College of Nursing » University of Florida



UNIVERSITY OF FLORIDA

COLLEGE OF NURSING

COURSE SYLLABUS

FALL/2011

COURSE NUMBER NUR 3129, Section 0452

COURSE TITLE Comprehensive Pathophysiology for Nursing

CREDITS 3

PLACEMENT BSN Program: 1st Semester Upper Division

PREREQUISITES Admission to Upper Division BSN Program

COREQUISITES none

FACULTY OFFICE PHONE OFFICE HOURS

David J Derrico RN, MSN HPNP 352-273-6341 Tuesday 1100-1200

Assistant Clinical Professor 3202 (cell) 352-562-6305 Wednesday 1100-1200

derridj@ufl.edu

DEPARTMENT CHAIR

Joyce Stechmiller, PhD,ACNP-BC FAAN

Associate Professor HPNP

Adult and Elderly Nursing 3230 352 273-6394 By Appointment

stechjk@ufl.edu

COURSE DESCRIPTION

The purpose of this course is to examine pathophysiology related to human illness within a systems framework. Emphasis is on understanding pathophysiology as an alteration in normal physiological functioning of individual client subsystems. Focus is on presentation of selected pathophysiology 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 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. Identify genetic factors that influence pathophysiological processes in diverse clients.

3. Distinguish differences between developmental physiological alterations and pathophysiological processes.

COURSE SCHEDULE

Wednesday 0830-1025 HPNP: 1404

Thursday 1040-1130 HPNP: 1404

COURSE MANAGEMENT SYSTEM

Sakai is the course management system that you will use for this course.

Sakai is accessed by using your Gatorlink account name and password at . There are several tutorials and student help links on the Sakai 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 and frequently 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

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.

STUDENT HANDBOOK

Students are to refer to the College of Nursing Student Handbook for information about College of Nursing policies, honor code, and professional behavior.

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

j. Neurological system

k. Musculoskeletal system

l. Integumentary system

TEACHING METHODS

Lecture, audiovisual materials, written materials, and presentation of case studies.

LEARNING ACTIVITIES

Readings, participation in discussion, case study analysis, and study questions.

EVALUATION METHODS/COURSE GRADE CALCULATION

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 |Quality Points |

|A |95 – 100 |4.0 |

|A- |93 – 94 |3.67 |

|B+ |91 – 92 |3.33 |

|B |84 – 90 |3.0 |

|B- |82 – 83 |2.67 |

| C+ |80 – 81 |2.33 |

|C |74* - 79 |2.0 |

| | *74% is the minimum |passing grade |

|C- |72 – 73 |1.67 |

|D+ |70 – 71 |1.33 |

|D |64 – 69 |1.0 |

|D- |62 – 63 |.67 |

|E |61 or below |0.0 |

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.

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

NUR3129 COURSE SCHEDULE: All reading assignments are from the McCance & Huether textbook.

|Week # |Date |Topics Readings & Assignments Class Hours |

| 1 |Monday, Aug.22 |Intro., Cellular Metabolism, ANS, Stress & Disease 2 |

| |(MSB auditorium) |Regulation, Metabolism, Oxygenation, Perfusion, & Stress |

| | | |

| |Wednesday, Aug 24 |Cellular Injury & Inflammation 2 |

| | |Protection & Inflammation |

| |Thursday Aug.25 |Physiology of Pain, Sleep, and Temperature Regulation 1 |

| | |Comfort, Pain, Activity, & Sleep |

| | | |

| |Weekly assignments |Readings: Chapter 1: pp 21-24, Chapters 2, 6, 10, 15 |

| | |Narrated PPTs: Aging & Free Radicals |

| | |Homework: VITAL SIGNS EXERCISE |

| 2 |Wednesday, Aug.31 |Fluids and Electrolyte Disorders: 2 |

| | |Regulation, Fluid & Electrolyte Balance |

| |Thursday Sept.1 |Fluids and Electrolyte Disorders: 1 |

| | | |

| |Weekly assignments |Readings: Chapters 3: pp 96-114 |

| | |Narrated PPTs: |

| | |Homework: WORKSHEET #1: ELECTROLYTES |

| 3 |Wednesday Sept.7 |Acid/Base Disorders 2 |

| | |Regulation, Acid-Base balance |

| |Weekly assignments |Readings: Chapter 3: pp 114-123 |

| | |Homework: WORKSHEET #2: ABG |

| | | |

| |Thursday, Sept.8 |0700 EXAM 1 on week 1 & 2 content |

| | |1040 Lecture: Introduction to Hematologic Disease 1 |

| | |Protection, oxygenation, and vulnerability |

|4 |Wednesday Sept. 14 |Hematology 2 |

| | |Protection, oxygenation, and vulnerability |

| |Thursday Sept. 15 |Hematology 1 |

| | | |

| |Weekly assignments |Readings: Chapters 25, 26, 27, & 28: pp1071-1076, 1078-1080 |

