UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS SUMMER/2012 COURSE NUMBER NUR 4930 – Section 71BG COURSE TITLE Pathophysiology and Psychopathology CREDITS 4 PLACEMENT BSN Program: 1st Semester Upper Division PREREQUISITES Admission to Upper Division BSN Program COREQUISITES none FACULTY David J Derrico RN, MSN Assistant Clinical Professor derridj@ufl.edu OFFICE PHONE HPNP 352-273-6341 3202 (cell) 352-562-6305 Anna Hall Kelley, MSN, ARNP Clinical Assistant Professor alkelley@ufl.edu HPNP 2221 Martha (Jo) Snider, EdD, RN, Associate Professor snidemj@ufl.edu HPNP 4229 DEPARTMENT CHAIR Joyce Stechmiller, PhD,ACNP-BC FAAN Associate Professor HPNP Adult and Elderly Nursing 3230 stechjk@ufl.edu 352-273-6422 cell 352-494-8053 352-273-6359 352 273-6394 OFFICE HOURS Thursday 1000-1200 Wednesday 1200-1400 By Appointment By Appointment COURSE DESCRIPTION The purpose of this course is to examine pathophysiology and psychopathology related to human illness within a systems framework. Emphasis is on understanding pathophysiology and psychopathology as alterations in normal functioning of individual client subsystems. Focus is on presentation of selected pathophysiology and psychopathology and subsequent symptomatology in diverse clients across the lifespan. COURSE OBJECTIVES Upon completion of this course, the student will be able to: 1. Utilize principles from the biological and behavioral sciences to understand pathophysiological and psychopathological processes across the lifespan. NUR 4930(71BG) Summer 2012 Derrico 5/7/12 Final Copy COURSE OBJECTIVES (continued) 2. Explain relationships among pathophysiological processes, laboratory and diagnostic tests, and clinical manifestations of selected illnesses. 3. Identify genetic factors that influence pathophysiological and psychopathological processes in diverse clients. 4. Distinguish differences between developmental physiological alterations and pathophysiological processes. 5. Explain psychological processes associated with functional alterations in clients behavior. 6. Differentiate between developmental and behavioral alterations in clients across the life span. COURSE SCHEDULE Monday Tuesday 0800-1215 1400-1515 HPNP: G103 HPNP: G301 E-Learning in Sakai is the course management system that you will use for this course. ELearning in Sakai is accessed by using your 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 that you regularly check your Gatorlink account email for College and University wide 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. ATTENDANCE & MAKE UP POLICY Requirements for class attendance and make-up exams, assignments, and other work are consistent with university policies that can be found at: https://catalog.ufl.edu/ugrad/current/regulations/info/attendance.aspx. Students are expected to be present for all classes, other learning experiences and examinations. Students who have extraordinary circumstances preventing attendance should explain these circumstances to the course instructor prior to the scheduled class as soon as possible. Instructors will make an effort to accommodate reasonable requests. A grade penalty may be assigned for late assignments or make-up exams. Make-up exams may not be available in all courses. ACCOMMODATIONS DUE TO DISABILITY Each semester, students are responsible for requesting a memorandum from the Disability Resource Center to notify faculty of their requested individual accommodations. This should be done at the start of the semester. UNIVERSTY COUNSELING AND MENTAL HEALTH SERVICES NUR 4930 (71BG) Summer 2012 Derrico 5/7/12 Final Copy 2 http://www.counseling.ufl.edu/cwc/ (352) 392-1575 STUDENT HANDBOOK Students are to refer to the College of Nursing Student Handbook for