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Course Syllabus for DPT 7303 Cardiopulmonary RehabilitationCourse Title: DPT 7303 Cardiopulmonary RehabilitationSemester: Semester 6, Fall 2012Department: Physical TherapyInstructor: Nancy Smith, PT, DPT, GCS Lynn Millar, PT, PhD, FACSM Office Location: FL Atkins Building, 340, 338Contact information: Email: smithna@wssu.edu Phone: (336)750-2198Email: millaral@wssu.eduPhone: (336)750-2664Office Hours: Office Hours by appointmentCredit Hours: 3 semester hoursClock Hours: 48 clock hoursClass Time: Monday 1-3 and Tuesday 9-12 Classroom: FL Atkins Room 349 Neurotherapeutics Lab or otherwise specified; Some experiences may occur at the simulation laboratory at 1922 MLK Dr. Prerequisite Courses: Successful completion of all previous physical therapy program course work.Areas of Knowledge addressed by the course: Science and Mathematics, Health and Fitness, CommunicationCourse Description: This course gives an overview of the principles of management of patients with pathologies of the cardiopulmonary system commonly seen by physical therapists. Overall emphasis will be on review of relevant cardiopulmonary anatomy and physiology with a view towards learning safe, effective, autonomous practice in the evaluation and treatment of patients with cardiac, pulmonary, and multi-system involvement. Students are expected to integrate their knowledge of anatomy, physiology, and pathophysiology from previous courses into understanding the diseases covered in this course in formulating an effective and safe evaluation and treatment plan. Emphasis will be on care of the patient with primary cardiopulmonary dysfunction and multisystem involvement, including: examination and evaluation, diagnostic procedures, goal setting, direct intervention in relation to prescribing exercise, monitoring exercise tolerance, promoting breathing and airway clearance, and health promotion. All course work will be directed towards building sound clinical judgment for evidence-based practice as outlined in the Guide to Physical Therapist Practice. Lectures, demonstrations, case studies, required readings, simulation, and laboratory activities will reinforce clinical logic and help students learn to apply rehabilitation techniques primarily to adult- and pediatric patients with cardiopulmonary dysfunction at various stages of involvement.Liberal Learning Outcomes: Critical Thinking: Students will improve clinical decision making as it relates to Cardiopulmonary Physical Therapy utilizing problem based learning and human patient simulation.Liberal Learning and Course Objectives: Upon completion of the course, all students should be able to:Discuss human anatomy as related to the cardiovascular and pulmonary systems.Discuss human physiology as related to the cardiovascular and pulmonarysystems.Identify and understand the normal physiological effects of exercise ondifferent adult populations with cardiovascular and pulmonary conditions;Identify the pathophysiology behind common cardiopulmonary dysfunctions,including (but not limited to) ischemic cardiac conditions, and restrictive and obstructive pulmonary diseases.Describe the procedure, rationale, and findings behind cardiopulmonary assessment and medical management of cardiovascular and pulmonaryconditions;Articulate the theoretical and scientific basis underlying cardiovascular andpulmonary practice decisions with utilization of problem based learning and clinical human patient simulation;Appropriately classify cardiovascular and pulmonary impairments and functional limitations based on test results and examination findings;Identify risk factors for cardiovascular and pulmonary disease and develop an educational program for individuals at risk;Through case studies, determine a diagnosis for patients with cardiovascular and pulmonary dysfunction within the scope of physical therapist practice anda prognosis and realistic time frame for maximal improvement in function in patients at various stages of disease – intensive, acute, sub-acute and chronic;Demonstrate methods of examination, evaluation, and intervention for patients with multisystem involvement, presenting with primary cardiopulmonarydysfunction;Perform accurate, reliable, and efficient patient cardiovascular and pulmonaryexaminations that incorporate all necessary data;Document results of a cardiovascular and pulmonary evaluation andintervention accurately, concisely, legibly, and ethically;Identify patients appropriate for further cardiovascular and pulmonarydiagnostic testing and referral and make recommendations to other professionals about the appropriateness of diagnostic testing;Establish, implement, monitor, and adjust a plan of care which specifies appropriate patient-centered goals, expected duration and intensity oftreatment, and anticipated functional outcomes for patients with cardiovascular and pulmonary conditions;Collaborate with the patient, family members and other heath care providers to assess, enhance, and modify a plan of care for patients with cardiovascular and pulmonary conditions;Provide safe, ethical, and legal physical therapist intervention/consultation toachieve optimal patient functional outcomes for patients with cardiovascular and pulmonary conditionsUnderstand the interactions of standard pharmacological interventions on exercise responses in persons with common cardiopulmonary dysfunctions;Instruct mock patients in cardiopulmonary