MONASH UNIVERSITY FACULTY HANDBOOKS
Medicine Handbook 1996
Published by Monash University
Clayton, Victoria 3168, Australia
Authorised by Academic Registrar, April 1996
MED6004
Geriatric and rehabilitation medicine
Dr H Flamer and Dr A Nunn
Objectives (a) Geriatric medicine At the completion of
this subject, students will have, with respect to the elderly, a sound
understanding of the requirements of a comprehensive clinical assessment
through history, examination and application of commonly used assessment
instruments, with respect to medical, psychological, social and functional
status; the ageing processes and how pathological processes are differentiated
from age-related physiological changes; altered presentation of disease and
complications relating to hospitalisation; altered management priorities; the
concepts of disability and handicap; issues related to adverse drug reactions
and development of appropriate practical prescribing skills; common specific
geriatric syndromes; relevant social and demographic issues; application of
preventive and health maintenance programs; community support services and
institutions for their care; issues relating to resource allocation and
palliative care. (b) Rehabilitation medicine At the completion of
this subject students will have a sound understanding of the scope of
rehabilitation medicine and its role in overall patient care; the requirements
of information gathering with regard to physical function, communication,
cognitive, psychological, vocational, avocational, social and legal issues;
basic methods of assessment of functional capacity and planning of an
appropriate rehabilitation program based on this assessment; the impact of
disability and handicap on the individual in the community; behavioural aspects
of rehabilitation; physical modalities used in management; the management of
chronic pain; the evolution of chronic illness and concepts in management of
this and of closed head injury, stroke and spinal problems; patterns of
recovery in relation to the timing of rehabilitation; the various
rehabilitation services available in the community; holistic care and a
sensitivity to the role of other health professionals.
Synopsis during the six-week integrated and shared rotation, teaching
will include (a) Geriatric medicine Half-day seminars covering the range
of topic areas required to meet the objectives, including geriatric assessment,
drug therapy, systems-based illnesses and syndromes, ethical issues and
resource allocation; bedside clinical teaching and patient clerking; site
visits to community based geriatric services; aged care assessment team
attachments. (b)Rehabilitation medicine Half-day hospital visits with
bedside clinical teaching; site visits to community-based rehabilitation
facilities.
Assessment Contribution to MED6003 MCQ + Continuous assessment:
reports/presentations and class participation (satisfactory faculty
requirement)
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