PT 734
Interventions IV

(Applied Clinical Physiology)

Widener University

Institute For Physical Therapy Education

Syllabus

Spring 2002

Instructors:     Dawn T. Gulick, PT, PhD, ATC, CSCS   
                                        Office: Cottee 112
                                        Phone: (610) 499-1287
                                        Email: Dawn.T.Gulick@widener.edu

                           Robert Wellmon, PT, MS, NCS 
                                        Office: Cottee 124   
                                        Phone: (610) 499-1295
                                        Email: Bob.Wellmon@widener.edu

Course Description:

The study of physiologic adaptations to stress, disease, and external stimuli.  Electrotherapy, electrodiagnosis, and cardiopulmonary physical therapy evaluation and treatment techniques will be explored. 3 semester hours.

Teaching Methods:

The learning environment will include traditional lecture with discussion and clinical application experiences in small groups.  Case studies will be utilized to simulate clinical application and facilitate specific problem solving.

General Program Objectives for Clinical Courses:

1. Identify information and resources necessary to address a clinical problem and demonstrate effective clinical problem solving skills. (3.8.3.9, 3.8.3.11, 3.8.3.15, 3.8.3.26)

2. Recognize the influences of social and cultural factors, as well as age, cognition, and psychological factors on the achievement of goals. (3.8.3.2, 3.8.3.40)

3. Meet the standards set by the faculty for competent and safe practice. (3.8.3.4, 3.8.3.5)

4. Participate in the critical analysis of current research and professional literature. (3.8.3.10)

5. Demonstrate an appreciation for the values of the profession and the ability to engage in professional communication appropriate to the level of education. (3.8.3.1)

6. Articulate professional behaviors and outcomes in relation to personal goals in order to actively assess professional development. (3.8.3.3, 3.8.3.14)

Course Objectives:

1. Examine the scientific basis for the electrodiagnostic evaluation procedures used in practice. (3.8.1)
2. Evaluate the rationale for electrotherapeutic procedures.  (3.8.2, 3.8.3.16b)
3. Demonstrate competence in the application of electrotherapeutic interventions.  (3.8.2, 3.8.3.16bjlmps, 3.8.3.22, 3.8.3.28bc)
4. Evaluate and implement electrotherapeutic protocols to the case studies presented in the laboratory.  (3.8.2, 3.8.3.16bjlmps, 3.8.3.22, 3.8.3.28bcg)
5. Demonstrate appropriate problem solving techniques as related to the use of electrotherapeutic interventions.  (3.8.3.18, 3.8.3.21, 3.8.3.24, 3.8.3.27, 3.8.3.28bc)
6. Recognize contraindications and demonstrate awareness of safety techniques in electrotherapeutic interventions.  (3.8.3.27)
7. Describe the role of physical therapy in cardiopulmonary examination, evaluation, and interventions.  (3.8.3.15)
8. Identify patient problems through examination and other sources.  (3.8.3.16, 3.8.3.19)
9. Identify, explain, and demonstrate the components of pulmonary evaluation.  (3.8.2, 3.8.3.16abceijklmpqsuxw, 3.8.3.17, 3.8.3.19)
10. Document the examination, evaluation, diagnosis, prognosis, and intervention for specific cardiopulmonary disorders.  (3.8.3.19, 3.8.3.30)
11. Interpret information in the medical record.  (3.8.3.1)
12. Design a pulmonary rehabilitation program including: breathing exercises, bronchial hygiene, and physical conditioning.  (3.8.3.22, 3.8.3.28, 3.8.3.28a)
13. Develop, monitor, and modify measurable treatment goals for a cardiopulmonary case model.  (3.8.3.22, 3.8.3.23, 3.8.3.26, 3.8.3.28ag)
14. Explain the rationale for cardiopulmonary intervention.  (3.8.3.24, 3.8.3.27, 3.8.3.28a)

Texts:

  Irwin, S., & Tecklin, J. S. (1995).  Cardiopulmonary Physical Therapy, 3^rd Ed.,  St. Louis, MO: Mosby.

 Prentice, W. E. (1998).  Therapeutic Modalities for Allied Health Professionals, New York: McGraw-Hill.

Grading Policy:

Point distribution is determined by the individual faculty member responsible for the course.  Points vary by the nature of the course content and purpose, as well as the number of examinations and assignments.  Conversion to a final letter grade is consistent for all the courses in physical therapy:

All course grades will only be available online during the semester and can be through WebCT at http://courses5.webct.com.  

Online Grading and Mailing List Sign-up:

Successful completion of this assignment will require (1) a visit to the WebCT web site and (2) signing up for the course mailing list through Topica.  Online grade accessibility this semester is through WebCT at http://courses5.webct.com.

