THIRD PROFESSIONAL YEAR
PATHOLOGY & MICROBIOLOGY
PHARMACOLOGY
PHYSICAL AGENTS & ELECTROTHERAPY
THERAPEUTIC EXERCISES & TECHNIQUES
BEHAVIORAL SCIENCES
TEACHING METHODOLOGY &
COMMUNITY MEDICINE
SUPERVISED CLINICAL PRACTICE I, II
Total Marks: 900
THEORY
HOURS
|
200
|
PRACTICAL
HOURS
|
100
|
TOTAL
HOURS
|
300
|
COURSE DESCRIPTION:
Students will develop an understanding of pathology
underlying clinical disease states and involving the major organ systems.
Epidemiological issues will be presented and discussed. Students will learn to
recognize pathology signs and symptoms that are considered “red flags” for
serious disease. Students will use problem-solving skills and information about
pathology to decide when referral to another health care provider or
alternative intervention is indicated. Students will be expected to develop the
ability to disseminate pertinent information and findings, and ascertain the
appropriate steps to follow.
Pathology & Microbiology Total Marks : 200
Theory:
The examination in the subject of Pathology &
Microbiology shall consist of one Theory paper of three hours duration and of
maximum 90 marks. Internal Assessment shall be of 10 Marks.
There will be 09 short essay questions from the
subject of Pathology & Microbiology and there will be no choice. Each short
essay question will carry 05 marks.
There will be 45 MCQs and each
question will carry 01 mark.
Oral/ Practical Examination in the
subject of Pathology & Microbiology will consist of maximum 90 marks.
Internal Assessment shall be of
10 Marks.
GENERAL PATHOLOGY
Cell
injury and death:
Causes of
cell injury
Necrosis
Apoptosis
Subcellular
responses
Cell
adaptations:
Hyperplasia
Hypertrophy
Atrophy
Metaplasia
Intracellular
accumulation
Inflammation:
Acute
inflammation
Vascular
events
Cellular
events
Chemical
mediators
Chronic
inflammation
General
Granulomatous
Morphologic
patterns of acute and chronic inflammation
Healing
and repair:
Normal
controls
Repair by
connective tissue
Wound
healing
Haemodynamic
disorders
Edema
Hyperemia
/ congestion
Hemorrhage
Thrombosis
Infarction
Shock
Diseases
of immunity
General
features
Hypersensitivity
reactions
Immune
deficiencies
Autoimmunity
Amyloidosis
Neoplasia:
Nomenclature
Molecular
basis
Carcinogenic
agents
Clinical
aspects
MICROBIOLOGY
The
Bacteria
Bacterial
cell structure
Bacterial
forms and function
Bacterial
identification and classification
The gram
stain
Methods
of studying micro-organism
Culturing,
inoculation and identification
Types of
medicine
Physical
states of media
Microbial
growth
Stages in
the normal growth curve
Microbial
genetics
Prokaryotic
transcriptions and translations
Conjugations
Mutation
and its causes
Pathogenesis
Gateway
to infection
Resident
flora
Mechanism
of invasions
Classic
stages of clinical infection
Sterilization
and disinfection
The Integumentary System
Skin
Lesions
Signs and
Symptoms of Skin Disease
Aging and
the Integumentary System
Common
Skin Disorders
Skin
Infections
Skin Cancer
Skin
Disorders Associated With Immune
Dysfunction
Thermal
Injuries
Miscellaneous
Integumentary Disorders
The Cardiovascular System
Signs and
Symptoms of Cardiovascular Disease
Aging and
the Cardiovascular System
Gender
Differences and the Cardiovascular System
Diseases
Affecting the Heart Muscle
Disease
Affecting the Cardiac Nervous System
Diseases
Affecting the Heart Valves
Diseases
Affecting the Pericardium
Diseases
Affecting the Blood Vessels
Other
Cardiac Considerations
Anatomy
and Physiology
Inflammation
and Infection in the Lymphatic System
The Respiratory System
Aging and
the Pulmonary System
Infectious
and Inflammatory Diseases
Obstructive
Diseases
Environmental
and Occupational Diseases
Near
Drowning
Congenital
Disorders
Parenchymal
Disorders
Disorders
