ULM College of Pharmacy Spring 2015 PHRD 5068: Lifestyle Modifications for Disease Management and Prevention I. Contact Information Coordinators Dr. Susan Sirmans, Pharm.D., BCPS Associate Professor, Dept. Clinical Sciences Baton Rouge Campus; Room #221 Phone: 225-219-9660, ext. 208 Email: sirmans@ulm.edu (*preferred communication) Office Hours: 1-3 p.m. M-Th & By Appointment Dr. Alexis Horace, Pharm.D., BCACP Assistant Professor, Dept. Clinical Sciences Baton Rouge Campus ; #203 Phone: 225-219-9660, ext. 202 Email: horace@ulm.edu (*preferred communication) Office Hours: Mon & Weds 1-4pm, Fri 8-11:30, & by appointment Instructors Dr. Fahamina Ahmed, Pharm.D. Assistant Professor, Dept. Clinical Sciences Baton Rouge Campus ; #206 Phone: 225-219-9660; ext. 201 Email: ahmed@ulm.edu (*preferred communication) Office hours: Mon 12-4:00pm; Fri 8 to 11am Dr. Jessica Brady, Pharm.D., BCPS Assistant Professor, Dept. Clinical Sciences Bienville Building 117 Phone: 318-342-1697 Email: brady@ulm.edu (*preferred communication) Office hours: Mon - Thur 1 - 4pm Dr. Emily Evans, Pharm.D., BC-ADM, CPE Associate Professor, LSU Health Physician Assistant Program Phone: 318-813-2988 Email: eevans@lsuhsc.edu (*preferred communication) Office: 1501 Kings Hwy (Shreveport) Office hours: by appointment Dr. Savannah Posey, Pharm.D. Assistant Professor, Dept. Clinical Sciences Monroe Campus ; Room # 132 Phone: 318-342-3176 Email: posey@ulm.edu (*preferred communication) Office hours: Mon –Thur, 8am-11am Dr. Laurel A. Sampognaro, Pharm.D. Associate Professor Dept. Clinical Sciences Monroe Campus, Room # 119 Phone: 318-342-1721 E-mail: landrews@ulm.edu Office Hours: Mon, Tues, and Wednesday, 2 pm-4pm, Thurs 9am-11am, and Fri 8am-10am II. Course Prerequisites/Corequisites PHRD 4010, PHRD 4027, PHRD 4035, PHRD 4074, PHRD 4054 III. Course Description This course will expand the students’ knowledge of selective methods of lifestyle modification in order to manage or prevent selected disease states. IV. Curricular Objectives and Outcomes Communicate Effectively 7. Develop population-based patient education programs. 6. Counsel and educate patients regarding medication use, disease state management, and health maintenance. 9. Read, write, speak, listen, and use data, media, and computers to send and respond effectively to communications for varied audiences and purposes. Promote Health Improvement and Self-Care 22. Promote/participate in effective health and disease prevention services as part of patient or population specific care. Think Critically 24. Identify, retrieve, understand, analyze, synthesize, and evaluate information needed to make informed, rational, and ethical decisions. 26. Display habits, attitudes, and values associated with mature critical thinking. Demonstrate Appropriate Interpersonal, Professional, and Ethical Behaviors. 30. Provide service to the profession and the community. V. Course Specific Objectives and Outcomes • Explain the importance of proper nutrition for the treatment and prevention of chronic diseases. • Calculate the number of total daily calories appropriate for patients based on their individual information. • Explain the importance of physical activity as it relates to health benefits and disease prevention. • Define the components of physical activity. • Explain the principles of an exercise regimen. • Calculate the energy expenditure of various types of physical activity. • Compare and contrast body weight versus body composition. • Explain the three phases of a weight control program. • Summarize the recommended strategies for weight control. • Outline the steps of a brief intervention for a patient who smokes cigarettes. • Develop a smoking cessation plan for a patient ready to make a quit attempt. • • • • • • • • • • • Explain the Health Belief Model, Transtheoretical Model of Change, the 5 A's Behavioral Intervention Protocol, and Social Cognitive Theory. List patient-related and healthcare system and provider-related barriers to adherence. List and explain patient-related and program-related behavior change strategies that can improve adherence. Formulate a basic nutrition and exercise program for a patient with hypertension. Formulate a basic nutrition and exercise program for patients with dyslipidemia. Formulate a basic nutrition and exercise program for patients with heart failure. Formulate a basic nutrition and exercise program for patients with Type 2 diabetes. Formulate a basic nutrition and exercise program for patients with osteoporosis. Suggest appropriate exercise for patients who are obese. Describe nutritional and exercise strategies for patients with metabolic syndrome. Describe nutritional and exercise strategies for patients with chronic lung disease. VI. Course Topics Nutrition, physical activity, weight control, tobacco cessation, health behavior change, hypertension, dyslipidemia, diabetes