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Effective: Early Spring 8-Week 2017/2018

NURS 311: Pathophysiology

Course Description

This pathophysiology course provides an in-depth study of human pathological processes and their effects on homeostasis. The course is designed to promote the understanding and application of disease processes in the clinical settings. General concepts of disease include etiology, pathogenesis, and clinical significance. Pathophysiological concepts include cell injury, necrosis, inflammation, wound healing and neoplasia. These concepts are applied in a systems-oriented approach to disease processes affecting musculoskeletal, cardiopulmonary, renal, nervous, gastrointestinal, immune, hematological, neurological and endocrine systems.

Prerequisite: CHEM 109, BIOL 223, BIOL 223L, BIOL 326, BIOL 326L, BIOL 221 or BIOL 312, BIOL 221L or BIOL 312L

Proctored Exams: None



Syllabus Contents

Textbooks

Required

  • VanMeter, K. C. and Hubert, R. J.. (2014). Gould's pathophysiology for health professions (5th). Elsevier: Saunders.
    • [ISBN-978-1-4557-5411-3]
  • American Psychological Association. (2009). Publication manual of the American psychological association (6th). Washington, D. C.: American Psychological Association.
    • [ISBN-978-1-4338-0561-5]

MBS Information

Textbooks for the course may be ordered from MBS Direct. You can order

For additional information about the bookstore, visit http://www.mbsbooks.com.


Course Overview

The system-focused content concentrates on normal physiology and the pathological mechanisms of diseases. Understanding the pathophysiology of disease processes is essential for effective client evaluation, planning of client care, and facilitation of quality client care. Physiological variations are compared and contrasted over the life span. Physiology, normal etiology, pathogenesis, and clinical manifestations of altered health states, responses to illness, and treatment modalities will be analyzed. 


Technology Requirements

Participation in this course will require the basic technology for all online classes at Columbia College:
  • A computer with reliable Internet access
  • A web browser
  • Acrobat Reader
  • Microsoft Office or another word processor such as Open Office

You can find more details about standard technical requirements for our courses on our site.


Course Learning Outcomes

  1. Demonstrate critical thinking skills that correlate the abnormal functions of body systems with disease processes.
  2. Discuss the impact of health education and promotion related to pathophysiological factors that influence disease processes.
  3. Use the principles of clinical research when evaluating clinical manifestations associated with diseased organs.
  4. Demonstrate advanced knowledge of pathophysiology as a foundation for nursing management in the health care of clients.
  5. Identify pathophysiological phenomena and clinical significance of selected disease processes related to ethnicity, culture, socioeconomic and environmental variables.

Grading

Grading Scale
Grade Points Percent
A 1094-1215 90-100%
B 972-1093 80-89%
C 850-971 70-79%
D 729-849 60-69%
F 0-728 0-59%
Grade Weights
Assignment Category Points Percent
Discussions 105 9%
Dropbox Assignments (8) 510 42%
Exams (4) 400 33%
Video Slide Presentation 200 16%
Total 1215 100%


Schedule of Due Dates

Week 1
Assignment Points Due
Introduction Discussion - Tuesday
Discussion 1 Post and Response 15 Tuesday/Thursday
Syllabus and Handbook Quiz - Prior to submitting Dropbox 1
Dropbox 1: ABG Analysis 90 Friday
Week 2
Assignment Points Due
Discussion 2 Post and Response 15 Tuesday/Thursday
Dropbox 2: Infections Disease Research 60 Friday
Exam 1 100 Saturday
Week 3
Assignment Points Due
Discussion 3 Post and Response 15 Tuesday/Thursday
Dropbox 3: Lymphatic Disease Case Study 60 Friday
Week 4
Assignment Points Due
Discussion 4 Post and Response 15 Tuesday/Thursday
Dropbox 4: Circulatory Shock Case Study 60 Friday
Exam 2 100 Saturday
Week 5
Assignment Points Due
Discussion 5 Post and Response 15 Tuesday/Thursday
Dropbox 5: Osteoporosis Case Study 60 Friday
Week 6
Assignment Points Due
Discussion 6 Post and Response 15 Tuesday/Thursday
Dropbox 6: Cirrhosis Case Study 60 Friday
Exam 3 100 Saturday
Week 7
Assignment Points Due
Discussion 7 Post and Response 15 Tuesday/Thursday
Dropbox 7: Sexually Transmitted Disease (STD) Case Study 60 Friday
Video Slide Presentation 200 Sunday
Week 8
Assignment Points Due
Dropbox 8: Cancer Case Study 60 Friday
Exam 4 100 Saturday
Total Points 1215

Assignment Overview

All work submitted in this course should be at the bachelor degree in nursing level quality and original to the student. Students are expected to keep up with the level of work in the class and submit assignments on time. All assignments in the course are due at 11:59 p.m. Central Standard Time.

