PT 735

Intervention V

(Interventions in Acute Care)

Widener University

Institute For Physical Therapy Education

Spring 2003

SYLLABUS

 

INSTRUCTOR:  Robert Wellmon, MS, PT, NCS

                                Telephone: (610) 499-1295
                                Office:  Cottee Room 122

                                Office Hours: By appointment

                                E-mail: Bob.Wellmon@Widener.edu

                                Web Site: http://www.donohoe-wellmon.com/pt

                      Mailing List: pt735@topica.com
 

 

CLASS SCHEDULE: Tuesday & Thursday 1:00-4:00

A contemporary approach to the management of the physical therapy patient in the acute care phase of treatment. Interdisciplinary management of the cardiopulmonary, cardiovascular, orthopedic, trauma, acute infection and acute conditions superimposed on long term chronic conditions. Specific treatment plans are developed for case models using the critical path concept. Prerequisites: Procedures in Therapy, Clinical Assessment and Diagnosis. Credit: 3 semester hours. The course is comprised of 3 hours of combined lecture and clinical application and discussion, and a total of 6 hours of clinical observation.

Lecture material is presented as foundations for the study of the critical path concept and its use in medicine and physical therapy. Invited speakers enhance the presentation of information and integration of clinical situations and examples. Visits to various acute care and specialty care venues are planned to allow students to experience what they have discussed or researched in class. Course assignments and laboratory sessions are used to facilitate learning and preparation for clinical practice.

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. 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. (3.1.3.5)

5. Demonstrate an appreciation for the values of the profession and the ability to engage in professional communication appropriate to the level of education.(3.8.3.10, 3.8.3.12)

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)

7. Demonstrate an awareness of the unique nature of acute care hospital in the current health care delivery system. (3.8.3.2, 3.8.3.3, 3.8.3.5, 3.8.3.7, 3.8.3.24)

8. Identify the roles and responsibilities of the physical therapist functioning in the acute care setting. (3.8.3.35, 3.8.3.37)

9. Obtain patient history and identify patient problems through interview and current information management technology. (3.8.3.16)

10. Identify potential health problems in clients in the acute care setting. (3.8.3.19, 3.8.3.33)

11. Recognize patient problems and the need to refer to other professionals when indicated. (3.8.3.15, 3.8.3.21, 3.8.3.25, 3.8.3.26)

12. Discuss the rationale for specific examination and evaluation procedures for a given clinical disorder. (3.8.3.16, 3.8.3.19)

13. Devise realistic and measurable physical therapy goals and length of time for their achievement with a given case study. (3.8.3.17, 3.8.3.21, 3.8.3.22, 3.8.3.23)

14. Design a comprehensive physical therapy plan of care for a client in the acute care setting. (3.8.3.27, 3.8.3.28)

15. Appropriately modify and progress a plan of care for a given client admitted for inpatient services within the acute care setting. (3.8.3.26, 3.8.3.28)

16. Explain and critically evaluate the scientific basis and technology useful in the clinical management of specific disorders. (3.8.3.6, 3.8.3.9, 3.8.3.10, 3.8.3.11)

17. Compare the physical therapy outcomes for different groups of patients with similar disorders. (3.8.3.10)

18. Discuss accountability and cost effectiveness in delivery of patient care services. (3.8.3.38, 3.8.3.39)

19. Identify indicators of efficacy and quality patient care in acute settings. (3.8.3.38)

 

Paz, J., & Panik, M. (2002). Acute Care Handbook for Physical Therapists: 2nd Ed. London: Butterworth Heinemann Medical.

The listed texts that may serve as references for topics covered in this course have been used in other classes or are available in either the departmental or university library.

Boissonnault WG. ( 1995). Examination in Physical Therapy Practice - Screening for Medical Disease. New York: Churchill Livingstone.

Boyd MW & Tower BL. (1993). Medical Surgical Nursing. Springhouse Corp.

Ciccone, CC. (1990). Pharmacology in Rehabilitation. Phila.; FA Davis.

