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Study Guide Spesial Topik Semester Iii

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Study Guide Spesial Topik Semester Iii Study Guide Special Topic STUDY GUIDE SPESIAL TOPIK SEMESTER III 1 Udayana University Faculty of Medicine, DME, 2018 Study Guide Special Topic TABLE OF CONTENTS Page Table of Contents 1 Curriculum 2 The Seven General Core Competencies Planner Team & Lecturers 7 Facilitator 9 Time Table 10 Health Care in Elderly 13 Travel Medicine 23 Andrology and Anti-Aging Medicine 40 Important Informations Student’s Project Meeting of The Students’ Representative Meeting of The Students’ Representative Learning Programs Curriculum Map 48 2 Udayana University Faculty of Medicine, DME, 2018 Study Guide Special Topic SPECIAL TOPIC CURRICULUM AIMS 1. To introduce the existence of Special Topics in the curriculum of the medical profession. 2. To understand the science and it’s practices of health care in elderly in medical profession. 3. To understand the science and it’s practices of travel medicine in medical profession. 4. To understand the science and it’s practices of andrology and anti-aging medicine in medical profession. CURRICULUM OF HEALTH CARE IN ELDERLY AIM OF HEALTH CARE IN ELDERLY TOPIC 1. To know general perspective of health care in elderly 2. To describe the most common health problem in elderly LEARNING OUTCOMES 1. Know about delirium in elderly 2. Know about frailty in elderly 3. To develop and implement a plan of care for a patient with history of recurrent falls. 4. Know about immobilization in geriatric patient 5. Know about polypharmacy problem in geriatric patient 6. Know and can managed cognitive impairment in elderly 7. Know about psychiatric disorders in elderly 8. Know about principles and rehabilitation in elderly CURRICULUM CONTENT I. DELIRIUM Aim: 1. Understanding about epidemiology and pathogenesis delirium in elderly. 2. Understanding about the risk factors for the development of delirium. 3. Understanding about the diagnostic workup of delirium. 4. Develop a rational management plan for persons with delirium. II. FRAILTY IN ELDERLY Aim: 1. To understand the definition and theory of frailty 2. To know the cycle of frailty 3. To understand the treatment and prevention of frailty III. INSTABILITY AND FALLS Aim: 1. Understanding about balance, postural control, walking cycle and functional mobilization 2. Identify predisposing risk factors for falls among older adults. 3 Udayana University Faculty of Medicine, DME, 2018 Study Guide Special Topic 3. Develop and implement a plan of care for a patient with history of recurrent falls. IV. IMMOBILIZATION Aim: 1. To know about the risk factors of immobilization in geriatric patient. 2. To know about the complication pathogenesis of immobilization in geriatric patient. 3. To know and can provide comprehensive treatment for geriatric patient with immobilization V. POLYPHARMACY IN ELDERLY Aim: 1. To understand pharmacokinetics changes 2. To understand relevant change in aging and pharmacology 3. To understand pharmacodynamics change with age 4. To understand guidelines for proper medication prescribing and medication reduction 5. To know about inappropriate medication use in older adults and coments about that VI. COGNITIVE IMPAIRMENT IN ELDERLY Aim: 1. To know cognitive changes associated with normal aging 2. To describe the difference of cognitive function in normal aging, mild cognitive impairment (MCI), dementia 3. To describe factors affecting cognition in elderly, age related nervous system changes, neuropathology in cognitive impairment, diagnosis, cognitive function in elderly VII. PSYCHIATRIC DISORDERS IN ELDERLY Aim: 1. To know sign and symptom psychiatric disorder in elderly such as: - Depression - Anxiety - Behavioral and Psychological symptom of Dementia - Delirium, etc. 2. Could diagnosed, treatment, or referal cases of psychiatric disorder in elderly 3. Could do psychotherapy in elderly and their family or care giver VIII. PRINCIPLES OF REHABILITATION IN ELDERLY Aim: 1. Know and understand about the principles of rehabilitation in elderly a. Recognize the definition of rehabilitation in elderly b. Recognize the ICIDH classification of WHO c. Recognize the rehabilitation site d. Recognize process of rehabilitation 2. Know about Rehabilitation Team for the elderly a. Recognize who they are 4 Udayana University Faculty of Medicine, DME, 2018 Study Guide Special Topic b. Recognize what their duties are 3. Know about the physical modalities and adaptive aids for the elderly a. Recognize the physical modalities that are often used with older adults b. Recognize the adaptive aids that allow person with physical limitation to participate in activities 4 Know about rehabilitation for common geriatric problems a. Recognize the common geriatric problems b. Recognize the rehabilitation for common geriatric problems CURRICULUM OF TRAVEL MEDICINE AIM OF TRAVEL MEDICINE 1. To introduce the existence of Special Topics in the curriculum of the medical profession. 