mellitus, heart failure, osteoporosis, and chronic lung disease. VII. Instructional Methods and Activities Instructional methods may include: traditional lectures, distance learning, in-class discussion of patient cases, small group discussions, problem-based learning, case-based learning, and individual projects or assignments. VIII. Evaluation and Grade Assignment • There will be weekly quizzes (10 points each) at the beginning of each scheduled class meeting based upon the reading material for that week. • Weekly activities may be assigned (10-50 points each) for each topic. Please pay attention to each instructor’s activity. • There will also be a final project creating consisting of creating a comprehensive wellness plan (100 points). Final Due date: April 29, 2015. • All quiz and activity dates are scheduled in the course syllabus and will only be changed in the event of University closure. • Information acquired from previous lectures in the course and from other courses in the professional pharmacy curriculum may be needed in preparing for these quizzes. • Quizzes will cover material (readings, outside assignments) not covered in class. • Problems or issues with question(s) should be first directed, via e-mail, to the person who wrote it. The course coordinator(s) should be copied on this email, but it is the responsibility of the instructor to address the concern(s). (If the student is unsure which instructor wrote a specific question, then he or she may ask the course coordinator.) The student is expected to include references or rationale to support their challenge of the question in writing. The challenge will be reviewed by the instructor, and his or her decision will be shared with the course coordinator(s). Discussion of a dispute will occur only after a written query is submitted, with reasoning for the challenge. Challenges of questions will only be considered within 1 week of the time that the score is posted. • Use of programmable calculators or cellular phones will not be allowed during quizzes. • In the event that a question is eliminated from a quiz after it has been printed, the quiz will be graded based on the remaining number of questions and adjusted to represent correct number of points. • Individual grades for the course will be based strictly upon these percentages. There will be no curving or adjustments of grades except in the case of an incorrect question. In the event that there is an issue with a particular question, adjustments to scores will be made based on discussions between the test question writer and the course coordinator. Grading Scale: 89.5 – 100% 79.5 – 89.49% 69.5 – 79.49% 59.5 – 69.49% ≤59.49% A B C D F IX. Class Policies and Procedures TEXTBOOKS (required): 1. Lenz TL. Lifestyle Modifications in Pharmacotherapy. Lippincott Williams & Wilkins, 2008. 2. Additional REQUIRED and/or recommended reading materials may be posted on Moodle by course faculty. ATTENDANCE POLICY: Class attendance mandatory. Attendance will be noted with weekly quizzes. Students shall submit excuses for all class absences to coordinator within three class days after returning to classes. Professors shall accept an official University excuse. With the following exceptions professors are to determine whether absences are excused or unexcused: 1. 2. 3. Absences arising from authorized trips away from the University or from special duties at the University shall be excused. Absences arising from a student’s confinement in a hospital or other in-patient facility or doctor’s excused absences shall be excused. Students are responsible for verifying this information to the faculty. Absences arising from a death in the immediate family shall be excused. The immediate family is defined as spouse, child, step-child, mother, father, sister, brother, grandmother, grandfather, stepmother, step-father, step-brother, step-sister, aunt, uncle, mother-in-law or father-in-law. MAKE-UP POLICY: Each student is expected to attend each quiz and exam at the date and time specified. If a student cannot attend an exam due to valid University excuse, he/she must speak directly with the course coordinator, as soon as possible. The course coordinator must be notified prior to the examination if a student misses the exam, if possible. Failure to attend a scheduled make-up exam will result in a zero (0) grade for that exam. Make-up exams will be prepared at the same or higher level than the original exam. The format of the make-up exam may be written or oral. Students missing an exam due to a University approved excuse will take the make-up exam during the week of finals, or as determined by the course coordinators. ACADEMIC INTEGRITY: Students must observe the ULM published policy on academic dishonesty (See pages 10 and 11 in the ULM Student Policy Manual: http://www.ulm.edu/studentpolicy/ ). All suspected