David JA. (1988). Wound Management : a Comprehensive Guide to Dressing and Healing. Springhouse Corp.

Goodman CC & Snyder TK. (1995). Differential Diagnosis in Physical Therapy. Phila.: WB Saunders.

Hillegass EA & Sadowsky HS. (1994). Essentials of Cardiopulmonary Physical Therapy. Phila.: WB Saunders.

Irwin S & Tecklin JS. (1985). Cardiopulmonary Physical Therapy. St. Louis, Mo: Mosby.

Lynne E. (1992). Physical Therapy Pharmacology. St Louis, Mo: Mosby Year Book.

O'Sullivan SB & Schmitz TJ. (1994). Physical Rehabilitation: Assessment and Treatment (3rd edition). Phila: FA Davis.

Patrick M. (1986). Medical_Surgical Nursing : Pathophysiological Concepts. New York: Lippincott.

Rubin E & Farber J. (1990) Essentials of Pathophysiology. Phila.; JB Lippencott.

Tilkian SM. (1987). Clinical Implications of Laboratory Tests. St. Louis, Mo: Mosby.

Umphred DA. (1990). Neurological Rehabilitation. St. Louis, Mo: Mosby.

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 of the courses in physical therapy. Grades are rounded to two decimal places. No further mathematical or letter adjustments are made to grades.

A    94-100 

A-   90-93                   

B+  87-89                  

B    83-86                    

B-   80-82

C+  77-79

C    73-76

C-   70-72

F     69 and below

Online Grading Access Sign-up    2%

Written Examinations                   53%

Midterm     26%

Final          27%

 

Course Project                              40%

Written Component 15%

Oral Presentation    25%

 

Class Participation                         5%

    Online Grading Access Sign-up

Successful completion of this assignment will require signing up for the course mailing list through Topica.  The course mailing list is being hosted by Topica. To subscribe, send a blank email to the following address pt735-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 Thursday, February 27, 2003. Percent of Final Grade = 2%.

There will be two written examinations in this course. The format for the written exams will be a combination of multiple choice, short answer and true/false questions. The final exam will not be cumulative but will include the material from the student presentations. Written make-up exams will not be given. If you are ill or otherwise incapacitated, it is expected that you will expected to notify me prior to the examination.

Class participation will be graded based on the following: class attendance, evidence of preparation of assignments prior to attending class, timely completion of assignments, professionalism in classroom interactions, and participation in class discussion and lab activities.

    Course Project

The topic for the course project is, Current Trends in the Acute Care Environment and Their Impact on Physical Therapy Practice. The course project will require each group to explore and present current issues that impact or influences the delivery of physical therapy services in the acute care environment. Suggested areas for research may include administrative issues, acute care management trends, insurance issues, practice without referral, new technologies and treatment approaches, specific physical therapy techniques - evaluation/assessment or treatment, outcomes assessment, or clinical pathways. The emphasis is on current and cutting edge issues.

You will be working in groups of 4 on this project. All topics must receive prior approval before your group can begin researching the topic. The time table for the completion of the project is as follows:

Selection of a Topic & Group Due     March 14, 2003

Final Version of the Paper Due          April 23, 2003

Oral Presentations                               April 30, 2003

Each group is responsible for monitoring their progress and meeting the deadlines listed in the time table.  

Presentation Handout. The handout for the presentation must include the following: (1) an abstract summarizing the presentation in 350 words or less, (2) all of the slides from the presentation, and (3) a bibliography containing all of the references used for the presentation. The reference style for the bibliography is APA. The slides from the presentation are to be formatted, six to a page. The maximum length of the handout is 3 double sided pages.

Oral Presentation of the Course Project Topic.  Each group will have a maximum of 15 minutes for the oral presentation of their topic. The first 10 minutes should focus on presenting your findings. You can use part of the time to foster group discussion. The last 5 minutes are for answering questions and audience discussion. The oral presentation will be graded and the group must use PowerPoint for the audiovisual component. The maximum number of slides that can be used during the course of the presentation is 18. Each presentation must contain a title slide with all members of the group listed, along with the professional affiliation.