Advanced Health Assessment

Course Details

Course Number: RESP 4453  Section Number: 101

Fall 2013

Location: Bridwell Hall

Classroom Number: 305

Days & Times:

 

 

COURSE SYLLABUS

Fall 2013

 

 

 

 

 

COURSE TITLE

Advanced Health Assessment

 

COURSE NUMBER

RESP 4453

 

COURSE DESCRIPTION

The focus of this lecture course is to provide the student with advanced physical assessment skills.  The assessments of the major organ systems commonly affected by or associated with pulmonary diseases are explored.  Topics include detailed assessment of the chest and lungs, heart and great vessels, skin, head and neck, nose and throat, and emergency and life threatening situations. 

 

CREDITS

3 Credit Hours

 

COURSE INSTRUCTOR

Randy Case, MA, RRT

Office: 940-397-4653

Fax: 940-397-4933

Office: Bridwell Hall #301-H

randy.case@mwsu.edu

 

OFFICE HOURS

Available by appointment.

 

AUDIENCE

Senior Respiratory Students

 

WEEKLY MEETING PATTERN

Mondays, Tuesdays, Thursdays 12:30pm-2:10 pm, Bridwell 305

Exact dates are listed at the end of this syllabus.

 

COURSE 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 s.
  • Identify normal values and significance of abnormalities for chemistry lab s.
  • 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.

 

 

AMERICAN DISABILITIES ACT (ADA)

Midwestern State University (MSU) does not discriminate on the basis of an individual’s disability and complies with Section 504 and the Americans with Disabilities Act in its admission, accessibility and employment of individuals in programs and activities.

 

MSU provide academic accommodations and auxiliary aids to individuals with disabilities, as defined by law, who are otherwise qualified to meet academic and employment requirements. For assistance call (940) 397-4618 or 397-4515.

 

Please see the instructor outside of class to make any arrangements involving special accommodations. It is the student’s responsibility to declare any disabilities. After declaration, preferably at the beginning of each semester, the student needs to contact individual instructors to determine any reasonable accommodations that may be required

 

ACADEMIC HONESTY:

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.

 

Honor System:

 All components of RESP 4433-01 are designed to represent the efforts of each student INDIVIDUALLY and are NOT to be shared, copied, or plagiarized from other sources.  When students submit their efforts for grading, they are ating they abided by this rule.

Cheating includes, but is not limited to, (1) use of any unauthorized assistance in taking quizzes, s, or examinations; (2) dependence upon the aid of sources beyond those authorized by the instructor in writing papers, preparing reports, solving problems, or completing other assignments; or (3) the acquisition of s or other academic materials belonging to the university faculty or staff without permission.

Plagiarism includes, but is not limited to, the use of, by paraphrase or direct quotation without correct citation in the text and on the reference list, the published or unpublished works of another person. Students may NOT submit papers and assignments that they have previously submitted for this or other courses. The use of materials generated by agencies engaged in "selling" term papers is also plagiarism. Students are encouraged to review the tutorials and suggested websites for more information about plagiarism. 

 

Academic dishonesty (cheating, plagiarism, etc.) will not be tolerated in this class. Whenever a student is unsure of whether a particular situation will be interpreted as academic dishonesty, he/she should ask the instructor for clarification.  If students are guilty of academic dishonesty, a grade of zero (0) will be given for the quiz, assignment, etc.  Cases may also be referred to the Dean of Students for possible dismissal from the university.

 

***Research papers and projects must be original work for each course assignment.  The faculty will not accept a submission that has been or is being submitted for another course.  No Exceptions! 

 

PLEASE NOTE

By enrolling in this course, the student expressly grants MSU a “limited right” in all intellectual property created by the student for the purpose of this course.  The “limited right” shall include but shall not be limited to the right to reproduce the student’s work product in order to verify originality and authenticity, and for educational purposes. Specifically, faculty may submit student papers and assignments to an external agency to verify originality and authenticity, and to detect for plagiarism.

 

REQUIRED TEXTS

Clinical Assessment in Respiratory Care, 6th Edition.  Elsevier Mosby, 2010.

 

EVALUATION METHODS

Lecture Examinations                                                   40%

Advanced Assessment Portfolio                                     15%

Presentation                                                                 15%

Homework                                                                   10%

Final Exam                                                                    20%

 

 

GRADING SCALE

90-100 Points                A

80-89                            B

75-79                            C

60-74                            D

< 60                             F

A minimum grade of 75 (C) is required in all respiratory courses.  Failure to attain a minimum grade of C will prevent the student from progressing in the program. 

