Northern Arizona University
College of Health Professions
Physical Therapy Program
P.T. 675 - Medical Therapeutics - Spring, 2005


I. GENERAL INFORMATION

Instructor :

David Arnall, Ph.D., P.T. - Email Me With Questions About The Class

Office Hours : By Appointment

Please make an appointment with the front office staff and come in to see me if you have any questions at all. I am most anxious that you understand this material.

Scheduled Class Times : Monday (Room 132) & Thursday (Room 120) : 08:00 A.M. - 09:30 A.M.


Students, please access the Medical Therapeutics Web Page at :

http://jan.ucc.nau.edu/~daa/pt675/


II. COURSE DESCRIPTION :

Medical Therapeutics is an introductory course that will introduce the DPT student to a variety of pharmacological agents, their mechanisms of action and their usual medical uses to enhance recovery and healing. This course will help you to inventory, classify and evaluate your home health patient's medications for a common problem called polypharmacy. From time to time, as a Home Health PT, you will have the opportunity to become an advocate for the patient in cases where the medications appear to be conflicting one with another. A thorough understanding of the many drugs patients will be taking is a life long pursuit. However, in this course, I hope to teach you how to appraise the value of medications as well as be able to critically evaluate their potential hazard for the patient.

This course will also emphasize the techniques used in wound care which will involve such diverse topics as establishing sterile and clean fields, wound lavage, proper gloving techniques, the appropriate use of topical agents, and the various types of wound dressings, and their appropriate uses. Treatment strategies will be discussed concerning the proper wound care management of acute and chronic wounds.


III. COURSE OBJECTIVES :

Upon successful completion of the course in Medical Therapeutics, the student will:

  1. Describe the therapeutic reasons why specific classes of drugs (calcium channel blockers, beta blockers, diuretics, medications for patients with diabetes, antiarrhythmics, methylxanthines, sympathomimetics, mucolytics, antibiotics, immunosuppressives, etc.) are used for common diagnoses in the acute and chronically ill patient.
  2. Describe the mechanisms of actions of drugs within a class of medications - how do these medications work - what is their pharmacokinetics and pharmacodynamics.
  3. Describe the negative side effects of drugs within a specific class of medications for specific populations of patients.
  4. Evaluate the medications of the patient and determine if there are interactions that are antagonistic one to another and determine if the patient is suffering from polypharmacy.
  5. Explain to the patient and the patient's family about drug interactions.
  6. Explain and identify the hallmarks of the natural progression of wound healing by first and second intention as well as identify the stages of wound healing.
  7. Explain the rationale for using a variety of wound care products and how they effect the development and growth of granulation tissue.
  8. Demonstrate the use of specific primary and secondary dressings and explain how each effects wound healing.
  9. Successfully create a sterile field. Properly don/doff isolation clothing. Describe when clean or sterile technique should be used in wound management.
  10. Demonstrate the proper techniques for handling scissors, tweezers and scalpels when doing sharp debridement.
  11. Explain the appropriate uses of chemical debriders commonly used in wound care.
  12. Demonstrate the various ways to evaluate a wound such as : measuring the depth of wound, determining if there is tunneling and undermining present in the wound, determining its dimensions, determining the types of eschar present in the wound, document the amount of swelling present in the wound, how to stage a pressure ulcer, how much exudate or transudate is present in the wound, and how to properly document all of these findings using appropriate nomenclature and proper charting techniques.
  13. Stage a pressure ulcer and determine which phase of healing the ulcer is present at the time of evaluation from serial slide pictures.
  14. Using a patient case study format with slides and patient history, evaluate a wound and develop a treatment plan for its care.


IV. TEXTBOOKS :

There are two required texts for this course. These texts can be purchased at the University Book Store. They are as follows :

  1. Wound Healing Alternatives In Management, 3rd edition by Luther C. Kloth and Joseph McCulloch ; Publisher - F. A. Davis (2002).
  2. Lippincott's Nursing Drug Guide with CD, 2005 edition, Lippincott Williams and Wilkins Publishers, (2005).

