UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS FALL 2011 COURSE NUMBER NGR 6140 – Section 4656 COURSE TITLE Physiology and Pathophysiology for Advanced Nursing Practice CREDITS 04 PLACEMENT Variable PREREQUISITES None COREQUISITES None FACULTY OFFICE PHONE OFFICE HOURS Rosalyn R. Reischman, DSN, ARNP, ACNP-BC reischma@.ufl.edu 3rd Floor LRC-HSC Jacksonville (904) 244-5175 (904) 887-4232 Mondays 12-2 p.m. and By appointment HPNP 3230 Gainesville (352) 273-6394 By appointment 3rd Floor LRC-HSC Jacksonville (904) 244-5172 By appointment DEPARTMENT CHAIR Joyce Stechmiller, PhD, ARNP stechjk@ufl.edu JACKSONVILLE CAMPUS DIRECTOR Andrea Gregg, DSN, RN greggac@ufl.edu COURSE DESCRIPTION This course provides an advanced understanding of concepts in human physiology and pathophysiology as a foundation for the advanced nursing practice role. Concepts related to biological sciences including cell biology, tumor biology, immunology, genetics, and pathology will be presented. The focus of this course is on principles, theories, and current research related to physiological and pathophysiological system alterations across the lifespan. COURSE OBJECTIVES: Upon completion of this course the student will be able to: 1. Integrate knowledge from the physical, biological, and social sciences to understand human physiological functioning across the lifespan. 2. Analyze the relationships between normal physiological processes and pathophysiological processes across the lifespan. NGR6140 Section 0295 Reischman Fall 2011 – FINAL COPY 3. Explain the etiology, at-risk populations, pathogenesis morphology, and clinical and diagnostics manifestations of selected acute and chronic disease states. 4. Apply self-learning principles in the advanced practice role in integrating current research-based findings to understand etiology, pathogenesis and morphological alterations of selected acute and chronic disease states. 5. Relate underlying physiological and/or pathophysiological alterations to health assessments findings. COURSE SCHEDULE This is a web- based course with two scheduled class meetings. Day Exams Hours 2 Time Rooms GVL: JAX: Off-site option(see evaluation section) *3 exams on scheduled dates only (see course schedule) Weekly 4 Student Option Online lectures and learning experiences Gainesville Exam Site: Health Science Center Computer Testing Center: The testing center is located in the Communicore in Room CG-28 and CG-23 (adjoining rooms). See the maps of the communicore and campus under “Resources”. On the campus map, search for “Health Science Center”. Jacksonville Exam Site: Shands Clinical Center, System Education Center (computer lab), 3 rd Floor: Directions -To reach this testing site, go to the Shands Jacksonville Clinical Center building main lobby and take the corridor to the left of the information desk. At the end of the corridor are the Central Elevators. Take the elevator to the 3rd floor. As you exit look for the directory sign posted on the wall opposite the elevators. Follow the arrows that point to the Rainbow Center, Healthy Start Program and Pediatric Hearing Center. Toward the end of the corridor on the right are the West Elevators. A set of wooden double doors are a short distance past the West Elevators on the left hand side of the corridor. Go through these doors to another corridor. Walk past the sign for the Healthy Start Resource Room to the very end of the corridor. Arrive at a 2nd set of double doors. Go through the doors and the System Education Center (computer lab) is on the right. CLASS TIME AND PREPARATION This is a 4 credit hour theory course. In order to be successful, it is expected that students will need to spend at least 4 hours weekly preparing for each hour of academic credit, which translates to weekly average class/web preparation time of 16 hours (including weeks with no classroom meeting due to holidays). COURSE MANAGEMENT SYSTEM Web-based course – online activities as posted. E-Learning in Sakai is the course management system that is used for this course. E-Learning in Sakai is accessed by using the student’s Gatorlink account name and password at http://lss.at.ufl.edu. There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to helpdesk@ufl.edu. It is important