Students are to use the American Psychological Association (APA) manual (6th ed.) for guidelines for formatting and citation of written work.

To locate high quality resources for your assignments, Stafford Library has several article databases available. Nursing and Medicine sites are: CINAHL with Full Text, Consumer Health Complete, and MEDLINE.  Links to the Nursing Resources guide and the main library page are available on the home page of the course.


Discussions

Each week you will participate in a discussion that is designed to help you apply course concepts and interact with classmates and your instructor. Discussion assignments must be completed in two parts: 1) the student will submit an initial post synthesizing information related to the assigned topic no later than 11:59 p.m. CST on Tuesday of the assigned week, and 2) the student will then post a reply to at least one other classmate’s posted responses to the assigned topic no later than 11:59 p.m. CST on Thursday of the assigned week.

Discussion postings should reflect a depth and quality that emulates the bachelor of nursing standards of excellence. All work should illustrate evidence of synthesis of information and appropriate application. Grading of all discussion assignments will be guided by the specific assignment rubric. Discussions that are not completed and posted by the stated deadline will receive a grade of “0” (zero). No late assignments are accepted.


Dropbox Assignments

The majority of the dropbox assignments are case studies which require you to evaluate a medical case and respond in writing to a series of questions about the case.  All dropbox assignments are to be thoroughly completed and must include at least two cited resources. Your textbook can be considered as a resource. Additional resources must be from professional journals or websites. APA format must be implemented (refer to the Publication manual of the American Psychological Association for guidance.

Grading of all dropbox assignments will be guided by the specific assignment rubric. Dropbox assignments that are not submitted to the Dropbox by the stated deadline will receive a grade of “0” (zero). No late assignments are accepted.


Video Slide Presentation

Prepare a video slide presentation, following the Video Slide Show Presentation Rubric and the Video Slide Show Course Learning Outcomes Rubric. Choose a Pathophysiology of your choice when developing the presentation.  This presentation is worth 200 points total, and is due Sunday of Week 7.


Exams

There are four exams in the course; each covers material covered in the course over the prior two week period. Exams will consist of multiple choice questions. You will have 3 hours to complete the exam.



Course Outline

Click on each week to view details about the activities scheduled for that week.

Week 1: Introduction to Pathophysiology; Fluid, Electrolyte, and Acid-Base Imbalances; Pain
Readings

VanMeter and Hubert: Chapters: 1, 2, and 4

Introduction Discussion

Introduce yourself in this discussion and respond to the following questions. How many years have you been practicing as a nurse? Include date that you graduated from your Associate Degree program, number of years when you did not work in the health care field (as appropriate), etc.

What is/are your area(s) of expertise? For example: adult nursing, clinics, critical care. Discuss the area of expertise that is your favorite.

While attending your associate degree program, how in-depth was pathophysiology incorporated in the curriculum? How knowledgeable do you consider yourself to be in the area of pathophysiology?

How do you think this course will impact your practice as a BSN?

Discussion 1 Post and Response

Discuss each of the following topics related to the patient experiencing pain:

  • Interpret the multidimensional nature of pain
  • Critique the rationale and nursing considerations associated with drug therapy and other collaborative care measures implemented for pain management
  • Appraise barriers to effective pain management
  • Examine pain assessment, pain management, and incorporation of client’s individual beliefs and needs related to pain management
Syllabus and Handbook Quiz

In order to access Dropbox 1, you will need to do the following:

  1. Review the course syllabus (located in the "Start Here" section of the Course Content area)
  2. Review the RN to BSN Student Handbook (located in the "Start Here" section of the Course Content area)
  3. Complete the Syllabus and Handbook Quiz (located in the Quizzes area)

The folder for Dropbox 1 will not appear until all three actions have been completed.

Dropbox 1: ABG Analysis

[see Content area of course for instructions]

Week 2: Inflammation and Healing; Infection and Immunity
Readings

VanMeter and Hubert: Chapters 5, 6, and 7

Discussion 2 Post and Response

Critique the collaborative care measures associated with organ transplantation. Include graft vs. host disease, types of graft rejection, causes of graft rejection, impact of transplantation and rejection for the client.

