the second day of the national continuing education project "advanced seminar on clinical practice skills of geriatrics (11th)" and "training course on sports health guidance ability of the elderly (2nd)"-凯发app

on november 6, the second day of the national continuing education project "advanced training course on geriatric clinical practice skills (11th phase)"; and the physical health integration "training course on elderly sports health guidance ability (second phase) began on time. in the morning, 7 experts and professors from peking union medical college, chinese academy of medical sciences, beijing geriatric hospital, beijing hospital, peking university people's hospital, people's liberation army general hospital, the first affiliated hospital of zhejiang university medical school, and fuwai hospital of chinese academy of medical sciences, focused on the theme of "aging asthenia - improving the management ability of sarcopenia";. a comprehensive knowledge explanation and expansion was made for the relevant contents of health promotion actions for the elderly and the requirements of gerontology construction, the core information of preventing disability of the elderly, the prevention, intervention and management of sarcopenia and the sharing of clinical experience in outpatient practice, the prevention of frailty, nutrition and exercise management, and how to prevent frailty in elderly perioperative patients. at the same time, there is also the experience sharing of sarcopenia and fthenia outpatient business, from theory to practice, comprehensive and detailed.

the lecture by professor chen zheng of beijing geriatric hospital was titled "interpretation of health promotion actions for the elderly". in combination with the opinions of the state council on implementing healthy china actions in 2019, he made a detailed interpretation of disability prevention, diet and exercise management, chronic disease, comorbidity, geriatric syndrome control, integrated public health system, and medical service mode for the elderly. professor chen also introduced the subject construction, the department size, subject setting, personnel training and other issues were explained. professor chen pointed out that china's gerontology discipline construction and talent team training task is imminent, our talent team should stand at the height of the times, improve their own professional quality and social responsibility, and contribute more to the cause of national aging.

the lecture of professor yu pulin from beijing hospital was "core information for preventing disability in the elderly", pointing out that disability is the result of the combined effect of the decline of the elderly's internal ability and the external environment, and emphasizing the role of comprehensive assessment services for the elderly in the early prevention and intervention of disability. as an important task of healthy china, a series of health promotion actions aimed at maintaining internal ability include many contents, but early identification and management of cognitive impairment and promotion of vaccination for the elderly are the top priorities, and attention to the external environment is aimed at promoting functional performance. professor yu pointed out that disability prevention is one of the core of health promotion actions. it is hoped that this lecture will provide a more professional knowledge system for relevant professionals and provide a scientific framework for grassroots prevention of disability.

professor kang lin of peking union medical college, chinese academy of medical sciences, gave a lecture titled ";sharing of 8 years of experience in sarcopenia clinic", emphasizing that sarcopenia asthenia clinic, as a special clinic with unique characteristics in geriatric medicine, must be feasible in terms of science popularization, screening and evaluation process intervention points, and can use simple and efficient evaluation methods to provide convenient services for outpatient patients. the key to intervention is nutrition prescription and exercise prescription and interdisciplinary teamwork model. professor kang said that from the perspective of discipline construction and development, the geriatric department should pay attention to the development of sarcopenia business, encourage everyone to take action to promote the prevention and treatment of sarcopenia together, and make the prevention and treatment of the disease a unique technology in the geriatric department.

professor zhang qin of the first affiliated hospital of zhejiang university school of medicine read the chinese expert consensus on the prevention of frailty in the elderly (2022). in the context of aging, the prevention and treatment of frailty is an important task today, and frailty is a reversible process, which provides an opportunity for clinical intervention management. therefore, the geriatrics department and the medical staff at the grass-roots level should grasp the key points of screening, prevention and intervention, and give full play to the role of grass-roots medical and health institutions. professor zhang showed the standardized knowledge system of fraility prevention to the students. she called on the medical staff to pay attention to the prevention of fraility, pay attention to lifestyle, medication, nutrition, chronic disease and geriatric syndrome as well as psychological problems as soon as possible, realize the management of the whole life cycle, and achieve the goal of promoting healthy aging.