of the Pulmonary Vasculature
Disorders
of the Pleural Space
Pathology of the musculoskeletal System
Introduction to Pathology of the
Musculoskeletal System
Advances
in Musculoskeletal Biotechnology
Biologic
Response to Trauma
Aging and
the Musculoskeletal System
The
Musculoskeletal System and Exercise
Musculoskeletal
System Disease
Genetic and Developmental
Disorders
Down
syndrome
Scoliosis
Kyphoscoliosis
Spina
Bifida Occulta, Meningocele, Myelomeningocele
Developmental
Dysplasia of the Hip
Neuromuscular
Disorders
Torticollis
Erb's
Palsy
Arthrogryposis
Multiplex Congenita
Metabolic Disorders
Osteoporosis
Osteomalacia
Paget's
Disease
Infectious Diseases of the
Musculoskeletal System
Osteomyelitis
Infections
of Prostheses and Implants
Diskitis
Infectious
(Septic) Arthritis
Infectious
(Inflammatory) Muscle Disease
Extra
pulmonary tuberculosis
Summary
of Special Implications for the Therapist
Musculoskeletal Neoplasms
Primary
Tumors
Primary
Benign Bone tumors
Primary
Malignant Bone tumors
Multiple
Myeloma
Primary
Soft Tissue Tumors
Metastatic
Tumors
Soft Tissue , Joint , and Bone
Disorders
Soft
Tissue
Joint
Bone
Pathology Of The Nervous System
Introduction to Central Nervous
System Disorders
Overview
Pathogenesis
Diagnosis
Treatment
Prognosis
Infectious Disorders of the
Central Nervous System
Overview
Meningitis
Encephalitis
Brain
Abscess
Prion
Disease
Central Nervous System Neoplasms
Primary
Brain Tumors
Specific
Primary Brain Tumors
Primary
Intraspinal Tumors
Metastatic
Tumors
Paraneoplastic
Syndromes
Leptomeningeal
Carcinomatosis
Pediatric
Tumors
Degenerative Diseases of the
Central Nervous System
Amyotrophic
Lateral Sclerosis,
Alzheimer's
Disease, Alzheimer's Dementia, and Variants
Dystonia,
Huntington's
Disease
Multiple
Sclerosis
Parkinsonism
and Parkinson's Disease
Stroke
Stroke
Vascular
Disorders of the Spinal Cord
G +ve cocci
Staphylococci
Streptococci
G -ve cocci
Nessessia
G +ve spore forming rods
Bacillies
Clostridia
G –ve
rods (introduction to Enterics)
Acid fast bacilli
Mycobacteria
Spirochetes
Introduction
Treponemes
Basic virology
General
characteristics
Viral
structure
Nomenclature
and classification
Mycology
Introduction
to mycology
8) Parasitology
Introduction
to protozoan
Practical Training/ Lab Work
To study
the microscope
To study
the calcification
To study
the osteogenic sarcoma
To study
the granulation tissue
To study
the chronic inflammation (cholecystitis)
To
Fibroedenoma
To study
the carcinoma of breast
To study
the actinomycosis
To study
the culture media
To study
the gram staining
To study
the Z-N staining
To study
the giant cell tumor
Examination
of urine
Recommended Text Books
Pathology: implications for the Physical therapist by: Catherine cavallaro Goodman, 3rd edition
Basics &advanced Human Pathology
Pathology by Robbins
Introduction to Pathology by Weight
Lecture notes on Pathology by Thomas and Cotton
General Pathology by Florey Medical Microbiology and
Immunology By: Levinson and Jawetz,
9th Ed., Mc Graw-Hill.
THEORY
HOURS
|
200
|
TOTAL
HOURS
|
200
|
COURSE DESCRIPTION:
This course covers the basic knowledge of
pharmacology including administration, physiologic response and adverse effects
of drugs under normal and pathologic conditions. Topics focus on the influence
of drugs in rehabilitation patient/client management. Drugs used in
iontophorosis and phonoporosis will be discussed in detail.
Pharmacology Total Marks : 100
The
examination in the subject shall consist of one Theory paper of three hours
duration and of maximum 90 marks. Internal Assessment shall be of 10 Marks.
There
will be 09 short essay questions from the subject of Pharmacology and there
will be no choice. Each short essay question will carry 05 marks.
There will be 45 MCQs and each
question will carry 01 mark.
