Cover Sheet: Request 10237

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1 Cover Sheet: Request PHT6302C Principles of Disease Info Process Status Submitter Created Updated Description Course Modify Ugrad/Pro Pending Heeg,Michelle R mheeg@phhp.ufl.edu 5/1/2015 9:24:07 AM 5/1/2015 9:59:27 AM The purpose of this course is to educate the Physical Therapy student on basic pathology, presentation, signs, and symptoms related to common diseases/conditions. The course will also highlight evaluation and treatment strategies for patients presenting with these conditions. Actions Step Status Group User Comment Updated Department Approved PHHP - Physical Therapy Heeg, Michelle R 5/1/ College Approved PHHP - College of Public Health and Health Professions University Curriculum Committee Statewide Course Numbering System Office of the Registrar Student Academic Support System Catalog College Notified Pending PV - University Curriculum Committee (UCC) HANSON, STEPHANIE L. 5/1/2015 5/1/2015

2 UCC2: Change Course Transmittal Form Current SCNS Course Identification 1. Prefix PHT 2. Level Select 3. Number Lab Code C 5. Course Title Principles of Disease Requested Action 6. Effective Term Fall 7. Effective Year Action: Terminate Course (Skip to item 24 on this form.) Other (Complete all items below.) If you select yes to change any item below, complete the corresponding current and proposed fields. Item Change? Current Proposed 9. Course Prefix Yes XXX XXX 10. Course Level Yes Select Select 11. Course Number Yes XXX XXX 12. Lab Code Yes Select Select 13. Course Title Yes Click here to enter text. Click here to enter text. 14. Transcript Title (21 characters max) Yes Click here to enter transcript title. Click here to enter transcript title. 15. Credit Hours* Yes Variable Credit* Yes Min # and max # credits per semester 17. S/U Only Yes Select Select Min # and max # credits per semester 18. Contact Type* Yes Select Contact Type Select Contact Type 19. Rotating Topic Yes Select Select 20. Repeatable Credit* Yes Select Select 21. Course Description* (50 words or fewer.) Yes Click here to enter text. Click here to enter text. 22. Prerequisites Yes Click here to enter text. Click here to enter text. 23. Co-requisites Yes Click here to enter text. Click here to enter text. * If the request is for a change in credits, contact type or course description, a syllabus must be attached and the syllabus checklist on the next page of this form must be completed. 24. Rationale and Placement in Curriculum Initially (2007) this course reflected the practice of pathology and disease in primarily the acute and subacute settings as an entry point for the same pathologies encountered in subsequent rehabilitation settings outpatient orthopedics and the community. As practice has progressed, and the acuity of patients has increased, the department has found it essential to use of the services of an instructor from the Department of Nursing to address some of the objectives that are beyond the scope of physical therapy faculty. This in-depth exploration of pathological processes and the implications as related to UCC2: Change Course Transmittal Form Revised 4/10/2015 UF, Academic Affairs

3 physical therapy intervention, has required additional lecture time (Nursing unit two hour lecture Tuesdays) as well as directed discussion by physical therapy clinicians (Friday session). Additional labs have also been added in the nursing lab to simulate ICU setting and lines/tubes that students can be expected to understand and manipulate safely. Additional lecture time, discussion, and lab time has increased course credit hours from three (3) to four (4). This course was also moved to the Fall semester to accommodate a) greater amount of material, b) use of Nursing faculty, and c) use of Nursing labs. UCC2: Change Course Transmittal Form Revised 4/10/2015 UF, Academic Affairs

