AFAMS Master Lesson Plan (MLP) Nursing Assistant Program Muscle Tissue Instructor Serial/Semester Location Start/Finish Time Date LESSON OBJECTIVE Performance: Describe the physiological characteristics of muscle tissue and its histological classification into skeletal, cardiac, and smooth types. Conditions: The student will be presented a powerpoint presentation by the instructor and will have all necessary references made available to him/her. Standard: 1. The student will be expected to describe the below information included within the teaching points to the instructor at the end of the lesson and in a written exam. TEACHING POINTS 1. Describe the types, functions and properties of muscle tissue. 2. Describe the properties of skeletal muscle tissue. 3. Describe the contraction and relaxation relationship of the skeletal muscle fibers. 4. Describe the properties of cardiac muscle tissue. 5. 6. 7. Describe the properties of smooth muscle tissue. Describe the homeostatic imbalances related to muscle tissue. Define medical terminology associated with muscle tissue INSTRUCTIONAL STRATEGY Interactive Lecture Method: Instructor and Print (including PowerPoint Presentation) Media: Classroom Environment: OTHER LESSON SPECIFICATIONS Knowledge Lesson Type of Lesson: 1/50 Ratio: Resources: Power point handouts. End of Lesson Test: None Minutes Instructional Time: 415 Reference(s): Tortora, Grabowski: Principles of Anatomy and Physiology, 9th Edition. Chapter 10. LESSON PLAN APPROVAL Signature of Standards Officer Date AFAMS Master Lesson Plan (MLP) Nursing Assistant Program Muscle Tissue INTRODUCTION Allocated Time: Review: 5 Minutes You have had previous lectures on anatomy and physiology during the Combat medic course, this lecture will built upon what you have already learned. Objective: This chapter deals with the physiological characteristics of muscle tissue and its histological classification into skeletal, cardiac, and smooth types. Also considered are the connective tissue components of skeletal muscle, the nerve and blood supply, the microscopic anatomy of a skeletal muscle fiber including the sarcolemma, T tubules, sarcoplasm, myofibrils, sarcoplasmic reticulum, filaments, sarcomere, and muscle proteins. The contraction and relaxation of skeletal muscle fibers is considered including the sliding filament mechanism, the contraction cycle, excitation-coupling, the length-tension relationship, active and passive tension, and the neuromuscular junction. Muscle metabolism is broken down into the three sources for ATP production, muscle fatigue, and oxygen consumption after exercise. Importance: Nursing Assistants work in different health care setting so it is important to gain an understainding of this subject as it will apply to clinical setting. Fit: This is the tenth chapter on anatomy and physiology. Approach: You will be presented the subject in a lecture format and will be tested using a written exam at a later date. Control Statement: If you have any questions during the lesson please feel free to ask. BODY 1. Teaching Point: Describe the types, functions and properties of muscle tissue. Minutes Allocated Time: We will now go over the types, functions and properties of muscle tissue.. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 1. Describe the primary function of muscle. 2. Define myology. Types of Muscle Tissue 3. Describe the major structural and functional differences among the three types of muscle tissue. 1 AFAMS Master Lesson Plan (MLP) Nursing Assistant Program Muscle Tissue Functions of Muscle Tissue 4. Describe the four key functions of muscle. Properties of Muscle Tissue 5. Describe the four special properties of muscle tissue 2. Teaching Point: Describe the different skeletal muscle tissue Minutes Allocated Time: We will now go over the different skeletal muscle tissue. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: Connective Tissue Components 6. Describe the nonconnective tissue functions of the fascia. 7. Describe the role of the tendon in muscle structure. Nerve and Blood Supply 8. Describe the route and purpose of motor neurons and blood vessels that service each muscle cell. Sarcolemma, T Tubules, and Sarcoplasm 9. Discuss the connection between the sarcolemma and the T tubules. 10. Describe the makeup of sarcoplasm. Myofibrils and Sarcoplasmic Reticulum 11. Identify the contractile elements of skeletal muscle and the membranous sacs that encircle them. Filaments and the Sarcomere 12. Explain how the arrangement of the thick and thin myofilaments form the observed sarcomere structural patterns of the myofibril. Muscle Proteins 13. Describe and give the functions of the three kinds of proteins found in muscle tissue. 