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1 CAREER TECHNOLOGY CENTER OF LACKAWANNA COUNTY PRACTICAL NURSING PROGRAM Course Title: Description: Life Science The purpose of this course is to present basic anatomy, physiology and basic principles of chemistry to understand the interrelationships of organ systems. Placement: Parallel Courses: Total Hours: Faculty: Objectives: Level I Nursing Skills, Personal and Vocational Relationships, Community Health 80 hours Michele Boland, MSN, RN At the completion of this course, the student will: 1. Correlate chemical processes, which maintain homeostasis within the human body, with basic assessments of patients in the clinical area. 2. Identify and locate major anatomical structures of the human body. 3. Apply knowledge of normal physiology for health promotion of the patient. 4. Utilize critical thinking to describe the interrelationships of each body system. 5. Communicate an awareness of normal physiology in describing rationales for patient care in the clinical area. 6. Apply the knowledge of life science to enhance the planning of care for patients safely and ethically. 7. Seek out educational opportunities to enrich and enhance the theoretical understanding of life science. 8. Support the patient’s psychosocial, spiritual, and cultural wellbeing while communicating knowledge of normal physiology. Unit Outline: I. Human organization II. Support and Movement III. Integration and Coordination IV. Processing and Transporting Requirements: Herlihy, Barbara, PhD, RN. The Human Body in Health & Illness, 5th ed. Herlihy, Barbara, PhD, RN. Study guide for The Human Body in Health & Illness, 5th ed. Williams & Hopper, Understanding Medical-Surgical Nursing 5th ed. Evaluation: Course grade determined by: Must achieve an average of 80% Quiz average: 50% Midterm: 25% Final Exam 25% *Random Study guide evaluation with possible extra credit points for completion Life Science implements the philosophy of the Practical Nursing Program by offering the student the fundamentals of scientific knowledge to critically evaluate and render safe, skilled, intelligent health care in the clinical area. It utilizes the concept of learning from simple to complex in dealing with the principles of human structure and function. The interrelationship of life science is the basis for the implementation of the nursing process. 05/2015 2 STUDENT OBJECTIVE HR At the completion of the unit, the student will: 1. Identify the course objectives and requirements 0.5 Unit I: Introduction to the Human Body 1. Define the terms anatomy & physiology. 2. List the levels of organization of the human body. 3. Describe the 12 major organ systems and the major cavities of the body. 4. Define homeostasis. 5. List common terms used for relative positions of the body. 6. List anatomical terms for regions of the body and the three major planes of the body. 4 Unit II: Basic Chemistry 1. Define matter & element. 2. List the four elements that comprise 96% of body weight. 3. Describe components of an atom. 4. Describe the role of electrons in the formation of chemical bonds. 5. Differentiate among ionic, covalent & hydrogen bonds. 6. Explain the differences among electrolytes, ions, cations & anions. Explain difference between a 5 CONTENT 1. Orientation a. Course objectives b. Course content c. Evaluation tools Introduction to the Human Body 1. Anatomy & physiology 2. Levels of organization of the body 3. Major organ systems & body cavities 4. Homeostasis 5. Terminology: relative positions 6. Anatomical terms LEARNING RESOURCE AND ACTIVITY SETTING EVALUATION Lecture/Discussion Lecture/Discussion Powerpoint presentation Classroom Read: Herlihy Chapter 1 Complete Workbook Herlihy Chapter 1 QUIZ 1 View: Ultimate Guide: The Human Body Basic chemistry 1. Elements & atoms 2. Chemical bonds 3. Electrolytes & ions 4. Compounds & molecules 5. Energy & ATP 6. Enzymes & catalysts 7. Acids, bases & buffers 8. Mixture, solution, suspension, precipitates Lecture/Discussion Powerpoint presentation Classroom Read: Herlihy Chapter 2 Complete Workbook Herlihy Chapter 2 QUIZ 2 3 7. 8. 9. 10. 