4 Syllabus Requirements Checklist The University s complete Syllabus Policy can be found at: The syllabus of the proposed course must include the following: Course title Instructor contact information (if applicable, TA information may be listed as TBA) Office hours during which students may meet with the instructor and TA (if applicable) Course objectives and/or goals A weekly course schedule of topics and assignments. Methods by which students will be evaluated and their grades determined Information on current UF grading policies for assigning grade points. This may be achieved by including a link to the appropriate undergraduate catalog web page: List of all required and recommended textbooks Materials and Supplies Fees, if any A statement related to class attendance, make-up exams and other work such as: Requirements for class attendance and make-up exams, assignments, and other work in this course are consistent with university policies that can be found in the online catalog at: A statement related to accommodations for students with disabilities such as: "Students requesting classroom accommodation must first register with the Dean of Students Office. The Dean of Students Office will provide documentation to the student who must then provide this documentation to the Instructor when requesting accommodation." A statement informing students of the online course evaluation process such as: Students are expected to provide feedback on the quality of instruction in this course based on 10 criteria. These evaluations are conducted online at Evaluations are typically open during the last two or three weeks of the semester, but students will be given specific times when they are open. Summary results of these assessments are available to students at It is recommended that the syllabus contain the following: Critical dates for exams or other work Class demeanor expected by the professor (e.g. tardiness, cell phone usage) The university s honesty policy regarding cheating, plagiarism, etc. Suggested wording: UF students are bound by The Honor Pledge which states, We, the members of the University of Florida community, pledge to hold ourselves and our peers to the highest standards of honor and integrity by abiding by the Honor Code. On all work submitted for credit by students at the University of Florida, the following pledge is either required or implied: On my honor, I have neither given nor received unauthorized aid in doing this assignment. The Honor Code ( specifies a number of behaviors that are in violation of this code and the possible sanctions. Furthermore, you are obligated to report any condition that facilitates academic misconduct to appropriate personnel. If you have any questions or concerns, please consult with the instructor or TAs in this class. Contact information for the Counseling and Wellness Center: ; and the University Police Department: or for emergencies UCC2: Change Course Transmittal Form Revised 4/10/2015 UF, Academic Affairs

5 Syllabus guidelines for new course proposals to the Graduate Curriculum Committee (GCC). To facilitate GCC review of your course proposal, please provide the following information. Prefix: PHT Number: 6302C Title: PRINCIPLES OF DISEASE Meets: _2 hours 2_ times per week for _16 weeks Grading weights (what percentage of the grade comes from each exam, report, presentation, and so on; whatever elements constitute the final grade) 20% of the final grade comes from EXAM 1 (requirement) 20% of the final grade comes from EXAM 2 (requirement) 20% of the final grade comes from EXAM 3 (requirement) 20% of the final grade comes from EXAM 4 (requirement) 20% of the final grade comes from QUIZZES (requirement) Text required (if any) including authors, title, year, publisher: Required Texts: 1) Huether, S. & McCance, K. (2012). Understanding Pathophysiology, (5 th ed.). St.Louis: Mosby/Elsevier. 2) Malone, D. & Bishop, K. (2006).Physical Therapy in Acute Care: A Clinician s Guide. SLACK, Inc. Is the course web based? [yes or no] NO If yes, is the course taught in synchronous or asynchronous format?. If yes, and if class participation" contributes to the grade, how is class participation graded? List of topics Week Topic 1 Introduction, Immune system, infection, sterile technique 2 Metabolism, altered cell/tissue biology/shock, Acute care PT/Issues 3 Stress/disease, VS impact on recovery, wound care 4 Inflammation, wound healing, immunity, wound management 5 Burn care 6 Infection, dermatology, skin. Acute neurosurgery/neurology concerns. 7 Fluids & electrolytes. Bariatrics. 8 Acid base. Hematology. Joint replacements. Patient handling. 9 Oncology: pathophysiology, epidemiology. 10 Musculoskeletal disorders/bone disease. Oncology patient considerations. 11 Pulmonary conditions. Organ transplant. 12 Cardiovascular, renal, urological, gastrointestinal. 13 Cardiopulmonary patient consideratation. 14 Hepatic, biliary, pancreatic disorders. Physiological monitors and support equipment 15 Endocrine disorders. Course description: The primary goal of this course is to prepare you to recognize the impact of primary systemic diseases on your patients, and how the presence of these disease states will affect your clinical decision-making. We will review the underlying pathology and clinical manifestations of the more common disorders of each system, and discuss their relevance during physical therapy evaluation

6 and intervention. The role of the PT in risk factor reduction and prevention of disease will also be addressed. (Hint: do not say This course.... Keep description brief and in the style of other course descriptions in the Graduate Catalog.) Revised 13 December 2007

