Advanced Health Assessment

Course Details

Course Number: RESP 4453 Fall 2011

Location: Bridwell Hall

Classroom Number: 302

Days & Times:

MTR: 1230-210

Course Attachments

Class Schedule APPROXIMATE-SCHEDULE-advancehealthassessment2011.docx

Textbooks

Clinical Assessment in Respiratory Care
Clinical Assessment in Respiratory Care, 6th Edition. Elsevier Mosby, 2010
ISBN: 978-1-4160-5923-3

MSU Faculty Member

Jennifer Gresham MA, RRT-NPS
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Course Objectives

LEARNING OBJECTIVES

Describe the components of the physical examination.
Perform head to toe assessments on simulation man and in the clinical setting
Identify various abnormalities seen during physical examination.
Describe the functional anatomy of the nervous system.
Explain relationship between vital signs and neurologic status
Identify the importance of intracranial pressure monitoring and the value of assessing cerebral perfusion.
Identify normal values and significance of hematology lab tests.
Identify normal values and significance of abnormalities for chemistry lab tests.
Appraise chest radiographic findings and identify lung disorders and correct placement.
Describe how chest radiograph is produced.
Identify the value in assessing chest radiograph.
Review assessment of pediatric and older adult patients.
Identify methods, normal values, and significance of measuring lung volumes in the ICU.
List the components involved in the clinical evaluation of oxygenation and their significance.
Review assessment of cardiac output.
Describe relationship of CVP to left and right ventricular function.
Interpret PA waveforms.
Describe relationships between PA diastolic pressure and PCWP.
Describe basic terms used with endoscopy.
Indentify the indications/contraindications for performing bronchoscopy.
Recognize how nutrition and respiration are interrelated.
Recognize the functional importance of oxygen in nutrition.
Describe the role of the respiratory therapist in the assessment of patients for potential sleep-disordered breathing.
Describe the evolution and advantages of respiratory home care.

Course Expectations

EXAMINATIONS

In-class tests that will consist of definitions, multiple choice, true/false, fill-in-the-blank, short answer, or essay type questions.

FINAL EXAMINATION

Cumulative exam which will consist of definitions, multiple choice, true/false, fill-in-the-blank, short answer, or essay type questions.

ADVANCED ASSESSMENT PORTFOLIO

You will complete a head to toe assessment on five patients while at clinic and write a summary paper for each patient. Include your findings on the assessment, vital signs, vent settings, labs, and history for each patient. I will give you guidelines and handouts to facilitate this process. Due on November 28, 2011.

HOMEWORK

You will submit 10 passing clinical simulation scores from the LindseyJones Clinical Simulation software in the computer lab.

CLASS PARTICIPATION

Class participation is an integral part of this course. There are numerous activities that require each student to participate from the readings, case studies, simulation man scenarios, or in response to the discussion by others. You are expected to participate actively in and contribute to the learning experience in this course.

PRESENTATION

You will be assigned a topic that coincides with the chapters we are covering. You will present a 10-15 slide presentation on the topic.

Include what is known and reported in the literature and research about your topic?
Given what the literature and research say about your topic, what conclusions can you draw?
Will your findings affect your practice or understanding of your given topic?

You must site your references at the end of your project. If you add pictures they must also be referenced. The project must have at least 3 references. References must be current (within the last 5 years). Use scholarly sources; apply APA style referencing.

GRADING RUBRIC FOR PRESENTATION

Standards	5 - 4 Exemplary	3 - 2 Satisfactory	1-0 Unacceptable	Score	Weight	Total Score
Organization	Has a clear opening statement that catches audience’s interest; maintains focus throughout; summarizes main points	Has opening statement relevant to topic and gives outline of speech; is mostly organized; provides adequate “road map” for the listener	Has no opening statement or has an irrelevant statement; gives listener no focus or outline of the presentation		X 4
Content	Demonstrates substance and depth; is comprehensive; shows mastery of material	Covers topic; uses appropriate sources; is objective	Does not give adequate coverage of topic; lacks sources		X 4
Quality of conclusion	Delivers a conclusion that is well documented and persuasive	Summarizes presentation’s main points; draws conclusions based upon these points	Has missing or poor conclusion; is not tied to analysis; does not summarize points that support the conclusion		X 4
Delivery	Has natural delivery; modulates voice; is articulate; projects enthusiasm, interest, and confidence; uses body language effectively	Has appropriate pace; has no distracting mannerisms; is easily understood;	Is often hard to understand; has voice that is too soft or too loud; has a pace that is too quick or too slow; demonstrates one or more distracting mannerisms		X 3
Use of media	Uses slides effortlessly to enhance presentation; has an effective presentation without media	Looks at slides to keep on track; uses an appropriate number of slides	Relies heavily on slides and notes; makes little eye contact; uses slides with too much text		X 3
Response to Questions	Demonstrates full knowledge of topic; explains and elaborates on all questions	Shows ease in answering questions but does not elaborate	Demonstrates little grasp of information; has undeveloped or unclear answers to questions		X 2

Grading Standards

GRADED ITEMS AND GRADE DETERMINATION

Examinations: 50%

Advanced Assessment Portfolio: 10%

Final Examination: 20%

Homework: 10%

Participation: 5%

Presentation 5%

MISSED EXAM OR OTHER GRADED ITEM POLICY

Anything not completed and handed in on time will be subjected to a 15% per day penalty (weekends and holidays included). No exceptions!

APPROXIMATE GRADING SCALE

90-100% A

81-89% B

75-80% C

61-75% D

<60 F

Submission Format PolicyNote: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Late Paper Policy

Anything not completed and handed in on time will be subjected to a 15% per day penalty (weekends and holidays included). No exceptions!

Plagiarism Policy Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception. Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters. We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student. We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed. Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, 397-4140.

Safe Zones Statement The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements

Regular class attendance is required. No distinction is made between excused and unexcused absences unless the absence has been cleared through the office of the Dean of Students, Athletic Department or Academic Affairs. Please refer to the MSU Student Handbook for more information.

Other Policies

Writing Proficiency Requirement All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed English 1113 and English 1123 and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at http://academics.mwsu.edu/wpr, or call 397-4131.