Class Syllabus
Porterville College: Vocational Nursing Program – 3rd semester
Respiratory System Module: 35D – 2 units
Instructor: Elizabeth Keele, R.N., B.S.N.
Spring 2011
Hours/Days:
Thursday / Friday8:30 AM – 10:30 AM / 8:30 AM – 10:30 AM
10:45 AM – 12:00 PM / 10:45 AM – 12:00 PM
12:45 PM – 1:45 PM / 12:45 PM – 1:45 PM
Grading:
75 –83% = C
84 – 92% = B
93 – 100% = A
Criteria:
Quizzes/worksheets/: 250* pts.
Homework: 50* pts.
Final Exam: 100 pts.
______
Total 400* pts.
* These numbers are approximate and subject to change.
Quizzes:
A quiz, test or work-sheet will be given on a daily bases. Please bring a scantron form #882-ES to all quizzes and tests. Tests and quizzes are timed – 1 minute for each question. There is also the possibility of pop quizzes (unannounced quizzes).
General:
Students are expected to be on time for each scheduled class. Students are expected to call the
instructor if they are unable to attend. If you are unable to attend class, you must notify the
instructor prior to the start of class. Only those who make arrangements before missing a class
will be able to complete make-up assignments. Homework is due at the beginning of the class
the day it is due. Homework is not accepted late.
Office hours:
Thursday & Friday 12:00 p.m. – 1:00 p.m. I am also available by phone at 559-793-1664. Please do not call after 10:00 p.m. or on Sundays
Text:
Brunner & Suddarth’s Textbook of Medical Surgical Nursing: Smeltzer & Bare;
Handbook of Pathophysiology: Corwin, Elizabeth J
Required packet from the bookstore (handouts for the class)
All assigned reading is required and you are responsible for the material contained in it.
Web Site:
http://www.portervillecollege.edu/eKeele/ or go to go to www.portervillecollege.edu and go to the instructors web sites and click on Elizabeth Keele. You may obtain power point presentation, handouts and class syllabus on-line.
Reasonable Accommodation:
If you have a disability that may require assistance or accommodation, or you have questions related to any accommodation for testing, note takers, readings, etc., please speak with the instructor as soon as possible. Students may also contact the Disability Resource Center (559) 791-2215 with questions about such services.
Attendance:
This class is a positive attendance class and roll will be taken daily. If you miss any class time, you will be required to make that time up. Arrangements are to be made with the instructor. Also you are responsible for all material presented or discussed in class, whether you are there or not.
Honesty:
I require honesty on tests and assignments. Following Porterville College policy, if a student cheats on a test or assignment, or plagiarizes, I will give an “F” grade on that assignment and I will report the incident to the Dean. The student will have to meet with the Dean of Students to determine whether further disciplinary action is necessary.
Student learning objectives:
1. The student will be able to discuss medical terms commonly used in the respiratory system.
2. Review and identify anatomical structures on the respiratory system
3. Explain respiratory physiology in relation to respiratory anatomy and the normal respiratory patterns
4. Identify the components of a complete respiratory physical assessment
5. Use assessment parameters appropriate for determining the characteristics and severity of the major symptoms of respiratory dysfunction including: Dyspnea; Wheezing; Clubbing of fingers; Hemoptysis; Cyanosis; Pleurisy
6. Apply the nursing process as it relates to patient’s respiratory diseases and disorders
7. Describe the effects of the following risk factors on the respiratory system: High altitude; Increased metabolic rate; Decreased metabolic rate; Infancy; Old age; Obesity; Fear; Activity; Smoking; Narcotic drugs, e.g. morphine; General anesthetic; Pregnancy
8. Identify the clinical significances and related nursing responsibility of the following tests and procedures used for diagnostic assessment of the patient with a respiratory disorder: ABG’s; Blood count; V & P ratio; Chest x-ray; Bronchoscopy; CT scan
9. Describe etiology, pathophysiology, clinical manifestations, nursing management and patient educations for the following: Pneumonia; Laryngitis; Bronchitis; Tuberculosis; Coccidiodomycosis; Cancer; Pneumothorax; Hemothorax; Adult Respiratory Distress Syndrome; Asthma; Chronic Obstructive Pulmonary disease; Emphysema; Respiratory failure; Atelectasis; Pulmonary embolism; Pulmonary edema; Near drowning; Mediastial shift; Pleural effusion
10. Describe the complications of chest trauma, the clinical manifestations and nursing management of the following: Rib fracture; Flail chest; Hemothorax & pneumothorax; Tension pneumothorax; Penetrating wound of the chest; Pulmonary contusion; Cardiac tamponade; Subcutaneous emphysema
11. Describe the nursing management and patient education for patient’s receiving the following: Oxygen therapy; Nebulizer therapy; Incentive spirometry; Chest physiotherapy
