School of Nursing
[email protected]
NURS 208
Pathophysiologic processes as they apply to the nursing care of patients. 3 units – lecture
Upon completion of this course, the student will be able to:
describe pathologic changes in cells and tissues which contribute to health problems
identify risk factors for major health stressors
describe changes in physiology resulting in and from health problems
list symptoms of major health problems
explain the physiologic basis of symptoms
delineate effects of pathophysiology on human functioning
describe the role of nutrition in health problems
Email [email protected]
Phone 619-987-1604 (C)
Office Location HT 156
Office Hours by appointment
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.
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.
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:
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.
A registered i-Clicker is required. Please register via Blackboard.
Huether, SE, & McCance, KL. (2012). Understanding pathophysiology. Missouri:
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.
Jan 27
Intro to course
Cell & tissue injury
Ch. 2
Ch. 3
Feb 3
Stress Response
Stress management
Ch 8
Pg. 912-915
Plus Watch videos – see BB
Feb 10
Ch 5
Ch 6
Feb 17
Feb 24
Acid/Base and F/E
Ch 4
Mar 3
Ch 28
pp. 741-743; 747-761
Mar 10
Ch 9 & 10
Mar 17
pp. 324-329
Mar 24
Ch 22
pp. 585-626
Mar 30
Spring Break
Apr 7
Ch 25
pp. 678-681; 689-700; 718720
Apr 14
Neurologic Problems
Ch 12, 14, 15
Apr 21
Musculoskeletal Problems
Ch 36
pp. 978-994; 996-1002
Apr 28
GI problems
UGI, LGI. Liver, Biliary,
Ch 33 & 34
May 5
Endocrine Problems
Comprehensive !!
Ch 17 & 18
May 12
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:
questions = 10%
Exam 1 = 20 %
Exam 2 = 20%
Exam 3 = 20%
Final = 30%
= 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
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
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
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.
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.
Using over 7,800 responses from nurses, the Steering Committee for the Revision of the Code of
Ethics for Nurses adopted the following as the fully approved revised Code of Ethics for Nurses
With Interpretive Statements. (2015)
1. The nurse practices with compassion and respect for the inherent dignity, worth, and
unique attributes of every person.
2. The nurse's primary commitment is to the patient, whether an individual, family, group, or
3. The nurse promotes, advocates for, and protects the rights, health, and safety of the
4. The nurse has authority, accountability, and responsibility for nursing practice; makes
decisions; and takes action consistent with the obligation to promote health and to
provide optimal care.
5. The nurse owes the same duties to self as to others, including the responsibility to
promote health and safety, preserve wholeness of character and integrity, maintain
competence, and continue personal and professional growth.
6. The nurse, through individual and collective effort, establishes, maintains, and improves
the ethical environment of the work setting and conditions of employment that are
conducive to safe, quality health care.
7. The nurse, in all roles and settings, advances the profession through research and
scholarly inquiry, professional standards development, and the generation of both nursing
and health policy.
8. The nurse collaborates with other health professionals and the public to protect human
rights, promote health diplomacy, and reduce health disparities.
9. The profession of nursing, collectively through its professional organizations, must
articulate nursing values, maintain the integrity of the profession, and integrate principles
of social justice into nursing and health policy.
American Nurses Association, Code of Ethics for Nurses with Interpretive Statements,
Washington, D.C.: American Nurses Publishing, 2015.
Reprinted with permission from American Nurses Association, Code of Ethics for Nurses with
Interpretive Statements, ©2015,, American Nurses Association, Washington,
DC. To order, call 800/637-0323 or order on-line at