7 College of Public Health and Health Professions PO Box Department of Physical Therapy Gainesville, FL March 3, 2015 To: PHHP Curriculum Committee Re: UCC2 PHT 6302C Principles of Disease The Department of Physical Therapy seeks approval of the following revision to the current Physical Therapy Curriculum. Increase the credit hours of PHT 6302C Principles of Disease from 3 to 4 credit hours. Initially (2007) this course reflected the practice of pathology and disease in primarily the acute and sub-acute settings as an entry point for the same pathologies encountered in subsequent rehabilitation settings outpatient orthopedics and the community. As practice has progressed, and the acuity of patients has increased, the department has found it essential to use of the services of an instructor from the Department of Nursing to address some of the objectives that are beyond the scope of physical therapy faculty. This in-depth exploration of pathological processes and the implications as related to physical therapy intervention, has required additional lecture time (Nursing unit two hour lecture Tuesdays) as well as directed discussion by physical therapy clinicians (Friday session). Additional labs have also been added in the nursing lab to simulate ICU setting and lines/tubes that students can be expected to understand and manipulate safely. Additional lecture time, discussion, and lab time has increased course credit hours from three (3) to four (4). This course was also moved to the Fall semester to accommodate a) greater amount of material, b) use of Nursing faculty, and c) use of Nursing labs. This has not impacted the overall credit total of the DPT Curriculum, which remains at 113, since one credit hour was previously removed from PHT 6151 Physiology. I would be happy to provide more information or documentation if needed. Sincerely, Gloria Miller, PhD, PT Curriculum Coordinator Equal Opportunity / Affirmative Action Institution

8 PHT 6302C: Principles of Disease Department of Physical Therapy, College of Public Health and Health Professions Fall Semester, 2013 Instructors: Barbara K. Smith, PT, PhD (primary/pt) Research Assistant Professor CTRB 2222 Office hours: After class Tuesday or Friday, and by appt. Office phone: Preferred communication : Credits: 4 David, MSN, RN Assistant Clinical Professor HPNP 3202 Preferred communication: office hours:after class Tuesday, and by appt. Office Cell Class Schedule: Room 1104 Tuesday: 2:00-3:50 p.m. Pathology Lecture Friday: 9:00 a.m.-12:00 p.m. Acute Care Lecture/Labs *There are exceptions! Please see Smith and Schedules. Prerequisites: Course participation is limited to entry-level DPT student in their second year of the UF program. PURPOSE AND OUTCOME: Course Description: The primary goal of this course is to prepare you to recognize the impact of primary systemic diseases on your patients, and how the presence of these disease states will affect your clinical decision-making. We will review the underlying pathology and clinical manifestations of the more common disorders of each system, and discuss their relevance during physical therapy evaluation and intervention. The role of the PT in risk factor reduction and prevention of disease will also be addressed. PHT6302 Fall

9 COURSE OBJECTIVES Upon completion of this course, the student will: 1. Utilize principles from the biological sciences to understand pathophysiological processes across the lifespan. 2. Explain relationships among pathophysiological processes, laboratory and diagnostic tests, and clinical manifestations of selected illnesses. 3. Distinguish differences between developmental physiological alterations and pathophysiological processes. 4. Recognize, identify, and analyze signs, symptoms, and pain patterns associated with various systems of the body and the implications thereof, including identification of whether physical therapy is indicated or whether a client requires referral to appropriate healthcare practitioner. 5. Evaluate journal articles regarding physical therapy practice, research, and education related to pathological disorders. 6. Verbalize or write a logical and appropriate line of questions for client assessment to obtain a history and to establish a working diagnosis. 7. Conduct an effective interview with mock patients resulting in the identification of the source of their clinical problem(s). 8. Modify performance of physical therapy examination and intervention either in a role playing situation or in a written case discussion based on recognition and incorporation of client individual and cultural differences. 9. Recognize and list signs and symptoms of emergency medical conditions and describe intervention including procedures for obtaining appropriate medical assistance. 10. Identify and differentiate between the clinical patterns associated with the following disorders a. *cardiovascular conditions b. *pulmonary conditions c. *neurologic d. hematologic disorders e. gastrointestinal disorders f. renal or urologic disorders g. hepatic and biliary disorders h. endocrine and metabolic disorders i. metabolic bone diseases j. neuromusculoskeletal disorders k. immunologic disorders l. dermatologic disorders m. cancer 11. For the above disorders, describe the appropriate type of intervention ( including necessary modifications and procedures for referral to, and assistance from, other members of the PHT Fall 2013

