Online Pathophysiology: Syllabus


Syllabus for NURSING 2222-Online  
Summer 2009

Welcome to  Pathophysiology and Pharmacology  Online 

               Pam Buhl, RN and Teri Wisdorf, RN

               Course Web site:  D2L hosted by the Century Server


This course is designed for students pursuing an Associate Degree in Nursing.
This course analyzes the progressive changes that take place in the human organism when normal adaptive processes are influenced by chemical, microbial, genetic and/or psychological stress. The course focuses on the pathophysiology and pharmacology of major health problems that lead to mortality and morbidity. This knowledge is applied to the planning of holistic nursing care and pharmacologic interventions of patients with these health problems.

This is a 3 credit course.
Students who elect to take an online course should be self motivated,  independent learners. This class is intended to be creative, stimulating and relevant to your nursing practice. You will need to become engaged in the learning process. Besides completing the modules, you will be required to  complete  written case studies, quizzes,  and participate in discussions online with other students. You will be encouraged to utilize the internet to  enhance learning.
Students will be required to come to class for the 4 main written  exams.
It is strongly recommended that any student who is not familiar with D2L,  attend the optional on campus orientation during the first week of class.

Specific topics :
Topics in this course include holistic nursing care for patients experiencing:
1) Alterations in the: Stress Response, Inflammatory Response, Immune Response .
2) Neurological, Respiratory, Cardiac, Shock, Renal, and Hepatic Disease
3) Alterations in Cellular proliferation
4) Pharmacology content relates to the following categories: autonomic nervous system (ANS), gastrointestinal (GI), anti-infective, analgesics, cardiac, renal, respiratory, anticoagulants, and endocrine.

Course  Outcomes:
At the completion of the course the student will be able to:

  1. Examine levels of prevention as they relate to the leading causes of morbidity and mortality.
  2. Discuss the registered nurse's role as critical thinker when applying pharmacokinetics and pharmacodynamics in clinical practice.
  3. Explain the registered nursing roles of teacher, advocate, and critical thinker when analyzing the concepts of disease and the effects of pharmacology upon disease processes.
  4. Explain the role of the professional nurse as critical thinker and teacher while administering drugs for various categories of disease.
  5. Explain the importance of life long learning in understanding the interrelationships of pathophysiology & pharmacology..
  6. Discuss ethical issues involved in selected disease states and potential pharmacologic therapy.
  7. Discuss the use of therapeutic communication while caring for persons experiencing selected disease and drug therapy.
  8. Promote healthy lifestyles based on the knowledge of how a person’s environment impacts health and wellness.
  9. Examine the use of holistic nursing assessments, therapeutic nursing interventions, and pharmacologic therapies for patients across the lifespan that are experiencing acute illness or disease.
  10. Demonstrate collaboration with other healthcare disciplines when providing holistic nursing care and pharmacologic therapy for patients experiencing acute illness or disease.
  11. Examine current trends in healthcare and healthcare delivery as they relate to patients experiencing major health problems and concurrent drug therapy..
  12. Demonstrate cultural sensitivity related to the needs of patients experiencing acute illness and disease.
  13. Examine the nursing practice roles for the registered nurse when promoting the health of the community.  
  14. Analyze the role of the registered  nurse when involving the patient and family in clinical decision making.


bulletAll students must  have completed  anatomy and physiology.
bulletLPN and  Paramedic mobility -> RN students  must have current acceptance into the          IHCC/Century nursing program.
bulletTraditional  track students must have completed Semester One. (Nursing 1020/1025)
bulletNon nursing students must have special admission per instructor/dean discretion
bulletAccess to a computer with computer specifications listed below. College computer labs are       available for your use.
bulletComputer skills :Word processing, E Mail, and use of the Internet

Computer Requirements    

This course is taught via D2L ( stands for Desire To Learn course management system ).
Course content and activities (other than the  proctored exams and the orientation session) will be accessed at this D2L site.
Students must have access to a computer with Internet access. 
It is suggested a minimum computer requirement of:

PC = (Pentium or better). Internet connection with minimum of 56 K modem. Windows 98 or better (preferably 2000 or better). Word processing software.

