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AT A GLANCEGlossary |
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Introduction |
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Welcome to the UCSF AGRC course in Geriatrics and Gerontology |
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Course Topics |
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Overall Course Goals |
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Philosophy |
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Faculty |
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Why Take This Course? |
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The Multifaceted Face of Aging: 3 Cases |
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Discussion of the Three Preceding Cases |
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How To Use This Course |
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Where To Start? |
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Then What? |
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How to Start--Case 1 |
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How to Start--Case 2 |
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Reflection on Two Cases |
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Post Test |
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Demography And Epidemiology |
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The Changing Face of Aging: Objectives |
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Local and Regional Variations Among Older Adults in the United States |
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Implications of an Aging Society for Health Care Needs and Resources |
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Common Chronic Conditions Associated with Advanced Age |
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Post Test |
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Biology and Physiology of Aging |
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Introduction and Background |
| 2.1.1 | Table of Contents |
| 2.1.2 | Module Learning Objectives |
| 2.1.3 | Personal Exercise |
| 2.1.4 | Case Background |
| 2.1.5 | Historical View of Aging |
| 2.1.6 | Successful Aging |
| 2.1.7 | What is the Truth about Aging? |
| 2.1.8 | When Pathologies are Attributed to Aging |
| 2.1.9 | Aging or Disease? |
| 2.1.10 | Understanding Age-Related Changes |
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Theories of Aging |
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Physiological Changes with Aging |
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Pharmacologic Considerations |
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Post Test |
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Socio-cultural And Psychologicial… |
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Module Objectives |
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Social Theories of Aging |
| 3.2.1 | Modernization Theory |
| 3.2.2 | Modernization Theory (II) |
| 3.2.3 | Criticisms of Modernization Theory |
| 3.2.4 | Role Theory |
| 3.2.5 | Role Theory (II) |
| 3.2.6 | Criticisms of Role Theory |
| 3.2.7 | Disengagement Theory |
| 3.2.8 | Activity Theory |
| 3.2.9 | Reflections (III) |
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Psychological Development In Late Life |
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Ethno-Cultural Issues And Age-Stratified Societies |
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Late-Life Transitions |
| 3.5.1 | Normative Transitions in Later Life |
| 3.5.2 | "Off Time" Transitions |
| 3.5.3 | Reflections (VII) |
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Dependent Elders: Special Concerns |
| 3.6.1 | Adult Guardianship in Euro-American Societies |
| 3.6.2 | Elder Abuse |
| 3.6.3 | Caregiving: Informal |
| 3.6.4 | Caregiving: Formal |
| 3.6.5 | Residential Care |
| 3.6.6 | Ageism and Therapeutic Nihilism |
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Cultural Views of Death |
| 3.7.1 | Funeral Rites |
| 3.7.2 | The "Good Death" |
| 3.7.3 | End of Life Care |
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References |
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Post Test |
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Assessment Of The Geriatric… |
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Module Objectives |
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Domains of Assessment: Functional Assessment |
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Domains Of Assessment: Psychosocial Health And Functioning |
| 4.3.1 | Informal Caregiving Support Network |
| 4.3.2 | Abuse and Neglect |
| 4.3.3 | Social Support |
| 4.3.4 | Spiritual and Cultural Assessment |
| 4.3.5 | Home Assessment |
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Special Considerations In Assessment |
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Post Test |
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Health Care Policies |
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Module Objectives |
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The Policy-Making Process |
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Financing Health & Long Term Care |
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Quality Of Care Issues In Long Term Care |
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Need And Access Across The Spectrum Of Care |
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References |
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Post Test |