information about University & College of Nursing policies, honor code, and professional behavior. http://con.ufl.edu/currentStudents/e_docs/Undergraduate%20Handbook%202011.pdf https://catalog.ufl.edu/ugrad/current/advising/info/student-honor-code.aspx#honesty TOPICAL OUTLINE 1. Cellular metabolism and genetic basis of health 2. Fluid and electrolytes 3. Acid/base balance 4. Alterations in physiological systems a. Hematopoietic system b. Immune system c. Cellular proliferation d. Circulatory system e. Pulmonary system f. Digestive system g. Endocrine system h. Renal system i. Reproductive systems including Physiology of Pregnancy j. Neurological system k. Musculoskeletal system l. Integumentary system 5. Alterations in cognition, perception and affect TEACHING METHODS Lecture, audiovisual materials, written materials, and presentation of case studies. LEARNING ACTIVITIES Worksheets, readings, participation in discussion, case study analysis, and study questions. CLASSROOM ETIQUETTE Classroom Behavior is covered under the Regulation of the University of Florida, Regulation 2.019. (j) Conduct Disruptive to the University Community. All students are expected to comply with UF policies http://regulations.ufl.edu/chapter4/4041.pdf. The UF policy defines disruption of a class or curricular activity as follows: Classroom or other academic workplace behavior that interferes with either (a) the instructor’s authority or ability to conduct the class or (b) the ability of other students to benefit from the instructional program EVALUATION METHODS/COURSE GRADE CALCULATION 3 Unit examinations 60% Final exam 20% Case study analysis 20% Total 100% NUR 4930 (71BG) Summer 2012 Derrico 5/7/12 Final Copy 3 Evaluation will be based on four objective tests each worth 100 points and a case study analysis assignment worth 100 points. Each exam is comprehensive and will include content previously tested in this course. The test scores will be averaged with the case study analysis and rounded to the nearest whole number to determine final course grade. Testing will be done at the time indicated on the course syllabus. Early testing is not an option and late testing will be given only in exceptional situations. Students must obtain approval of absence from David Derrico (273-6341) prior to the scheduled exam. Late testing will be completed within one week of the scheduled exam. TEN PERCENTAGE POINTS will be deducted from the exam score for UNEXCUSED absences. Alternate test forms will be given to students not taking exams at scheduled times. GRADING SCALE/QUALITY POINTS Letter Grade Points A AB+ B BC+ C CD+ D DE 95 – 100 93 – 94 91 – 92 84 – 90 82 – 83 80 – 81 74* - 79 *74% is the minimum 72 – 73 70 – 71 64 – 69 62 – 63 61 or below Quality Points 4.0 3.67 3.33 3.0 2.67 2.33 2.0 passing grade 1.67 1.33 1.0 .67 0.0 For more information on grades and grading policies, please refer to University’s grading policies: https://catalog.ufl.edu/ugrad/current/regulations/info/grades.aspx REQUIRED TEXT McCance, K.L., & Huether, S. E. (2010). Pathophysiology: The biologic basis for disease in adults and children. (6th ed.). St. Louis: Mosby/Elsevier. Townsend, M.C. (2011). Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice (5th ed.). Philadelphia: FA Davis. RECOMMENDED TEXT Van Leeuwen, A.M. & Poelhuis-Leth, D.J. (2011). Davis’s comprehensive handbook of laboratory and diagnostic tests with nursing implications (4th ed.). Philadelphia: F.A. Davis NUR 4930 (71BG) Summer 2012 Derrico 5/7/12 Final Copy 4 COURSE SCHEDULE: Readings are from the McCance Textbook unless otherwise stated Week # 1 2 3 4 Date Monday, May 14 Topics Readings & Assignments Intro., Cellular Metabolism, ANS, Stress & Disease Regulation, Metabolism, Oxygenation, Perfusion, & Stress