Macintosh = Power PC or better. Internet connection with minimum of 56 K model. Word processing software.

All students have access to computers on campus in the computer labs as desired. 
Be sure to take advantage of the campus computers whenever the need exists.
Access to this course site is through the Century college Nursing Homepage.

Required References             Books    
Adams,P.A., Holland,L, & Bostwick,P. ( 2008). Pharmacology for Nurses: A pathophysiologic approach (2nd ed.). Upper Saddle River, N.J. Pearson Prentice Hall. (Required for the entire nursing program)

Heuther, S, & McCance, K. (2008).Understanding Pathophysiology (4th ed).  St Louis. Mosby

Lewis. S., Heitkemper, M., Dirksen, S, O'Brien, P. & Bucher, L. (2007). Medical Surgical Nursing (7th ed). St. Louis. Mosby. (Use the edition that you purchased for the entire nursing program)  

Grading Criteria            man with grade

Grading will be based upon  multiple choice exams,   case studies, quizzes, and participation in discussions online. (See below for point distribution.)
A student must achieve a cumulative score of 78 % in order to pass the course.

A = 92- 100%        85- 91 % = B        78 - 84 %= C       Less than  78%  is failure

You must pass this course with a minimum of a 78% to continue on in the nursing program.

Instructor Information

Teri Wisdorf, RN, MSN
E Mail :
Office Phone: 651-450-8605
Cell: 651-270-0209                                                                                                                                                 Pam Buhl, RN
E Mail :
Office Phone: 651-450-8610
Pager: 612-648-0941

Campus Office Hours:   
As an online course, help is available via the internet resources, E Mail or Phone. 
An instructor is available on exam days at the Inver Hills campus.
We are available on-campus via an appointment, if needed.

Class Expectations

bulletReview  of anatomy and physiology as needed  before you begin each of the  modules.
bulletResponsibility: Although this course does offer some flexibility in scheduling, you must pay      attention to due dates.  Major tests, case studies, quizzes, and participation in discussions have          specific time periods  that must be adhered to. You may work ahead, but you will not be         successful if you fall behind the class schedule. You may access this course from anywhere in         the world, so even if you win a  trip to Hawaii, you can still be active in the class! It is expected that you will come to class several times each week to access content and to read          announcements in the news section.
bulletD2LD2L is the major method of communication in this course.
There is a private email system that is built into the discussion section of D2L. You can use this     when you are in the course and want to ask us a question. It is restricted to you and us as your instructors. No one else can see the conversation.
We  expect to answer within 48 hours, Mon - Fri . We may not respond on weekends.
bulletPersistence:  This class offers content that is very complex. You need to work hard in this very   relevant course. Please ask for help if you need it. Your efforts will reap great rewards as I       guarantee that you will use this new knowledge as you pursue your nursing career.

Point distribution  for  Pathophysiology/Pharmacology N2222 - Online Section

          Total Possible
4 Exams Exam 1
52 pts
Exam 2
60 pts
Exam 3
51 pts
Exam 4
72 pts
 235 pts
2 Case Studies
  10 pts   10 pts --- ---  20 pts
2 Quizzes   5 pts  5 pts --- ---  10 pts
 2 Discussions
  P/F   P/F --- --- Pass/Fail
Total         265  possible pts

 Multiple Choice Exams
There will be four multiple choice exams. 
They will be taken via computer at the Inver Campus in the Business Building in room 114, in a proctored setting.

The testing technology allows for feedback, on the testing site, after the exam is submitted for grading.  
Exams may be taken early through appointments and discussion with the instructors.

Each question earns one point. 

Discussion Board Points
The 2 Discussion questions will be graded on a pass/fail basis meaning:

Pass: means that you made two substantial contributions to your discussion group.  One is in response to the discussion question and the second response is to one of your peers. Use correct grammar and spelling.  Your response should reflect on the objectives for that content. Also, the information within the posting should be referenced to your readings. You will have from Tuesday through Monday at noon of the discussion topic week to make your responses.

