Instructional Course - Requires Course Pass or Individual Course Ticket, Additional Registration Required
Geriatric care, defined as care for patients > 65 years of age, forms a large majority of most clinical urological practice. Normal changes in physiology with aging combined with the influence of underlying comorbidities can put elderly patients at increased risk for complications and adverse outcomes. Targeted preoperative, intraoperative and postoperative clinical evaluation and intervention may help to reduce risk and improve outcomes. The incidence and prevalence of almost all of the major benign and malignant clinical conditions in urology increase with advancing age. There are also a number of specific needs related to palliative and end-of-life care that are directly applicable to urologic practice. Geriatrics and palliative care have traditionally not been major areas of education in Urology, however there has been increased work in this field in recent year. The AUA has long offered a course in basic concepts of aging and geriatrics as they relate to Urology. Many clinicians have previously taken this course, and have now expressed an interest in a more advance course offering that will provide examples of applying evaluation and treatment methods to actual patient scenarios. This course is designed to move beyond the basics to provide more detailed knowledge about methods of assessment and clinical management for geriatric urology patients. This includes practical examples and illustrations of how to incorporate evidence-based concepts in the evaluation and care of older adults across the spectrum of urologic practice. This includes those undergoing medical care, major or minor surgery, radiation, chemotherapy, and palliative care.
This course will expand on baseline knowledge in the fundamentals of aging and geriatrics. Prior course offerings have reviewed basic concepts related to normal aging and physiological changes including key tools for assessment of gait, mobility, cognition, and frailty. This course will use these tools with examples of application in actual patient care. A series of cases will be explored using conditions commonly seen in urologic practice with older adult patients. The faculty will use interactive methods to enhance discussion with the course participants including PollEverywhere or similar technology. The goal is to make the course move ‘beyond the basics’ and allow practical exploration of more advanced concepts in care of geriatric patients within the context of urology. In addition to clinical conditions and evaluation of role of frailty and comorbidities, the course will also explore ethics of care and challenges unique to palliative and end-of-life care, and the role of urologists and other urologic health care providers as part of the overall care team.