12. Discuss nursing management and patient education for care of patients with the following: Endotracheal intubation; Tracheotomy; Mechanical ventilation; Chest tubes with water seal drainage; Chest tube with one way valve
13. Discuss nursing management and patient education in the pre- and post operative care of patients undergoing the following respiratory system surgeries: Laryngectomy; Tracheostomy; Lobectomy; Biopsy
14. Describe the biopsycho-social implications of the convalescing and rehabilitation patient with respiratory problems
15. Explain the importance of awareness of cultural diversity with the respiratory patient
16. Discuss pharmacological interventions in the treatment of patient with a respiratory disorder
17. Describe the respiratory changes that occur with aging
Student Learning Outcomes
VN III – VN PO35D: Respiratory System
Course Objective / Performance context: / Evidence of Success: / Measurement CriteriaThe student will be able to discuss medical terms commonly used in the respiratory system / The student will listen to lecture or Power Point presentations and review lecture notes, read assignments from the textbook that are correlated to the lecture content and participate in class discussion and small group learning activities. / Given a comprehensive, in class, closed note, individual test – that may include diagrams, scenarios, case studies and objective test questions - using medical terms commonly used in the respiratory system. / The student will be able to discuss and use the medical terms commonly used in the respiratory system with 75% accuracy or better.
Review and identify anatomy and physiology of the respiratory system. / The student will listen to lecture or Power Point presentations and review lecture notes, read assignments from the textbook that are correlated to the lecture content and participate in class discussion and small group learning activities. / Given a comprehensive, in class, closed note, individual test – that may include diagrams, scenarios, case studies and objective test questions - covering anatomy and physiology of the respiratory system. / The student will be able to demonstrate an ability to identify anatomical structures and discuss the physiology of the respiratory system including respiratory patterns with 75% accuracy or better.
Identify the components of a complete respiratory physical assessment. / The student will listen to lecture or Power Point presentations and review lecture notes, read assignments from the textbook that are correlated to the lecture content and participate in class discussion and small group learning activities. / Given a comprehensive, in class, closed note, individual test – that may include diagrams, scenarios, case studies and objective test questions – covering the components of a complete respiratory physical assessment. / The student will be able to demonstrate an ability to identify the components of a complete respiratory physical assessment with 75% accuracy or better. Specifically the following symptoms should be addressed:
· Dyspnea
· Wheezing
· Clubbing of fingers
· Hemoptysis
· Cyanosis
· Pleurisy
Describe the risk factors and their effects on the respiratory system. / The student will listen to lecture or Power Point presentations and review lecture notes, read assignments from the textbook that are correlated to the lecture content and participate in class discussion and small group learning activities. / Given a comprehensive, in class, closed note, individual test – that may include diagrams, scenarios, case studies and objective test questions – that covers risk factors on the respiratory system. / The student will be able to demonstrate an ability to describe the effects of the risk factors on the respiratory system with 75% accuracy or better. The following risk factors should be addressed:
· Increased metabolic rate
· Decreased metabolic rate
· Infancy
· Old age
· Obesity
· Fear
· Activity
· Smoking
· Narcotic drugs, e.g. morphine
· General anesthetic
· High altitude
· Pregnancy
Identify the clinical significances and related nursing responsibility for tests and procedures used in the diagnostic assessment of the patient with a respiratory disorder: / The student will listen to lecture or Power Point presentations and review lecture notes, read assignments from the textbook that are correlated to the lecture content and participate in class discussion and small group learning activities. / Given diagnostic results in class with closed note, the individual will be asked to interpret those results, to identify the nursing responsibility, to distinguish and prioritize individual patient education plans on an objective test. / The student will be able to demonstrate an ability to accurately interpret respiratory diagnostic assessments, describe nursing responsibility for said assessments and formulate comprehensive individual patient education plans, identify the clinical significances and related nursing responsibility with 75% accuracy or better for the following:
· Blood count
· V & P ratio
· Chest x-ray
