ATRG 5125 Physical Assessment and the Patient Experience

(Effective Summer 2019)

This laboratory-based course explores physical assessment skills including pre-participation physical examinations, hydration status, environmental safety, urinalysis, glucometers, peak flow meters, vital signs, sphygmomanometer, stethoscope, ophthalmoscope, and otoscope use among many others. This course also explores the patient experience and strategies to enhance that experience for all patients.

Credits

3

Prerequisite

ATRG Program Admission

Typically Offered

Demorest Campus: summer

Student Learning Outcomes

Alignment	Current Objective
CIP-1	Administer testing procedures to obtain baseline data regarding a client’s/patient’s level of general health (including nutritional habits, physical activity status, and body composition). Use this data to design, implement, evaluate, and modify a program specific to the performance and health goals of the patient. This will include instructing the patient in the proper performance of the activities, recognizing the warning signs and symptoms of potential injuries and illnesses that may occur, and explaining the role of exercise in maintaining overall health and the prevention of diseases. Incorporate contemporary behavioral change theory when educating clients/patients and associated individuals to effect health-related change. Refer to other medical and health professionals when appropriate.
new	Advocate for the health needs of clients, patients, communities, and populations.
CIP-3	Develop, implement, and monitor prevention strategies for at-risk individuals (e.g., persons with asthma or diabetes, persons with a previous history of heat illness, persons with sickle cell trait) and large groups to allow safe physical activity in a variety of conditions. This includes obtaining and interpreting data related to potentially hazardous environmental conditions, monitoring body functions (e.g., blood glucose, peak expiratory flow, hydration status), and making the appropriate recommendations for individual safety and activity status.
CIP-4	Perform a comprehensive clinical examination of a patient with an upper extremity, lower extremity, head, neck, thorax, and/or spine injury or condition. This exam should incorporate clinical reasoning in the selection of assessment procedures and interpretation of findings in order to formulate a differential diagnosis and/or diagnosis, determine underlying impairments, and identify activity limitations and participation restrictions. Based on the assessment data and consideration of the patient's goals, provide the appropriate initial care and establish overall treatment goals. Create and implement a therapeutic intervention that targets these treatment goals to include, as appropriate, therapeutic modalities, medications (with physician involvement as necessary), and rehabilitative techniques and procedures. Integrate and interpret various forms of standardized documentation including both patient-oriented and clinician-oriented outcomes measures to recommend activity level, make return to play decisions, and maximize patient outcomes and progress in the treatment plan.
2.3.4	Students will address diversity and demonstrate cultural competence within priority populations when selecting and/or designing strategies/interventions to fit their needs.
EBP-12 EBP-13 EBP-14	Students will apply and interpret clinical outcomes to assess therapeutic intervention efficacy, patient status, progress toward goals, using psychometrically sound outcome instruments and develop a relevant clinical question (e.g., PICO, PIO, or CAT) based on desired outcome (patient-based or clinician-based) and available evidence (patient-oriented or disease-oriented).
Scientific foundations 1.D.	Students will apply knowledge of bone and connective tissue (tendons and ligaments) anatomy and physiology.
Scientific foundations 1.B.	Students will apply knowledge of neuromuscular and muscular anatomy and physiology.
CE-7	Students will assess and interpret findings from a physical examination (including posture, gait, and movement patterns) that is based on the patient’s clinical presentation to identify participation restrictions (disabilities), activity limitations (functional limitations), and overall impact of the condition on the patient’s life and goals.
PHP-27 PHP-30	Students will compare and contrast the various types of flexibility, strength training, and cardiovascular conditioning programs to include expected outcomes, safety precautions, hazards, and contraindications and design a fitness program to meet an individual patient's needs.
AC-1	Students will define the legal, moral, and ethical parameters that define the athletic trainer’s scope of acute and emergency care and differentiate their role, responsibilities, preparation, and scope of practice from other pre-hospital care and hospital-based providers within the context of the broader healthcare system
AC-4	Students will describe and perform scene, primary, and secondary surveys, including assessment of vital signs and level of consciousness, activation of emergency action plan, and a medical history appropriate for the patient’s ability to respond.
CE-2	Students will describe body systems' structures, their functional inter-relation, and how they change through the lifespan.
PHP-3 PHP-8 PHP-9	Students will describe components of a preparticipation physical examination as recommended by contemporary guidelines and its role in identifying modifiable and non-modifiable risk factors related to injury and illness.
PHP-45	Students will describe contemporary weight management methods and strategies needed to support activities of daily life and physical activity.
TI-29 TI-30 TI-31	Students will describe how common pharmacological agents influence pain and healing, explain their  therapeutic use, general categories used for treatment, desired treatment outcomes, and typical duration of treatment, and optimize patient outcomes by communicating the importance of compliance, drug interactions, adverse reactions, and possible results of sub-optimal therapy for common diseases and conditions (asthma, diabetes, hypertension, infections, depression, GERD, allergies, pain, inflammation, and the common cold).
HA-30	Students will describe the role and functions of various healthcare providers and protocols that govern the referral of patients to these professionals.
PHP-25 PHP-26 PHP-28 PHP-29	Students will describe the role of physical fitness in maintaining a healthy lifestyle and preventing chronic disease and administer standard tests, testing equipment, and testing protocols (body composition, posture, flexibility, muscular strength, muscular endurance, power, speed, agility, and cardiorespiratory endurance) to assess their physical status and readiness for activity.
AC-31 AC-32 AC-33	Students will determine when a metered-dose inhaler is warranted based on a patient's condition and instruct/assist a patient in its use or that of a nebulizer in the presence of asthma-related bronchospasm.