Cellular Injury & Inflammation Protection & Inflammation Tuesday May 15 Physiology of Pain, Sleep, Temperature Regulation & Vital Signs Comfort & Sleep Weekly assignments Readings: Chapter 1: pp 21-24, Chapters 2, 6, 10, 15 Aging & Free Radicals Homework: VITAL SIGNS EXERCISE Fluids and Electrolyte Disorders: Regulation Acid/Base Disorders Monday, May 21 Tuesday May 22 Psychopathology Lecture #1: Introduction to psychopathology; definitions; theoretical models Weekly assignments Readings: Chapters 3: pp 96-123, Townsend Chapter 1 Homework: WORKSHEET #1 ELECTROLYTES & #2 ABG Monday, May 28 MEMORIAL DAY HOLIDAY Tuesday, May 29 Psychopathology Lecture #2: : Cognition; Processes and distortions Weekly assignments Readings: Chapter 18, p. 647-651 & Townsend, p. 43-44 and 305-313 0800 EXAM 1 G103 Hematologic Disease Oxygenation & Immunity Monday, June 4 Tuesday, June 5 Psychopathology Lecture #3: Cognition part 2: Weekly assignments 5 Monday, June 11 Readings: Chapters 25, 26, 27, & 28: pp1071-1076, 1078-1080 Townsend, p. 238-246 Polycythemia, Sickle Cell Disease, Hemophilia & DIC Homework: WORKSHEETS #3: CBC & #4: Coagulation Immunity, Infection, Alterations in Immunity Immunity & Infection Tuesday, June 12 Psychopathology Lecture #4: Perception; processes and distortions Weekly assignments Readings: Chapter 6, 7, 8, & 9 Infection, Leukopenia, & AIDS Homework: WORKSHEET #5: Culture & Sensitivity NUR 4930 (71BG) Summer 2012 Derrico 5/7/12 Final Copy 5 6 Monday, June 18 0800 EXAM 2 G103 Cancer: Mutations & Metastasis, Leukemia & Lymphoma Metabolism, Regulation, & Immunity Tuesday, June 19 Genetics basics Reproduction Physiology of Pregnancy Weekly assignments 7 8 Monday, July 2 Tuesday, July 3 Psychopathology Lecture #5: Affect: Dysfunctions I; depression Weekly assignments Readings: Chapter 32, 33, & 34: 1336-1338 pg. 652-657; Townsend, pg. 332-342 Cystic Fibrosis & Lung Cancer Cardiovascular Disease Oxygenation & Perfusion Monday, July 9 Tuesday, July 10 Weekly assignments 9 Readings: Chapters 4, 5, 11, 12, pp 823-850, 1019-1037, Chapter 44 Disorders of the Breast Disorders of the Integument Pulmonary Disease Oxygenation Monday, July 16 Psychopathology Lecture #6: Affect: Dysfunctions 2; anxiety Readings: Chapters 29 & 30 pg. 658-663; Townsend, pg. 230, 380-381; 413-415. Peripheral Vascular Disease & Pulmonary Embolism 0800 EXAM 3 G103 Urinary Tract Disorders & Renal Disease Regulation & Elimination Endocrine Disorders: Diabetes Regulation & Metabolism Tuesday, July 17 Psychopathology Lecture #7: Stress 1 Weekly assignments 10 Monday, July 23 Tuesday, July 24 Readings: Chapters 23: pp.850-870 & Chapter 35, 36, & 38 Chapter 21: pp 745-765, Chapter 10; Townsend, Chapter 1 Reproductive disorders Homework: WORKSHEET #6: UA Gastrointestinal Disorders Nutrition & Elimination Psychopathology Lecture #8: Stress 2 NUR 4930 (71BG) Summer 2012 Derrico 5/7/12 Final Copy 6 Weekly assignments 11 12 FINAL EXAM Approved: Monday, July 30 Readings: Chapter 39, Townsend, ch. 18 Colon Cancer Homework: WORKSHEET #7: LFTS & PANC.FUNCTION Endocrine Disease Regulation & Metabolism Tuesday, July 31 Musculoskeletal Disease Mobility Friday, August 3 Case Study Analysis Due at noon – office HPNP 3202 Weekly assignments Readings: Chapters 20, 21, 41 & 42 Monday, August 6 Neurologic Disease , increased ICP Cognition, Mobility, & Perception Weekly assignments Readings: Chapter 14, 16, 17 Brain Tumors & Muscular Dystrophy Homework: WORKSHEET #8: CSF Thursday, August 9 0900-1100 CUMULATIVE FINAL EXAM in G301 Academic Affairs Committee: General Faculty: UF Curriculum Committee: 06/00; 02/03; 09/09 03/96; 03/03; 09/09 04/96; 05/03; 10/09 NUR 4930 (71BG) Summer 2012 Derrico 5/7/12 Final Copy 7 04/07