Course Title Course Code Physical and Functional Diagnosis in Cardiovascular and pulmonary sciences MCP301 Lecture: 3 Course Credit Practical: 2 Clinical Training: 2 Total:7 Course Objectives 1. To extend the knowledge, expertise and skills towards the Physical and Functional Diagnosis in Cardiovascular and pulmonary sciences to improve the professional practice. 2. To provide advanced study and reflection on practice in Physical and Functional Diagnosis of various Cardiovascular and pulmonary conditions in the physiotherapy practice by both drawing on student's professional experience and expertise, and extending it. 3. To expand the advance scope of learning in Physical and Functional outcome measures in the Physical and Functional Diagnosis of various in Cardiovascular and pulmonary conditions and advance application on therapeutic strategies with decision making in professional practice. 4. To emphasize the advance practice of Physical and Functional outcome measures in the Physical and Functional Diagnosis with hands on skills, clinical reasoning, and evidence / outcome based physiotherapy practice. Detailed Syllabus Sr. Name of chapter & Details No. SECTION I 1. Introduction of Physical and Functional Diagnosis Physical and functional outcome measures in physical and functional Hours Allotted 6 1 P a g e [2014-15] S c h o o l o f P h y s i o t h e r a p y
diagnosis Physical verses functional outcome measures in diagnosis / prognosis in physiotherapy practice WCPT stand in ICF, APTA, WHO Terminology for Physical and Functional Diagnosis Hands on skills, clinical reasoning and outcome / evidence based practice Following are the topics to be included but not limited to: 2. Physical and Functional diagnosis of Cardiac Disorders Congenital heart diseases - patent ductusarteriosus, co-arctation of aorta, atrial septal defect, ventricular septal defect, transposition of 6 great vessels, tetralogy of fallot. Coronary artery diseases and its manifestations -Valvular diseases 6 myocardium - Pericarditis, Myocarditis, Endocarditis, cardiomyopathy 4 Rheumatic heart disease 3 Ischemic heart disease 3 Myocardial infarction 3 Heart failure 3 Cardiac arrest 2 Hypertension, Diabetes, Obesity 8 3. Physical and Functional diagnosis of Following Vascular Disorders Thrombosis, phlebitis and phlebo thrombosis 6 Burger s disease 2 Varicose veins 2 DVT 2 Venous ulcers 2 Lymphedema 2 4. Physical and Functional diagnosisoffollowing Pulmonary Disorders Chronic bronchitis 4 Emphysema 4 Asthma 4 2 P a g e [2014-15] S c h o o l o f P h y s i o t h e r a p y
Cystic fibrosis 4 Bronchiectasis, lung abscess 4 Pulmonary embolism 1 Pulmonary T.B., Pneumonia 1 Pleurisy 1 Empyema 1 Atelectasis 2 Pneumothorax and Broncho pulmonary fistula 3 Occupational lung disease 4 Chest trauma and Thoracic deformity 6 SECTION II 5. Physical and Functional diagnosis In Cardiac Surgery Valvotomy 4 Valve replacement 4 Pericardectomy in chronic constrictive pericarditis 2 Septal defects, Fallot s tetralogy,pda, Coarctation of aorta 6 Bypass surgery, Open heart surgery and heart transplant 6 6. Physical and Functional diagnosis In Thoracic Surgery Lobectomy 6 Pneumonectomy 6 Decortication 3 Thoracoplasty 6 Tracheostomy 4 7. Physical and Functional diagnosis In Intensive and Emergency Care Principles of chest physiotherapy in I.C.U., I.C.C.U along with effect of anaesthesia on cardiopulmonary system. 10 Equipments in CPU, I.C.U and I.C.C.U Ventilators-Modes, classification criteria for initiating mechanical ventilation, suction apparatus. IABP, Pulse oxymeter, nebulizers, 14 humidifiers, O2 therapy, aerosol therapy, drugs used in ICU patient with: artificial airways, ventilators, pulse oxymeter 14 Emergency In Cardio Respiratory Conditions CPR, Defibrillator, 14 3 P a g e [2014-15] S c h o o l o f P h y s i o t h e r a p y
Resuscitation Procedure Instruction Method 1. Teaching and training sessions will be carried out through active learning. Active participation and contribution in group discussion and seminars are mandatory for students 2. Lectures to be conducted with the help of black board and/or audio-visual aids that includes multi-media projector, OHP, etc. 3. Problem based and/or case based assignments based on course content will be given to the students at the end of each unit/topic and will be evaluated at regular interval. 4. The course includes a laboratory where the students have an opportunity to build and appreciation for the concepts being taught in lectures. 5. Instruction method will be integrated with clinical training, bedside / class room teaching and tutorials as necessary. 4 P a g e [2014-15] S c h o o l o f P h y s i o t h e r a p y
Reference materials 1. E resources 2. Journal, news articles, and review of literatures including publications from WCPT, APTA, APT, etc 3. Pryor JA, Webber BA. Physiotherapy for Respiratory and Cardiac Problems. Adults and Pediatrics. 3 rd ed., London: Churchill Livingstone, 2002. 4. Irwin S, Techlin JS. Cardiopulmonary Physical Therapy: a guide to practice. St. Louis, Mo.: Mosby Co., 2004. 5. Hough A. Physiotherapy In Respiratory And Cardiac Care: An Evidence-Based Approach. 4 th edition. Cengage Learning EMEA publication 2014 6. Frownfelter D, Dean E. Cardiovascular and Pulmonary Physical Therapy: Evidence to Practice. 5 th edition. Mosby publication 2012 7. Cohen M. Cardiopulmonary symptoms in physiotherapy practice (Principles and practice in physical therapy) 1 st edition. Churchill Livingstone, London 1988 8. Practical medicine. 16 th edition. P J Mehta, NBD Mumbai Publication 9. Makenzie C. Chest physiotherapy in Intensive care unit. 2 nd edition. Lippincott Williams and Wilkins 1989 10. Ukwadia FE. Diagnosis and Management of acute respiratory failure. 1 st edition. OUP India 1979 5 P a g e [2014-15] S c h o o l o f P h y s i o t h e r a p y