self-care, including but not limited to: positioning, breathing, cough, and exercise;Perform examination techniques of the chest and chest wall independently, as related to the cardiovascular and pulmonary system;Perform postural drainage, chest percussion and vibration, breathing techniques, and other relevant exercises and self-help techniques tomaintain patent airways, understanding the rationale for these approaches;Assess the need and prescribe assistive technology for long-term homemaintenance for persons with cardiopulmonary dysfunctions;Identify and assess the health needs of outpatients with cardiovascular andpulmonary dysfunction and refer them to appropriate community wellness programs and educational resources;Demonstrate professional behaviors when interacting with patients (including “mock” patients, or peers), families, caregivers, and other healthcare providersinvolved in care;Demonstrate communication and behavior that expresses respect for humandignity and values individual and diverse cultural backgrounds.Interpret ECG and state the impact of the findings on physical therapytreatment.Construct an exercise program for a patient with primary cardiac or pulmonary dysfunction considering their aerobic capacity and endurance.Evaluate the impact of anthropometric measurements on the cardiovascular and pulmonary pare the impact of COPD and restrictive disease on ventilation and gas exchange.Description of Teaching Methods and Learning Experiences: The course will consist of lecture, small group problem-based learning experiences, human patient simulation, practical hands-on laboratory experiences, home assignments, group discussion, web- assisted learning experiences, written exams, and practical exams. The student is expected to participate in all classroom and laboratory experiences to facilitate professional and personal growth, to increase patient evaluation and treatment skills, and to facilitate adaptation of the characteristics and behaviors that are associated with a physical therapist.Grading: Grades in this course are “earned,” not given. Each student must complete successfully:2 Written Exams1 Final Practical ExamWeb Module Assignments (2)Skills Assessments (3)Grades will be assigned according to the grading scale of the physical therapy department, as noted below.A 93-100%A- 90-92%B+ 87-89%B 83-86%B- 80-82%C+ 77-79%C 70-76%F <70%Percentages awarded:Exam 120%Exam 230%Practical Exam15%Skills Check OffsWeb Module Assignments (5)15% (5% each)10% (2% each)ExamsExam 1 will cover the pulmonary system; Exam 2 will be cumulative, covering both the cardiovascular and pulmonary systems.Written Exams: Written exams are meant to test student’s didactic and applied knowledge on topics covered in the class. Failure to take an exam during the scheduled period without prior notice to the instructor will result in automatic exam failure. The following statement covers academic honesty during written exams:Please do not print, save, or share any test questions with your classmates or any other individuals. Failure to abide by these instructions will result in a zero for the exam. A student will be at risk for examination failure due to academic dishonesty for:The introduction of any unauthorized material including notes, Google searches, or use of unauthorized devices in the examination room.The possession and/or consultation and/or access to written, printed or electronically stored unauthorized material during an examination.Aiding or attempting to aid another student during an examination.Obtaining or attempting to obtain aid from another student or personduring an examination.Attempting to read the work of another student.Disruptive behavior during an examination.Practical Exams (refer to pg. 63 in the Physical Therapy Student Handbook)Practical Exams are meant to test the student’s competence in patient examination, clinical reasoning and treatment skills. Students are required to pass all practicals in each clinical course with an 80% or better. Students who fail the safety portion or who cannot formulate a physical therapy treatment diagnosis or appropriate treatment plan on a practical exam will automatically fail the entire exam. Safety includes appropriate guarding, body mechanics, equipment usage, application of therapeutic techniques, and appropriate instruction/patient education. Students who fall below 80% performance on any practical may be allowed to retake the practical exam one time. This retake will be at a time mutually negotiated by the student and the instructor, not to exceed two weeks from the original failed exam. If the student fails the same practical examination for the second time, he/she is immediately dismissed from the program. Students may appeal the decision to dismiss by following the grievance policy stated in the student handbook. A student may not retake more than one practical examination in any one course.An example of the grading schematic will be posted to Blackboard.The practical will cover Cardiovascular and Pulmonary Evaluative and Treatment Techniques. The student will be expected to demonstrate at least one evaluative and treatment technique based on the patient case presentation. The student will be expected to interview the patient, select an appropriate evaluation technique, and discuss an appropriate exercise prescription for the patient based upon the principles of cardiovascular and pulmonary rehabilitation. An example of the grading schematic