11. molecule & compound. List reasons why water is essential to life. Define energy & describe role of ATP in energy transfer. Explain role of catalysts & enzymes. Define pH and differentiate between an acid & a base. Differentiate between a mixture, solution, suspension, colloid & precipitate. Unit III: Cells & Cell Metabolism 1. Label a diagram of the main parts of a cell 2. Describe the functions of the main organelles of the cell 3. Explain the role of the nucleus 4. Identify the structure of the cell membrane 5. Describe the active and passive movements of substances across a cell membrane 6. Define tonicity & compare isotonic, hypotonic & hypertonic solutions 7. Describe the phases of the cell cycle, including mitosis 8. Explain cell differentiation 9. Define metabolism, anabolism & catabolism 10. Explain use of carbohydrates, proteins & fats in the body 11. Differentiate between anaerobic and aerobic metabolism 12. Describe structure of a nucleotide & roles of DNA & RNA, including protein synthesis 8 Cell Structure and Function 1. Cell membrane 2. Nucleus 3. Cytoplasm 4. Cell Organelles 5. Cellular Transport Mechanisms 6. Tonicity 7. The Genetic Code and Protein Syntheses 8. Cell Division & Cell differentiation Lecture/Discussion Powerpoint presentation Classroom Read: Herlihy Chapters 3 & 4 Complete Workbook Herlihy Chapters 3&4 QUIZ 3 (CH 3 & 4) 4 Unit IV: Tissues & Membranes 1. List the four basic types of tissues. 2. Describe the characteristics & functions of epithelial, connective, muscle & nervous tissue. 3. Explain how epithelial tissue is classified. 4. Differentiate between endocrine & exocrine glands. 5. List the types of epithelial & connective tissue membranes. 6. Differentiate between mucous & serous membranes. 4 Unit V: The Integumentary System & 3 Body Temperature 1. Describe the layers of the skin. 2. List two major functions of the subcutaneous layer. 3. List factors that influence the color of the skin. 4. Describe the accessory structures of the skin. 5. List seven functions of the skin. 6. Describe how the skin helps regulate body temperature. 7. Explain four processes whereby the body loses heat. 8. Describe aging & the integumentary system Tissues & membranes 1. Epithelial, connective, nervous & muscle tissue, & functions of each 2. Epithelial: squamous, cuboidal, columnar; simple or stratified. 3. Glands: exocrine versus endocrine 4. Connective tissue: loose, dense, cartilage, bone, blood, lymph 5. Nervous tissue: neurons 6. Muscle tissue: skeletal, smooth, cardiac 7. Tissue repair 8. Membranes: classifications: epithelial & serous Lecture/Discussion Powerpoint presentation Integumentary system 1. Structure of the skin: epidermis & dermis 2. Subcutaneous layer 3. Melanocytes & melanin 4. Hair, nails & glands 5. Body temperature: heat production, heat loss & regulation 6. Burns 7. Skin care 8. Aging & the skin 9. Basic disorders of the skin Lecture/Discussion Powerpoint presentation Classroom Read: Herlihy Chapter 6 Complete Workbook Herlihy Chapter 6 QUIZ 4 Classroom Read: Herlihy Chapter 7 Complete Workbook Herlihy Chapter 7 QUIZ 5 View: Anatomy series: The Integumentary System 5 Unit VI: The Skeletal System 1. List the functions and structure. 2. Differentiate between the composition & location of compact, long & spongy bone. 3. Describe the growth process. 4. List the bones of the axial & appendicular skeleton. 5. Label important landmarks for selected bones. 6. List the main types and functions of joints. 7. Describe the types of joint movement. 8. Describe the aging process & the skeletal system. 9. Identify basic disorders of the skeletal system. Unit VII: The Muscular System 1. List the types, structure & functions. 2. Describe the sliding filament mechanism & muscle contraction process. 3. Describe the motor unit and neuromuscular junction stimulation. 4. Define muscle terminology. 5. Identify sources of energy for muscle contraction. 6. List the actions of the major muscles. 7. Describe aging and the muscular system. 6 4 Skeletal system 1. Skeletal system overview a. Structure b. Function c. Composition d. Growth process 2. The skeleton: axial, appendicular a. Landmarks 3. Joints: types a. Functions b. Movement 4. Aging 5. Basic disorders Lecture/Discussion Powerpoint presentation The Muscular system 1. Types & functions of muscles a. Skeletal b. Smooth c. Cardiac 2. Sliding filament mechanism a. Calcium & ATP, actin & myosin 3. Terminology: origin & insertion a. Synergist & antagonist 4. Sources of energy 5. Actions of major muscles 6. Aging Lecture/Discussion Powerpoint presentation Classroom Read: Herlihy Chapter 8 Complete Workbook Herlihy Chapter 8 View: Anatomy series: The Skeletal System QUIZ 6 Classroom Read: Herlihy Chapter 9 Complete Workbook Herlihy Chapter 9 QUIZ 7 View: Anatomy series: The Muscular System 6 Unit VIII: The Nervous System 1. Define the two divisions & general function of the nervous system. 