THREE-DIMENSIONAL MODELING

Course objectives

General Objectives of the Integrated Course To acquire the ability to analyze and to resolve the clinical problems of internistic, surgical, geriatric order and of clinical nutrition, estimating the relationships between benefits, risks and costs, also in the light of the principles of the evidence based medicine; To develop the ability to clinical reasoning adapted to analyze and to resolve the most common and important clinical problems, of medical, surgical, geriatric and of clinical nutrition interest, and the ability to valuate epidemiological data and to know their use with the aim of the promotion of the health and of the prevention of the diseases in the single ones and in the community; To acquire the ability and the sensibility in order to insert the specialist problems in a wider vision of the state of general health of the person and its requirements generates them of well-being, and the structural ability to integrate, in a total and unitary appraisal of the total state of health of the single adult and old individual, symptoms, signs and alterations and works them of the single organs and apparatuses, combining them under the diagnostic, therapeutic and rehabilitation profile, as well as the gender perspective. Specific Objectives of the integrated course Knowledge and understanding: passing the exam implies the ability to analyze and to resolve the clinical problems of internistic, surgical, geriatric order and of clinical nutrition, estimating the relationships between benefits, risks and costs, also in the light of the principles of the evidence based medicine. Applying knowledge and understanding: passing the exam implies the ability to clinical reasoning adapted to analyze and to resolve the most common and important clinical problems, of medical, surgical, geriatric and of clinical nutrition interest, and the ability to valuate epidemiological data and to know their use with the aim of the promotion of the health and of the prevention of the diseases in the single ones and in the community, according to main European guidelines, non-pharmacological treatment of cardiovascular diseases and main vascular and cardiac surgery procedures. Making judgment: passing the exam implies the ability and the sensibility in order to insert the specialist problems in a wider vision of the state of general health of the person and its requirements generates them of well-being, and the structural ability to integrate, in a total and unitary appraisal of the total state of health of the single adult and old individual, symptoms, signs and alterations and works them of the single organs and apparatuses, combining them under the diagnostic, therapeutic and rehabilitation profile, as well as the gender perspective. Communication skills: passing the exam implies mastering the ability to expose clinical reasoning and decision-making from signs and symptoms collection to appropriate diagnosis and therapy; mastering the the main skill for a good relationship between physicians and patients. Learning skills: passing the exam implies mastering the ability to learn the rational basis of differential diagnosis.

Channel 1
LAURA TAFARO Lecturers' profile

Program - Frequency - Exams

Course program
Biological basis of aging. Objective examination and relational approach to the elderly: how to perform the examination, definition of “elderly’s needs”; implications and consequences of elderly medical treatment. Aging demographic aspects. Elderly fragility, polypathology and disability; evaluation scales of polypathology. Geriatric support network organization, social aspects, integration with the general practice (Geriatrics Operative Unit, U.O., for acute cases, Assisted Living Home Care, Assisted Living Residential Care, Hospice, Day Hospital Care, Alzheimer Evaluation Unit). Elderly Care; social aspects and integration between social and medical care, interaction with the primary care doctor. Multidimensional geriatrics evaluation: concepts, methodologies and tools (Mini Mental State Examination, Activity of Daily Living, Instrumental of Dailly Living, Geriatric Depression Scale, Tinetti’s scale, etc.). Psychogeriatric: depression, cognitive problems, dementia, delirium, behaviour disturbances. Medical assistance to elderly patients with dementia. Urinary incontinence. The metabolic syndrome in elderly patients: endocrine, cardiac and cognitive implications. Stress in the elderly patient: neuroendocrine-immune aspects of aging. Prescription of medication for the elderly patient: general pharmacokinetic and pharmacodynamic aspects of the elderly patient. Special geriatric therapy, use of benzodiazepines in the elderly. Osteoporosis, falls and fractures in the elderly; clinical evaluation of bone densitometry and vertebral morphometry; fracture risk. Bedridden and immobilization syndrome, bed sores. Malnutrition and aging, Mini Nutritional Assessment. Particular aspects of internistic pathologies in elderly: diabetes mellitus, arterial hypertension. Organ damage: renal failure, cerebral and peripheral vascular pathology, heart failure.
Books
Manuale di Geriatria e Gerontologia, A. Tammaro, G. Casale, A. Frustaglia, McGraw Hill. Marigliano, Manuale Breve di Geriatria, SEU 2007. Pathy, Principles and Practice of Geriatric Medicine, ed. M.S.J Pathy
ANTONIO MARTOCCHIA Lecturers' profile
GABRIELE NALLI Lecturers' profile
  • Academic year2025/2026
  • CourseMedicine and Surgery
  • CurriculumSingle curriculum
  • Year6th year
  • Semester1st semester
  • SSDMED/09
  • CFU2