10 healthcare community) and timing of the intervention. 12. Describe the implications of the following factors on the client problems listed in #10: a. application of relative anatomical, physiological and developmental components b. principles of exercise physiology/exercise science c. principles of nutrition d. effects and potential side effects of pharmaceutical intervention e. necessary infectious control procedures. 13. Given a case study, establish an appropriate physical therapy examination, evaluation, diagnosis, prognosis and intervention including procedures for obtaining appropriate referral to, and assistance from other members of the healthcare community. Instructional Methods: We will use lecture, knowledge self-assessments, journal article readings, class discussion, laboratory practice, and cases. In lab sessions, real cases will be presented and applied to the pathologies covered in lecture. Clinical problem solving strategies will be applied and practiced. Role playing will be used to further develop clinical decision-making skills as well as to promote advanced communication skills. Our expectation is that you will be prepared for class. This includes completing readings prior to class so that you will able to contribute to class discussions and case studies. Blended Learning What is blended learning and why is it important? A Blended Learning class uses a mixture of technology and face-to-face instruction to help you maximize your learning. Knowledge content that, as the instructor, I would have traditionally presented during a live class lecture is instead provided online before the live class takes place. This lets me focus my face-to-face teaching on course activities designed to help you strengthen higher order thinking skills such as critical thinking, problem solving, and collaboration. Competency in these skills is critical for today s health professional. What is expected of you? You are expected to actively engage in the course throughout the semester. You must come to class prepared by completing all out-of-class assignments. This preparation gives you the knowledge or practice needed to engage in higher levels of learning during the live class sessions. If you are not prepared for the face-to-face sessions, you may struggle to keep pace with the activities occurring in the live sessions, and it is unlikely that you will reach the higher learning goals of the course. Similarly, you are expected to actively participate in the live class. Your participation fosters a rich course experience for you and your peers that facilitates overall mastery of the course objectives. PHT6302 Fall

11 PHT6302C PRINCIPLES OF DISEASE FALL 2013 WEEKLY CLASS SCHEDULE LECTURE TOPIC ASSIGNMENTS/READING FACULTY S All readings, assignments will be posted 1 week before class. 8/23/13 Introduction to Course Smith Immunity/Infection Sterile Technique 8/27/13 Week 2 Introduction, Metabolism, Altered cellular and tissue biology Huether & McCance pp.13-14, Ch. 3, & 8/30/13 Week 2 9/3/13 Week 3 PHT6302 Fall 2013 & Shock Acute Care: Role of Acute Care PT Major tools for entering Acute Care: 2 nd Lecture Acute Care Issues Stress & disease Pain, Temperature, Sleep Vital Signs 9/06/13 Integumentary: Wound management 9/10/13 Week 4 Inflammation Wound Healing Immunity,Hypersensitivity, & Immunodeficiency 9/13/13 Integumentary: Wound management 9/17/13 EXAM 1 4:30 6:30 Testing Week 5 Center 9/20/13 Integumentary: Burn Care 9/24/13 Infection Week 6 Dermatologic: Skin Assessment shock pp To be posted Huether & McCance Ch. 8,13 Vital Signs Worksheet To be posted Huether & McCance Ch. 5 Huether & McCance Ch.6, & pp To be posted -- To be posted Huether & McCance pp & Ch.39 C&S Worksheet To be posted 4 Guest: Michelle Musalo,PT Smith Guest: Don McCurry,PT Guest: Sandy Holsbeke, PT 9/27/13 Neuro/Neurosurgery patient considerations Guest: June Navarro, PT 10/1/13 Fluids and Electrolytes Huether & McCance Ch.4 Week 7 Electrolyte Worksheet 10/04/13 Bariatric patient considerations To be posted Guest: TBA 10/8/13 Acid Base Week 8 Hematologic disorders 10/11/13 Friday Class & Lecture: Total Joint Replacements Lab: Patient Handling & Precautions (THA & TKA) 10/15/13 Midterm Exam 4:30 6:30 Week 9 Testing Center 10/18/13 Oncology: Pathophysiology & Epidemiology Huether & McCance Ch 4 ABG Worksheet Huether & McCance Ch.19 & 20 & pp CBC Worksheet To be posted Guest: Gene Spadoni, PT Lab - Smith Smith 10/22/13 Musculoskeletal disorders & Huether & McCance