2. Compare the structure and function of the neuroglia and neuron. 3. Explain the function of the myelin sheath. 4. Explain how an impulse is transmitted along the length of a neuron. 5. Describe the structure & function of a synapse. 6. Describe the functions of the four major areas of the brain & the lobes of the cerebrum. 7. Describe how the skull, meninges, cerebrospinal fluid and blood-brain barrier protect the central nervous system. 8. Describe the anatomy & functions of the spinal cord. 9. List and describe the functions of the 12 pairs of cranial nerves. 10. Identify the classification of spinal nerves. 11. Identify components of the reflex arc. 12. List the functions of the three major plexuses. 13. Describe aging and the nervous system. 14. Describe the function & the divisions of the autonomic nervous system. 15. State the differences between the sympathetic & parasympathetic nervous system. 16. Identify the major neurotransmitters of the ANS. 10 The Nervous System 1. Divisions & functions 2. Neuroglia & neurons 3. Myelin sheath 4. The nerve impulse 5. The synapse 6. The brain a. Cerebrum b. Diencephalon c. Brain stem d. Cerebellum 7. Cerebrum a. Frontal b. Temporal c. Parietal d. Occipital 8. Protection of CNS 9. Cranial nerves 10. Spinal nerves 11. Reflex arc 12. Plexuses 13. Aging 14. Function & divisions of autonomic nervous system 15. Sympathetic & parasympathetic nervous system 16. Major neurotransmitters of the ANS 17. Cholinergic & adrenergic fibers & receptors 18. Effects of neurotransmitters Lecture/Discussion Powerpoint presentation Classroom Read: Herlihy Chapters 10, 11& 12 Complete Workbook Chapters 10, 11& 12 View: Anatomy series: The Nervous System QUIZ 8 (CH 10, 11, 12) 7 17. Name & locate the cholinergic & adrenergic receptors and define cholinergic & adrenergic fibers. 18. Describe effects of neurotransmitters and drugs on autonomic receptors Unit IX: The Sensory System 1. State the functions of the sensory system & types of sensory receptors. 2. Describe the components involved in perception of sensation. 3. Describe the five general and special senses. 4. Describe the structure and function of the eye as it relates to sensory perception. 5. Describe the structure and function of the ear as it relates to sensory perception. 6. Aging and the senses. 7. Basic disorders 2 Unit X: The Endocrine System 1. List the functions of the endocrine system. 2. Define hormone. 3. Identify mechanisms for regulating hormone secretion. 4. Describe the relationship of the hypothalamus to the pituitary gland. 5. Describe the location, hormones and regulation of the pituitary gland. 6. Identify the major endocrine glands 4 The Sensory System 1. Function & types of receptors 2. Perception 3. General senses 4. Special senses 5. Eye a. Structure b. Movement c. Pupillary changes 6. Ear a. Divisions b. Functions with hearing c. Equilibrium 7. Aging 8. Basic disorders Lecture/Discussion Powerpoint presentation The Endocrine System 1. Functions 2. Hormones 3. Negative feedback/positive feedback regulation 4. Hypothalamus 5. Anterior Pituitary gland 6. Posterior pituitary gland 7. Thyroid gland 8. Parathyroid gland 9. Adrenal glands 10. Pancreas Lecture/Discussion Powerpoint presentation Classroom Read: Herlihy Chapter 13 Complete Workbook Chapter 13 View: Anatomy series: The sensory System Read: Herlihy Chapter 14 Complete Workbook Chapter 14 Classroom Take Home Exam/Presentation (#9) Sensory & Endocrine 8 and their hormones. 7. Explain the effects of hyposecretion & hypersecretion of the major endocrine glands. 8. Aging and the endocrine system. 9. Basic disorders of the endocrine system. Unit XI: The Blood 1. List the functions and composition of blood. 2. Describe the types of blood cells. 3. Explain the formation of blood cells. 4. State the function of red and white blood cells. 5. Explain the breakdown of red blood cells & formation of bilirubin. 