AFAMS Master Lesson Plan (MLP) Nursing Program Skeletal System : Bone Tissue Instructor Serial/Semester Location Start/Finish Time Date LESSON OBJECTIVE Performance: Describe the functions of the skeletal system, the structure and histology of bone, the blood and nerve supply of bone, and the physiology of the formation of bone (ossification). 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 functions of the skeletal system. 2. Define the structure of bone. 3. Define the histology of bone tissue. 4. 5. Describe the blood and nerve supply of bone. Describe the bone formation. 6. Describe the bone growth process. 7. 8. Describe the bone homeostasis process. Describe the effects of exercise on bone tissue. 9. Describe the developmental anatomy of the skeletal system. 10. Describe the effect of aging on bone tissue. 11. Define the homeostatic imbalances disorders of the bone tissue. 12. Define medical terminology associated with bone 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: 370 Reference(s): Tortora, Grabowski: Principles of Anatomy and Physiology, 9th Edition. Chapter 6. LESSON PLAN APPROVAL Signature of Standards Officer Date AFAMS Master Lesson Plan (MLP) Nursing Program Skeletal System : Bone 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 covers the functions of the skeletal system, the structure and histology of bone, the blood and nerve supply of bone, and the physiology of the formation of bone (ossification). The physiology of bone growth is covered, along with the factors that affect bone growth and development. Bone remodeling is covered as a homeostatic process of bone, along with bone's role in calcium homeostasis. Fractures and the repair of bone are also included. The effect of exercise on bone tissue is discussed. The developmental anatomy of the skeletal system and the effect of aging on bone tissue are described. Importance: Nurses 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 sixth 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 functions of the skeletal system. Minutes Allocated Time: We will now go over the functions of the skeletal system.. 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 major tissue types associated with the skeletal system. 2. Identify bones as individual organs that make up the skeletal system. 3. Discuss the functions of support, protection, assistance in movement, mineral homeostasis, blood cell production, and triglyceride storage. 2. Teaching Point: Define the structure of bone. Minutes Allocated Time: We will now go over the structure of bone. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. 1 AFAMS Master Lesson Plan (MLP) Nursing Program Skeletal System : Bone Tissue Skill Lesson Learning Support: Powerpoint presentation with associated handouts. 4. List and describe the parts of the long bone. 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. 3. Teaching Point: Define the histology of bone tissue Minutes Allocated Time: We will now go over the histology of bone tissue. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 5. Describe the four types of cells in bone tissue and their function. 6. Describe the chemical components of bone. Compact Bone Tissue 7. Describe the histological features and their functions found in compact bone tissue. Spongy Bone Tissue 8. Contrast and compare the structure and composition of spongy bone versus compact bone. 9. Discuss the use of bone scans as a diagnostic procedure to indicate bone abnormalities. 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 blood and nerve supply of bone. Minutes Allocated Time: We will now go over the blood and nerve supply of bone. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 10. Describe the distribution, vascularity, circulation, and nerve supply in compact bone. 2 AFAMS Master Lesson Plan (MLP) Nursing Program Skeletal System : Bone 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. 5. Teaching Point: Describe the bone formation. Minutes Allocated Time: We will now go over the bone formation. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 11. Describe the two types of bone formation and note that these two kinds of ossification do not lead to differences in the structure of mature bone. Intramembranous Ossification 12. Describe the steps involved in intramembranous ossification. Endochondrial Ossification 13. Describe the steps involved in endochondrial ossification 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. 6. Teaching Point: Describe the bone growth process. Minutes Allocated Time: Introduction: We will now go over the bone growth process. Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: Growth in Length 14. Describe the zones of the epiphyseal plate and the role of the epiphyseal plate in growth in the length of bones. Growth in Thickness 15. Describe the process of growth in thickness. Include the cells that are necessary for the progression of bone dissolutions and depositions that result in wider bones with thicker collars. Factors Affecting Bone Growth 3 AFAMS Master Lesson Plan (MLP) Nursing Program Skeletal System : Bone Tissue 16. Discuss the role of minerals, vitamins, and hormones in bone growth. 17. Briefly describe some of the hormonal abnormalities that affect height. 7. Teaching Point: Describe the bone homeostasis process. Minutes Allocated Time: Introduction: We will now go over the bone homeostasis process Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: Bone Remodeling 18. Explain that bones are continuously being restructured in order to replace worn or injured tissue, or to shift support to areas along lines of mechanical stress. 19. Discuss the roles of osteoclasts and hormones in bone remodeling. Fracture and Repair of Bone 20. Define a fracture and describe several common kinds of fractures. 21. List and describe the steps involved in fracture repair. 22. Discuss some treatments for fracture. Bone's Role in Calcium Homeostasis 23. Describe the role of bone as a calcium reservoir under the control of a specific set of hormones that stimulate opposing activities of osteocells in order to maintain blood calcium homeostasis. 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. 8. Teaching Point: Describe the effects of exercise on bone tissue. Minutes Allocated Time: We will now go over the effects of exercise on bone 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. Describe the effects of mechanical stress, such as exercise, on bone maintenance and development. Knowledge Lesson: Skill Lesson: 4 Check on Learning In a knowledge lesson, pose questions to the class. In a skill lesson, provide practice and watch students perform a skill. AFAMS Master Lesson Plan (MLP) Nursing Program Skeletal System : Bone Tissue 9. Teaching Point: Describe the developmental anatomy of the skeletal system. Minutes Allocated Time: We will now go over the developmental anatomy of the skeletal system. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 25. Describe the development of the skeletal system. 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. 10. Teaching Point: Describe the effect of aging on bone tissue. Minutes Allocated Time: We will now go over the effect of aging on bone tissue. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 26. Discuss the effects of aging on bone tissue, especially in regards to bone mass and strength. 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. 11. Teaching Point: Define the homeostatic imbalances disorders of the bone tissue. Minutes Allocated Time: We will now go over the homeostatic imbalances disorders of the bone tissue. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 27. Contrast the courses and clinical symptoms associated with osteoporosis, rickets, and osteomalacia. 12. Teaching Point: Define medical terminology associated with bone tissue. Minutes Allocated Time: We will now go over the medical terminology associated with bone tissue. Introduction: Learner Participation: Knowledge Lesson Please follow along with your handouts and take notes. Skill Lesson Powerpoint presentation with associated handouts. Learning Support: 5 AFAMS Master Lesson Plan (MLP) Nursing Program Skeletal System : Bone Tissue 28. Define medical terminology associated with bone tissue. 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. 8. 9. 10. 11. 12. Describe the functions of the skeletal system. Define the structure of bone. Define the histology of bone tissue. Describe the blood and nerve supply of bone. Describe the bone formation. Describe the bone growth process. Describe the bone homeostasis process. Describe the effects of exercise on bone tissue. Describe the developmental anatomy of the skeletal system. Describe the effect of aging on bone tissue. Define the homeostatic imbalances disorders of the bone tissue. Define medical terminology associated with bone tissue. Closing Statement: Nurses work in different health care setting so it is important to gain an understainding 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. 6