PD-10	Students will develop educational healthcare programming specific to a target audience that uses appropriate multimedia tools to create a professional product.
TI-24 TI-25 TI-26	Students will explain  pharmacodynamic principles (receptor theory, dose-response relationship, placebo effect, potency, drug interactions, bioavailablility, half-life, bioequivalence, generic vs brand name) as they relate to drug action, therapeutic effectiveness, patient choice, and dosing schedule.
PHP-17e PHP-17f PHP-17g	Students will explain and discuss the etiology and prevention guidelines associated with the leading causes of sudden death during physical activity, including but not limited to: Cardiac arrhythmia or arrest, Asthma, Traumatic brain injury, exertional heat stroke, hyponatremia, exertional sickling, anaphylactic shock, cervical spine injury, and lightning strike.
PHP-7	Students will explain and practice disinfectant procedures to prevent the spread of infectious diseases and to comply with Occupational Safety and Health Administration (OSHA) and other federal regulations.
TI-21	Students will explain federal, state, and local laws, regulations ,and procedures for the proper storage, disposal, transportation, dispensing (administering where appropriate), and documentation associated with commonly used prescription and nonprescription medications.
PHP-43	Students will explain how changes in the type and intensity of physical activity influence the energy and nutritional demands placed on the body, describe the principles and validated methods to measure body composition, and assess a patient's body composition in relation to their health status or to monitor changes related to weight management, strength training, injury, disordered eating, menstrual status, and/or bone density.
PHP-10 PHP-11	Students will explain the principles of the body’s thermoregulatory mechanisms as they relate to heat gain and heat loss, acclimation and conditioning, fluid and electrolyte replacement requirements, proper practice and competition attire, hydration, and environmental assessment.
EBP-11	Students will explain the theoretical foundation of clinical outcomes assessment (e.g., disablement, health-related quality of life) and describe common methods of outcomes assessment in athletic training clinical practice (generic, disease-specific, region-specific, and dimension-specific outcomes instruments).
HA-23	Students will identify and explain the components of a pre-participation examination that allow identifying conditions that might predispose the athlete to injury or illness.
TI-22	Students will identify and use appropriate pharmaceutical terminology for management of medications, inventory control, and reporting of pharmacological agents commonly used in an athletic training facility.
7.1.3	Students will identify the level of literacy of the intended message audience, tailor the messaging to them, pilot test where feasible, revise messaging based on feedback, and evaluate the message impact.
AC-36h AC-36j AC-36o AC-36e AC-36f AC-36n	Students will identify the signs, symptoms, interventions, and when appropriate, the return-to-participation criteria for:  sudden cardiac arrest, environmental illnesses, exertional sickling, rhabdomyolysis, internal bleeding, diabetic emergencies, asthma, anaphylaxis, local allergic reactions, epilepsy and other seizure disorders, shock, and toxic drug overdoses.
PHP-31	Students will instruct a client/patient regarding fitness exercises and the use of muscle strengthening equipment to include correction or modification of inappropriate, unsafe, or dangerous lifting and/or spotting techniques.
CE-13	Students will obtain a thorough medical history that includes the pertinent past medical history, underlying systemic disease, use of medications, the patient’s perceived pain, and the history and course of the present condition appropriate for the patient's ability to respond.
PHP-13	Students will obtain and interpret environmental data (web bulb globe temperature [WBGT], sling psychrometer, lightning detection devices) to make clinical decisions regarding the scheduling, type, and duration of physical activity.
TI-28	Students will practice assisting and/or instructing a patient in the proper use, cleaning, and storage of drugs commonly delivered by metered dose inhalers, nebulizers, insulin pumps, or other parenteral routes as prescribed by the physician.
PHP-18	Students will recognize potentially dangerous conditions related to the environment, field, or playing surface and devise appropriate communication strategies to approach coaches, athletes, parents, administrators, and other relevant personnel to rectify the situation.
AC-36c	Students will recognize the signs and symptoms of catastrophic and emergent cervical, thoracic, and lumbar spine trauma and demonstrate appropriate referral and physician return-to-play decisions.
AC-35	Students will recognize when auto-injectable epinephrine is necessary based on the patient's condition and demonstrate its use (epi-pen).
PS-4 PS-5 PS-6 PS-18	Students will summarize and demonstrate effective interpersonal and cross-cultural communication and educational intervention strategies for patients and others involved in their healthcare to effect positive behavioral change and impact the patient's psychological and emotional well-being while protecting their privacy.
PHP-12	Students will summarize current practice guidelines related to physical activity during extreme weather conditions (e.g., heat, cold, lightning, wind).
PHP-24	Students will summarize the general principles of health maintenance and personal hygiene (skin care, dental hygiene, sanitation, immunizations, avoidance of infectious and contagious diseases, diet, rest, exercise, and weight control) and apply them to their daily class/clinical attendance.
TI-23 TI-27	Students will use an electronic drug resource to locate and identify indications, contraindications, precautions, and adverse reactions for common prescription and nonprescription medications and describe advantages and disadvantages of their common administration routes.
1.1.3	Students will use contemporary theories/models to plan and apply the assessment process for health education/promotion, to define the prioiry population to be assessed, and to engage those populations, partners, and stakeholders.
PHP-15 PHP-16	Students will use otoscopes, urinalysis strips, glucometers, peak flow meters, and ophthalmoscopes as part of a clinical examination and determine if observed results are within normal limits or require referral.
AC-6 AC-7	Students will use standard techniques to measure vital signs and other physiologic functions (pulse, blood pressure, respiration, oxygen saturation, pain, core temperature, heart/lung/abdominal sounds, peak flow) and differentiate between normal and abnormal findings to discern any associated pathophysiology.