DETAILED COURSE OUTLINE
GENERAL PRINCIPLES OF
PHARMACOLOGY;
Basic
Principles of Pharmacology
Phrmacokinematics;
Drug Administration,Absorption,and Distribution
Pharmacokinematics;
Drug Elimination
Drug
Receptors
PHARMACOLOGY OF THE CENTRAL NERVOUS SYSTEM;
Central
Nervous System Pharmacology, General Principles
Sedative-Hypertonic
and Anxiety Agents
Drugs
used to treat affective Disorders; Depression and Manic-Depression
Antipsychotic
Drugs
Antiepileptic
Drugs
General Anesthetics
Local
Anesthetics
DRUGS AFFECTING SKELETAL MUSCLE;
Skeletal
Muscle Relaxants
DRUGS USED TO TREAT PAIN AND INFLAMMATION
Opioid
Analgesics
Nonsteroidal
Anti-Inflammatory Drugs (NASID)
Pharmacologic
Management of Rheumatoid Arthritis and Osteoarthritis
Patient-Controlled
Analgesia
AUTONOMIC AND CARDIOVASCULAR PHARMACOLOGY
Introduction
to Autonomic Pharmacology
Cholinergic
Drugs
Adrenergic
Drugs
Antihypertensive
Drugs
Treatment
of Angina Pectoris
Treatment
of Cardiac Arrhythmias
Treatment
of Congestive Heart Failure
Treatment
of Coagulation Disorders and Hyperlipidemia
RESPIRATORY AND GASTROINTESTINAL PHARMACOLOGY;
Respiratory
drugs
Gastrointestinal
Drugs
ENDOCRINE PHARMACOLOGY;
Introduction
to Endocrine Pharmacology
Adrenocorticosteroids
Male and
Female hormones
Thyroid
and Parathyroid Drugs; Agents affecting bone mineralization
Pancreatic
Hormones and the Treatment of Diabetes Mellitus
Treatment
of Infections; Antibacterial Drugs
Treatment
of Infections; Antiviral Drugs
Treatment
of Infections; Antifungal and Ant parasitic drugs
Cancer
Chemotherapy
Immunomodulating
Agents
DRUGS USED IN CURRENT PHYSICAL THERAPY PRACTICE:
Drugs
administered by Iontophorosis and Phonophrosis
Potential
Interactions Between Physical Agents and Therapeutic drugs
Recommended Textbook:
Pharmacology
in Rehabilitation (3rd Edition)By Charles D. Ciccone
Pharmacology
,Richard A,Harvey ,2nd Eddition ,Lippincott’s
Mutlianthore
text book of Pharmacology and Therapeutics ,M.Cheema,A vol 1 and Vol 2
infra red, ultra violet,
cryotherapy, hydrotherapy,
|
PHYSICAL AGENTS &
ELECTROTHERAPY
THEORY
HOURS
|
200
|
PRACTICAL
HOURS
|
100
|
TOTAL
HOURS
|
300
|
COURSE DESCRIPTION:
This course
tends to explore fundamental skills in application of electromodalities and
knowledge of indications, contraindications and physiological principles needed
for appropriate patient care. It includes topics such as electric stimulation,
T.E.N.S. Iontophoresis, ultrasound /Phonophoresis,
diathermy, electro diagnostic testing ,
Iontophoresis, ultrasound /Phonophoresis, electrodiagnostic testing,
traction, compression and laser therapy etc.
Physical Agents & Electrotherapy Total Marks : 200
Theory:
The examination in the subject of Physical Agents & Electrotherapy
shall consist of one Theory paper of three hours duration and of maximum 90
marks. Internal Assessment shall be of 10 Marks.
There will be 09 short essay questions from the subject of Physical
Agents & Electrotherapy and there will be no choice. Each short essay
question will carry 05 marks.
There will be 45 MCQs and each
question will carry 01 mark.
Oral/ Practical Examination in the subject of
Physical Agents & Electrotherapy will consist of maximum 90 marks. Internal
Assessment shall be of 10 Marks.
INTRODUCTION & GENERAL CONSIDERATION OF ELECTROTHERAPY:
TYPES OF
CURRENT USED
Low
frequency current
Medium
frequency current
LOW
FREQUENCY CURRENT
Faradic
current
Sinusoidal
current
Galvanic
current
constant
galvanic current
modified
galvanic current
Superimposed
currents
Transcutaneous
electrical nerve stimulation (TENS)
Dia-dynamic
currents
Interferential
Current
Introduction,
physical principles, electro-physiological effects
Clinical
applications, methods of application
Treatment
consideration & contraindications
Detailed
description of faradic current
Treatment
techniques
Methods
of application
Detailed
description of sinusoidal current
Treatment
Methods
of application
Constant galvanic current
Methods
of application
Dangers,
precautions, contraindications
Ionization
Theory&
proof of ionization
Effects
of various ions, i.e iodine, salycylate, albucid, copper, zinc, histamine,
carbacol, renotinenovocaine, lithium
Techniques
of medical ionization with vasodilator drugs
techniques
for special areas
Definition
Physical
effects
Therapeutic
effects
Uses
Treatment
techniques & methods of application
Electrical
stimulation of nerve & muscle
A nerve
impulse
Property
of accommodation
Electrical
Reactions
Normal
& abnormal reactions of nerve & muscle to faradism & intruppted
direct current
Changes
in electrical reaction in
Upper
motor neurons
Lower
motor neurons
Muscular
disease
Methods
of electrical test
Faradic
& I.D.C test
Strength
duration curve
Accomodity
test
Electromyography
Introduction
Definition
Effects
& uses
Technique,
Methods, Dangers & Precautions Transcutaneous electrical stimulation
(TENS)
Definition
Theoretical
basis of pain
Equipment
selection
Electrode
placement
Clinical
indications
Definition
and introduction
Basic
currents (MF,DF)
Derivative
of basic current
Brief
description of Dia dynamic and basic currents
Characteristics
of diadynamic current,
Techniques
of application & treatment, frequency of treatment.