12 Week 10 metabolic bone disease pp & /25/13 Oncology: Patient considerations To be posted 10/26/13 Lab 2:30 7:30 Practicals 3 groups Nursing Lab 10/29/13 Pulmonary conditions McCance & Huether Week 11 Ch.25,26 & pp /01/13 Organ Transplantation Heart & To be posted Lung 11/5/13 Week 12 Cardiovascular conditions Renal & urologic disorders Gastrointestinal disease Huether & McCance pp Huether & McCance Ch.28 & 29 Urinalysis worksheet Huether & McCance Ch.33 & pp /08/13 Homecoming No class Friday /12/13 EXAM 3 4:30 6:30 Testing Week 13 Center 11/15/13 Cardiopulmonary patient considerations 11/19/13 Week 14 Hepatic, Biliary & Pancreatic disorders 11/22/13 Physiologic Monitors and Pt. Support Equipment To be posted Huether & McCance pp To be posted Guest John Mizell, PT Smith and guest PT instructors Guest: Amy Franceschi, PT 11/26 No class Week 15 11/29 Thanksgiving /3/13 Week 16 Endocrine disorders 12/6/13 Lab 2:30 7:30 Practicals 3 groups Nursing Lab 12/9/13 EXAM 4 8:30 10:30 Week 16 Room 1104 Huether & McCance Ch.17, pp & Guest: Nicole Carter, DPT Guests: Anthony Musalo, PAC Michelle Musalo, PT Required Texts: 1) Huether, S. & McCance, K. (2012). Understanding Pathophysiology, (5 th ed.). St.Louis: Mosby/Elsevier. 2) Malone, D. & Bishop, K. (2006). Physical Therapy in Acute Care: A Clinician s Guide. SLACK, Inc. Website: We will use the Canvas e-learning system, which can be accessed at the following link: PHT6302 Fall

13 Lecture notes, laboratory assignments, readings, announcements, grades, etc., will be located here. Please check the website prior to attending class on Tuesday & Friday. For technical support for this class, please contact the UF Help Desk at: (352) 392-HELP - select option 2 Grading Criteria: Grading Scale: Grade Scale Letter Grade Grade Point Average A A B B B C D 1.00 <60 E 0.00 For greater detail on the meaning of letter grades and university policies related to them, see the Registrar s Grade Policy regulations at: Summary of Grading: Test 1 20% Test 2 20% Test 3 20% Test 4 20% Quizzes (unannounced) 20% 100% *In addition to your point average, you are expected to complete all homework assignments to receive full points. Time Management: For your scheduling purposes, dedicate 4-6 hours/week for your readings and assignments. You will always have 1 week to prepare for the next class. Written Exams: PHT6302 Fall

14 Four written exams are scheduled. The exams will cover reading assignments, class lectures/discussions, on-line tutorials, homework assignments and labs. Grading will follow the grading scale in the Handbook. The exams are designed to evaluate your decisionmaking abilities while having mastery of the content. How Should I Study for this Class? 1. Read the assignments before class. This will put you in a position to comfortably be involved in class discussion and problem solving of case studies presented in lab. 2. For each disease that we cover absolutely know the underlying pathophysiology, signs and symptoms, and the specific implications these have on your clinical approach as a physical therapist. 3. Be able to address written objectives for each class and reading. And most importantly, our goal, and the goal of this course, is to have you do well and enjoy learning. If you have any concerns or problems, please speak with either of us (the earlier in the course the better!) and we will come up with a way for you to make the most of this course. PHYSICAL THERAPY PROGRAM POLICIES FOR ALL COURSES Attendance is expected for all class sessions, labs, and examinations. The Physical Therapy Program at the University of Florida strongly believes that professional behavior patterns begin during the student s academic preparation. According to the PT Student Handbook, students are expected to notify the department by phone ( ) in the event of unexpected absence from a scheduled class session. Students are expected to inform the instructor of planned absences at least two days in advance. All faculty are bound by the UF policy for excused absences. For information regarding the UF Attendance Policy see the Registrar website for additional details: Policy for Make up Work: Students who miss a class/clinic visit because of an emergency or excused absence should make arrangements with the instructors to complete missed exams or assignments and with fellow students to obtain class notes/hand-outs or to gain information about lab activities. If the absence was unexcused, no opportunity will be given to complete the missed exams or assignments. Punctuality is important in both the clinic and classroom. Students are expected to arrive to class on time (i.e. prior to the instructor initiating class) and to return from breaks on time. The clock in the classroom will be considered the official clock. You are encouraged to notify your instructor(s) when appointments/ unavoidable commitments will cause arrival to class after start time, or require you to leave early. It is also the responsibility of the PHT6302 Fall