2. To know general perspective of Travel Medicine 3. To understand the science and it's practices of travelers medicine in the medical profession. 4. To describe etiology, patophysiology, clinical features, diagnosis, and management of travel related illness 5. To describe the 5 most common in travel related illness LEARNING OUTCOMES 1. Know and can perform immunization and give chemoprophylaxis to prevent travel- related illness 2. Understand the management of primary care practice specific for traveler 3. Diagnose, treat, and prevent traveler`s diarrhea 4. Diagnose, treat, refer, and prevent DVT 5. Diagnose, treat, refer, and prevent ACS 6. Manage traveler with respiratory disease who undergo air travel 7. Diagnose, treat, refer, and prevent traveler with heat exhaustion and heat stroke 8. Diagnose, treat, refer, and prevent traveler with near drowning 9. Diagnose, treat, refer, and prevent traveler with decompression syndrome after dive CURRICULLUM CONTENT 1. General perspective for travel medicine a. Scope has largely evolved in response to changing of travel trend b. Understand the primary care practice specific for traveler c. Recognize the management of primary care practice specific for traveler 2. Diagnose, treat, and prevent traveler`s diarrhea a. Understand the definition of traveler`s diarrhea b. Understand the etiology of traveler`s diarrhea c. Describe the pathogenesis of traveler`s diarrhea d. Recognize the clinical manifestation of traveler`s diarrhea e. Recognize the management of traveler`s diarrhea f. Understand the prevention of traveler`s diarrhea 5 Udayana University Faculty of Medicine, DME, 2018 Study Guide Special Topic 3. Diagnose, treat, refer, and prevent DVT a. Understand the predisposing factor of DVT b. Describe the pathophysiology of DVT c. Recognize the clinical presentation of DVT d. Recognize the management of DVT e. Understand the prevention of DVT 4. Know and can perform immunization and give chemoprophylaxis to prevent travel- related illness a. Recognize the immunizations to prevent travel-related illness b. Recognize the prophylaxis for malaria c. recognize respiratory disorders with potential complication for air travel 5. Diagnose, treat, refer, and prevent traveler heat exhaustion and heat stroke a. Understand the definition of heat exhaustion and heat stroke b. Describe the pathophysiology of heat exhaustion and heat stroke c. Recognize the clinical manifestation of heat exhaustion and heat stroke d. Recognize the complication of heat exhaustion and heat stroke e. recognize the management of heat exhaustion and heat stroke 6. Diagnose, treat, refer, and prevent traveler with near drowning a. Understand the definition of near drowning b. Describe the pathogenesis of near drowning c. Recognize the clinical manifestation of near drowning d. Recognize the complication of near drowning e. recognize the management of near drowning 7. Diagnose, treat, refer, and prevent traveler with decompression syndrome after dive a. Understand the definition decompression syndrome after dive b. Describe the pathogenesis decompression syndrome after dive c. Recognize the clinical manifestation decompression syndrome after dive d. Recognize the complication decompression syndrome after dive e. recognize the management decompression syndrome after dive 8. Animal bite Objectives a. To describe why rabies continues to be a feared zoonotic disease. b. To describe how is rabies spread c. To describe disease that Rabies most commonly mimic d. To understand how Rabies is diagnosed e. To describe the current recommendation for Rabies treatment f. To describe pre and post exposure prophylaxis g. To describe clinical presentation of Rabies h. To describe the clinical management of snake bite envenoming i. To describe the clinical management of scorpion sting envenoming 6 Udayana University Faculty of Medicine, DME, 2018 Study Guide Special Topic CURRICULUM OF ANTI AGING MEDICINE 1. Theories and the principles of Anti-Aging Medicine 2. The paradigm changes of aging proccess 3. The role of hormones in aging process 4. The role of sport in preventing and reversing aging process 5. The role of nutrient in preventing aging process 6. The role of aesthetics in Anti-Aging Medicine 7. The role of sexual function in aging process 8. Diagnose, prevent, manage, or refer all changes related to aging process 7 Udayana University Faculty of Medicine, DME, 2018 Study Guide Special Topic The Seven General Core Competencies 1. Patient Care Demonstrate capability to provide comprehensive patient care that is compassionate, appropriate, and effective for the management of health problems, promotion of health and prevention
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