Clinical
indication e.g. Sprain ankle, Sciatica. Facial neuralgia. Trigeminal neuralgia
& Qtitis media.
Medium Frequency Current:
Interferential
Current
Introduction,
physical principles, electro-physiological effects
Clinical
applications, methods of application
Treatment
consideration & contraindications
Physics of head and Radiation
Definition
of heat and temperature
Physical
effects
Radiant
energy electromagnetic spectrum its production & properties
Laws
governing radiation
Infra-Red Rays
Definition
Production, luminous & non-luminous generators
Physiological
effects
Therapeutic
effects
Uses
Techniques
of application
Dangers
and contraindications
Ultra Violet Rays
Production,
U.V. rays
Mercury
Vapor Lamp: Air cooled mercury vapor lamp &Kromayer lamp
Fluorescent
Tubes
Penetration
of rays into the skin
Physiological
effects (local & general)
Therapeutic
effects
Sensitizers
Assessment
of doses
Test dose
Techniques
of local and general radiation with special techniques of treatment of wounds
Techniques
with compression
Dangers
& precautions
Contraindications
Heliotherapy
Introduction
Effects
Uses
dangers
and contraindications
Introduction
Production
Physiological
& therapeutic effects
Uses,
dangers, precautions & contraindications
Techniques
and application of treatment
Cryotherapy
Definition
Methods
Physiological
& therapeutic effects
Dangers,
indications and precautions
Hydrotherapy
Physiological
principles of hydrotherapy
Application
of heat & cold
Outline
of methods of applying moist heat
Medium
used, contrast bath, paraffin baths, whirlpool baths, techniques, effects,
uses, dangers, contraindications of each
The use
of water as medium of each, the use of water as a medium of movement pool
therapy
Immersion
baths, full, plain and medicated, partial baths, packs, general local methods
of application
Hot air,
vapors, the car of patients in hydrological department
Detailed
description of indication of hydrotherapy
Traction
Effects
of spinal traction
Clinical
indications for the use of spinal traction
Contraindications
and precautions for spinal traction
Adverse
effects of spinal traction
Application
technique
Compression
Effects
of External Compressions
Contraindications
and Precautions of External Compression
Contraindications
for the Use of Intermittent or Sequential Compression Pumps
Precautions
for the Use of Intermittent or Sequential Compression Pumps
Adverse
Effects of External Compression
Application
Techniques
Laser therapy:
Definition
Properties
of laser
Production
of Lasers
Types of
Lasers
Techniques
of application
Dosage
parameters
Interaction
of laser with body tissues
Physiological
and therapeutic effects of lasers
Dangers
and contraindications
Methods
of Treatment
Practical Training/ Lab Work
The
practical training will be practiced in physiotherapy treatment ward under the
supervision of qualified physiotherapists
Location
of motor points
Faradic
& I.D.C test
Strength
duration curve, determination of Rheobase and Chronaxie
Accomodity
test
Electromyography
Definition,
method, value, uses of E.M.G, Electromyography & temperature, feed back
technique
Practical
application of TENS in physical therapy treatment ward
Reflective
clinical case studies
Practical
application of Infra red rays
Practical
application of ultrasound including Phonophoresis
Supervised
application of Ultraviolet rays including determination of test dosage
Practical
application of cold packs
Practical
application of traction
Paraffin
Wax bath application
Demonstration
of techniques during practical classes, later on techniques practiced by
students on patients attending the department under supervision of trained
physiotherapists.