professor wang jingtong of peking university people's hospital gave a lecture on the topic of ";perioperative comprehensive management of senile patients";. professor wang pointed out that although more and more geriatrics doctors have realized the importance of frailty, elderly people undergoing surgery belong to a special group, and frailty is closely related to postoperative complications and adverse outcomes. therefore, from the perspective of geriatric medicine, we should attach importance to perioperative management of frailty patients, organically combine frailty assessment with traditional surgical assessment, and evaluate the pros and cons of non-emergency elective surgery. the essence of perioperative management is to advocate the multi-disciplinary team management model and the combined comprehensive treatment of sports nutrition. in this lecture, professor wang emphasized the importance of frailty management from the special perspective of perioperative period, risk stratification and hierarchical management, and repeatedly mentioned the interdisciplinary team model, aiming to improve the perioperative medical quality of frailty patients and improve clinical outcomes.

professor liu bomiao from fuwai hospital, chinese academy of medical sciences, titled "graded exercise guidance for elderly patients with perioperative heart surgery". the prevalence of frailty in elderly patients with cardiovascular disease should not be underestimated. frailty physical therapy includes braking problems, clustering management, abcdef program evaluation, and multidisciplinary cooperation teams. in the form of cases, it shows us the standardized process and content of the fuwai model, advocating the evaluation model of multidisciplinary team cooperation and the problem-oriented four-level rehabilitation treatment program. in conclusion, professor liu pointed out that the rehabilitation of perioperative senile patients is in essence a comprehensive care based on evidence-based medical evidence. this lesson suggested that the debilitation physical therapy for severe patients is imperative and an effective way to maximize the benefits of medical intervention.

professor hu yixin, director of the international exchange working committee of the chinese geriatric society and the second medical center of the pla general hospital, explained the importance of the application of comprehensive geriatric assessment in the asthenia-sarcopenia clinic, the selection of assessment tools and the key points of implementation with the topic of "standardized application of comprehensive geriatric assessment in the asthenia-sarcopenia clinic". it also introduced the group standard of ";norms for geriatric outpatient service" jointly formulated by 35 medical institutions such as pla general hospital, union hospital and west china hospital, and finally shared the multi-disciplinary outpatient service model for geriatrics that the hospital has explored in recent years, which is led by geriatric experts and carried out by geriatric nurses and interdisciplinary team experts. professor hu pointed out that the asthenia-sarcopenia clinic as the hub is conducive to providing continuous - whole-process - effective health services for the elderly inside and outside the hospital. to improve medical quality based on comprehensive assessment of the elderly is the characteristic and key of outpatient diagnosis and treatment of asthenia-sarcopenia. cooperation with other departments in the hospital to strengthen the publicity and education of the public is also of great significance for delaying the occurrence of asthenia-sarcopenia and promoting active aging.

the theme of the afternoon meeting is "improving the exercise management ability of the elderly". the focus of the health management of the elderly population is scientific exercise management, but how to carry out scientific exercise urgently needs cross-border expert cooperation and guidance. therefore, in the afternoon, we invited 7 professors from shenyang institute of physical education, people's hospital of inner mongolia autonomous region, capital institute of physical education, henan provincial people's hospital, the first affiliated hospital of zhejiang university school of medicine, the third hospital of peking university, and beijing sport university. courses such as how to carry out individualized assessment before formulating exercise prescription for the elderly, how to carry out health management for elderly diabetic patients under the scenario of "body-medicine integration";, exercise management for elderly hypertension patients, the surgical specificity of elderly knee joint lesions, and physical flexibility testing, evaluation and training programs. from the elderly general population and some special population frailty and sarcopenia related problems, sports science, safety, effectiveness and other specific content of the wonderful explanation.

professor zhang xin 'an from shenyang institute of physical education explained three modules: exercise prescription, individualized evaluation strategy, formulation and application of exercise prescription with the title of "key points of application of exercise prescription for the elderly based on individualized evaluation". professor zhang pointed out that exercise prescription is a sword to improve the quality of life and prevent chronic diseases, especially for the elderly and cardiovascular disease people and elderly people, advocating the combination of sports medicine and precision medicine. from the perspective of sports profession, professor zhang provided professional knowledge of sports prescription for students, especially for medical staff. sports is a good medicine, and the cross-border integration of sports medicine, sports rehabilitation and geriatrics is not only conducive to the scientific development of sports, but also the key to healthy aging in the aging era.