2 AFAMS Master Lesson Plan (MLP) Nursing Assistant Program Muscle Tissue 3. Teaching Point: Describe the contraction and relaxation relationship of the skeletal muscle fibers. Minutes Allocated Time: We will now go over the contraction and relaxation relationship of the skeletal Introduction: muscle fibers. Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: The Sliding Filament Mechanism 14. Illustrate the progressive overlap of the thick and thin filaments as they pull toward the center of the sarcomere, and the result on the length of the fibril, fiber, and muscle. The Contraction Cycle 15. Define contraction cycle and explain the four steps of the cycle. Length-Tension Relationship 16. Illustrate the relationship of muscle length to myofilament overlap that results in specific levels and limited range of forces. The Motor Unit 17. Explain the general features of the motor unit that allows signals from the brain to be conveyed from the neuron cell to the muscle cell. Knowledge Lesson: Skill Lesson: Check on Learning In a knowledge lesson, pose questions to the class. In a skill lesson, provide practice and watch students perform a skill. 4. Teaching Point: Describe the cardiac muscle cells. Minutes Allocated Time: We will now go over the cardiac muscle cells. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson PowerPoint presentation with associated handouts. Learning Support: 18. Analyze the cardiac cell structure and point out the features that are essential to the heart's rhythmic performance. 19. Discuss the cardiac cellular components that sustain the continuous aerobic metabolism and uninterrupted, protracted autorhythmicity. 3 AFAMS Master Lesson Plan (MLP) Nursing Assistant Program Muscle Tissue 5. Teaching Point: Describe the properties of smooth muscle tissue. Minutes Allocated Time: We will now go over the properties of smooth muscle tissue. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 20. Indicate the differences between single-unit and multiunit smooth muscle in terms of their function and organs of the body where each predominates. Microscopic Anatomy of Smooth Muscle 21. Describe the anatomy of smooth muscle cells. Physiology of Smooth Muscle 22. Contrast the source and nature of differences in contraction between smooth and skeletal muscles. 23. Enumerate the factors that influence smooth muscle contraction and how these are related to the stress-relaxation response. 6. Teaching Point: Describe the homeostatic imbalances related to muscle tissue. Minutes Allocated Time: We will now go over the homeostatic imbalances related to muscle tissue. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 24. Discuss the origin, symptoms, characteristics, and treatment of myasthenia gravis, muscular dystrophy, and abnormal contractions of skeletal muscle. 25. Explain what is meant by muscle atropy and hypertrophy. 26. Describe the effects of anabolic steroids on muscle growth. 27. Describe the condition called rigor mortis and its cause. 14. Teaching Point: Define medical terminology associated with muscle tissue. Minutes Allocated Time: We will now go over the medical terminology associated with muscle tissue. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 62. Define the medical terminology associated with muscle tissue. 4 AFAMS Master Lesson Plan (MLP) Nursing Assistant Program Muscle Tissue Knowledge Lesson: Skill Lesson: Check on Learning In a knowledge lesson, pose questions to the class. In a skill lesson, provide practice and watch students perform a skill. END OF LESSON TEST Allocated Time: Instructions: Test Questions or Performance Expected: Test Key: 0 Minutes You will tested on this subject at a later date. You will be expected to review and study the material taught in this section in order to pass the associated written test. If you have difficulty with the material please see me so we can review together. CONCLUSION Allocated Time: Summary: 5 Minutes Review and re-emphasize the difficult Teaching Points below. 1. 2. 3. 4. 5. 6. 7. Describe the types, functions and properties of muscle tissue. Describe the different skeletal muscle tissue. Describe the contraction and relaxation relationship of the skeletal muscle fibers. Describe the properties of cardiac muscle tissue. Describe the properties of smooth muscle tissue. Describe the homeostatic imbalances related to muscle tissue. Define medical terminology associated with muscle tissue. Closing Statement: Nursing Assistants work in different health care setting so it is important to gain an understanding of this subject as it will apply to clinical setting. Re-motivating Statement: You will be able to utilize this information taught today in all clinical settings. 5