ATTENDANCE POLICY

Punctuality to class is imperative. Exams will be given during the first part of class with an allotted amount of time. If the student is late, they will be given the remaining time to finish the exam. If the student is more than 15 minutes late, they will be given the exam after class with the 10 point reduction. At the end of the allotted time, all exams must be turned in, complete or not. Regular class attendance is required. No distinction is made between excused and unexcused absences unless absence has been cleared through the office of the Dean of Students, Athletic Department, or Academic Affairs. Two late arrivals equal one absence. The following policy will be enforced: Greater than 5 absences will result in instructor initiated drop from the class. Prior absence approval may be granted after review by the professor. If you have a documented disability that will impact your work in this class, please contact me to discuss your needs.

 

MISSED EXAM POLICY

If a student is going to miss an examination, it is the student’s responsibility to contact the instructor prior to the exam to arrange with the instructor to make up the missed exam.  A 10% reduction will be taken for each day (weekends and holidays included) after the scheduled exam date. The professor reserves the right to make unscheduled exams essay in nature and considerably more challenging.

 

EXAMINATIONS

 In-class s 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 21, 2013.

HOMEWORK

You will submit 10 passing clinical simulation scores from the LindseyJones Clinical Simulation software in the computer lab.   All 10 must be turned in by December 5, 2013.

 

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 & PORTFOLIO

 

Standards

5 - 4
Exemplary

3 - 2
Satisfactory

1-0
Unacceptable

Score

Weight

Total Score

Organization

Has a well organized and detailed project that catches audience’s interest; maintains focus throughout; summarizes main points

Project that is mostly organized; provides adequate “road map” for the listener

Has irrelevant and/or unorganized statements; 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

 

Grammar Mechanics

Sentence form and word choices are appropriate.  Punctuation grammar, spelling, and mechanics are appropriate

Some mistakes in sentence form and word choices.  Makes a few grammar, spelling, and mechanical errors.

Sentence form and word choices are unacceptable; Punctuation grammar, spelling, and mechanics are unacceptable

 

 

X 4

 

Assignment Specific Criteria

Responds to all aspects of the assignment; Documents research appropriately; considers appropriate audience

Responds to some aspects of the assignment; has a some mistakes in research documentation

Does not give adequate coverage of assignment; does not document research appropriately; does not consider appropriate audience

 

 

X 3

 

Quality of summary

Delivers a summary that is well documented, clear and understandable, and pertinent to the project

Summarizes presentation’s main points; provides an adequate summary of project

Has missing or poor summary; is not tied to analysis

 

 

X 3

 

Response to Questions Feedback

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

 

 

 

 

 

 

 

APPROXIMATE SCHEDULE

 

Date                                        Topic                                         Text Reference

August 26                                Syllabus/Presentation Assignments       

 

August 27                                Airway Orientation                                                                                                      

August 29                                 PCRTE 

 

Sept. 2-Sept. 13                        Clinic

                                                           

September 16                           Physical Exam                                       Ch 5

 

September 17                           Neuro Assessment                                Ch 6                                                                                                                

September 19                           Lab studies                                           Ch 7    

 

September 23                           Exam # 1 (Ch 5, 6, 7)

                                               

September 24                           Sim Lab/ Head to toe assessment                                       

 

September 26                          X-ray                                                     Ch 10                                       

 

Sept 30-Oct 11                          Clinic

                         

October   14                              Neo/Pedi                                               Ch 12   

                                               

October   15                             Older adult                                           Ch 13                                      

 

October    17                            Exam # 2 (Ch 10, 12, 13)                                 

 

October    21                             Monitoring in ICU                                  Ch 14

                                                                                   

October    22                             Cardiac output                                      Ch 15

                                                                       

October    24                             Hemodynamic Pressures                       Ch 16

 

October 28-Nov. 8                     Clinic

                                                                                             

November   11                          Exam # 3 (Ch 14, 15, 16)

 

November   12                          Bronchoscope/Nutrition                        Ch17 & 18                                       

 

November   14                          Sleep/Home Care                                  Ch 19 & 20                                      

 

November   18                          Advanced Assessment Portfolio Workday

 

November   19                          Exam # 4 (Ch 17-20)              

                                               

November   21                           Portfolio Presentations               ***Portfolios DUE***

 

 

November 25                             Presentations

 

November 26                             Presentations                             

  

November 28                             Thanksgiving

                              

December 2                               Clinical Simulations/Sim Lab

 

December 3                               Clinical Simulations/Sim Lab

 

December 5                               Review for final                        ***Homework DUE***

 

December 9                                Final Exam

 

 

December 11, 12, 13                 Kettering Seminar Scheduled



Course Attachments

Syllabus  Advanced Health Assessment Syllabus Fall 2013-20140123-162300.doc

Textbooks

Clinical Assessment in Respiratory Care, 6th Editi
MSU Faculty Member
Randy Case MA, RRT   
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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.

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.

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.