V. Grading :

Evaluation Methods :

GRADING SCALE :

A. Web-Based Quizzes - 20 points x 4 = 80 points

A = 100 - 90 % (380-342 pts)

B. In-Class Midterm Exam = 100 points

B = 89 - 80 % (341-304 pts)

C. In-Class Final Exam = 100 points

C = 79 - 70 % (303 - 266 pts)

D. Professional Behavior = 100 points

The Midterm, the Final plus the Web based quizzes will be scheduled for the following times :

  • Quiz # 1 : Week of February 1 - 4, 2005
  • Quiz # 2 : Week of February 21 - 25, 2005
  • Midterm : March 17, 2005
  • Quiz # 3 : Week of April 4 - 8, 2005
  • Quiz # 4 : Week of April 25 - 29, 2005
  • Final : Week of Finals

  • VI. WEB CHAT ROOM :

    This web site has a Chat Room. We will experiment with the Chat Room and use it when there is a need to have more discussion about principles that have been discussed in class. Dates will be arranged in class based on need.


    VII. COURSE POLICIES :

    The student is responsible for all material presented in class as well as assigned readings regardless of attendance. There is a tremendous amount of material to cover in a short period of time which necessitates that we move quickly. Be sure to ask for help anytime that you feel you need it. I am anxious to help you.

    POLICY STATEMENTS FROM THE UNIVERSITY AND THE PHYSICAL THERAPY DEPARTMENT :

  • Attendance : Attendance is important for the development of knowledge and skills in Physical Therapy. Failure to consistantly come to class places a burden on your fellow students to meet your request to supply you with the class notes. It is an unreasonable expectation that your fellow students should bear the responsibility of insuring that you are current with the class material. Therefore, more than two absences from this class will be cause for failure in the course.
  • Take Home or Web-Based Tests And Quizzes : These will be testing experiences as if you were in the classroom - i.e. - you will not be permitted to use your book notes, classroom notes or the assistance of any other person in or out of your class or any person in the University or the community. Any alterations to this policy will be granted by the professor of record.
  • Plagarism : Plagarism or any other form of cheating will result in a failing grade of "F". Class activities in which students may work together will be specifically announced. All other assignments are assumed to be work that you will complete under your own efforts.
  • Classroom Management : Membership in the academic community places a special obligation on all members to preserve an atmosphere conducive to a safe and positive learning environment. Part of that obligation implies the responsibilities of each member of the NAU community to maintain an environment in which the behavior of any individual is not disruptive.

    It is the responsibility of each student to behave in a manner which does not interrupt or disrupt the delivery of education by faculty members or receipt of education by students, within or outside the classroom. The determination of whether such interruption or disruption has occurred has to be made by the faculty member at the time the behavior occurs. It becomes the responsibility of the individual faculty member to maintain and enforce the standards of behavior acceptable to preserving an atmosphere for teaching and learning in accordance with University regulations and the course syllabus.

    At a minimum, students will be warned if their behavior is evaluated by the faculty member as disruptive. Serious disruptions, as determined by the faculty member, may result in immediate removal of the student from the instructional environment. Significant and/or continued violations may result in an administrative withdrawal from the class. Additional responses by the faculty member to disruptive behavior may include a range of actions from discussing the disruptive behavior with the student to referral to the appropriate academic unit and/or the Office of Student Life for administrative review, with a view to implement corrective action up to and including suspension or expulsion.

  • Physical Therapy Department Professional Behavior Statement

    Entrance into the program of study in physical therapy at Northern Arizona University signifies a commitment to a doctoring profession, which entails a consistent demonstration of specific knowledge, skills and attitudes. Professional behaviors are a defining element of a doctoring profession. Thus, integration of professional behaviors is a key aspect of the professional socialization process, which begins in the educational program.