| | |Narrated PPTs: Polycythemia, S. Cell Disease, Hemophilia & DIC |

| | |Homework: WORKSHEETS #3: CBC & #4: Coagulation |

|5 |Wednesday, Sept. 21 |Immunity & Infection 2 |

| | |Protection, Immunity, & Infection |

| |Thursday Sept.22 |Alterations in Immunity 1 |

| | | |

| |Weekly assignments |Readings: Chapter 6, 7, 8, & 9 |

| | |Narrated PPTs: Infection, Leukopenia, & AIDS |

| | |Homework: WORKSHEET #5: Culture & Sensitivity |

|6 |Wednesday,Sept.28 |Cancer: Mutations & Metastasis 2 |

| | |Protection & Vulnerability |

| |Thursday, Sept. 29 |Leukemia & Lymphoma 1 |

| | | |

| |Weekly assignments |Readings: Chapters 4, 5, 11, 12, pp 823-850, 1019-1037, |

| | |Chapter 44 |

| | |Narrated PPTs: Disorders of the Breast |

| | |Disorders of the Integument |

| 7 |Wednesday, Oct. 5 |Pulmonary Disease 2 |

| | |Oxygenation |

| | | |

| |Thursday Oct. 6 |0700 EXAM 2 on week 1 through 6 content |

| | |1040 Lecture: Pulmonary Disease 1 |

| | | |

| |Weekly assignments |Readings: Chapter 32, 33, & 34: 1336-1338 |

| | |Narrated PPTs: CF & Lung Cancer |

| 8 |Wednesday, Oct.12 |Cardiovascular Disease 2 |

| | |Oxygenation & Perfusion |

| |Thursday, Oct. 13 |Cardiovascular Disease 1 |

| | | |

| |Weekly assignments |Readings: Chapters 29 & 30 |

| | |Narrated PPTs: PVD and Pulmonary Embolism |

| 9 |Wednesday, Oct. 19 | Cardiovascular Disease continued 2 |

| | |Oxygenation & Perfusion |

| | | |

| |Thursday Oct. 20 |Urinary Tract Disorders 1 |

| | |Elimination |

| | | |

| |Weekly assignments |Readings: Chapters 23: pp.850-870 & Chapter 35 |

| | |Narrated PPT: Reproductive disorders |

| | |Homework: WORKSHEET #6: UA |

|10 |Wednesday, Oct. 26 |Urinary tract Disorders and Renal Failure 2 |

| | |Elimination |

| | | |

| |Thursday Oct.27 |Gastrointestinal Disorders introduction 1 |

| | |Nutrition & Elimination |

| | | |

| |Weekly assignments |Readings: Chapters 36 & 38 |

| | |Narrated PPTs: Renal failure |

|11 |Wednesday, Nov.2 |Gastrointestinal Disorders 2 |

| | |Nutrition & Elimination |

| | | |

| |Thursday Nov.3 |Liver Disease 1 |

| | |Regulation & Metabolism |

| | | |

| |Weekly assignments |Readings: Chapter 39 |

| | |Narrated PPTS: Colon Cancer |

| | |Homework: WORKSHEET #7: LFTS & PANC.FUNCTION |

|12 |Wednesday, Nov. 9 |Musculoskeletal Disease 2 |

| | |Activity & Mobility |

| | | |

| |Thursday, Nov.10 |0700 EXAM 3 on week 1 through 11 content |

| | |1045 Lecture: Musculoskeletal Disease 1 |

| | |Activity & Mobility |

| | |1 |

| |Weekly assignments |Readings: Chapters 41 & 42 |

|13 |Wednesday, Nov.16 |Endocrine Disorders: Diabetes 2 |

| | |Regulation & metabolism |

| | | |

| |Thursday, Nov 17 |Neurologic Disease: increased ICP 1 |

| | |Cognition, Activity, Mobility, Perception |

| |Weekly assignment | |

| | |Readings: Chapter 21: pp 745-765 |

| | |Chapter16: pp 557-560 |

|14 |Wednesday Nov. 23 |Neurologic Disease . 2 |

| | |Cognition, Activity, Mobility, Perception |

| | | |

| |Weekly assignment |Readings: Chapter 14, 16, 17 |

| | |Narrated PPT: Brain Tumors & MD |

| | |Homework: WORKSHEET #8: CSF |

| | | |

| |Thursday, Nov 24 |THANKSGIVING – NO CLASS |

|15 |Wednesday, Nov.30 |Neurologic Disease . 2 |

| | |Cognition, Activity, Mobility, Perception |

| | | |

| |Thursday December 1 |Endocrine Disease 1 |

| | |Regulation & metabolism |

| | | |

| |Weekly assignment |Readings: Chapter 20 & 21 |

| | | |

| | |Case Study Analysis Due in my office by 1200 Noon |

| | |(Case Studies will be graded by Wednesday December 14th) |

|16 |Wednesday Dec 7 |Endocrine Disease 2 |

| | |Regulation & metabolism |

| | | |

|FINAL EXAM |Wednesday, Dec.14 |1100-1300 CUMULATIVE FINAL EXAM |

|Approved: |Academic Affairs Committee: |06/00; 02/03; 09/09 |04/07 |

| |General Faculty: |03/96; 03/03; 09/09 | |

| |UF Curriculum Committee: |04/96; 05/03; 10/09 | |

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