Note:
The students are expected to make a record of his/her achievements in
the log book. The log book is a collection of evidence that learning has taken
place. It is a reflective record of achievements. The log book shall also
contain a record of the procedures which student would have performed/observed.
Recommended books:
Clayton’s Electrotherapy and Actinotherapy, 10th edition by PM Scott
Electrotherapy: Evidence based Practice, 11th edition by Shelia Kitchen
Michelle H Cameron’s Physical Agent in Rehabilitation: From research to
Practice
Electrotherapy and Electrodiagnosis by S.
Lient
Applications of Shortwave Diathermy by P.M.
Scott
Practical Electrotherapy by Savage
THEORY
HOURS
|
300
|
PRACTICAL
HOURS
|
100
|
TOTAL
HOURS
|
400
|
COURSE DESCRIPTION:
This course presents anatomical and physiological principles to allow
students to develop integrated therapeutic exercise interventions. Students
have the opportunity to develop an acquired understanding of physiological
responses to various types of training and develop skills in prescription,
implementation, and modeling of exercise programs. Exercise components of
strength, aerobic/ anaerobic conditioning, flexibility, balance and stage of
healing/rehabilitation are examined. Evidence of appropriate, safe and
effective exercise design and proper exercise biomechanics and prescription parameters
are addressed with all interventions. Exercise considerations for special
populations and across the age span are covered. Concepts are presented in
lecture and practiced in the laboratory.
Therapeutic Exercises & Techniques Total Marks : 200
Theory:
The examination in the subject of Therapeutic Exercises & Techniques
shall consist of one Theory paper of three hours duration and of maximum 90
marks. Internal Assessment shall be of 10 Marks.
There will be 09 short essay questions from the subject of Therapeutic
Exercises & Techniques and there will be no choice. Each short essay
question will carry 05 marks.
There will be 45 MCQs and each
question will carry 01 mark.
Oral/ Practical Examination in the subject of
Therapeutic Exercises & Techniques will consist of maximum 90 marks.
Internal Assessment shall be of 10 Marks.
GENERAL CONCEPTS
Therapeutic Exercise: Foundational Concepts
Therapeutic
exercise: impact on physical function
Process
and models of disablement
Patient
management and clinical decision making: an
Interactive
relationship:
Strategies
for effective exercise and task-specific
Instruction:
Prevention, Health, and Wellness
role of
physical therapy in healthy people
APPLIED SCIENCE OF
EXERCISE AND TECHNIQUES Range of Motion
Types of
ROM exercises
Indications
and goals for ROM
Limitations
of ROM exercises
Precautions
and contraindications to ROM exercises
Principles
and procedures for applying ROM Techniques
ROM techniques
Self-assisted
ROM
Continuous
passive motion
ROM
through functional patterns
Stretching for Impaired Mobility
Definitions
of terms related to mobility and stretching
Properties
of soft tissue–response to immobilization and stretch
Determinants,
types, and effects of stretching interventions
Procedural
guidelines for application of stretching interventions
Adjuncts
to stretching interventions
Manual
stretching techniques in anatomical planes of motion
Peripheral Joint Mobilization
Definitions
of terms; mobilization/manipulation, self-mobilization (auto-mobilization),
mobilization with movement, physiological movements, accessory movements,
thrust, manipulation under anesthesia, muscle energy
Basic
concepts of joint motion: arthrokinematics
Indications
for joint mobilization
Limitations
of joint mobilization techniques contraindications and precautions
Procedures
for applying passive joint mobilization techniques
Mobilization
with movement: principles of application
Peripheral
joint mobilization techniques including Shoulder Girdle Complex, Elbow and
Forearm Complex, Wrist Complex, Hand and Finger Joints, Hip Joint, Knee and
Leg, Ankle and Foot Joints
Resistance Exercise for Impaired Muscle Performance
Muscle
performance and resistance exercise–definitions and guiding principles
Skeletal
muscle function and adaptation to resistance exercise
Determinants
of an exercise program
Exercise
program
Physiological
changes that occur with training
Determinants
of resistance exercise
Types of
resistance exercise
General
Principles Of Resistance Training
Precautions
For Resistance Exercise
Contraindications
to resistance exercise
Manual
resistance exercise; definition and use, guidelines and special considerations,
techniques–general background, upper extremity, lower extremity
Proprioceptive
neuromuscular facilitation–principles and
Diagonal
patterns, basic procedures with PNF patterns, upper extremity diagonal
patterns, lower extremity diagonal patterns, specific techniques with PNF
Mechanical