15 instructor to begin and end class at agreed upon times, and to notify you when changes of schedule may occur. Course Accommodations: If for any reason you feel you will have difficulty meeting the objectives and expectations of this course, please register with the Dean of Students Office. Individuals who require reasonable accommodations must contact the Dean of Students Office, 202 Peabody Hall, phone: , as soon as possible. This office will provide necessary documentation. The student who is requesting accommodation must then provide this documentation to the instructor. Professional Behavior: Professional behavior is critical for a successful transition from the classroom to the clinical setting. The faculty recognizes the importance of this by incorporating the development and evaluation of professional behavior into each academic course. Professional Behavior is described in the Student Handbook and is exemplified by: 1. attendance to all classes and labs, 2. timeliness, 3. attentiveness, 4. respectful and polite interaction with peers, instructors, and patients, 5. active learning as demonstrated by questions and discussion, 6. active participation in lab activities, 7. responsibility shown for maintenance, organization, and cleanliness of lab equipment and facilities, 8. leads and/or contributes to lab preparation and clean-up, as requested. 9. and others as described on Professional Behaviors and Student Responsibilities in the Student manual. 10. Laptop Use - Students are permitted to use personal laptops for this class. We reserve the right to prohibit your laptop use during class time if content becomes disruptive to your instructor or classmates, or, if you are using your laptop for activities unrelated to the ongoing class. Laptop use that is not acceptable during class include: use of instant messaging, chat rooms, games, surfing the net, etc. Acceptable uses include taking notes, accessing course-related documents (on or off line), following along with power point documents or class demonstrations, course-related internet searches, and performing class projects. 11. Eating during class: Eating is allowed during the breaks, but not during class. Drinking during class is allowed. Academic Integrity Students are expected to act in accordance with the University of Florida policy on academic integrity. As a student at the University of Florida, you have committed yourself to uphold the Honor Code, which includes the following pledge: PHT6302 Fall

16 We, the members of the University of Florida community, pledge to hold ourselves and our peers to the highest standards of honesty and integrity. You are expected to exhibit behavior consistent with this commitment to the UF academic community, and on all work submitted for credit at the University of Florida, the following pledge is either required or implied: On my honor, I have neither given nor received unauthorized aid in doing this assignment. It is your individual responsibility to know and comply with all university policies and procedures regarding academic integrity and the Student Honor Code. Violations of the Honor Code at the University of Florida will not be tolerated. Violations will be reported to the Dean of Students Office for consideration of disciplinary action. For additional information regarding Academic Integrity, please see Student Conduct and Honor Code or the Graduate Student Website for additional details: Please remember cheating, lying, misrepresentation, or plagiarism in any form is unacceptable and inexcusable behavior. Online Faculty Course Evaluation Process Students are expected to provide feedback on the quality of instruction in this course by completing online evaluations at Evaluations are typically open during the last two or three weeks of the semester, but students will be given specific times when they are open. Summary results of these assessments are available to students at SUPPORT SERVICES Accommodations for Students with Disabilities If you require classroom accommodation because of a disability, you must register with the Dean of Students Office within the first week of class. The Dean of Students Office will provide documentation of accommodations to you, which you then give to me as the instructor of the course to receive accommodations. Please make sure you provide this letter to me by the end of the second week of the course. The College is committed to providing reasonable accommodations to assist students in their coursework. Counseling and Student Health Students sometimes experience stress from academic expectations and/or personal and interpersonal issues that may interfere with their academic performance. If you find yourself facing issues that have the potential to or are already negatively affecting your coursework, PHT6302 Fall

17 you are encouraged to talk with an instructor and/or seek help through University resources available to you. The Counseling and Wellness Center offers a variety of support services such as psychological assessment and intervention and assistance for math and test anxiety. Visit their web site for more information: On line and in person assistance is available. You Matter We Care website: If you are feeling overwhelmed or stressed, you can reach out for help through the You Matter We Care website, which is staffed by Dean of Students and Counseling Center personnel. The Student Health Care Center at Shands is a satellite clinic of the main Student Health Care Center located on Fletcher Drive on campus. Student Health at Shands offers a variety of clinical services. The clinic is located on the second floor of the Dental Tower in the Health Science Center. For more information, contact the clinic at or check out the web site at: Crisis intervention is always available 24/7 from: Alachua County Crisis Center (352) Do not wait until you reach a crisis to come in and talk with us. We have helped many students through stressful situations impacting their academic performance. You are not alone so do not be afraid to ask for assistance. PHT6302 Fall