will be posted to Blackboard.Skills Check-offsSkills check-offs are designed to test mastery of skills needed for evaluation and treatment of cardiovascular and pulmonary conditions. Students are required to pass this checkoff with an 80% or better.Students who fall below 80% performance on this practical may be allowed to retake the practical exam one time. This retake will be at a time mutually negotiated by the student and the instructor, not to exceed two weeks from the original failed exam. If the student fails the same practical examination for the second time, he/she is immediately dismissed from the program. Students may appeal the decision to dismiss by following the grievance policy stated in the student handbook. A student may not retake more than one practical examination in any one course.An example of the grading schematic will be posted to Blackboard.Web Module AssignmentsThere will be 5 lab modules for this class; one will be a review of pertinent cardiopulmonary anatomy and physiology, and the other will be a review of lab values that are important to consider in patients with cardiovascular and pulmonary conditions. These are independent study modules, and you will be provided a link in blackboard to go complete them. To receive credit on the module, you must pass the quiz at the end of the module with at least an 80% and present your instructor with a certificate of completion from the quiz. In addition, test questions will be derived from these web modules. These modules must be completed by October 8, 2013 and the certificate must be turned in by that date at midnight. Late submission will result in failure of the assignment.Required Textbooks:Essentials of Cardiopulmonary Physical Therapy by Ellen Hillegass (Author) Third Edition; Elsevier 2011 IBSN: 978-1-437-70381-8Guide to Physical Therapist Practice 71755021399500Recommended Textbooks:Cardiopulmonary Physical Therapy: A Clinical Manual by Joanne Watchie (Author) 2009 IBSN-13 978-0721606460ECG Interpretation Made Incredibly Easy! (Incredibly Easy! Series) by Springhouse (Paperback - Sep 1, 2007) IBSN-13 978-1582555645Academic Integrity Statement:To ensure academic honesty, your reading of this syllabus constitutes your understanding of this statement, which is part of this course and pertains to all assignments and examinations. Any student who violates this policy will be held accountable. (Refer to the Professional Student Handbook for details)“As a student in the Physical Therapy Program, I recognize and accept personal responsibility for honesty in all of my interactions, assignments, and examinations while a member of this program. Such honesty is a vital part of my academic career and is the foundation of my work here as a student. I pledge that I will uphold the Academic Integrity Policy of the Physical Therapy Program, and will encourage my peers to respect and observe the policy.”Adverse Weather:WSSU strives to remain open in all weather conditions. Students are expected to use personal judgment concerning travel safety when weather is inclement. In the event of extreme weather conditions, WSSU will communicate operating status through its website, local radio and television stations. For details please visit: Adverse/Inclement Weather Policy.If classes are not cancelled during an adverse weather condition, it is the responsibility of each student to assess their individual situation and make a determination of whether they can safely attend class. The student will be held accountable for all class material presented that day.Attendance and Progression Policies: Students are expected to be prompt and prepared for class. In the event of a student missing a scheduled class, the student must notify the instructor. It is the student’s responsibility to attain the information missed. Any student receiving a course grade below 70% will be dismissed from the program. Students must maintain a 3.0 GPA to be eligible for graduation.Class Participation and Professional Behavior: Students are expected to conduct themselves in a professional manner during class activities. This includes but is not limited to:Ready for class at the allotted time.Promptly return from breaks.Be appropriately dressed for the class pleting routine responsibilities – changing groups regularly, doing lab/classroom housekeeping chores, notifying instructor in the case of an anticipated absence.Being task oriented – doing what has been assigned in the time allotted, preparing for the class, completing assignments on time.No open drink containers are permitted in the lecture or lab areas.Respectful communication with instructors and peers (verbal & non-verbal), demonstrating courtesy, politeness, listening, questioning & discussion skills.Dress Code: Students are expected to be in proper attire at the beginning of class. This means changing clothes, if necessary, during breaks between classes.Guest Speaker and/or Presentations: Professional dress is expected. A guest speaker is someone outside the Department of Physical Therapy. Professional dress can mean different things to different people. For this instructor, Professional dress is NOT jeans, shorts, t-shirts, warm-ups, sweat pants, tights, mid-drift shirts or hats of any kind.General Lecture: Student discretion.