Fail: means that you made little or no effort and contributed little to the discussion. A response of 'I agree' is a fail.

Discussion Rules of the Road  for Discussions and E Mail-  Web Netiquette
1) Always be polite and respectful in your discussions. Discussions are constructed so that they will allow you to think critically and offer theory plus opinion. There will be differences in opinions. The questions I have posed invite different points of view. We are gathered in this course from around the world, and there are many  correct answers. 
2) Always respond as you would to a patient. Do not attack. Listen gently to others views.
3) Never use foul language.
4) Be sure to  spell check your postings. "what u rite is what we will c". For full points, we will all expect correct English usage that sounds professional. You will soon be an RN. Your patients and peers will  judge you by how you speak and write. Correct grammar and spelling is expected.  D2L has a great spell check system to help you.
5) Do not respond with sentences  like "I agree" or "Me too".
7) The  formal discussion  forums are not for personal  or general communication. There is a general student chat discussion/ forum called the "What's new " for this purpose.  Remember,  everything that you type into a computer is potentially open to the world! 
8) There is  an additional  discussion forum available to ask for help from fellow students. I'll name this one "Let's tackle this question".  Simply post your questions /ideas in these forums and students are able to help you out. You will be pleased to see how competently your classmates can answer your questions!  We will also be checking this forum routinely. If you ask for help in this  course, you will receive it. We all learn by teaching, so I encourage the entire class to go here periodically to ask and answer questions. We will enter this discussion periodically to  answer questions that might  need my help.

Case Study Points

There will be two case studies worth 10 points each. Some exam questions will be taken from these case studies. Correct grammar and spelling is expected for all aspects of this course. See calendar for due dates.
Lack of submission of the case study  by the due date and time earns zero points. There is no penalty for turning in your case study early.
Scores will be given for
1) accuracy, spelling, and  grammar
2) creativity in problem solving the situation 
3) in depth explanations and insight
Please send your case study to the D2L course drop box  by the due date and time. Plan ahead for  unexpected events. We anticipate being able to provide feedback on your case study, via the drop box feedback area, within 10 days of the due date. If you are not submitting via Microsoft Word (MW), please see the FAQ for important information on how to submit via rich text format (rtf) format. If not sent via MW or rtf, we can NOT grade your paper.

There will be two quizzes this semester. These will be taken from home. The quiz must be taken independently. You may not ask others for assistance. It is an open book quiz. However, you will have only  5 minutes for 5 multiple choice questions. If you do not study ahead, you will not be able to complete the quiz in the assigned time. D2L will show a clock. Watch your time and finish on time. We will deduct one point for every extra minute taken to complete the quiz.


Academic Honesty
All work done in this class must be done by you. Case study responses, contributions to the discussion board, quizzes taken at home, and exam responses must be your own work. It is unacceptable to submit the work of another person as your own.  If you quote, summarize, paraphrase, or use the ideas of another, you must accurately cite that information.  If you do not acknowledge the source, you are plagiarizing.  In this course, plagiarism/cheating will result in a grade of F.  Plagiarism and cheating will result in the initiation of the Student Code of Conduct Disciplinary Process. Please see the Student Handbook and/or college policies website for further details.

Special Needs:  ADA Statement:
I would like to accommodate any reasonable accommodations that you might need for this course. I have tried to make all materials, discussions, and activities that are part of this web course are accessible for nursing students. Students  with disabilities should contact the Disability Services Office (L224) or contact by phone (651-450-8628 or TTY 651-450-8369) for information on accommodations. Please contact me to discuss your needs.

Religious Accommodation Statement:
The Inver Hills/Century nursing program  strongly supports the principles of free expression and respect for the diversity of beliefs, including religious observances, among our academic community.  It is the policy of the college to provide reasonable accommodations for students when religious observances conflict with classroom activities or course requirements.  It is the responsibility of students to inform instructors in a timely fashion of such conflicts.  If a mutually agreed accommodation is not possible, students may initiate an appeal.  The procedure for this appeal is the same as the Grade Appeal Policy described in the college policies.

Last Update:05/04/2009