resistance exercise; use in rehabilitation, use in conditioning programs,
special considerations for children and older adults
Selected
resistance training regimens
Equipment
for resistance training
Principles of Aerobic Exercise
Application
of principles of an aerobic conditioning program for the patient with coronary
disease; inpatient phase
(phase i)
outpatient phase
(phase
ii) outpatient program
(phase
iii) special considerations, adaptive changes
Applications
of aerobic training for the de-conditioned individual and the patient with
chronic illness
Age
differences; children, young adults, older adults
Aquatic Exercise
Background
and principles for aquatic exercise
Definition
of aquatic exercise
Goals and
indications for aquatic exercise
Precautions
and contraindications to aquatic exercise
Properties
of water
Aquatic
temperature and therapeutic exercise
Special
equipment for aquatic exercise
Exercise
interventions using an aquatic environment stretching exercises
Strengthening
Exercises
Aerobic
Conditioning
SOFT TISSUE INJURY, REPAIR, AND MANAGEMENT
Soft tissue lesions
Management during the acute stage
Management during the sub acute
Management during the chronic stage
Cumulative trauma–chronic recurring pain
JOINT, CONNECTIVE TISSUE, AND BONE DISORDERS AND MANAGEMENT
Arthritis–arthrosis
Fibromyalgia and myofascial pain syndrome
Osteoporosis
Fractures–post-traumatic immobilization
SURGICAL INTERVENTIONS AND POSTOPERATIVE MANAGEMENT
Indications for surgical intervention
Guidelines for preoperative and
Postoperative management; considerations for preoperative management,
considerations for postoperative management, potential postoperative
complications
Overview of common orthopedic
surgeries and postoperative management; surgical approaches–open, arthroscopic,
and arthroscopically assisted procedures, use of tissue grafts, repair,
reattachment, reconstruction, stabilization, or transfer of soft tissues,
release, lengthening, or decompression of Soft tissues
PERIPHERAL NERVE DISORDERS AND MANAGEMENT
Review of peripheral nerve
structure; nerve structure, nervous system mobility characteristics, common
sites of injury to peripheral nerves
Impaired nerve function
Nerve injury and recovery
Neural tension disorders and their managements
Musculoskeletal diagnoses involving impaired
Nerve function thoracic outlet syndrome
Carpal tunnel syndrome
Complex regional pain syndrome: reflex sympathetic
Dystrophy and causalgia
Practical training:
Practical
demonstration of ROM techniques
Practical
demonstration of stretching techniques
Practical
demonstration of resisted exercise techniques
Practical
demonstration of peripheral joint mobilization techniques
Aerobic
exercises
Balance
training
Hydrotherapy
Reflective
clinical case studies
Supervised
and independent Practical application of therapeutic techniques on patients in
outdoor and indoor physiotherapy treatment settings.
Note:
The students are expected to make a record of his/her achievements in
the log book. The log book is a collection of evidence that learning has taken
place. It is a reflective record of achievements. The log book shall also
contain a record of the procedures which student would have performed/observed.
Recommended text books:
Therapeutics Exercises and Technique, By: Carolyn Kisner & Lynn Allen Colby 4th 5th edition.
Therapeutics Exercises: Techniques for Intervention By:
Willim D.Banddy
Clinical decision making in therapeutic exercise By: Patricia e. Sullivan & prudence d. Markos, Appleton & Lange Norwalk, Connecticut
THEORY
HOURS
|
100
|
|
TOTAL
HOURS
|
100
|
|
COURSE DESCRIPTION:
This course is designed to increase awareness of psychosocial issues
faced by individuals and their significant reference groups at various points
on the continuum of health and disability, including factors that influence
values about health promotion, wellness, illness and disability. Personal and
professional attitudes and values are discussed as they relate to developing
therapeutic relationships. Communication skills are emphasized for effective
interaction with clients, health-care professionals and others
Behavioral Sciences Total Marks : 200
Theory:
The examination in the subject of Behavioral Sciences shall consist of
one Theory paper of three hours duration and of maximum 90 marks. Internal
Assessment shall be of 10 Marks.
There will be 09 short essay questions from the subject of Behavioral
Sciences and there will be no choice. Each short essay question will carry 05
marks.
There will be 45 MCQs and each
question will carry 01 mark.
Oral/ Practical Examination in the subject of
Behavioral Sciences (OPSE and Case presentation) will consist of maximum 90
marks. Internal Assessment shall be of 10 Marks.
DETAILED
COURSE OUTLINE
Note: The course of Behavioural sciences covered in First and Second
year shall also be the
part of syllabus for examination.