18 Principles of Disease (PHT 6302C) Summer 2008 Instructors: Amy Franceschi, PT and Dr. Mary Thigpen Office Hours: Ms. Franceschi- by appointment, room 1134 (share with Claudia Senesac), or please e- mail me at: Will be available before and after class. Dr. Thigpen s- by appointment Credits: 3 Class Schedule: May 12 July 28 Mondays 8:00-11:30 Wednesdays will be Clinic Visit Days Course overview/purpose: To educate the Physical Therapy student on basic pathology, presentation, signs, and symptoms related to common diseases/conditions. Conditions that will be discussed are those that may be encountered by the Physical Therapist in the Acute Care, Sub-acute Rehab/ Inpatient Rehab, Home Health Care, and Outpatient settings. The course will emphasize the ability to recognize signs/symptoms that may help to differentially diagnose pathologic conditions from musculoskeletal conditions, and be able to make a referral to an appropriate physician source for conditions beyond the scope of Physical Therapy treatment. This is a skill that is essential for all therapists (particularly those who provide direct access services without a physician referral). COURSE OBJECTIVES Upon completion of this course, the student will: 1. Utilize principles from the biological sciences to understand pathophysiological processes across the lifespan. 2. Explain relationships among pathophysiological processes, laboratory and diagnostic tests, and clinical manifestations of selected illnesses. 3. Distinguish differences between developmental physiological alterations and pathophysiological processes. 4. Verbalize or write a logical and appropriate line of questions for client assessment to obtain a history and to establish a working diagnosis. 5. Modify performance of physical therapy examination and intervention either in a role playing situation or in a written case discussion based on recognition and incorporation of client individual and cultural differences. 6. Identify and differentiate between the clinical patterns associated with the following disorders a. *cardiovascular conditions b. *pulmonary conditions c. *neurologic d. hematologic disorders e. gastrointestinal disorders f. renal or urologic disorders g. hepatic and biliary disorders h. endocrine and metabolic disorders i. metabolic bone diseases j. neuromusculoskeletal disorders k. immunologic disorders l. dermatologic disorders m. cancer 7. For the above disorders, describe the appropriate type of intervention. 8. Describe the implications of the following factors on the client problems listed in #6

19 a. application of relative anatomical, physiological and developmental components b. principles of exercise physiology/exercise science c. principles of nutrition d. effects and potential side effects of pharmaceutical intervention e. necessary infectious control procedures. 9. Given a case study, establish an appropriate physical therapy examination, evaluation, diagnosis, prognosis and intervention including procedures for obtaining appropriate referral to, and assistance from other members of the healthcare community. 10. On a clinical visit to an acute/subacute site, answer guided questions about the visit which will in turn assist in meeting Objectives 1-9. Course materials (texts/websites): Required text: Goodman CC, Boissonnault WG, Fuller KS: Pathology: Implications for the Physical Therapist. W.B. Saunders Company. Philadelphia, PA. Second Edition Website: We will use the new e-learning system called Blackboard Learning. Lecture notes, laboratory assignments, readings, announcements, grades, etc., will be located here. Instructional Methods: We will use lecture, knowledge self-assessments, journal article readings, class discussion, laboratory practice, and cases. In lab sessions, real cases will be presented and applied to the pathologies covered in lecture. Clinical problem solving strategies will be applied and practiced. Role playing will be used to further develop clinical decision-making skills as well as to promote advanced communication skills. Our expectation is that you will be prepared for class. This includes completing readings prior to class so that you will able to contribute to class discussions and case studies. Class Format Chapter/system focus questions will posted via prior to each class. Students are expected to review text material and consider focus questions prior to class. Class time will focus on key points of chapter/system and discussion of case examples illustrating the topic. Discussions will focus on student knowledge of pathology and PT eval/treatment, as well as the ability to view the patient holistically. Discussions will also address non-therapy related issues that impact therapy success, and the student s ability to identify appropriate resources for referral to address issues outside of the Physical Therapist s scope. Guest speakers have been invited to lecture on areas of their expertise, with emphasis on the Physical Therapy implications of each topic.

