Major Geriatric Syndromes

Major Geriatric Syndromes — Clinical Compendium

How it begins

Cuadros multifactoriales de altísima prevalencia en el anciano que comparten una expresión clínica común a partir de múltiples factores causales. No son enfermedades en sentido estricto, sino la vía final de la pérdida de reserva fisiológica —la homeostenosis — sobre el sustrato de la fragilidad. Comprenderlos exige integrar fisiología del envejecimiento, semiología, instrumentos de valoración y un razonamiento…

What it covers

1. Concept and pathophysiology of geriatric syndrome
2. · The “giants of geriatrics”
3. · Distinctive characteristics
4. · Aging, physiological reserve and homeostenosis
5. · Molecular bases: the hallmarks of aging
6. Frailty and sarcopenia
7. · Frailty phenotype model (Fried · Cardiovascular Health Study)
8. · Deficit accumulation model (Rockwood)
9. · Sarcopenia (EWGSOP2)
10. Immobility syndrome
11. · Etiology
12. · System complications
13. · Assessment and management
14. Instability and falls
15. · Multifactorial etiology
16. · Gait and balance assessment instruments
17. · Consequences of the fall
18. Urinary and fecal incontinence
19. · Transitory versus established incontinence
20. · Types of established incontinence
21. · Fecal incontinence
22. Cognitive impairment and dementia
23. · Main types of dementia
24. · Psychological and behavioral symptoms (SPCD)
25. · Cognitive screening instruments
26. Delirium (acute confusional syndrome)
27. · Motor subtypes
28. · Predisposing and precipitating factors
29. · Diagnosis
30. Depression in the elderly
31. · Depressive pseudodementia
32. · Screening
33. Pressure ulcers
34. · Risk factors
35. · Staging (NPUAP/EPUAP classification)
36. · Risk assessment scales
37. Malnutrition and dysphagia
38. · Nutritional screening and assessment
39. · Oropharyngeal dysphagia
40. Polypharmacy and iatrogenics
41. · Anticholinergic load and prescription cascade
42. · Appropriate prescription tools
43. Constipation and fecal impaction
44. Sensory deprivation, pain and sleep disorders
45. · Sensory deprivation
46. · Pain in the elderly
47. · Sleep disorders
48. Comprehensive Geriatric Assessment
49. · Nuclear functional instruments