Communication Skills
Principles
of effective communication
Art of
questioning
Good and
bad listener
Counseling:
steps, scope, indication and contraindications
Dealing
with real life crisis and conflict situations in health settings
A
practical method of communication between the doctor and patient about disease,
drugs, prognosis etc
Interviewing
Collecting
data on psychosocial factors in Medicine / Surgery / Reproductive Health /
Paediatrics and other general health conditions
Types of
interview
Skills of
interviewing
Health Psychology
Importance
of psychological consideration in clinical management of patients
Psychological
therapies
Key
concepts in child’s social and cognitive development
Psychological
changes during adolescence and old age and their clinical management
Impact of
illness on a patient’s psychological well being including the ability to cope
and understand the association between psychological stress and physical well
being
Role of
doctor in patient reassurance and allaying anxiety and fear
Social and Community Perspective
Inequalities
of healthcare and the relationship of social class
Ethnicity,
culture and racism, How disease pattern and medical care vary by culture and
ethnicity?
Gender
and Healthcare
Influence
of health and illness on behaviour
Application of Behavioural Principles in Health and Disease
Mentally
/ emotionally handicapped
Physically
handicapped
Chronically
ill
Medically
compromised
Recommended Text Books:
A Handbook of Behavioural Sciences for Medical and
Dental Students By: Mowadat H Rana, Sohail Ali and Mansoor Mustafa, ,
University of Health Sciences Lahore
Medicine in Society ; Behavioural Sciences for
Medical Students, By: Christopher Dowrick, , Arnold Publisher
Behavioural Sciences in Clinical Medicine By: Wolf
& Stewert
Developmental Psychology for Healthcare Professions By:
Katherine A Billingham
THEORY
HOURS
|
100
|
TOTAL
HOURS
|
100
|
COURSE DESCRIPTION:
The course is organized to introduce the concept of health care and
management issues in Health Services. It will help them in assuming a
leadership role in their profession and assume the responsibility of guidance.
It will help them assume wider responsibilities at all levels of health
services. It will help them in improving their performance through better
understanding of the total function of the institution.
DETAILED COURSE OUTLINE
TEACHING METHODOLOGY
Types of
health services, public, private, scientific, traditional health system.
Organization
of public services in health, central, provincial and local levels.
Burden of
disease, concept of health needs for care,
Levels of
health care, primary, secondary and tertiary,
Planning
of health services,
Organization
of health services,
Implementation
and evaluation of health services,
Management
of resources in health services,
Financial
management.
Health
education and social cultural concept in health,
Ethics in
Health Services.
Theories
of learning facilitations
Cognitive,
Psychomotor domain & effective domain
Bloom
taxonomy
COURSE DESCRIPTION:
This course is designed for the physiotherapists in order to develop
strong knowledge background regarding the community health and well being. It
also gives knowledge about issues in community health and policies and
procedures for their effective management..
DETAILED COURSE OUTLINE
INTRODUCTION
History
of Community Medicine
Definition,
concept of Health & illness of diseases
Natural
History of diseases, levels & prevention
ENVIRONMENTAL SANITATION & MEDICAL ENTOMOLOGY
water
waste
disposal
Environmental
problems & pollution
GENETICS
Prevention
of genetic diseases
Genetic
counseling
GENERAL
EPIDEMIOLOGY DESCRIPTIVE EPIDEMIOLOGY
Time
Place
Person
ANALYTICAL EPIDEMIOLOGY
Case
control
Cohort
studies
EXPERIMENTAL EPIDEMIOLOGY
RANDOMIZED CONTROL TRIAL SYSTEMIC EPIDEMIOLOGY
Vector
borne diseases
Water
borne diseases
Contact
diseases
Diseases of major public health and its importance alongwith national
health programmes wherever Applicable
NON-COMMUNICABLE DISEASES:
Diabetes
Hypertension
Heart
diseases
Blindness
Accidents
Geriatric
problems
OCCUPATIONAL HEALTH PROBLEMS:
M.C.H.
and family welfare Programmes
Health
care delivery in the community
National
Health Policy
National
Health programmes including
Rehabilitation,
Evaluation of Health
Programmes,
Helath Planning Organization,
STRUCTURE OF HEALTH CARE SYSTEM IN THE COUNTRY
P.H.C.
district level
State
level and central level.
P.H.C.
Organization and Function
Role of
Non Governmental Organization
HEALTH EDUCATION
Principles
of Health Promotion
Methods,
approaches and media for
I.E.C
(Information, Education & Communication)
Medical
and Health/Information system
Mental
Health
Nutrition
Textbooks
of Community Medicine, by Prof. H. A. Siddique (2nd
Edition).