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Exploring Age-Related Body… |
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Cardiovascular System |
| 6.1.1 | Case 1 |
| 6.1.2 | Case 2 |
| 6.1.3 | The Cardiovascular System |
| 6.1.4 | Can These Changes Be Modified? |
| 6.1.5 | Sodium and Activity |
| 6.1.6 | Atherosclerosis |
| 6.1.7 | What Can We Do About The Process? |
| 6.1.8 | Links to Theories of Aging |
| 6.1.9 | Myocardium |
| 6.1.10 | Clinical Implications |
| 6.1.11 | Cellular Calcium |
| 6.1.12 | Functional Changes |
| 6.1.13 | Pulse Wave Velocity |
| 6.1.14 | Additional Functional Changes |
| 6.1.15 | Clinical Significance |
| 6.1.16 | Response to Stress |
| 6.1.17 | Congestive Heart Failure |
| 6.1.18 | Diastolic Versus Systolic Heart Failure |
| 6.1.19 | Case 3 |
| 6.1.20 | Case 3: Points To Consider |
| 6.1.21 | References |
| 6.1.22 | Review Question 1 |
| 6.1.23 | Review Question 2 |
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Endocrine System |
| 6.2.1 | Case 1: Mr. Jones |
| 6.2.2 | Circadian Rhythms |
| 6.2.3 | Hypothalamic-Pituitary and Hypothalamic-Pituitary-Adrenal Axis |
| 6.2.4 | Growth Hormone |
| 6.2.5 | Why Does Growth Hormone Decrease? |
| 6.2.6 | Why is Growth Hormone Important to Our Clinical Practice? |
| 6.2.7 | Is This Good Clinical Practice? |
| 6.2.8 | Case 2: Discussion |
| 6.2.9 | CRH, Adrenocorticotropic Hormone/Corticotropin (ACTH), and Cortisol |
| 6.2.10 | Aging, the Stress Response, Cortisol, and Cognitive Function |
| 6.2.11 | Aldosterone |
| 6.2.12 | Dehydroepiandrosterone (DHEA) |
| 6.2.13 | The Adrenal Medulla |
| 6.2.14 | Hypothalamic-Pituitary-Thyroid Axis |
| 6.2.15 | Posterior Pituitary |
| 6.2.16 | Case 3: Clinical |
| 6.2.17 | Endocrine Pancreas |
| 6.2.18 | What Causes These Changes? |
| 6.2.19 | Can These Changes Be Prevented? |
| 6.2.20 | What Do We See Clinically? |
| 6.2.21 | Discussion Point |
| 6.2.22 | Should Age-Related Changes in Carbohydrate Metabolism Be Treated? |
| 6.2.23 | Summary Case and Evaluation Questions |
| 6.2.24 | References |
| 6.2.25 | Review Question 1 |
| 6.2.26 | Review Question 2 |
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Immune System |
| 6.3.1 | Setting the Stage |
| 6.3.2 | Setting the Stage 2 |
| 6.3.3 | Overview and Background |
| 6.3.4 | What Happens with Age? |
| 6.3.5 | Non-Specific Immunity |
| 6.3.6 | The Physical Barriers |
| 6.3.7 | Acid Contents of the Stomach |
| 6.3.8 | Phagocytosis |
| 6.3.9 | The Macrophage |
| 6.3.10 | The "Natural Killer" and the "LAK" |
| 6.3.11 | Non-Specific Summary |
| 6.3.12 | Specific Immunity |
| 6.3.13 | What Happens to Specific Immunity With Age? |
| 6.3.14 | The Immune Response |
| 6.3.15 | References |
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Musculo-Skeletal System |
| 6.4.1 | Case 1 |
| 6.4.2 | Case 1 Continued |
| 6.4.3 | The Inter-Relationship of the Muscle and Skeletal System |
| 6.4.4 | Muscle Changes and Function with Age |
| 6.4.5 | Changes in Muscle with Age |
| 6.4.6 | Muscle Fibers |
| 6.4.7 | What Are The Physiologic Processes That Cause These Changes? |
| 6.4.8 | What Is The Impact Of These Changes On Function? |
| 6.4.9 | Mobility Changes |
| 6.4.10 | Interventions to Minimize Changes |
| 6.4.11 | Discussion Point |
| 6.4.12 | Joints, Tendons, and Ligaments |
| 6.4.13 | Differences in Cartilage Between Aging and Osteoarthritis |
| 6.4.14 | Skeletal Changes With Age |
| 6.4.15 | Bone Components |
| 6.4.16 | Many Factors Influence Bone Health |
| 6.4.17 | Bone Loss |
| 6.4.18 | General Changes in the Bone with Age |
| 6.4.19 | Factors Influencing Whether a Fracture Will Or Will Not Occur |
| 6.4.20 | Summary Case |
| 6.4.21 | References |
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Neurological System |
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Renal System |
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Post Test |
Module 3: Socio-cultural And Psychologicial Aspects of Aging3.1: Module Objectives3.1.8: Temporal Dimensions of Life: The Aged (II)In contemporary society, the aged or elderly are often referred to as if they were a unitary group, when in fact they comprise several distinct cohorts, quite apart from the usual distinctions by gender, ethnicity, and socioeconomic status. Indeed, the demographic group composed of those aged 65 or more years is the most heterogeneous in society, in terms of wealth, health, activity, and social and familial resources. The cohort born around the turn of the 20th century is now over 100 years old and makes up one of the fastest growing demographic groups in society in general. They are very different from the “young-old”, ages 65-74, who were born during the Great Depression or World War II. Many in this group are still employed or are active recent retirees, undertaking many volunteer activities, with considerable economic and other resources at their command.
Meanwhile, the Baby Boomers themselves are poised in the wings, waiting to become the “young-old”. By 2011, the Older Boomers will begin to reach 65, and so achieve “old age” as it is numerically defined in our society today. Many of their grandparents are still alive and are in their upper 80s and 90s. The parents of the Boomers, typically in their 60s, 70s, perhaps even early 90s, are dealing with their own aging even as they care for the Boomer grandparents. Many Baby Boomers themselves are beginning to experience the need to provide care for these older relatives as they become frail, or to realize that the older generations are beginning to diminish seriously in numbers. |