Dropbox 2: Infections Disease Research

[see Content area of course for instructions]

Exam 1

This is a multiple choice exam that covers Chapters 1, 2, 4, 5, 6, and 7 in Gould’s pathophysiology for the health professions.

Week 3: Blood and Circulatory, and Lymphatic System Disorders
Readings

VanMeter and Hubert: Chapters 10 and 11

Discussion 3 Post and Response

Appraise a hematologic disorder of your choice. Include the following information:

  • Detailed examination of the pathophysiology
  • Role of specific therapies in the management of the pathophysiology
  • Nursing considerations and collaborative care measures
  • Impact of the hematologic disorder on the client’s overall biopsychosocial health status
Dropbox 3: Lymphatic Disease Case Study

[see Content area of course for instructions]

Week 4: Cardiovascular and Respiratory System Disorders
Readings

VanMeter and Hubert: Chapters 12 and 13

Discussion 4 Post and Response

Appraise an obstructive pulmonary disease of your choice. Include the following information:  

  • Detailed examination of the pathophysiology
  • Clinical manifestations and complications associated with the pathophysiology
  • Nursing considerations and collaborative care measures
  • Impact of the obstructive pulmonary disease on the client’s overall biopsychosocial health status
Dropbox 4: Circulatory Shock Case Study

[see Content area of course for instructions]

Exam 2

This is a multiple choice exam that covers chapters 10, 11, 12, and 13 in Gould’s pathophysiology for the health professions.

Week 5: Musculoskeletal and Nervous System Disorders
Readings

VanMeter and Hubert: Chapters 9 and 14

Discussion 5 Post and Response

Appraise a rheumatic disease of your choice. Include the following information:

  • Detailed examination of the pathophysiology
  • Clinical manifestations and complications associated with the pathophysiology
  • Nursing considerations and collaborative care measures
  • Impact of the rheumatic disease on the client’s overall biopsychosocial health status
Dropbox 5: Osteoporosis Case Study

[see Content area of course for instructions]

Week 6: Endocrine and Digestive System Disorders
Readings

VanMeter and Hubert: Chapters 16 and 17  

Discussion 6 Post and Response

Critique recently developed treatments for Type 1 and Type 2 Diabetes Mellitus. Differentiate between Type 1 and Type 2 diabetes mellitus. Evaluate the effectiveness of the new treatments, including mortality/morbidity.

Dropbox 6: Cirrhosis Case Study

[see Content area of course for instructions]

Exam 3

This is a multiple choice exam that covers chapters 9, 14, 16, and 17 in Gould’s pathophysiology for the health professions.

Course Evaluation
Please evaluate the course. You will have an opportunity to evaluate the course near the end of the session. A link sent to your CougarMail will allow you to access the evaluation. Please note that these evaluations are provided so that I can improve the course, find out what students perceive to be its strengths and weaknesses, and in general assess the success of the course. Please do take the time to fill this out.
Week 7: Urinary and Reproductive System Disorders
Readings

VanMeter and Hubert: Chapters 18 and 19 

Discussion 7 Post and Response

John, age 19, is a student at the local university. He has recently been diagnosed with chronic renal failure and is scheduled for routine hemodialysis. Provide detailed information for each of the following:

  • All possible causes of the chronic renal failure that John has been diagnosed with
  • Examine how dialysis may affect John’s studies at the university and his overall biopsychosocial health status
  • Differentiate the types of dialysis available. Examine which type(s) of dialysis that John might best tolerate
  • Appraise the possible accommodations (ADA) that he can request.
  • Interpret the long term and short term complications of dialysis
Appraise community resources that may be available for John
Dropbox 7: Sexually Transmitted Disease (STD) Case Study

[see Content area of course for instructions]

Video Slide Presentation

Prepare a video slide presentation, following the Video Slide Show Presentation Rubric and the Video Slide Show Course Learning Outcomes Rubric. Choose a Pathophysiology of your choice when developing the presentation.

Week 8: Neoplasms and Cancer; Congenital and Genetic Disorders; Complications of Pregnancy, Adolescence, and Aging
Readings

VanMeter and Hubert: Chapters 20, 21, 22, 23, and 24

Dropbox 8: Cancer Case Study

[see Content area of course for instructions]

Exam 4

This is a multiple choice exam that covers Chapters 18, 19, 20, 21, 22, 23, and 24 in Gould’s Pathophysiology for the Health Professions.