for the student to regularly check their Gatorlink account email for College and University wide NGR 6140 Section 0295 Reischman Fall 2011 – FINAL COPY Page 2 information and the course E-Learning site for announcements and notifications. Course websites are generally made available on the Friday before the first day of classes. The student is responsible for accessing the course web page several times per week. Important announcements and online materials related to the course activities and requirements will be continuously updated. ATTENDANCE Students may be expected to attend on-campus or synchronous classes periodically. Students are expected to participate in the activities and discussions as listed in the course syllabus and on the course web-site. Timeframes for the posting and receiving of materials are listed in the course materials on the course web-site. Make-up exams are not available. A grade penalty may be assigned for late assignments. Web based Lecture, Discussions and Assignments: This course uses web-based, asynchronous lectures and assignments. The Weekly sessions begin on Wednesday’s at 8am and end on Tuesday’s at midnight. - Modify as needed. Students must post completed assignments by the Assignment due date. Deductions of 5 points a day (beginning the day following the deadline) will occur for ALL late assignments. Please contact Dr. Reischman prior to a due date if there is an emergency that will prevent you from turning in the assignment by the deadline. ACCOMMODATIONS DUE TO DISABILITY Each semester, students are responsible for requesting a memorandum from the Office for Students with Disabilities to notify faculty of their requested individual accommodations. This should be done at the start of the semester. STUDENT HANDBOOK Students are to refer to the College of Nursing Student Handbook for information About College of Nursing policies, honor code, and professional behavior. TOPICAL OUTLINE 1. Concepts in developmental physiology 2. Physiological concepts in: a. Cellular Biology b. Immunology c. Genetics d. Tumor Biology e. Endocrinology f. Reproductive Function g. Neurology h. Hematology i. Dermatology j. Respiratory Function k. Cardiovascular Function NGR 6140 Section 0295 Reischman Fall 2011 – FINAL COPY Page 3 3. 4. l. Gastrointestinal Function m. Renal Function n. Musculoskeletal Function Etiology, at-risk populations, pathogenesis, and morphology of selected acute and chronic disease states Physiological and pathological alterations underlying clinical and diagnostic manifestations of selected acute and chronic disease states TEACHING METHODS Online lecture, assigned readings, student case studies, computer assisted instruction LEARNING ACTIVITIES Weekly case study review, written assignments, scheduled examinations. EVALUATION METHODS/COURSE GRADE CALCULATION ASSIGNMENT/EXAM Exam 1 Exam 2 Exam 3 Case Study Presentation Paper PERCENTAGE 20 20 20 20 20 Total 100 Due Date 9/28 11/2 12/15 Per Schedule 11/30 EXAMS: The three (3) objective exams are offered via the “Test & Quizzes” function on Sakai course management system and are proctored (on campus or off). Make up exams will not be offered. Faculty will work with students who experience extenuating circumstances preventing examination attendance on an individual basis. The exams will be held in computer labs on campus (both GVL and JAX) on the scheduled dates and at the scheduled times (see course schedule). Gainesville Exam Site: Health Science Center Computer Testing Center: The testing center is located in the Communicore in Room CG-28 and CG-23 (adjoining rooms). See the maps of the communicore and campus under “Resources”. On the campus map, search for “Health Science Center”. Jacksonville Exam Site: Shands Clinical Center, System Education Center (computer lab), 3 rd Floor: Directions -To reach this testing site, go to the Shands Jacksonville Clinical Center building main lobby and take the corridor to the left of the information desk. At the end of the corridor are the Central Elevators. Take the elevator to the 3rd floor. As you exit look for the directory sign posted on the wall opposite the elevators. Follow the arrows that point to the Rainbow Center, Healthy Start Program and Pediatric Hearing