the topic shared by professor zou yanhui of inner mongolia autonomous region people's hospital is to promote the exploration of the hospital-community continuous management model for the elderly sarcosis clinic. based on his own work experience, professor zou proposed a hospital-community continuous management model for sarcopenia according to the ethnic characteristics, eating habits and sports status of the region. based on the latest consensus on sarcopenia and the group standards for frailty clinics promulgated by the society, he pointed out that the hospital-community continuous management model is expected to become the main way for grassroots hospitals to carry out frailty diagnosis and treatment of sarcopenia. the combined model with guidance and practice is conducive to promoting the application of diagnosis and treatment technology for sarcopenia asthenia, and the most important thing is to reflect the diagnosis and treatment concept of full management and effective intervention, so as to achieve the medical goal of early detection and intervention.

professor rong xiangjiang of capital institute of physical education gave a lecture on the sports health management of diabetic patients under the integration of physical medicine. professor rong pointed out that the concept of physical medicine fusion is diagnostic fusion, therapeutic fusion and rehabilitation fusion; the core is to solve the safety, effectiveness and sustainability problems in the diagnosis and treatment process of exercise therapy, from the "disease-led" clinical treatment idea to the "function-oriented"; physical medicine integration diagnosis and treatment idea, to meet the physiological and psychological needs of patients, and truly pursue the goal of "active health". the new diabetes management model focusing on exercise treatment is to closely link exercise and health, and cross-border combination of sports and medicine to promote the popularization of exercise programs for chronic people, so as to meet the strategic requirements of healthy china.

professor huang gailong from henan provincial people's hospital has a topic on exercise management of hypertension in the elderly. from the perspective of geriatric medicine, professor huang said that the uniqueness of hypertension in the elderly determines that lifestyle management is the basis and exercise therapy is the focus in comprehensive prevention and control. in the course of exercise intervention, a combination of different types of exercise and an individualized exercise prescription are recommended. professor huang emphasized that mastering the special characteristics of elderly hypertension patients, taking exercise therapy as the basic treatment plan and combining comprehensive intervention with drugs can maximize the hole blood pressure, which is one of the characteristics of hypertension diagnosis and treatment in geriatric medicine. as medical personnel in geriatric medicine, they should step out of the cardiovascular field of vision. more scientific diagnosis and treatment from the perspective of the whole person and comprehensive benefit of geriatrics.

professor yang yunmei from the first affiliated hospital of zhejiang university school of medicine explained the theme of "senile frailty - nutritional management of sarcopenia";, focusing on the relationship between malnutrition and sarcopenia - frailty, clinical manifestations and evaluation, and nutritional management of sarcopenia - frailty. director yang pointed out that the comprehensive evaluation combining dietary investigation, clinical status, laboratory indicators, anthropometry and component analysis is the basis for determining the intervention timing and indication, and advocated the "five-step treatment" intervention approach. it is well known that nutritional therapy is the basis for ensuring the effectiveness of other interventions for asthenic sarcopenia, especially exercise therapy. therefore, the content of this lesson aims to promote the clinical application of standardized nutritional management in the elderly with asthenic sarcopenia at the grassroots level.

finally, li xuemei, a teacher from beijing sport university, took "flexibility testing, evaluation and training" as the theme. professor li pointed out that flexibility reflects the mobility of joints and is closely related to the health of the elderly. this course explains in detail the definition, influencing factors, measurement and evaluation methods, training program formulation, risk prevention and other specific contents of flexibility, explains the content of different methods such as static training, dynamic training, proprioceptive neuromuscular promotion, and focuses on the flexibility exercise methods suitable for the elderly. through live video demonstration, the course introduces the flexibility exercise methods suitable for the elderly. the training details of flexibility are intuitively displayed, and the majority of students said that the simple and easy to learn teaching method is conducive to quickly mastering the teaching content, and is more conducive to clinical application.

 

today's cloud classroom has been viewed and watched online by more than 10,000 people, and many students have conducted online exchanges and answered questions with teaching experts and professors. participants said that such practical training knowledge is very suitable for clinical workers. in the third day of training on november 7, in addition to the assessment and intervention techniques of different motor abilities formulated by sports and medical experts for the exercise prescription of the elderly, it will continue to bring the classic theme of "advanced geriatric clinical skills training class" - the fourth interdisciplinary cognitive disease workshop. to promote the improvement of specialized and cooperative skills of interdisciplinary team members such as geriatrics, cognition and rehabilitation.