Gerontopsychiatry

Code:

OPT169

Acronym:

GERONTPSIQ

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2019/2020 - 2S (of 10-02-2020 to 31-07-2020)

Active?	Yes
Responsible unit:	Clinical Neurosciences and Mental Health Department
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	3	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	5	-	1,5	14	40,5

Teaching language

Portuguese

Objectives

1. To deepen knowledge of the main clinical manifestations, as well as the epidemiological framework in the area of Geriatric Psychiatry.


2. To increase the skills of exploration and assessment in Geriatric Psychiatry.


3. To develop ability and critical attitude that allows students to deconstruct the different mechanisms involved in the genesis of neurodegenerative processes and consequently understand their different clinical presentations.


4. To understand the different types of pharmacological, psychological and social intervention (institutional and multidisciplinary network).


5. To know how to apply the concepts of Evidence Based Medicine in the area of Geriatric Psychiatry, as well as to develop an integrative perspective of the different concepts of Geriatric Psychiatry.     

Learning outcomes and competences

The syllabus of this curricular unit highlights the importance of learning the main psychopathological concepts associated with ageing in general and in Psychogeriatrics in  particular. These are essential for adequate exploration and evaluation in Geriatric Psychiatry. The content is covered in a dynamic of exposition, interpretation and analysis of those concepts, in order to acquire meaning, in an integrative perspective in the clinical context, allowing their suitability in therapeutic intervention (pharmacological, psychological and social).

Working method

Presencial

Program

Part I

• Epidemiological and management aspects of ageing, particularly in the Portuguese context.
• Diagnostic criteria and different clinical presentations of dementia
• Pathophysiology and different types of dementia
• Differential diagnosis
• Neuropsychological assessment
• Clinical approach of the different stages
• Primary, secondary and tertiary prevention
• Therapeutic intervention: pharmacological, psychotherapeutic/psychoeducational, caregivers/family support, institutional strategies of intervention

Part II

• Behavioural and psychological symptoms in dementia
• Etiology and prevalence of behavioural disorders
• The main symptomatic groups: aggression, apathy, agitation, psychosis and depression
• Environmental and social factors
• Differential diagnosis
• Therapeutic intervention: pharmacological, psychotherapeutic/psychoeducational, caregivers/family support, environmental adaptation

Mandatory literature

American Psychiatric Association (APA); Manual diagnóstico e Estatístico de Transtornos Mentais: DSM-5. , Climepsi Editora. , 2014
Fernandes, L., Gonçalves Pereira, M., Cortez Pinto, L., Firmino, H., & Leuschner, A. (Ed.). ; Jornadas de Gerontopsiquiatria., Associação Portuguesa de Gerontopsiquiatria (APG). , 2011
Firmino, H., Cortez Pinto, L., Leuschner, A., & Barreto, J. (Ed.). ; Psicogeriatria, Psiquiatria Clínica, 2006
Fonseca, A. (Ed.); Envelhecimento, Saúde e Doença, Coisas de Ler, 2014
Simões, M.R., Santana, I., & Grupo de Estudos Envelhecimento Cerebral e Demências (GEECD) ; Escalas e Testes na Demência (3ª edição). , Novartis: Grupo de Estudos Envelhecimento Cerebral e Demências/GEECD., 2015
Sadock B, Sadock V, Ruiz P. ; Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry (11th Ed.),, Wolters Kluwer Health,, 2014
Sheehan, B., Karim, S., & Burns, A. S. ; Oxford Specialist Handbook of Old Age Psychiatry. , Oxford University Press, 2009

Teaching methods and learning activities

The curricular unit (with 14h of contact), of 7 weeks (semestral) will be taught in the form of seminars and practical classes. The seminars will have expositive, interrogative, demonstrative and active methodology. Conventional, audiovisual and multimedia (e.g. power-point and movies) teaching resources will be used.  Practical classes will be minister in the inpatients settings and consultations, with direct contact with old patients, by tutorial orientation.

Students will be encouraged to use techniques of self-study, through compulsory readings, individual research, preparation and analysis of clinical cases for discussion. For each topic, a specific bibliography will be given and/or support texts beyond the basic bibliography will be provided.

The collaboration of students in ongoing research projects will be especially encouraged, as well as a possible stimulation of integration in these projects when planning the future dissertation.




In addition to the theoretical exposition of the different syllabus contents, with interactive methodologies will be used, involving the students in the learning process. Thus, pedagogical techniques with simulation, demonstration, study of clinical cases, brainstorming and practical exercises, will be used. Therefore, teaching methodologies will be applied in connection with the learning objectives, in order to provide a holistic view of Geriatric Psychiatry, with the appropriate bridge between the theoretical aspects and clinical practice.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	60,00
Exame	40,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Frequência das aulas	4,00
Trabalho escrito	10,50
Estudo autónomo	10,00
Realização de Estágio	10,00
Trabalho de campo	6,00
Total:	40,50

Eligibility for exams

The final evaluation will be based on the combination of continuous assessment (through participation in class, discussion topics, competence in clinical practice and attendance) with a final evaluation (individual written multiple-choice exam, without consultation).

The minimum number of attendance is considered to be 75%.

Calculation formula of final grade

The final evaluation will be based on the combination of continuous assessment (12 values) with a final evaluation (16 (8 values).