Center. Toward the end of the corridor on the right are the West Elevators. A set of wooden double doors are a short distance past the West Elevators on the left hand side of the corridor. Go through these doors to another corridor. Walk past the sign for the Healthy Start Resource Room to the very end of the corridor. Arrive at a 2nd set of double doors. Go through the doors and the System Education Center (computer lab) is on the right. NGR 6140 Section 0295 Reischman Fall 2011 – FINAL COPY Page 4 Off-Campus Testing Option: Students who live outside the Gainesville and Jacksonville areas, who would rather not take exams on campus, may elect to take exams on scheduled exam days, off campus at any commercial learning center, with prior approval/scheduling through faculty. Off campus proctored exams are available for variable fees. For example, Sylvan Learning Center will proctor the exam for a cost per exam of approximately $50.00. Alternatively, you may be able to make arrangements to take proctored computer exams at local college campuses with secure internet access and proctoring quality proctoring availability. If you elect off-campus testing, discuss (via email) this option and requirements with Dr. Reischman during the first two weeks of class. Off-campus testing must occur on the same date as the scheduled exam. Faculty Feedback Expectations: •Written assignments will be graded within ten (10) business days of receipt. •Response to emails received by faculty via the course Sakai email system will be sent within three (3) business days of receipt. Case Study Narrated PowerPoint Student Presentation: See Guidelines under “Resources”, then “Course Information” on course website. Case Analysis Paper: See Guidelines under “Resources”, then “Course Information” on course website. GRADING SCALE/QUALITY POINTS A AB+ B BC+ 95-100 (4.0) 93-94 (3.67) 91- 92 (3.33) 84-90 (3.0) 82-83 (2.67) 80-81 (2.33) C CD+ D DE 74-79* (2.0) 72-73 (1.67) 70-71 (1.33) 64-69 (1.0) 62-63 (0.67) 61 or below (0.0) * 74 is the minimal passing grade REQUIRED TEXT Kumar, V., Abbas, A., & Fausto, N. (2010). Robbins & Cotran: Pathologic basis of disease, 8th ed., Philadelphia: Elsevier/Saunders Purchase of this textbook provides you with an activation code in the front cover of the book. This activation code provides you access to the online resources including the case studies. 1. Activate your access at: http://www.studentconsult.com/ (if your textbook says “expertconsult” instead, then use that address) 2. Click “Register Now” 3. Fill in your user information 4. Click “Create Account” 5. Activate your Book a. Scratch off the activation code at the bottom of the book cover b. Enter the code into the “Add a Title” box NGR 6140 Section 0295 Reischman Fall 2011 – FINAL COPY Page 5 c. Click on the Book Title: i. Kumar et al.: Robbins and Cotran: Pathologic basis of disease, 8E 6. Explore the resources a. Click on “Pathology Case Studies” b. Click on: “Click Here to View Case Studies” & find the case studies listed by topic Supplemental Texts Anatomy and Physiology text(s) facilitate review of fundamental knowledge attained prior to this course. Ready reference text(s) of the student’s choice is strongly recommended. NGR 6140 Section 0295 Reischman Fall 2011 – FINAL COPY Page 6 NGR 6140 WEEKLY CLASS SCHEDULE WEEK See Course Website for Assignment Guidelines: Resources→Course Information DATE TOPIC CHAPTERS STUDENT CASES 1 August 24 2 31 3 September 7 3 4 14 21 Genetics Central Nervous System 5 28 Exam 1 6 Overview and Organization Cell Structure Cellular Adaptations/Injury/Death Tissue Inflammation, Tissue Renewal, Repair, Regeneration Breast, Endocrine None 1 2-3 None To be completed by September 7 after receiving student preferences 5 28 23, 24 7 October 5 12 8 19 9 26 10 November 2 11 9 GI, Liver, Biliary Tract, & Pancreas 17, 18 12 16 Kidney, Lower Urinary Tract, Male and Female Genital Tract 20, 21 14 23 15 30 Case Analysis Paper Due 15 30 16 December 7 15 Skin, Bones, Joints, Soft Tissue Tumors Peripheral Nerve and Skeletal Muscle Hemodynamic, Heart, Blood Vessels 4, 11, 12 RBC’s, WBCs, Lymph Nodes, Spleen, Thymus Lungs, Head, Neck 13, 14 15, 16 Exam 2 25, 26 27 Exam 3 NGR 6140 Section 0295 Reischman Fall 2011 – FINAL COPY Page 7