20 Course requirements/examinations and Grading Exams will consist of multiple choice questions, and short answer questions about a critical thinking Case Study. Exams are NOT cumulative. 33.5% = Exam % = Exam 2 (Final Exam) 33% = Clinic visit attendance and clinic visit write-ups. Write-ups are to be turned in to the drop box by 8:00 a.m. on the next day (Thursday) after each visit. Please place the Data Collection Sheet on top of your Assignment Write-up and staple them together. Please be accurate, thorough, and concise with your Write-ups; each assignment is limited to a maximum of 2 typed pages, and must be 12 point font. Write-ups will be assigned points on an all-or-nothing basis; either they are complete in their entirety or no points will be assigned. No assignments will be accepted after the deadline. Grades on exams will not be changed once one week has passed after the grades were posted. To request a grade change, see or Amy with your request and rationale. Summary of Grading: Exam % Exam % Clinical Assignments 33% 100% PHT 6302C Summer 2008 Principles of Disease Week/Date Topic Instructors Readings Week 1 May 12 Week 2 May 19 Week 3 May 26 Week 4 June Week 5 June 9 Week 6 June 16 Week 7 June 23 Week 8 June 30 Week 9 July 7 Week 10 July 14 Week 11 July 21 Week 12 July 28 Final exam Introduction to Pathology, multiple system involvement Ch. 1-5 Injury, Inflammation, Healing (Franceschi) The immune system/infectious disease (Franceschi) Ch. 6-7 Oncology, lymphatic system, endocrine/metabolic systems (Thigpen) Ch. 8, 10, 12 Respiratory system (Franceschi/Martin) Cardiovascular system (Franceschi/Martin) Ch. 11, 14 GI, Renal, Hepatic, Pancreatic System (Walsh) Ch Exam I Reproductive system (Allappattu/Bour) Ch. 18/19 Transplantation (Walsh) Ch. 20 Musculoskeletal systems (Walser/Spadoni) Ch. 21, 23, 24, 25) Bone, joint, soft tissue disorders and intervention (Spadoni) Ch. 26 Nervous System Disorders: overview, neoplasm, stroke, BI, CP Ch (Thigpen/Behrman) Nervous sytem disorders continued (Thigpen/Bishop) Ch Exam 2 Final exam

21 Test Scores will be posted within one week of the exam. Every effort will be made to return exams in a timely manner for your review. Your patience is appreciated. Students receiving a grade of "C" (less than "80") or less will be required to meet with the instructor. A time will be scheduled for all class members to review the exam with the answer key. After exams have been returned, grades will not be changed once a week has elapsed. Students wishing to discuss exam questions should schedule individual appointments. Students are responsible for checking with the instructor to ensure that the grade is recorded properly if the grade has been changed. Dress Code: Students are allowed to wear lab attire to both lecture and lab. See Student Handbook. Professional Behavior: Effective professional behavior is critical for a successful transition from the classroom to the clinical setting. The faculty recognizes the importance of these behaviors and has incorporated the development as well as evaluation of these behaviors into each academic course. In order to demonstrate safe and effective professional behavior prior to clinical visits that occur in the third semester of the curriculum, all students must demonstrate progression in their professional development across semester classes. Students will formally self-evaluate their professionalism at midterm and end of second semester. Additional feedback will be provided by peers, instructors, and teaching assistants. Additionally, students must demonstrate 100% safety on all practical exams throughout the curriculum. Should a student fail a practical exam, due to safety or additional reasons, they will have only one opportunity to repeat the exam. Dress Code: Students are allowed to wear lab attire to both lecture and lab. See Student Handbook. Academic Honesty: In this professional program we are particularly sensitive to students submitting independent work and to using complete and accurate referencing in complying with the University of Florida Rules - 6Cl-4.0l7 Student Affairs: Academic Honesty Guidelines. Further details regarding the University of Florida honesty policy is available at: All students are required to abide by the Academic Honesty Guidelines, the following pledge has been accepted by the University and is expected of all students: I understand that the University of Florida expects its students to be honest in all of their academic work. I agree to adhere to this commitment to academic honesty and understand that my failure to comply with this commitment may result in disciplinary action, up to and including expulsion from the University. We, the members of the University of Florida community, pledge to hold ourselves and our peers to the highest standards of honesty and integrity. On all work submitted for credit by UF students, the following pledge is either required or implied: "On my honor, I have neither given nor received unauthorized aid in doing this assignment." Accommodations for students with disabilities: Students requesting classroom accommodations must first register with the Dean of Students Office. The Dean of Students Office will provide documentation to the student who must then provide this documentation to the Instructor when requesting accommodation. Laptop policy: Use of laptops during lecture/lab are prohibited unless prior approval is received from instructor.