GEOR 5101 - Basic Medical Science of Degeneration

Course Outline:

The course will provide an introduction of the common clinical problems of aging-induced degenerative musculoskeletal diseases. The degenerative diseases cover bone, cartilage, muscle, ligaments / tendons and nerves, such as osteoporosis and related fractures, osteoarthritis and sarcopenia, etc. The emphasis will be on biomedical science, pathology, functional deterioration, and symptoms of these diseases.

1. Aging biology and introduction of degenerative musculoskeletal diseases; Osteoporosis and related      fracture
2. Arthritis in the Elderly – from Bed-side to Bench-side Muscle aging – sarcopenia; Loss of balance and fall
3. Muscle aging – sarcopenia; Osteoporosis and related fracture; The Biomechanics of Falls
4. Degenerative disc disease; Low back pain

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GEOR 5102 - Introduction to Orthopaedics in Aging

Course Outline:

Fundamental and common clinical knowledge of orthopaedics in elderly, including epidemiology, osteoporosis, osteoarthritis and sarcopenia. Their clinical presentations, barrier management and prognosis.

1. Introduction and pathogenesis
2. Degenerative conditions (Sarcopenia, Osteoporosis, Tendinosis, Neural tissues, Enthesiopathy,      Combinations, Structural)
3. Inflammatory conditions
4. Injuries
5. Specific Condition I: Sarcopenia
6. Specific Condition II: Fragility Fractures
7. General Principles of Management
8. Specific Condition III: Arthritis
9. Specific Condition IV: Spine
10. Specific Condition V: Foot
11. Specific Condition VI: Neoplastic Conditions
12. Specific Condition VII: Upper Limb

Practicum (7 hrs): Clinical attachment and field work

1. Geriatric Trauma Ward Round
2. Fragility Fracture Clinic
3. OPD Clinical Attachment (Spine, Foot & Ankle, Adult Joint Replacement (AJR), Hand)

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GEOR 5103 - Community Care

Course Outline:

1. Principles and practice of a day-care community centre – a successful story
2. Elderly in a Society
3. Tele-health care models: their applications in the Decentralisation of Elderly Care to the Community
4. Nutrition and Bone Health
5. Principles of rehabilitation in the community
6. Extended rehabilitation programs in the community
7. Business model on community care of elderly - a successful story and its principles of application
8. Nutrition and Ageing

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GEOR 5104 - Introduction to Geriatrics

Course Outline:

1. Falls: Medical assessment, Prevention in Different Settings, Gait Disorders
2. Comprehensive geriatric assessment
3. Community Support and Long Term Care
4. Prescribing and Pain Control
5. Anti-Ageing and Exercise
6. Perioperative Management of Hip Fracture Patients: Medical Aspects
7. Dementia and Delirium
8. Nutrition and Wound
9. Neurological Conditions: Stroke and Parkinsonism
10. Osteoporosis and Sarcopenia
11. Peri-discharge and post discharge planning and support

Practicum (7 hrs):
1. Geri – Orthopedic round at PWH
2. Geriatric clinic at PWH
3. Fragility clinic at PWH
4. Residential home related Geri-Orthopedic care

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GEOR 5105 - Geriatric Anaesthesia and Pain Management

Course Outline:

1. Introduction to GA I
2. Preop assessment of the elderly I
3. Introduction to RA
4. Introduction to GA II
5. Preop assessment of the elderly II
6. Preop assessment of the elderly III and anaesthesia for orthopedic procedures
7. Postop problems

Practicum (7 hrs):
1. ECG Interpretation
2. Attachment in operating theatre
3. Pain assessment of in patients
4. Preoperative clinic
5. Pain consultation

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GEOR 5106 - Rehabilitation of Geriatric Orthopaedic Patients

Course Outline:

1. Introduction to ICF; Evaluation and Management of Daily Self Care Activities; Quality and Outcome Measures of Rehabilitation
2. Physical Agents, Manipulation, Massage and Traction, Electrical Stimulation; Exercise Physiology, Therapeutic Exercise, Aquatic Rehabilitation
3. Management of Bowel During Rehabilitation Phase; Rehabilitation of osteoporosis and fragility fractures in elderly
4. Wheelchair, seating and assistive technology for Disability Reduction in elderly; Rehabilitation of elderly patients with spinal and  spinal cord pathologies
5. Management of bladder in geriatric orthopaedic patients; Rehabilitation of Geriatric Patients– special considerations in patient with orthopaedic problems
6. Common orthoses used in the elderly; Principles of prosthetic prescription in the elderly
7. Elderly Amputee Rehabilitation; Rehabilitation of Osteoarthritis and Total Hip and Total Knee Replacement
8. Sarcopenia Workshop