    The following professional behavior (adopted from objectives 1-6, and 8 of the APTA Clinical Performance Instrument) are expected of all doctoral physical therapy learners :

  • As A Student : Be to class on time;
  • As A Student : Be responsible for your own work - do not expect others to rescue you;
  • When In The Clinic Setting : Practice in a safe manner that minimizes risk to the patient, self, and others;
  • When In The Public As Well As In The Workplace : Present themselves in a professional manner;
  • At All Times : Demonstrate professional behavior during interactions with others;
  • At All Times : Adhere to ethical and legal practice standards;
  • At All Times : Communicate in ways that are congruent with situational needs; and
  • When In The Clinic Setting : Adapt delivery of physical therapy care to reflect respect for and sensitivity to individual differences.

  • VIII. Class Calendar - Dates To Remember

    20 January, 2005 - Thursday - Class Lecture - 08:00 AM - 09:30 AM

    24 January, 2005 - Monday - Class Lecture - 08:00 AM - 09:30 AM
    26 January, 2005 - Wednesday - Class Lecture (***Different Day***) - 08:00 AM - 09:30 AM)

    31 January, 2005 - Monday - Class Lecture - 08:00 AM - 09:30 AM
    03 February, 2005 - Thursday - Class Lecture - 08:00 AM - 09:30 AM

    07 February, 2005 - Monday - Class Lecture - 08:00 AM - 09:30 AM
    10 February, 2005 - Thursday - Class Lecture - 08:00 AM - 09:30 AM

    14 February, 2005 - Monday - Class Lecture - 08:00 AM - 09:30 AM
    17 February, 2005 - Thursday - Class Lecture - 08:00 AM - 09:30 AM

    21 February, 2005 - Monday - No Medical Therapeutics Class - Karen has this time
    24 February, 2005 - Thursday - Class Lecture - 08:00 AM - 11:30 AM
    25 February, 2005 - Friday - Class Lecture - 09:10 AM - 1:00 PM

    28 February, 2005 - Monday - No Medical Therapeutics Class - Karen has this time
    03 March, 2005 - Thursday - No Medical Therapeutics Class - Karen has this time

    07 March, 2005 - Monday - Class Lecture - 08:00 - 09:30 AM
    10 March, 2005 - Thursday - No Medical Therapeutics Class - Karen has this time

    14 March, 2005 - Monday - Class Lecture - 08:00 AM - 09:30 AM
    17 March, 2005 - Thursday - In-Class Midterm - 08:00 AM - 09:30 AM

    21 March, 2005 - Monday - Spring Break - No Classes
    24 March, 2005 - Thursday - Spring Break - No Classes

    28 March, 2005 - Monday - Class Lecture - 08:00 AM - 09:30 AM
    31 March, 2005 - Thursday - Class Lecture - 08:00 AM - 09:30 AM

    04 April, 2005 - Monday - Class Lecture - 08:00 AM - 09:30 AM
    07 April, 2005 - Thursday - Class Lecture - 08:00 AM - 09:30 AM

    11 April, 2005 - Monday - Class Lecture - 08:00 AM - 09:30 AM
    14 April, 2005 - Thursday - Class Lecture - 08:00 AM - 09:30 AM

    18 April, 2005 - Monday - Class Lectures - 08:00 AM - 09:30 AM
    21 April, 2005 - Thursday - Class Lecture - 08:00 AM - 09:30 AM

    22-23 April, 2005 - Friday and Saturday - Arizona Physical Therapy Chapter's Spring State Meeting

    25 April, 2005 - Monday - Class Lecture - 08:00 AM - 09:30 Am
    28 April, 2005 - Thursday Class Lecture - 08:00 AM - 09:30 AM

    02 May, 2005 - Monday - Class Lecture - 08:00 AM - 09:30 AM
    05 May, 2005 - Thursday - Class Lecture - 08:00 Am - 09:30 AM

    09 - 12 May, 2005 - Finals Week


    Last Updated : 19 January, 2005