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                | PTA 123W - Pathophysiology IICredits: 2Instructional Contact Hours: 2
 
 Introduces acute and chronic pathological conditions resulting from disease or injury that are commonly treated in physical therapy. Prepares the student to perform physical therapy intervention as part of a physical therapist's plan of care, under the direction of the physical therapist.
 
 Prerequisite(s): PTA 101 , PTA 101LW , PTA 103 , PTA 110 , PTA 110L , PTA 118 ; each with a “C” (2.0) minimum grade in each.
 Corequisite(s): PTA 102 , PTA 123LW , PTA 125 , PTA 125LW , LWT 214
 Lecture Hours: 30 Lab Hours: 0
 Meets MTA Requirement: None
 Pass/NoCredit: Yes
 
 Outcomes and Objectives
 
	
	Explain the inflammatory response in the human body. 
		
		Discuss the signs and symptoms of inflammation and the etiology of those signs and symptoms.
		List the causes of inflammation.
		Compare and contrast the various physical agents utilized in response to an inflammatory response.
	Discuss the various types of wounds and burns encountered in the physical therapy setting. 
		
		Identify the layers and functions of the integumentary system: 
			
			Epidermis
			Dermis
			Subcutaneous tissue
		Describe etiology, symptoms, and risk factors for the following: 
			
			Acute wounds
			Pressure ulcers
			Venous insufficiency ulcers
			Arterial insufficiency ulcers
			Neuropathic/diabetic ulcers
		Differentiate between the following types of burns: 
			
			Superficial burn
			Superficial partial-thickness burn
			Deep partial-thickness burn
			Full-thickness burn
			Subdermal burn
			Thermal
			Chemical
			Electrical
			Radiation
	Discuss appropriate treatment interventions utilized with various wounds and burns encountered in the physical therapy setting. 
		Describe the tissue healing process.Identify factors that affect the wound and burn healing process.Compare the tools used to document wound and burn progression.Discuss the wound staging system.Compare characteristics of different types of wound dressings.Describe various forms of wound debridement procedures.Differentiate between viable and nonviable tissue.Describe various treatment techniques utilized in wound and burn care.Identify changes in skin conditions that can lead to wounds.Describe the purposes behind positioning and splinting in burn rehab.Identify precautions for dressing removal.
	Describe respiratory related disease processes. 
		
		Describe the anatomy and gross physiology of the respiratory system.
		Discuss the pathophysiology of the following respiratory diseases:  pneumonia, pneumothorax, atelectasis, pleurisy, COPD, emphysema, TB, asthma, and cystic fibrosis
		Outline the pathway for air exchange from inhalation to exhalation.
		Identify the anatomical structures that define the upper and lower respiratory tract.
		Identify the primary and accessory muscles of respiration and their function in the breathing process.
		Describe the movements of thorax during normal and abnormal conditions.
		Compare the anatomical differences between inspiration and expiration.
	Examine chest physical therapy theories and techniques. 
		
		Interpret the general appearance of a patient in terms of vital signs, level of awareness, coloration, breathing, and overall function.
		Compare various chest shapes related to respiratory diseases.
		Explain how normal and abnormal trunk and chest mobility that affects a patient’s ability to breathe.
		Compare normal and abnormal breathing patterns.
		Describe various sputum characteristics and potential pathology related to those characteristics.
	Discuss cardiac disease conditions and the role of the PTA in patient recovery. 
		
		Review cardiac anatomy and circulatory system function.
		Examine the pathophysiology of the following conditions: CAD, MI, CHF, arteriosclerosis, atherosclerosis.
		Identify various medical interventions used in the above conditions.
		Discuss the role of physical therapy in promoting recovery in patients with cardiac disease.
		Define phase I, II, and III of cardiac rehabilitation.
		Identify various methods of assessing energy expenditure in patients with cardiac disease during aerobic conditioning, strength training, and reconditioning programs.
	Discuss basic pharmacology concepts in the physical therapy setting. 
		
		Define the three types of drug names: chemical, generic and trade.
		Locate and classify a medication using a book or an electronic device.
		Describe pharmacokinetic principles including onset, peak, duration, half-life, metabolism and site of excretion.
		Explain characteristics and identify examples of the following: 
			
			Pain management drugs
			Seizure managements drugs
			Depression management drugs
			Cardiovascular drugs
			Clot prevention drugs
			Respiratory drugs
			Diabetes management drugs
			Skeletal muscle drugs
	Define common lab values that are encountered in the physical therapy and acute care setting(s). 
		
		Discuss the meaning of common lab values and vital signs.
		Identify the normal ranges of common lab values and vital signs.
		Recognize when a lab value is outside of the normal range and how this will impact the patient
	Discuss the role of physical therapy in the acute care/ICU settings. 
		
		Identify common equipment found in the ICU.
		Explain the purpose of common equipment in the ICU and its relationship to rehabilitation.
		Examine treatment options to be used with a patient in the ICU.
	Identify how the unique attributes of a diverse population may impact patient care in physical therapy. 
		
		Spend time with one or members of an assigned diverse population.
		Develop a written reflection paper about the experience.
	Discuss potential legal or ethical issues. 
		Describe an appropriate response to each legal/ethical clinical issue discussed in class. 
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