Basic Science
- Prescribing and pharmacodynamics/pharmacokinetics in the elderly
- Analgesia; ACE inhibitors; Steroids; warfarin; PPIs
- Anti-cholinesterase inhibitors/Drugs for cognitive impairment
- Ageing theories
- Changes to body systems with age
Clinical Skills
- The Geriatric Comprehensive Assessment
- Assessing Capacity
- Delirium assessment
- The Mini-Mental State Examination
- Confusion Assessment Method
- Assessing gait
- Ethics and older people
- Principles of rehabilitation
- Intermediate care
- Discharge planning
- Do Not Attempt Resuscitation (DNAR)
- Preoperative assessment of the older patient
- End of life
- Symptom control in Palliative care
- Breaking bad news
- Referral to the coroner
- Assessment and Certification of Death
NB*** See also The Silver Book– produced by the British Geriatrics Society. It is a collection of recommendations and guidelines for the management of older people in hospital and in the community. It also has a whole host of links to NICE and other national guidelines.
Core Clinical Problems
- Falls
- Confusion
- Memory Problems
- Dizziness, Syncope and Palpitations
- Urinary Incontinence
- Generalised Weakness / Muscle weakness
- Atypical presentations in the Elderly
- Impaired Mobility
- Constipation (or change in bowel habit)
- Weight loss
- Incontinence
- Unexplained nausea and vomiting
- Dysphagia
- Abdominal pain
- Limb/Joint pain (see Orthopaedics page)
- Common blood test abnormalities in older people
Conditions/Diseases
- Neurology
- Parkinson’s disease
- Epilepsy
- Neuroleptic Malignant syndrome
- Motor neuron disease
- Peripheral Neuropathies
- Subdural Haematoma
- Sleep disorders/Insomnia
- Stroke
- Cognitive impairment
- Mild Cognitive Impairment (i.e. without dementia)
- Dementia
- Alzheimer’s Disease
- Vascular Dementia
- Parkinson’s disease dementia and Parkinson’s Plus Syndromes
- Creutzfeld-Jakob Disease/Dementia
- Wernicke’s and Korsakoff’s Dementia
- Normal Pressure Hydrocephalus
- Delirium
- Depression and mood disorders in the elderly
- Cardiovascular system
- Postural hypotension
- Hypertension
- Ischaemic heart disease (Angina and Myocardial infarction)
- Atrial Fibrillation
- AV block
- Heart failure
- Valvular disease (see Cardiology)
- Peripheral vascular disease
- Respiratory
- Influenza
- Pneumonia
- Aspiration pneumonia
- Failure to respond
- Tuberculosis
- Pulmonary fibrosis
- Rib fractures
- Pulmonary Embolism
- Lung Cancer
- Asthma
- COPD
- Asbestos related disease
- Gastroenterology
- NG/PEG feeding and TPN
- Diverticular disease
- Volvulus
- Small bowel obstruction
- Endocrinology
- Haematology
- Anaemia (see also Haematology)
- Paraproteinaemia (Multiple myeloma and myelodysplasias)
- Blood Transfusion
- Chronic lymphocytic leukaemia
- Orthopaedics/Rheumatology
- Osteoarthritis
- Osteoporosis
- Hip fracture
- Wrist fracture
- Polymyalgia rheumatica
- Giant cell arteritis
- Paget’s disease
- Gout
- Pseudogout
- Rheumatoid arthritis
- Contractures
- Cervical spondylosis and myelopathy
- Osteomyelitis
- Foot care in the elderly
- Rhabdomyolysis
- Pressure sores
- Compression mononeuropathy
See also Orthopaedics page for other fractures
- Urology/Gynaecology
- Benign prostatic hyperplasia
- Prostate cancer
- Postmenopausal bleeding
- Vaginal prolapse
- Vulval disorders
- Sexual dysfunction
- HIV in older people
- Incontinence (urinary)
- Faecal incontinence
- Asymptomatic bacteriuria
- UTI in older people and Recurrent UTI
- Other/Homeostasis
- Predbyacusis and Presbyopia
- Glaucoma
- Cataract
- Macular degeneration
- Volume depletions and dehydration
- Hyponatraemia
- Hypernatraemia
- Hypercalcaemia and cancer of unknown primary
- Hypothermia
- Heat stroke/hyperthermia