6. Describe anemia & types. 7. Identify the steps of hemostasis. 8. Identify the four blood types & Rh factor. 9. Aging and the blood Unit XII: The Heart 1. Describe the location, function, and chambers of the heart. 2. Describe the three layers and outer covering of the heart. 3. Explain how heart sounds are created. 4. Name the valves of the heart and explain the function of each. 5. Describe blood flow through the heart. 6. Identify the vessels that supply 11. 12. 13. 14. 15. 16. 17. 6 8 Gonads Thymus Organ specific hormones Prostaglandins Adipose tissue hormones Aging Basic disorders View: Anatomy series: The Endocrine System The Blood 1. Functions of blood 2. Characteristics of blood 3. Types of cells/plasma 4. Hemopoiesis 5. Red blood cells a. Function b. Breakdown c. Life span 6. White blood cells a. Types & function of each b. Production 7. Anemia 8. Hemostasis 9. Blood types 10. Aging Lecture/Discussion Powerpoint presentation The Heart 1. Location, function, chambers 2. Layers: endocardium, myocardium, epicardium a. Covering: pericardium 3. Heart sounds 4. Valves 5. Pathway of blood through heart 6. Coronary circulation 7. Cardiac conduction system 8. Cardiac cycle: one heartbeat a. Systole Lecture/Discussion Powerpoint presentation Classroom Read: Herlihy Chapter 15 Complete Workbook Chapter 15 View: Anatomy series: The Blood QUIZ 10 MIDTERM Read: Herlihy Chapters 16 & 17 Complete Workbook Chapters 16 & 17 9 7. 8. 9. 10. 11. 12. 13. blood to the heart. Identify the components of the heart’s conduction system. Define cardiac cycle, cardiac output & stroke volume. Describe autonomic innervation of the heart & Starling’s Law. Define preload & afterload & their effects on cardiac output. Identify clinical vocabulary pertaining to cardiac function. Define heart failure & differentiate between right and left sided heart failure. Aging and the heart Unit XIII: The Vascular System 1. Describe the pulmonary & systemic circulation 2. Describe the structure & function of arteries, capillaries & veins. 3. Describe the mechanisms & pressures that move gases and fluids across capillary walls. 4. List the major systemic arteries & veins. 5. Describe hepatic, fetal and circulation to the head & brain. 6. List functions of blood vessels. 7. Describe factors that determine blood pressure. 8. Explain for the medulla & autonomic nervous system regulate the diameter of blood vessels. 9. Describe the mechanisms of edema formation. 9. 10. 11. 12. 13. 14. 15. 16. 4 b. diastole Cardiac output Stroke volume Autonomic nervous system & the heart Starling’s Law Preload & afterload Cardiac vocabulary a. End diastolic volume b. Ejection fraction c. Inotropic effect d. Chronotropic effect e. Dromotrophic effect f. Receptors Heart failure Aging and the heart The Vascular System 1. Pulmonary & systemic circulation 2. Arteries 3. Veins 4. Capillaries a. Exchanges/transport 5. Major arteries & veins 6. Hepatic circulation 7. Fetal circulation 8. Circulation to head & brain 9. Blood pressure 10. Baroreceptors & medulla oblongata 11. Edema formation 12. Regulation of body temperature 13. Aging ` View: Anatomy series: The Heart Lecture/Discussion Powerpoint presentation Classroom Read: Herlihy Chapters 18 & 19 Complete Workbook Chapters 18 & 19 View: Anatomy series: The Vascular System The Circulatory System: The plasma pipeline QUIZ 11 (Heart & Vascular System)Ch 16,17, 18, 19 10 10. Describe the role of blood vessels in the regulation of body temperature. 11. Aging and the vascular system. Unit XIV: The Lymphatic System 1. List the functions of the lymphatic system. 2. Describe the composition and flow of lymph. 3. Describe the four lymphoid organs. 4. State the location of the cervical, axillary, and inguinal lymph nodes. 5. Aging & the lymphatic system 1.5 3 Unit XV: The Respiratory System 1. Describe the structure & function of the organs of the respiratory system. 2. Trace the movement of air from the nostrils to the alveoli. 3. State the locations of the pleural membranes & explain the functions of serous fluid. 4. Describe the structure of alveoli & pulmonary capillaries & explain the importance of surfactant. 5. Name and describe the important air pressures & lung capacities involved in ventilation. 6. Describe normal inhalation & exhalation and forced exhalation. 