UNIVERSITY
OF SCRANTON
DEPARTMENT OF PHYSICAL THERAPY
COURSE SYLLABUS
PT 340 Basic Patient Management Techniques
Fall 1999
COURSE TITLE
PT 340 Basic Patient
Management Techniques
3 credits (2 hr.
lecture/wk; 2 hr. lab/wk for each student)
Lecture: Monday 10:00 11:50 Lab
1: Mon. 1:00 2:50, Lab 2: M 3:00 4:50 (All Leahy
L014)
INSTRUCTORS
Professor Peter M.
Leininger, MSPT, OCS ● 941-7499 ● L017 ● Office hours as
posted
COURSE DESCRIPTION This course is designed
to instruct the student in basic patient management, evaluation and teaching
techniques. The student will be
introduced to patient interviewing techniques and the development of clinical
observation skills. The course content
focuses on patient mobility, including the utilization of assistive devices and
gait training, transfers, in addition to basic emergency procedures, patient
monitoring and fundamental sterile and aseptic procedures.
PROFESSIONAL BEHAVIOR
In keeping with the professional behavior that all
members of a health care team should uphold, each student in this course is
expected to conduct her/himself in a respectful and professional manner. This includes, but is not limited to:
ุ
being punctual and prepared for every class session
ุ respecting
his/her classmates and the instructor during class discussions
ุ working
independently when asked to do so
ุ working
in a positive and productive manner with classmates on group projects
ุ respecting
oneself by presenting his/her own ideas and opinions in a positive and
thoughtful manner that demands the attention and respect of classmates
ุ being
committed to a positive learning experience
CLASS ATTENDANCE Consistent attendance
during scheduled class and lab times are considered to be a prime indicator of
mature and professional behavior.
Absences from lectures, laboratory sessions or clinical experiences are
only excusable under extenuating circumstances and/or previous notification of
the course instructors. Make up work
and/or exams are at the discretion of the course instructor. It should be noted that class participation
is 10 % of the final grade.
REQUIRED TEXTS
Pierson,
Frank M. Principles and Techniques of Patient Care, second edition;
W.B.Saunders Co., 1999.
Total
Hip Replacement: Returning to Movement; Krames Communication,
1996
Crutches,
Walkers and Canes; Krames Communications, 1993
Paz,
Panik. Acute Care Handbook for Physical Therapists;
Butterworth-Heineman, 1996.
COURSE OBJECTIVES
l.
Patient
Incidents and Emergencies
1.
Demonstrate
measurement and recording of vital signs:
a.
radial and corotid pulse b.
respirations
c.
core temperature (orally) d.
blood pressure (various positions)
2.
Differentiate between normal/abnormal ranges for
vital signs.
3.
Recognize and interpret changes that normally occur
in vital signs due to age, activity levels and disease states.
4.
List and determine which conditions are life
threatening and require immediate intervention.
5.
Identify and explain the ABCs of emergency care.
6.
Identify the signs of a respiratory emergency and
explain what treatment would be administered prior to definitive care.
7.
Recognize what constitutes a cardiac emergency and
explain how a patient should be treated before definitive care can be provided.
8.
Describe the pathophysiology of shock and recognize
the signs/symptoms of shock.
9.
Recognize, through observation, the symptoms of
drug (prescribed or illegal) reactions, alcohol or poisoning emergencies and
interventions.
10.
Discuss and demonstrate the signs/symptoms and
initial care that should be provided those experiencing seizures, TIA, CVA,
diabetic emergency, heat or cold reactions, burns, and trauma from falls.
11.
Demonstrate methods for controlling hemorrhage and
explain the rationale for using each method.
ll.
Patient
Mobility
1. Demonstrate proper body mechanics and convey consequences of improper body mechanics with patient positioning, transfers and ambulation/gait training.
2.
Demonstrate how to a) teach a patient to move
independently from supine↔sit, b) assist rolling and position changes,
and c) teach position transfers, including sit↔stand.
3.
Discuss and demonstrate how to position a patient
to a) prevent contractures and decubiti ulcer, and b) avoid further skin
breakdown where decubiti ulcer is present.
4.
Safely and efficiently perform one and two person
assisted transfers from:
a) bed/mat
↔ w/c
b) w/c
↔ chair.
5.
Perform a four-person slide transfer from stretcher
↔ tilt table/bed/mat.
6.
Instruct and assist in patient transfers utilizing
a sliding board.
7.
Identify the various assistive devices (e.g.
crutches, canes, walkers, and w/c) and determine which type of device would be
appropriate with specific disabilities/disorders.
8.
Appropriately adjust all assistive devices.
9.
Instruct lab partner (as a patient) in the proper
use of assistive devices with appropriate guarding techniques on level/non
level surfaces and stairs.
10.
Determine when adjustment in assistive device and
gait pattern is necessary.
11.
Instruct your lab partner in the necessary steps
for special transfers (e.g. bathtub, toilet/commode, car and floor).
12.
Instruct and demonstrate to the patient appropriate
wheelchair management.
13.
Perform a gross clinical assessment of the patient
through formal and informal clinical observations (e.g. posture, gait pattern,
display of pain, use of assistive devices, external fixation devices, breathing
patterns, etc.).
14.
Evaluate a patients functional ability in relation
to basic mobility skills (e.g., transfers, bed mobility, wheelchair mobility,
ambulation).
15.
Develop a progressive patient treatment plan (with
a classmate) utilizing techniques and procedures from this course, and
incorporate skills acquired in other courses (Therapeutic Exercise and
Therapeutic Modalities).
16.
Determine and apply the most appropriate wrap for
specific injury or condition.
ll. Aseptic and
Sterile Techniques, Lines and Equipment
1.