Course Policies

Student Conduct

All Columbia College students, whether enrolled in a land-based or online course, are responsible for behaving in a manner consistent with Columbia College's Student Conduct Code and Acceptable Use Policy. Students violating these policies will be referred to the office of Student Affairs and/or the office of Academic Affairs for possible disciplinary action. The Student Code of Conduct and the Computer Use Policy for students can be found in the Columbia College Student Handbook. The Handbook is available online; you can also obtain a copy by calling the Student Affairs office (Campus Life) at 573-875-7400. The teacher maintains the right to manage a positive learning environment, and all students must adhere to the conventions of online etiquette.

Plagiarism

Your grade will be based in large part on the originality of your ideas and your written presentation of these ideas. Presenting the words, ideas, or expression of another in any form as your own is plagiarism. Students who fail to properly give credit for information contained in their written work (papers, journals, exams, etc.) are violating the intellectual property rights of the original author. For proper citation of the original authors, you should reference the appropriate publication manual for your degree program or course (APA, MLA, etc.). Violations are taken seriously in higher education and may result in a failing grade on the assignment, a grade of "F" for the course, or dismissal from the College.

Collaboration conducted between students without prior permission from the instructor is considered plagiarism and will be treated as such. Spouses and roommates taking the same course should be particularly careful.

All required papers may be submitted for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted papers may be included in the Turnitin.com reference database for the purpose of detecting plagiarism. This service is subject to the Terms and Conditions of Use posted on the Turnitin.com site.

Non-Discrimination

There will be no discrimination on the basis of sex, race, color, national origin, sexual orientation, religion, ideology, political affiliation, veteran status, age, physical handicap, or marital status.

Student Accessibility Resources

Students with documented disabilities who may need academic services for this course are required to register with the office of Student Accessibility Resources. Until the student has been cleared through this office, accommodations do not have to be granted. If you are a student who has a documented disability, it is important for you to read the entire syllabus as soon as possible. The structure or the content of the course may make an accommodation not feasible. Student Accessibility Resources is located in Student Affairs in AHSC 215 and can be reached by phone at (573) 875-7626 or email at sar@ccis.edu.

Online Participation

You are expected to read the assigned texts and participate in the discussions and other course activities each week. Assignments should be posted by the due dates stated on the grading schedule in your syllabus. If an emergency arises that prevents you from participating in class, please let your instructor know as soon as possible.

Attendance Policy

Attendance for a week will be counted as having submitted any assigned activity for which points are earned. Attendance for the week is based upon the date work is submitted. A class week is defined as the period of time between Monday and Sunday (except for week 8, when the work and the course will end on Saturday at midnight.) The course and system deadlines are based on the Central Time Zone.

Cougar Email

All students are provided a CougarMail account when they enroll in classes at Columbia College. You are responsible for monitoring email from that account for important messages from the College and from your instructor. You may forward your Cougar email account to another account; however, the College cannot be held responsible for breaches in security or service interruptions with other email providers.

Students should use email for private messages to the instructor and other students. The class discussions are for public messages so the class members can each see what others have to say about any given topic and respond.

Late Assignment Policy

An online class requires regular participation and a commitment to your instructor and your classmates to regularly engage in the reading, discussion and writing assignments. Although most of the online communication for this course is asynchronous, you must be able to commit to the schedule of work for the class for the next eight weeks. You must keep up with the schedule of reading and writing to successfully complete the class.

No late discussion posts will be accepted.

Assignments posted after the due date and time will not be accepted. A grade of “0” will be entered for any assignment that is late.

Course Evaluation

You will have an opportunity to evaluate the course near the end of the session. A link will be sent to your CougarMail that will allow you to access the evaluation. Be assured that the evaluations are anonymous and that your instructor will not be able to see them until after final grades are submitted.


Additional Resources

Orientation for New Students

This course is offered online, using course management software provided by Desire2Learn and Columbia College. The course user guide provides details about taking an online course at Columbia College. You may also want to visit the course demonstration to view a sample course before this one opens.

Technical Support

If you have problems accessing the course or posting your assignments, contact your instructor, the Columbia College Helpdesk, or the D2L Helpdesk for assistance. Contact information is also available within the online course environment.

Online Tutoring

Smarthinking is a free online tutoring service available to all Columbia College students. Smarthinking provides real-time online tutoring and homework help for Math, English, and Writing. Smarthinking also provides access to live tutorials in writing and math, as well as a full range of study resources, including writing manuals, sample problems, and study skills manuals. You can access the service from wherever you have a connection to the Internet. I encourage you to take advantage of this free service provided by the college.

Access Smarthinking through CougarTrack under Students -> Academics -> Academic Resources.


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