: Physical therapy modalities of all types
3. Nutrition/Suppl: Diet and supplement recommendations
4 Exercise: Stretching, strengthening, aerobic exercise recommendations
5 Lifestyle Mgmt: Stress reduction, smoking cessation, allergen avoidance . . .
6 Medical: Drugs, antibiotics, surgical procedures, radiotherapy . . .
7 Other: Acupressure/puncture, massage, homeopathic or herbal Rx . . .
8 Guidelines: If published, do you refer to them regarding this condition?

PSYCHOMOTOR DOMAIN


Students should be able to integrate demonstrations and adapt their adjusting skills to accommodate the special needs of older patients.

AFFECTIVE DOMAIN


Students will demonstrate integrity, sensitivity, respect, courtesy, compassion and professionalism at all times, both in lectures and labs, and will be able to apply the history, physical examination and treatment techniques learned in this course to any patient while demonstrating those same qualities.
Weekly Calendar of Learning Objectives
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Week Dates Topics/Learning objectives
Week 1 May 1, 2007 Lec: Introduction - Review of course syllabus, explain the project, conduct and goals. Discuss Maximum Life Span (MLS), Average Life Expectancy (ALE), theories why women live longer, discuss gerontology.
Video: Never Say Die
Week 2 May 8, 2007 Lec: Aging, theories, characteristics of aging. Discuss functional and chronological age. Assessment of the elderly, areas most important to help improve the lives of the elderly.
Video: Dr. Barge Adjusting Technique
QUIZ: Chapter 5, Normal Aging: emphasis on NMS changes with age.
Week 3 May 15, 2007 Lec: Discuss GI tract function, changes with age, indigestion, gas, diverticulitis, Irritable Bowel Syndrome.
Video: America's Health Care Dilemma: Who pays?
QUIZ: Chapter 13: Immobility and Muscular Disorders.
Week 4 May 22, 2007 Lec: Discuss eyes, changes associated with aging. Cataracts, Glaucoma, Senile Macular Degeneration, Diabetic Retinopathy, Presbyopia
Video: Abandoning the Elderly
QUIZ: to Chapters 1-7, 10, 11, 13, 17.
Week 5 May 29, 2007 Lec: Discuss hearing changes associated with age. Types of hearing loss, conductive and sensorineural.
Video: Geriatric Medicine
QUIZ: Chapter 14, Instability: falls, fractures and disorders of gait and propioception, Pgs, 201-203. .
Week 6 June 5, 2007 Lec: Discuss arthritis, changes associated with age, osteoarthritis, rheumatoid arthritis, gout. Accidents and Falls.
Video: Fear of Falling
QUIZ: Chapter 14, Instability: falls, fractures and disorders of gait and propioception. Pgs. 203-211.
Week 7 June 12, 2007 MIDTERM 50 questions - 100 points
Week 8 June 19, 2007

Lec: Discuss skin function changes associated with aging; hypothermia, hyperthermia. Cardiac changes.
Video: Too Much Medicine
QUIZ: Chapter 6, Pgs. 95-118. Managing Geriatric Spine Patients.
Week 9 June 26, 2007

Geriatric Health Assessment Project/Tour of Elder Care Facility

Schedule to be announced in class

See project handout and Resources hyperlink for directions to the Marian Center
Week 10

July 3, 2007

Lec: Discuss prostate gland; change associated with age; Prostatitis, Benign Prostatic Hypertrophy, Prostatic cancer; Drugs, effects on the elderly.
Video: Secret Life of the Brain
QUIZ: Chapter 25, Pgs 359-383. Chiropractic techniques in the care of the geriatric patient.

Week 11

July 10, 2007

 Lec: Discuss depression categories; theories and causes; suicide detection.
Video: A Desperate Act
QUIZ: Chapter 30, Prevention and health promotion in the older patient.
Week 12 July 17, 2007

Lec: Discuss dementia; types, causes, Alzheimer's, onset, and progression, End of life issues, Advanced Directives, Chiropractics role in care of the aged, Best practices
Video: Alzheimers: Effects on Their Families
QUIZ: Chapter 28, Strength training for seniors.

 
Week 13 July 24

Topics in Clincal Geriatrics: Guest

PROJECT DUE THE LAST DAY OF CLASS
Week 14 --
 FINAL EXAMINATION AS SCHEDULED
Week 15 --
 FINAL EXAMINATION AS SCHEDULED
Please Note
This schedule of lecture and lab topics and quizzes and exams may be changed during the course of the trimester as circumstances require. Whenever possible, such changes will be announced in class before the date and time in question. You are responsible for anything that transpires during lectures and labs, even when you are unable to attend. In the event that you miss a class session, make sure you check with a classmate about any announcements or schedule changes which may have been made. Makeup exams are allowed only according to the policies described in the current student handbook, which is available in the Student Affairs office.
Maintained by Northwestern College of Chiropractic
Last updated: 26 April, 2007
 

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