Geriatrics

History of the geriatrics

The geriatrics was formed gradually in second half of the 21st century in the majority of the developed countries. It is a medical speciality (within the meaning of the medical exercise) in many countries and it became a speciality in France since 2004. The lengthening of the lifespan makes that the number of very old subjects increases in an important way. This population presents specific health issues which require a catch in specific charge, which was an important engine for the emergence of the geriatrics. In the clinical plan, the elderly are characterized by their vulnerability because of their ageing, of the diseases and the psychological factors socio- having functional consequences. In particular, the polypathology (Co existence of several chronic diseases at the same individual) is frequent, like its corollary, the polymedication (chronic consumption of more than 4 different drugs). They are more exposed to the entry in institution, the hospitalization or the death. The comprehension of the mechanisms leading to ageing and the prevention of the diseases of the great age are also major stakes of the medicine of the elderly.

Geriatrics in France

In France, the teaching of the geriatrics in the medical studies is carried out in second cycle (DCEM 3 or DCEM 4 generally) within the framework of the transverse modules. In particular module 5 joins together a series of important topics for the geriatrics. Several faculties propose to the hospital students training courses in ward of geriatrics, without that being obligatory. Formations with the geriatrics more specialized and more complete are carried out in third cycle. The Capacity of Gerontology is a national university degree delivered by certain medical colleges. There are some in the majority of the areas. It is opened to the doctors having passed their thesis and having succeeded with a grading examination. It comprises a theoretical teaching of approximately 200 hours distributed over 2 years and a hands-on training in the form of hospital and extra-hospital training courses. The training of specialist in geriatrics is done by the DESC (diploma of specialized teaching complementary) of geriatrics. This formation is carried out during the boarding school and in post-boarding school (generally while being Senior registrar assisting in a university service of geriatrics) and comprises training courses in competent hospital services of geriatrics and a formal training. In addition, certain doctors can obtain the qualification of specialist in geriatrics without to have made this course, but by the system of the validation of the experiment and the assets attached to the Commission of qualification of the Council about the Doctors. The geriatrics is more and more taught in the studies of the health professionals not doctors. In particular, she is taught in the studies nurses (theoretical courses and obligatory training course).

Definition of the elderly

From when is one old? It is the question traps posed with the gériatre in the dinners downtown or the professional meetings with other specialists. The answer is not simple and depends on the context. Actually it is obvious that ageing is a progressive process and that one does not become old day at the following day, for example following the xième birthday. For the World Health Organization, one is elderly as from 60 years. In the French regulation it is also this age which was retained for certain services or provisions concerning the elderly. The problems of the geriatrics (polypathology, loss of autonomy, brittleness) relate to relatively few old individuals from 60 to 70 years, still called senior young people or Young old in the literature). On the other hand, they often concern old individuals of more than 80 years, still called old-old. In fact vulnerability - more the age of the civil statue - assistance to better encircling the people who belong to the geriatrics.

See too

AGGIR

External bonds

the Review of Geriatrics: principal newspaper of geriatrics in France
the French company of Geriatrics and Gerontology
Among the general works most interesting and most complete: Gerontology for the expert. Belmin J, Chassagne P, Gonthier R, Jeandel C, Pfitzenmeyer P, eds. Paris: Masson; 2003, and preventive Gerontology. Trivalle C. Paris: Masson; 2002.
Sekoia.net, the gate of the geriatrics and the Lorraine gerontology
elderly of 97 years tells her 7 a.m. life at 9 o'clock in the morning
a selection of books of geriatrics in French language on the site of the fnac.

http://medpa.helloduck.com/ Course of the medical college of Lille II
Duplicated http://www.chups.jussieu.fr/polys/geriatrie/tome1/01_vieillissement.pdf
Pity-Salpêtrière
Portal Mayores, scientific gate specialized in Geriatrics and Gerontology, Spain

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