*Lab: Always keep lab clothes available. Lab dress should be adequate to expose the appropriate body part. Usually, gym shorts (length~mid-thigh), t-shirts, and athletic shoes are acceptable. For labs involving the examination of the chest wall, women should wear a halter-top, sports bra, or bathing suit top that allows exposure of these areas. A sweatshirt or t-shirt may be worn for warmth.Technology Use during Class:Cell phones are to be placed in the silent mode and put away during class. Students are not allowed to use these items during class activities unless directed by the professor, as it is disruptive to classmates and the professor. If usage of these items occurs during class without prior approval of instructor, 1 point per infraction will be deducted from the student’s professional behavior puter and/or Ipads should be used for educational purposes only during class time. If inappropriate usage of these items during class times (Social networking, email, irrelevant internet searches, etc.) occurs, 1 point will be deducted from the student’s professional behavior grade.Disability Statement:If you have a documented disability, please contact the Office of Disability Services in room 205 Anderson Center (750-8658). Although I am eager to assist you, no accommodations will be made in this course without written notification from the Office of Disability Services. For more information, please visit the Disability Services website: vices/Students with a documented disability must register with the WSSU Disability Services Office within the first five weeks of each semester in order to receive any consideration for accommodations in this course. You may reach the Disability Services Office by emailing waddellm@wssu.edu.Course Content: This course gives an overview of the principles of management of patients with pathologies of the cardiopulmonary system commonly seen by physical therapists. Overall emphasis will be on review of relevant cardiopulmonary anatomy and physiology with a view towards learning safe, effective, autonomous practice in the evaluation and treatment of patients with cardiac, pulmonary, and multi-system involvement. Students are expected to integrate their knowledge of anatomy, physiology, and pathophysiology from previous courses into understanding the diseases covered in this course in formulating an effective and safe evaluation and treatment plan. Emphasis will be on care of the patient with primary cardiopulmonary dysfunction and multisystem involvement, including: examination and evaluation, diagnostic procedures, goal setting, direct intervention in relation to prescribing exercise, monitoring exercise tolerance, promoting breathing and airway clearance, and health promotion. All course work will be directed towards building sound clinical judgment for evidence-based practice as outlined in the Guide to Physical Therapist Practice. Lectures, demonstrations, case studies, required readings, simulation, and laboratory activities will reinforce clinical logic and help students learn to apply rehabilitation techniques primarily to adult- and pediatric patients with cardiopulmonary dysfunction at various stages of involvement.DPT 8205 Cardiopulmonary Rehabilitation - Fall 2012 – Class ScheduleDue to possible unforeseen events that may occur during the course of the semester, the professor reserves the right to alter the course timeline/class schedule and/or content to best meet the needs of the class.WeekTopicContentSpeakerReading/AssignmentsMonAug 51-4pmPulmonary Mechanics,Spirometry, and Pulmonary PathophysiologyLectureSmithWatchie pp. 1-9Massery Article Downs ArticleWatchie pp. 9-37; 72-97 Hillegass pp. 136-227; pp.256-287TuesAug 68-12 amPulmonaryEvaluation/Pulmonary TestingLecture/LabSmith/MillarWatchie pp. 156-168Hillegass pp. 365-393; pp. 410-441; pp. 435-551, 554-558, 561-562,Mon Aug 121-5 pmPulmonary EvaluationLabSmith/MillarHillegass pp. 708-733Tues Aug138-12 AMPharmacology forPulmonary System/ Pulmonary TreatmentLectureSmithWatchie pp. 222-297Hillegass pp. 515-533MonAug 191-5 pmPulmonary TreatmentLabSmithWatchie pp. 222-297Hillegass pp. 451-460Tuesday Aug 209-12amPulmonary TreatmentSimulation LabSmithThree one hour sessions (9 per hour)Mon Aug 261-3pmCase studiesPracticeLabSmith/MillarTuesday Aug 279-12amSkills Check OffExamSmith/ MillarEXAMTue Sept 39-12am Exam 1Online ExamSmith/MillarCovers material through Aug 26 (including Lab)Mon Sept 91-3pmCardiac Pathophysiology;Medical TestsLectureMillarWatchie 97-155; 38-71Hillegass 47-83; 84-135;288-329Tuesday Sept 108-12amNormal ECG ;Basic Cardiac Evaluation TechniquesLecture/LabMillar/SmithHillegass 331-364Watchie 223-297ECG book pp. 1-60, pp.239-262,Mon Sept 161-5 pmAbnormal ECGLectureMillarECG book pp. 61-172,262-284Tuesday Sept 178 -12amECG Interpretation Lab/Heart Sound AuscultationEvaluation practiceLabMillar/SmithMon Sept 239-12 AMPharmacology for CardiacSystem/Case StudiesLectureMillarHillegass 465-514Watchie 168-221Tuesday Sept 248-12 amCardiac SurgicalManagement/Skills Check offsLectureMillar/SmithHillegass pp. 393-409,Hillegass pp. 410-441; pp. 442-449; pp. 460-464; pp.598-637Mon Sept 301-5Treadmill Testing andInterpretation and Implications for Exercise PrescriptionLabMillarHandoutsThree one hour sessions (9 per hour)Tuesday Oct19-12Exercise Prescription withCardiac DiseaseLectureMillarHillegass 598-637Mon Oct 712:30-5 pmPractical ExamsExamSmith/ MillarPractical Exam--ComprehensiveTuesday Oct 89-12 amFinal ExamExamSmith/MillarExam is ComprehensiveWeb Modules DueReadings for lab modulesHillegass pp. 1-46 ................
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