· Bronchoscopy
· ABG’s
· CT scan
Describe etiology, pathophysiology, clinical manifestations, nursing management and patient education for the major respiratory illnesses. / The student will listen to lecture or Power Point presentations and review lecture notes, read assignments from the textbook that are correlated to the lecture content and participate in class discussion and small group learning activities. / Given a comprehensive, in class, closed note, individual test – that may include diagrams, scenarios, case studies and objective test questions - covering the etiology, pathophysiology, clinical manifestations, nursing management and patient education on the major respiratory illnesses. / The student will be able to demonstrate an ability to describe the etiology, pathophysiology, clinical manifestations, nursing management and patient education for respiratory diseases and disorders with 75% accuracy or better on the following:
· Laryngitis
· Bronchitis
· Tuberculosis
· Coccidiodomycosis
· Cancer
· Pneumothorax
· Hemothorax
· Adult Respiratory Distress Syndrome
· Asthma
· Chronic Obstructive Pulmonary disease
· Emphysema
· Respiratory failure
· Atelectasis
· Pulmonary embolism
· Pulmonary edema
· Near drowning
· Mediatinal shift
· Pneumonia
· Pleural effusion
Describe the complications of chest trauma, the clinical manifestations and nursing management. / The student will listen to lecture or Power Point presentations and review lecture notes, read assignments from the textbook that are correlated to the lecture content and participate in class discussion and small group learning activities. / Given a comprehensive, in class, closed note, individual test – that may include diagrams, scenarios, case studies and objective test questions - covering the complications of chest trauma and the nursing management. / The student will be able to demonstrate an ability to describe the complications of chest trauma and the clinical manifestations and nursing management of chest trauma with 75% accuracy or better for the following:
· Flail chest
· Hemothorax & pneumothorax
· Tension pneumothorax
· Penetrating wound of the chest
· Pulmonary contusion
· Cardiac tamponade
· Rib fracture
· Subcutaneous
· Emphysema
Describe the biopsycho-social implications of the convalescing and rehabilitation patient with respiratory problems. / The student will listen to lecture or Power Point presentations and review lecture notes, read assignments from the textbook that are correlated to the lecture content and participate in class discussion and small group learning activities. / Given a comprehensive, in class, closed note, individual test – that may include diagrams, scenarios, case studies and objective test questions - covering the importance of awareness of biopsycho-social needs including cultural diversity and aging as it relates to patients with respiratory problems. / The student will be able to describe the biopsycho-social implications of the convalescing and rehabilitation patient with respiratory problems with 75% accuracy or better. This will address cultural needs of patients and special needs that occur with aging.
Discuss pharmacological interventions in the treatment of patient with a respiratory disorder / The student will listen to lecture or Power Point presentations and review lecture notes, read assignments from the textbook that are correlated to the lecture content and participate in class discussion and small group learning activities. / Given a comprehensive, in class, closed note, individual test – that may include diagrams, scenarios, case studies and objective test questions - covering pharmacological interventions for respiratory illnesses. / The student will be able to discuss pharmacological interventions in the treatment of patient with a respiratory disorder with 75% accuracy or better
Class Schedule:
Date / Text –To be read prior to class / Topics to be covered in class (Student learning outcomes – by number) / Assignments / Quizzes / Tests
Day 1
March 11
Friday / Anatomy & physiology review
SLO: # 1, 2, 3, 7 & 17
Day 2
March 17
Thursday / Brunner: Ch 21
Corwin: Ch 13 / Physical Assessment
Diagnostic evaluation
SLO: # 4, 5, 7, 8, 14, 15, 17 / Quiz #1
Day 3
March 18
Friday / Management of patients with Upper Respiratory Tract disorders
SLO: # 5, 8, 13, 16 / Quiz #2
Day 4
March 24
Thursday / Brunner: Ch 22 & 25 / Respiratory Care Modalities
Mechanical ventilation
Acidosis & Alkalosis
SLO: # 11, 12 & 16 / Quiz #3
Day 5
March 25
Friday / Respiratory Acidosis and Alkalosis
SLO: #8 / Quiz #4
Day 6
March 31
Thursday / Brunner: Ch 23 / Management of patients with chest and lower respiratory tract disorders
SLO: # 9 & 16 / Quiz #5
Day 7
April 1
Friday / Management of patients with chest and lower respiratory tract disorders
SLO: # 9 & 16 / Quiz #6
Day 8
April 7
Thursday / Brunner: Ch 24 / Management of patients with Chronic Obstructive pulmonary disorders
SLO: #9, 10, 16, / Quiz #7
FINAL
April 8
Friday / Final Exam
Beginning of neurology
Class Syllabus
3/10/2011