cases of academic dishonesty will be reported, as described in the Manual. Consequences for academic dishonesty (cheating and/or plagiarism), as defined in the Manual, WILL include obtaining a 0 (zero) for the assignment/exam. Additionally, the student may fail the course and/ or be placed on academic probation or suspension. In addition, students must observe the ULM College of Pharmacy Code of Ethical and Professional Conduct (http://rxweb.ulm.edu/pharmacy/policies/copcodeofconduct.pdf ) and the Dress Code (http://rxweb.ulm.edu/pharmacy/studentinfo/default.html ). COURSE EVALUATION POLICY: At a minimum, students are expected to complete the on-line course evaluation as well as any evaluation administered in class by the College of Pharmacy. STUDENT SERVICES: Information about ULM student services, such as Student Success Center (http://ulm.edu/cass/), Counseling Center (http://ulm.edu/counselingcenter/), Special Needs (http://ulm.edu/counselingcenter/special.htm) and Student Health Services, is available at the following Student Services web site http://ulm.edu/studentaffairs/ Students with special needs requiring accommodations MUST follow the process described at http://rxweb.ulm.edu/pharmacy/student/specialneeds.pdf . Mental Wellness on the ULM Campus If you are having any emotional, behavioral, or social problems, and would like to talk with a caring, concerned professional please call one of the following numbers: The ULM Counseling Center 342-5220 The Marriage and Family Therapy Clinic 342-9797 The Community Counseling Center 342-1263 The ULM HELPS Project Office 342-1335 Remember that all services are offered free to faculty, staff, and students, and all are strictly confidential. The University of Louisiana at Monroe strives to serve students with special needs through compliance with Sections 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act. These laws mandate that postsecondary institutions provide equal access to programs and services for students with disabilities without creating changes to the essential elements of the curriculum. While students with special needs are expected to meet our institution's academic standards, they are given the opportunity to fulfill learner outcomes in alternative ways. Examples of accommodations may include, but are not limited to, testing accommodations (oral testing, extended time for exams), interpreters, relocation of inaccessible classrooms, permission to audiotape lectures, note-taking assistance, and course substitutions. Title IX of the Education Amendments of 1972 prohibits sex discrimination against any participant in an educational program or activity that receives federal funds, including federal loans and grants. Furthermore, Title IX prohibits sex discrimination to include sexual misconduct, sexual violence, sexual harassment and retaliation. If you encounter unlawful sexual harassment or gender-based discrimination, please contact Student Services at 318 342-5230 or to file a complaint, visit www.ulm.edu/titleix. FIRE EMERGENCY PLAN: Please check the emergency escape plan by the door of the classroom. Move quickly and orderly to the appropriate stair well and exit outside the building. Under no circumstance is the elevator to be used for emergency fire evacuation. Any student needing assistance with the stairs should notify the professor. COMMUNICATION WITH COORDINATORS AND INSTRUCTORS: Open and frequent communication via email, phone, or face-to-face, is highly encouraged. If you feel that you are having problems in the course, please approach and discuss with the appropriate faculty member(s) as early as possible, to avoid complications later in the course that could impact your understanding of the material or your grade in the course. The course coordinator reserves the right to adjust the syllabus or schedule, in accordance with University and College policies and procedures. X. Tentative Course Schedule Class will meet every Wednesday from 3:00PM until 4:50PM Date Week Topic Distance Instructor Yes Jan 14 1 Introduction Susan Sirmans/Alexis Horace Jan 21 2 Nutrition Susan Sirmans Jan 28 3 Physical activity Emily Evans Feb 4 4 Weight control / Obesity Alexis Horace Feb 11 5 Tobacco cessation Feb 18 Reading -- Yes Chapter 1 Yes Chapter 2 Yes Laurel Sampognaro Chapter 3 & 13 No Chapter 4 Mardi Gras Holiday Feb 25 6 Health behavior change Alexis Horace March 4 7 Exercise class Field Trip March 11 8 Hypertension Susan Sirmans March 18 9 Dyslipidemia/ Metabolic syndrome Alexis Horace March 25 10 CHD/Stroke Susan Sirmans April 1 11 Heart failure Fahamina Ahmed Yes Chapter 5 No -- Yes Chapter 6 Yes Chapter 7 & 14 Yes April 8 Chapter 8 & 9 Yes Chapter 11 Spring Break Yes April 15 11 Diabetes Mellitus Fahamina Ahmed April 22 13 Osteoporosis Savannah Posey April 29 14 Chronic Lung Disease Jessica Brady Chapter 12 No Chapter 17 No Chapter 18