WebCT. Instructions for logging into the course are available on the provider's web page. Your login and password are the same - the initial of your first name and the full spelling of your last name. There is no space between the two and all are in lowercase letters. After logging in, you will need to change your password. To receive credit for the assignment your must do all of the following prior to the due date: (1) login for the first time, (2) change your password, (4) add a password hint, and (4) provide your current email address.

Topica. The course mailing list is being hosted by Topica. To subscribe, send a blank email to the following address pt734-subscribe@topica.com. Topica will send a confirmatory email to which you must reply in order to complete registration.

Due date for completion of the assignment is Wednesday, February 28, 2001.

Cardiopulmonary Clinical Application Assignments:

Examining and Documenting Cardiopulmonary Dysfunction. For the assignment, please perform a physical examination on a friend or family member that specifically screens for cardiopulmonary dysfunction. The person, who you will examine, must be elderly. The assignment, which involves creating clinical note summarizing the findings from the physical examination, will be graded based on principles of documentation and examination that were discussed in class and lab.

Due date for the assignment is Wednesday, April 17, 2002. The assignment must be submitted electronically and is limited to a maximum length of 2 pages. Please include only the findings from the medical interview and the physical examination. Percent of grade = 4%.

Evaluation, Diagnosis, and Prognosis. This assignment is a continuation of the first assignment and is to be completed only after receiving feedback on the examination and documentation of cardiopulmonary dysfunction note. For the client that was examined for the first assignment, please develop a comprehensive evaluation, assign a diagnosis based on the 2nd Edition of the Guide to Physical Therapy Practice, and discuss the client's long and short term prognosis.

Due date for the assignment is Wednesday, April 24, 2002. The assignment must be submitted electronically and is limited to a maximum length of 1/2 page. Please include only the findings from the medical interview and the physical examination. Percent of grade = 2%.

 Documenting Short and Long Term Outcomes.  Completion of the assignment will require a visit to the course web site. A clinical case will be posted on the course web site by April 25, 2002. For the case, please use the information provided to do the following: (1) develop 3 short-term goals or outcomes that specifically address the consequences of cardiopulmonary dysfunction; (2) develop 3 long-term goals or outcomes that specifically address the consequences of cardiopulmonary dysfunction; and (3) identify 2 standardized outcome measures that could be used to monitor any associated cardiopulmonary limitations.

Due date for the assignment is Monday, April 29, 2002. The assignment must be submitted electronically and is limited to a maximum length of 1/2 page. Please include only the findings from the medical interview and the physical examination. Percent of grade = 2%.

For extra credit toward the final course grade: (1) assign a diagnosis using the Guide to Physical Therapy Practice (1 point for a correct diagnosis) and (2) develop a statement discussing the patient's prognosis (1 Point - maximum of 25 words).

Developing and Documenting the Plan of Care. Completion of the assignment will require a visit to the course web site. A clinical case will be posted on the course web site by April 25, 2002. For the case, please use the information provided to develop and document a comprehensive plan of care for the client.

Due date for the assignment is Wednesday, May 1, 2002. The assignment must be submitted electronically and is limited to a maximum length of 1/2 page. Please include only the findings from the medical interview and the physical examination. Percent of grade = 2%.

Check-outs

In an attempt to be consistent with the philosophy of professional behavior, lab check-outs will be expected to be completed within the designated class time. If a student is unable to attend class/lab due to illness or a personal appointment, the instructor must be informed in advance. Failure to provide advance notice will forfeit your opportunity to make-up the check-out.

All make-ups for the electrotherapy component of the course must be completed by March 19, 2002 and for the cardiopulmonary physical therapy section of the course by May 1, 2002.

Note:  All practical examinations must be passed with a score of 75% or higher to pass this course.  If a checkout or practical is failed on a first attempt, a maximum of two re-takes is allowed.  If the first re-take is failed, a remediation contract will be negotiated and explicitly written to delineate the plan of remediation.  This remediation contract must be signed by both the student and the course instructor.  Following remediation, a second re-take examination will be performed.  If the second re-take is failed, the student will not receive a passing grade for the course and will not be able to continue the curriculum.  All re-take exams will be videotaped for review and evaluation purposes.  Whenever possible, the second re-take will be evaluated by someone other than the primary instructor.

Criteria for Class Participation:

Students will display professional behavior towards faculty and peers and demonstrate a willingness to engage in class discussion.  Point values are as follows:

            0 = frequent absences; unable to participate

            1 = occasional absences; no participation

            2 = present but no participation

            3 = occasional participation

            4 = frequent participation

            5 = engaged with probing questions

This page is maintained by Bob Wellmon

Please e-mail me with your suggestions or comments. 

This page was last updated on 02/16/2002