Practicum (7 hrs):
1. NCT/EMG Session
2. Rehab Ward Round
3. Fragility Fracture Clinic
4. Case conference / Team Round
5. Ortho-Geri ward Round

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GEOR 5107 - Nursing in Geriatric Orthopaedic Conditions

Course Outline:
1. Dementia Care
2. Wound Management
3. End-of-Life Care
4. Patient Safety: Restraint Free Care
5. Spinal Management
6. Continence Care
7. Nutritional Care
8. Geriatric Fracture Care

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GEOR 5108 - Psychological Changes and Social Aspects of Aging and Long Term Disabilities

Course Outline:

1. Psychological reaction of physical disability and degeneration in geriatric-orthopaedic patients
2. Evidence-base care in promoting psychological well-being of geriatric-orthopaedic patients with physical disability and degeneration
3. Family approach in supporting geriatric-orthopaedic patients with physical disability and degeneration
4. Effective communication in providing psychosocial care; health and social care partnership approach in supporting geriatric-orthopaedic patients with physical disability and degeneration

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GEOR 5201 - Surgical Management of Geriatric Orthopaedic Patients

Course Outline:

OT preparation
1. Trauma I : geriatric hip #, articular fractures
2. Trauma II : major trauma, long bone fracture, open
3. Hand I: Hand and Wrist Injury
4. Hand II: Other pathologies- Arthroscopy, arthroplasty
5. Arthroplasty I: TKR
6. Arthroplasty II: THR
7. Tumour
8. Foot and Ankle
9. Infection
10. Spine
11. Sports

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GEOR 5202 - Geriatric Care of Musculoskeletal System

Course Outline:

1. Cognitive assessment
2. Functional assessment in geriatric patients
3. Laboratory investigations and interpretation
4. Cardiopulmonary and lung function testing
5. Gait assessment
6. Nutritional assessment
7. Case studies in hip fracture
8. Metabolic bone and joint diseases
9. Wound assessment
10. Patient with shortness of breath and desaturation

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GEOR 5203 - Anaesthetic Care for Geriatric Orthopaedic Patients

Course Outline:

1. Basic and Advanced airway management
2. Basic and advanced cardiac support
3. Basic and advanced trauma life support
4. Interpreting data from central lines, arterial lines
5. Intravenous line placement (practice using props)
6. Central venous line placement (practice using props)
7. Foley insertion (practice using props)
8. Chest drain placement (practice using pigs)
9. Spinal tap (practice using props)
10. Ultrasound scanning, brachial plexus (hands-on, volunteers)
11. Ultrasound scanning of other upper limb nerves (hands-on, volunteers)
12. Ultrasound scanning of lower limb nerves (hands-on, volunteers)
13. Ultrasound scanning of the spine
14. Interpreting arterial blood gases and electrolytes (tutorials)
15. Interpreting ECGs and rhythms (tutorials)
16. Interpreting chest X-rays (tutorials)

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GEOR 5204 - Assessment of Bone Quality and Functional Assessments for Elderly

Course Outline:

Two aspects, including Bone Quality Assessment and Musculoskeletal Function Assessment

1) Assessment of Bone quality using Non-invasive Laboratory and Clinical Bone Densitometry, including
    - X-ray Based Device: DXA, QCT, pQCT and microCT
    - Acoustic Based Device: QUS

2) Assessment of Musculoskeletal Functions, including
     - Balance and control
     - Peripheral circulation
     - Muscle strength
     - Fall risk assessments

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GEOR 5301 - Project

Course Outline:

1. Conduct a project of literature review on a particular topic in an area of interest within the field of elderly orthopaedics under the supervision of a faculty member. (A case study, instead of literature review, in the field of elderly orthopaedics is also acceptable)

2. Write up a report on the literature review or case study.

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