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School of Nursing
NURSING 208
PATHOPHYSIOLOGY
FALL 2014
FACULTY:
L. SAARMANN, RN, EdD
Lsaarman@mail.sdsu.edu
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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
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describe pathologic changes in cells and tissues which contribute to health
problems
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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
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list symptoms of major health problems
5
explain the physiologic basis of symptoms
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delineate effects of pathophysiology on human functioning
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describe the role of nutrition in health problems
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2,5,9,10
2,5,9,10
2,5,9,10
FACULTY INFORMATION:
Email Lembis77@gmail.com
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.
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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.
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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
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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
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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.
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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.