1 School of Nursing NURSING 208 PATHOPHYSIOLOGY FALL 2014 FACULTY: L. SAARMANN, RN, EdD [email protected] 2 NURS 208 Pathophysiology COURSE DESCRIPTION: pathophysiologic processes as they apply to the nursing care of patients. 3 units – lecture STUDENT LEARNING OUTCOMES: Upon completion of this course, the student will be able to: STUDENT LEARNING OUTCOMES 1 describe pathologic changes in cells and tissues which contribute to health problems 2 identify risk factors for major health stressors 3 describe changes in physiology resulting in and from health problems LEVEL OUTCOMES (LEVEL 1) 2,5,9,10 2,5,9,10,13 2,5,9,10,13 4 list symptoms of major health problems 5 explain the physiologic basis of symptoms 6 delineate effects of pathophysiology on human functioning 7 describe the role of nutrition in health problems 2 2,5,9,10 2,5,9,10 2,5,9,10 FACULTY INFORMATION: Email [email protected] Phone 619-987-1604 (C) Office Location HT 156 Office Hours by appointment Notes Email and cell phone are the best ways to contact me. I will answer email within 48 hours. I usually read my email in the evenings. Sometimes, I don’t look at them on weekends. Please put the course number (N208) in the subject line. That way I will be able to find it if it goes into the spam folder. If you call my cell, please identify yourself by name and as a student in N208 when I answer. If I do not answer, you may leave a voice message. Please identify yourself by name and as a student in N208 when you leave your message. State your phone number clearly. 3 DISABILITIES If you are a student with a disability and believe you will need accommodations for this class, it is your responsibility to contact Student Disability Services at (619) 594-6473. To avoid any delay in the receipt of your accommodations, you should contact Student Disability Services as soon as possible. Please note that accommodations are not retroactive, and that accommodations based upon disability cannot be provided until you have presented your instructor with an accommodation letter from Student Disability Services. Your cooperation is appreciated. COURSE DESIGN: Teaching/Learning Methods: During this class each student is expected to be ready to participate in the discussion and to answer correctly any questions asked. For each major topic there will be: 1. A pre-test. This quiz will help you assess your existing knowledge of the anatomy and physiology underlying the topic. If you find that you don’t remember the A&P, you will, of course, refresh your memory before starting the topic. Scores on pretests do NOT count toward your grade. 2. An on-line learning activity. This activity may take many forms. It may be a slide show, movie strip, game, crossword, etc. This activity is meant to enhance your learning. During the first part of the semester, I will lecture in class. You are expected to complete the activities and read the textbook before coming to class. 3. During the second part of the semester, you will be expected to have listened to the lecture and read the textbook before coming to class. In class we will discuss questions and complete some group projects. Students who are not prepared will be dismissed from the class session. a. This method of conducting class is designed to help you learn critical thinking skills. Research shows that using the content helps learners to “own” it better than the lecture approach can. The content in this course is very conceptual and requires more than just memorization. There is no credit given for these activities. Learning is your reward for doing them. REQUIRED MATERIALS: A registered i-Clicker is required. Please register via Blackboard. Text: Huether, SE, & McCance, KL. (2012). Understanding pathophysiology. Missouri: Elsevier. 4 SCHEDULE: It is an expectation of all professionals that we are responsible for our own learning. Therefore, students are expected to complete the readings for each week before coming to class. Since pathophysiology is based on normal physiology, you should also review normal physiology prior to each class. DATE TOPIC READINGS Aug 26 Intro to course Genetics Cell & tissue injury p.xiii Ch. 2 Ch. 3 Sept 2 Stress Response Stress management Nutrition Ch 8 Pg. 912-915 Plus Watch videos – see BB Sept 9 Inflammation Immunity Ch 5 Ch 6 Sept 16 AIDS EXAM 1 pg.178-202 Sept 23 Acid/Base and F/E Ch 4 Sept 30 GU/Renal Ch 28 pp. 741-743; 747-761 Oct 7 Cancer Ch 9 & 10 Oct 14 Pain EXAM 2 pp. 324-329 Oct 21 Cardiovascular Ch 22 pp. 585-626 Oct 28 Respiratory Ch 25 pp. 678-681; 689-700; 718720 Nov 4 Neurologic Problems Ch 12, 14, 15 Nov 11 Holiday Nov 18 Musculoskeletal Problems EXAM 3 Ch 36 pp. 978-994; 996-1002 Nov 25 & Dec 2 GI problems UGI, LGI. Liver, Biliary, Pancreas Ch 33 & 34 Dec 9 Endocrine Problems FINAL EXAM Comprehensive !! Ch 17 & 18 Dec 16 0800-1000 5 GRADING: A = 90 – 100 B = 80 – 89 C = 70 – 79 D = 60 – 69 F = below 60 There will be 3 exams and a final. Exam 1 = worth 100 pts = weighted at 20% Exam 