Parks
text book of preventive & social medicine –K Park
PROFESSIONAL
|
SUPERVISION
|
FOCUS
|
|||||||||
YEAR
|
|||||||||||
3
|
Supervised by trained PT
|
History
Taking
|
|||||||||
HISTORY TAKING
|
|||||||||||
PRACTICAL
HOURS
|
100
|
||||||||||
TOTAL
HOURS
|
100
|
||||||||||
COURSE DESCRIPTION:
During this supervised clinical practice, students are responsible for
learning the art of history taking, the first interaction with patient.
Students learn the skills under supervision of trained physical therapists.
Students become familiar with performance of these skills in all settings
(inpatient and outpatient) as well as on all types of patients (surgical,
non-surgical, pediatric, geriatric, etc.)
The emphasis is placed on general history taking skills as well as its
pertinence to all systems (musculoskeletal, Integumentary, cardiovascular,
pulmonary, and neurological.) Student is required to keep a performance record
of all listed competencies and successfully perform on real patients during the
final evaluation of the course.
Clinical Competencies:
Review pertinent medical records
and conduct an interview which collects the following data:
Past and
current patient/client history
Demographics
General
health status
Chief
complaint
Medications
Medical/surgical
history
Present
and pre-morbid functional status/activity
Social/health
habits
Living
environment
Employment
Growth
and development
Lab
values
Imaging
Consultations
Documentation
of the history
PROFESSIONAL
|
SUPERVISION
|
FOCUS
|
WARDS
|
COMPETENCIES
|
||
YEAR
|
||||||
3
|
SUPERVISED BY
|
SYSTEMS
|
All rotational
|
AS LISTED BELOW
|
||
TRAINED PT
|
REVIEW
|
wards
|
||||
SYSTEMS
REVIEW
PRACTICAL
HOURS
|
100
|
TOTAL
HOURS
|
100
|
COURSE DESCRIPTION:
During this supervised clinical practice, students are responsible for
learning the skills of systems review and validate the need for physical
therapy services. Students learn to objectively review each system under the
supervision of trained physical therapists. Students become familiar with
performance of these skills in all settings (inpatient and outpatient) as well
as on all types of patients (surgical, non-surgical, pediatric, geriatric,
etc.) Student is required to keep a performance record of all listed
competencies and successfully perform on real patients during the final evaluation
of the course.
Clinical Competencies:
Perform
review of systems to determine the need for referral or for physical therapy
services.
Systems
review screening includes the following:
General Health Condition (GHC)
Fatigue
Malaise
Fever/chills/sweats
Nausea/vomiting
Dizziness/lightheadedness
Unexplained weight change
Weakness
Mentation /cognition
Cardiovascular System (CVS)*
Dyspnea
Orthopnea
Palpitations
Pain/sweats
Syncope
Peripheral edema
Cough
Pulmonary System (PS)*
Dyspnea
Onset of cough
Change in cough
Sputum
Hemoptysis
Clubbing of nails
Stridor
Wheezing
Gastrointestinal System (GIS)
Difficulty with swallowing
Heartburn, indigestion
Change in appetite
Change in bowel function
Urinary System (US)
Frequency
Urgency
Incontinence
Genital Reproductive System (GRS)
Describe any sexual dysfunction, difficulties, or
concerns
Female
Describe any sexual or menstrual dysfunction, difficulties,
or problems
RECOGNITION OF RED AND YELLOW FLAGS
Initiate
referral when positive signs and symptoms identified in the review of systems
are beyond the specific skills or expertise of the physical therapist or beyond
the scope of physical therapist practice.
Consult
additional resources, as needed, including other physical therapists,
evidence-based literature, other health care professionals, and community
resources.
Screen
for physical, sexual, and psychological abuse.
Cardiovascular and Pulmonary Systems
Conduct a systems review for screening of the cardiovascular and
pulmonary system (heart rate and rhythm, respiratory rate, blood pressure,
edema).
Read a
single lead EKG.
Integumentary System
Conduct a
systems review for screening of the integumentary system, the assessment of
pliability (texture), presence of scar formation, skin color, and skin
integrity.
Musculoskeletal System
Conduct a
systems review for screening of musculoskeletal system, the assessment of gross
symmetry, gross range of motion, gross strength, height and weight.
Neurological System
Conduct a
systems review for screening of the neuromuscular system, a general assessment
of gross coordinated movement (eg, balance, gait, locomotion, transfers, and
transitions) and motor function (motor control and motor learning).
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