7. Aging & the respiratory system. The Lymphatic System 1. Functions 2. Lymph: composition & flow 3. Organs: nodes, tonsils, thymus gland & spleen 4. Nodes a. Cervical b. Axillary c. Inguinal 5. Aging Lecture/Discussion Powerpoint Read: Herlihy Ch 20 Complete Workbook Ch 20 View: Anatomy: The Lymphatic System The Respiratory System 1. Upper repiratory tract organs 2. Lower respiratory tract organs 3. Air movement 4. Lungs & pleural membranes 5. Alveoli 6. Pulmonary capillaries 7. Surfactant 8. Lung capacities & volumes 9. Chemical control of respiration 10. Aging & the respiratory system Lecture/ Powerpoint presentation Read Herlihy Chapter 22 Complete workbook Chapter 22 Video: anatomy: The Lymphatic System QUIZ 12 (Lymphatic & Respiratory System) 11 Unit XVI: The Digestive System 1. List four functions of the digestive 3 system and its major divisions. 2. Describe four layers of the digestive tract. 3. Describe the structure and functions of the organs of the digestive tract. 4. Describe the structure and functions of the accessory organs. 5. Explain the physiology of digestion and absorption. 6. Describe the effects of amylase, protease and lipase 7. Describe the role of bile. 8. Describe energy balance within the body. 9. Describe the five categories of nutrients. 10. Aging and the digestive system. Unit XVII: The Urinary System 1. Describe the location & function of each organ of the urinary system. 2. Explain the role of the nephron unit in the formation of urine. 3. Describe the processes involved in the formation of urine. 4. Describe the hormonal control of water and electrolytes by the kidneys. 5. List the normal constituents of urine. 6. Describe the structure and function of the ureters, urinary bladder and urethra. 7. Aging and the urinary system 4 The Digestive System 1. Functions 2. Major divisions 3. Layers of digestive tract 4. Mouth 5. Pharynx 6. Esophagus 7. Stomach 8. Small intestine 9. Large intestine 10. Accessory organs: liver, gall bladder, pancreas 11. Enzymes 12. Bile 13. Nutrients 14. Energy balance 15. Aging Lecture/ Powerpoint presentation The Urinary System 1. Kidneys, ureters, bladder, urethra 2. Kidneys a. internal structure b. nephron 3. Formation of urine a. glomerular filtration b. tubular reabsorption b. tubular secretion 3. Hormones 4. Composition of urine 5. Ureters, bladder & urethra 6. Aging Lecture/ Powerpoint presentation Read Herlihy Chapter 23 Complete workbook Chapter 23 QUIZ 13 Video: anatomy: The Digestive System Read Herlihy Chapter 24 Complete workbook Chapter 24 Video: anatomy: The Urinary System FINAL EXAM Final (cumulative) 12 BIBLIOGRAPHY Applegate, Edith J. The Anatomy and Physiology Learning System. 4th ed., Saunders, Philadelphia, PA., 2010. Colbert, B., Ankeny, J., Lee, K. Anatomy and Physiology for the Health Professions, 2nd ed., Pearson Health Service. Upper Saddle, N.J., 2011. Herlihy, B. The Human Body in Health and Illness, 5th edition, Saunders, Elsevier., St. Louis, M.O., 2014. Herlihy, B.Study Guide for The Human Body in Health and Illness, 5th ed., Saunders, St. Louis, MO, 2014. Memmler, R. L., Cohen, B., & Wood, D., Structure and Function of the Human Body., 11th ed., J.B. Lippincott Co., Philadelphia, P.A., 2009. Scanlon, V. & Sanders, T. Essentials of Anatomy and Physiology, 7th ed., F.A. Davis Co, Philadelphia, PA, 2011. Taber’s Cyclopedic Medical Dictionary. 21th edition., Philadelphia F.A.Davis Company, 2009. Thibodeau, Gary A.& Patton, Kevin. Structure and Function of the Body. 13th edition, Mosby & Co. Philadelphia, PA, 2010. Audiovisuals The Human Body: Systems at Work, Cerebellum Corporation, SanFrancisco, CA, 2008. Brain and Nervous System- Your Information Superhighway Circulatory System- The Plasma Pipeline Digestive System-Your Personal Power Plant Muscular System- The Inner Athlete Respiratory System- Intake and Exhaust Skeletal System- The Infrastructure Standard Deviants School, Anatomy Super Pack. Cerebellum Corporation, San Francisco, CA, 2008. The Human Body: Muscular, Skeletal, Respiratory, Nervous, Cardiovascular, & Digestive & Renal Systems Hosted by Dr. Mark Reisman The Virtual Body: Homeostasis. Films for the Humanities & Sciences, Princeton, NJ, 2004. Includes Criculation, Respiration & Breathing Ultimate Guide-The Human Body. Discovery Channel University.