Introduction to Geriatrics--Day 3 Outline

Daemen College Physician Assistant Course--June 16, 1997

Robert S. Stall, M.D., Daemen College Adjunct Professor


8:00 am Review of Week 2/Reading/Photo Galleries III & IV

8:30 am Lecture/Discussion--Atypical Presentation of Disease/Functional Assessment Tools
Key Principle--Sudden Change Comes from Sudden Problems
Key Principle--Gradual Decline May Not Be Alzheimer's Disease

9:15 am Pretest--Photo Galleries V & VI

9:30 am Break

9:40 am Lecture/Discussion--Medication Use In Older Adults/Polypharmacy
Key Concept--Matching Medications to Diagnoses/Dis-Eases
Key Principle--Medication Use In the Elderly Is a MAJOR Drug Problem in America
Presentations/Discussion--Patient Encounters/Drug Interaction-Side Effect Profiles

10:40 am Video/Discussion--Hypertension
Clinical Tips--Avoiding Common Measurement Errors During the Physical Exam

11:00 am Break

11:10 am Video/Discussion--Multiple Problems

11:25 am Video/Discussion--"TriAD"

11:40 am Video/Discussion--Depression


Before next class...

Read "Aging Processes" & "Normal Changes of Aging" from Merck Manual of Geriatrics, pp. 419-441.

Read "Care of the Dying Patient" & "Preventive Strategies" from Merck Manual of Geriatrics, pp. 238-255.

Read "Statistical Brief: Sixty-Five Plus In the United States" handout by the U.S. Census Bureau, pp. 1-7 ( http://www.census.gov/socdemo/www/agebrief.html/ ).

Identify normal changes of aging & abnormal findings with an older adult friend/neighbor/relative. Discuss preventive measures with him/her that are/are not being taken currently.