2 = worth 100 pts = weighted at 20% Exam 3 = worth 100 pts = weighted at 20% Final Exam = worth 100 pts = weighted at 30% [The final exam will be comprehensive] Class questions: At most class meetings, there will be questions which you will answer using your i-clicker. You will receive 1 point for answering the question. If you answer correctly, you will receive 2 points for the question. In this way, the questions serve to give some credit for participation and some credit for coming to class prepared. Points for i-clicker questions will be posted on Blackboard. You have one week from the posting date to question any grade. After one week, no changes will be made. Thus your grade will consist of: Class questions = 10% Exam 1 = 20 % Exam 2 = 20% Exam 3 = 20% Final = 30% Total = 100% Scantrons: You will need 4 small red and white scantrons (289-PAR-L). Exams: lmportant Attendance for all exams is expected. No provision is made for exams missed because of unexcused absences from class. Unless a prior arrangement for an excused absence is obtained, a grade of F (0%) will be given for the exam that is missed. Make-up exams may differ from the original exam and may be of a different nature (e.g., essay, short answer, matching, etc.) There is no “make-up” for i-clicker questions. Test security is strictly maintained during both tests and review sessions. During exams, students must leave all parcels, phones, pagers, PDAs, etc at the front of the room. Any 6 student found with an electronic device at their seat during a test will be considered to have cheated. Students are allowed to have pencils and erasers at their desks. Once a test has begun, any student who leaves the room will not be allowed to continue the test. Any student who, in the judgment of the faculty, is cheating during a test or quiz will receive a zero for that test. In addition, the student’s final course grade will be dropped by 10 points. The student also will be reported to the Office of Student Rights and Responsibilities for further action. It is the responsibility of the student to avoid any behavior which could give rise to a suspicion of cheating. During test reviews, neither writing nor recording are allowed. Each test will have several different forms. It is vital that you fill in your form letter on your scantron. Failure to do so will result in the deduction of 10 points from your test score. Behavioral Outcomes 1. 2. 3. 4. Interactions reflect professionalism and civility as evidenced by academic excellence, caring, citizenship, fairness, respect, responsibility, and trustworthiness. (Clark, 2008) Individuals demonstrate accountability for their own conduct. Conduct is in conformity with the values, ethics and standards of the profession. Please review the Code of Conduct on the Student Rights and Responsibilities Page: http://www.sa.sdsu.edu/srr/conduct1.html Specific Expectations: 1. Students will arrive to class on time and return from breaks on time. 2. Once class is in session, please do not leave the room. It is rude and disturbing to your classmates. 3. There will be no extraneous talking during class. 4. All cell phones and other devices must be silenced. 5. Students will be prepared for each class having completed the readings and other assignments before coming to class. Taping Lectures: I do NOT allow lectures to be recorded. Some of the lectures will be available on Blackboard. All my lectures are copyrighted material and may not be reposted, shared or distributed in any way. 7 The highest standards of ethical professional behavior are to be maintained by all students. As a reminder, the ANA Code of Ethics is included in this syllabus. The ANA House of Delegates approved these nine provisions of the new Code of Ethics for Nurses at its June 30, 2001 meeting in Washington, DC. In July, 2001, the Congress of Nursing Practice and Economics voted to accept the new language of the interpretive statements resulting in a fully approved revised Code of Ethics for Nurses With Interpretive Statements. 1. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems. 2. The nurse's primary commitment is to the patient, whether an individual, family, group, or community. 3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. 4. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. 5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth. 6. The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action. 7. The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development. 8. The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs. 9. The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy. American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, Washington, D.C.: American Nurses Publishing, 2001 Reprinted with permission from American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, ©2001, nursesbooks.org, American Nurses Association, Washington, DC. To order, call 800/637-0323 or order on-line at www.nursesbooks.org.