Identify the following lines and equipment and
describe the purposes for each:
a) naso-gastric
tubes
b) catheters/drains
c) endo-tracheal
tubes
d) IVs
e) ventilators
2.
Recognize the role of the physical therapist in the
management of a patient requiring any of the aforementioned equipment.
3.
Identify and demonstrate universal precautions
utilized in health care facilities with all patients.
4.
Explain the importance of utilizing sterile
techniques in patient care while
a) in
the physical therapy setting (e.g., with wound care)
b) in
patient rooms
c) creating
a sterile field
5.
Demonstrate the proper donning and use of gowns,
gloves, goggles and mask.
lV. Introduction
to Patient Interviewing Techniques
1.
Demonstrate ability to gather pertinent patient
information.
2.
Demonstrate ability to differentiate between
subjective and objective findings.
3.
Display proper documentation of subjective and
objective findings.
COURSE CONTENT OUTLINE/SCHEDULE
Aug 30 Lecture Principles
and Concepts of Emergency Care, Pierson,
Ch11,4
and Medical Emergencies
Lab Introduction
to Emergency Care, Patient
Assessment
and Vital Signs
Sept 6 LABOR DAY
and activation of the Emergency Med.
System
Lab Treatment
of trauma, shock, fracture, bleeding
burning and other medical conditions
Sept 20 Lecture Emergency
Scenarios (Red Cross first Aid Test -
Check offs)
Lab CPR
Review and continued check offs
Sept 23 Lab check-out # 1 (Time and location TBA)
Unit ll: Patient Mobility Profs. Peter Leininger and Barbara Wagner
Dr.
Carolyn Barnes
Lab Practice
patient mobility, positioning and draping
Oct 4 Lecture Body
mechanics (demo & practice) and patient Pierson
Ch 6
Transfers Krames, THR
Person assisted transfers
Oct 11 FALL
BREAK
Oct 18 Lecture Special
transfers, tilt table Pierson, p. 199
Lab 2
and 3 person transfers (cont.)
Special transfers bathtub, car,
floor, w/c
Oct 25 Lecture Universal
Precautions, OSHA Pierson, p. 312-316
Lab Lab check-out #1 (for both lab groups)
10:00
5:00 (sign-up sheet)
Nov 1 Lecture
Bandaging Principles and wraps for specific pp.307- 309
injuries (lecture and demo) class 11:00 11:50 pp.322 329
Lab Practice
bandaging techniques
Nov 4 EXAM # 1 During
exam period 3:00 5:00 (L1006)
(demos and practice)
Lab Obtaining
patient information, orientation,
subjective and objective findings
(mock eval)
Nov 15 Lecture Assistive
devices for ambulation uses, types Pierson
Ch 8
Measurement (1st demo in
lect.) Krames C,W&C
Lab Adjusting
assistive devices, tilt table, sit ↔ stand
With devices, crutch gaits, stairs,
uneven surfaces
Nov 22 Lecture Assistive
Devices progressive ambulation
principles and techniques (Case
studies)
Lab Gait
progression with various assistive devices
with proper guarding (Case studies)
Nov 29 Lecture Wheelchair
types, measurement and Pierson Ch 7
parts management
Lab Lab check-out # 3 (both labs 12:00
5:00)
Dec 6 Lecture Lines
and equipment, aseptic & sterile Pierson Ch 9,10
techniques, sterile field (demo and
practice)
Lab Field
trip to Nursing Dept. (if not conducted earlier)
Dec 13 Exam ll 10:00 12:00 (L014) Cumulative,
with emphasis on Unit lll
Lab check-out # 4 (comprehensive,
during finals week time & location TBA)
COURSE EVALUATION OF STUDENT PERFORMANCE
A.
Attendance and classroom/laboratory participation
(10 % of lab and lecture final grade)
1.
Classroom
a.
Because of the competency-based nature of the
Physical Therapy Curriculum, attendance at all sessions is mandatory. Please see or call the instructor(s) if
attendance is not possible.
b.
Students are expected to be on time for class and
participate in class discussion (e.g. be prepared to answer and/or ask
questions relevant to the subject matter presented throughout the
curriculum. Students are responsible
for previous course information).
2.
Laboratory Sessions
a.
Students are expected to be on time and wearing
appropriate laboratory attire, as designated by your faculty (e.g., nametag,
shorts, tee shirt, socks and sneakers).
Students must be prepared to expose necessary areas of the body. Women must wear bathing suit or halter-top
under tee shirt (course instructor will inform students when bathing suit tops
are necessary). It is the discretion of the laboratory instructor to dismiss
the student from lab if the student is not properly dressed.
b.
You are to perform the assigned tasks.
c.
You are prepared to answer/ask questions pertinent
to the lab assignment.
d.
Utilize your laboratory time to the fullest. Practice
is vital.
B. Teaching methods Lecture,
guest lecturers, lab, case studies, video, group discussion, field trip.
Methods of Evaluation
Written Exams
Red
Cross Certification 10 % of final grade
Exam
l (Unit Il mostly) 30% of final grade
Exam ll (Comp. With emphasis on Unit lll) 40% of final grade CLASS GRADE
Case study (take home) 10%
of final grade
Class participation 10% of final grade
Lab
check-out # 1 20%
of final grade
Lab check-out # 2 20% of final grade
Lab check-out # 3 25% of final grade LAB GRADE
Lab check-out # 4 (combined practical) 25%
of final grade
Class participation 10%
of final grade
DEPARTMENT GRADE SCALE
A 95 C+ 80
A- 92 C 77* Note: Course
and/or Unit grades below 77%
B+ 89 C- 74
are unacceptable for progression
B 86 D+ 71 through
the curriculum and will initiate
B- 83 D 68 the
probation policy See Student
F 67 and lower Handbook.