Baton Rouge Community College Academic Affairs Master Syllabus Date Approved or Revised: 5/13/13 Course Name: Special Patient Populations Course Number: EMSE 207 Lecture Hours: 2 Lab Hours: 3 Credit Hours: 3 Course Description: Examines the obstetrical, gynecological, pediatric, geriatric, and patients with special challenges in the pre-hospital setting. Evaluations of obstetrical and gynecological disorders are reviewed. The management of the expectant mother, complications of labor, and normal/abnormal delivery are discussed. Pediatric and geriatric medical and traumatic emergencies are presented in addition to considerations concerning sexual assault and child abuse. Treatment of normal and abnormal changes associated with aging is also discussed. Prerequisites: Completion of EMSE 201, EMSE 204, EMSE 205, EMSE 210 and EMSE 213 with a grade of “C” or better. Co-requisites: None Suggested Enrollment Cap: 16 Learning Outcomes: Upon successful completion of this course, the students will be able to: 1. Integrate assessment findings with principles of pathophysiology and knowledge of psychosocial needs to formulate a field impression and implement a comprehensive treatment/disposition plan for patients with obstetric emergencies 2. Demonstrate comprehensive knowledge of the anatomy and physiology of neonatal circulation, newborn assessment and presentation and management of the newborn and neonatal resuscitation 3. Demonstrate comprehensive knowledge of age-related assessment findings, anatomic and physiologic variations and developmental assessment and treatment modifications of common or major pediatric diseases and/or emergencies 4. Demonstrate comprehensive knowledge of anatomy, physiology, epidemiology, pathophysiology, psychosocial impact, presentations, prognosis, and management of common or major gynecological diseases and/or emergencies 5. Demonstrate comprehensive knowledge of the healthcare implications of abuse, neglect, poverty, bariatrics, technology dependent, hospice/terminally ill, tracheostomy care/dysfunction 1 Assessment Measures: Assessment of all learning outcomes will be measured using the following methods: 1. Instructor designed exams will collectively assess a portion of the learning outcomes and will be administered during the semester as listed in the course syllabus. 2. Instructor designed comprehensive final exam will assess a portion of the learning outcomes and will be administered at the end of the semester. 3. Instructor designed clinical/lab competency tool will be used to assess a portion of the learning out comes and will be administered as listed in the course syllabus. Information to be included on the Instructor’s Course Syllabi: Disability Statement: Baton Rouge Community College seeks to meet the needs of its students in many ways. See the Office of Disability Services to receive suggestions for disability statements that should be included in each syllabus. Grading: The College grading policy should be included in the course syllabus. Any special practices should also go here. This should include the instructor’s and/or the department’s policy for make-up work. For example in a speech course, “Speeches not given on due date will receive no grade higher than a sixty” or “Make-up work will not be accepted after the last day of class.” Attendance Policy: Include the overall attendance policy of the college. Instructors may want to add additional information in individual syllabi to meet the needs of their courses. General Policies: Instructors’ policy on the use of things such as beepers and cell phones and/or hand held programmable calculators should be covered in this section. Cheating and Plagiarism: This must be included in all syllabi and should include the penalties for incidents in a given class. Students should have a clear idea of what constitutes cheating in a given course. Safety Concerns: In some programs this may be a major issue. For example, “No student will be allowed in the safety lab without safety glasses.” General statements such as, “Items that may be harmful to one’s self or others should not be brought to class.” Library/ Learning Resources: Since the development of the total person is part of our mission, assignments in the library and/or the Learning Resources Center should be included to assist students in enhancing skills and in using resources. Students should be encouraged to use the library for reading enjoyment as part of lifelong learning. 2 Expanded Course Outline: 1. Obstetrics I. Introduction II. Physiology III. General system physiology, assessment, and management of the obstetrical patient. IV. Complications Related to Pregnancy V. High Risk Pregnancy: pathophysiology, assessment, complications, management VI. Complications of Labor: pathophysiology, assessment, complications, management VII. Complications of Delivery: pathophysiology, assessment, complications, management 2. Neonatal Care I. Introduction II. General pathophysiology, assessment and management III. Specific situations 3. Pediatrics I. Pediatric Anatomical Variations and Assessment II. Growth and Development III. Pediatrics: Specific Pathophysiology, Assessment, and Management IV. Abuse and Neglect V. Sudden Infant Death Syndrome 4. Gynecology I. Introduction II. Physiology III. Symptoms and Assessment findings IV. General management V. Vaginal Bleeding VI. Sexual Assault VII. Infection (including Pelvic inflammatory disease, Bartholin’s abscess, and vaginitis / vulvovaginitis) VIII. Ovarian cyst and ruptured ovarian cyst IX. Ovarian torsion X. Endometriosis XI. Dysfunctional uterine bleeding XII. Prolapsed uterus XIII. Vaginal foreign body XIV. Age-related variations XV. Communication and documentation XVI. Transport decisions 5. Geriatrics I. Normal and Abnormal Changes associated with aging II. Sensory changes III. Pharmacokinetic change 3 IV. V. VI. V. 6. Polypharmacy Psychosocial and economic aspects Specific conditions that occur more frequently in the elderly Immunological system anatomical and physiological changes and pathophysiology Patients with Special Challenges I. Abuse and neglect II. Homelessness/Poverty III. Bariatric Patients IV. Technology Assisted/Dependent V. Hospice Care and Terminally Ill VI. Tracheostomy care/Dysfunction VII. Technology Assisted Patients VIII. Pediatrics Developmental Disabilities IX. Emotionally impaired X. Physical Needs/Challenges XI. Patients with Communicable Diseases XII. Terminally Ill Patients XIII. Mental Needs/Challenges XIV. Specific Challenges Created by Chronic Conditions 4