STATE COLLEGE OF FLORIDAOCCUPATIONAL THERAPY ASSISTANT PROGRAM

OTH 1410Introduction to Human Disease

LEC LAB CR3 0 3

COURSE DESCRIPTION:OTH 1410 Introduction to Human Disease (3) (A.S.) Three hours lecture per week. Prerequisites: satisfactory completion of BSC 2086C, DEP 2004, OTH 1001C, OTH 1014C. This course is an introduction to basic pathophysiology including etiology, signs and symptoms and rehabilitative treatment principles of various medical, surgical, orthopedic and neurological conditions common to individuals across the lifespan. Emphasis will be placed on the proper use of medical terminology associated with these conditions.

RELATIONSHIP TO THE CURRICULUM DESIGN:Introduction to Human Disease will prepare the student to understand the pathophysiological conditions frequently treated in occupational therapy. Content from Anatomy and Physiology I and II are an integral part of this course. Problem solving and critical thinking are incorporated into discussions of various diagnoses throughout the semester via the process of “think like an OT”. This course provides a theoretical base for developing appropriate treatment programs in subsequent semesters and being able to participate more fully in fieldwork experiences.

PREREQUISITES: Satisfactory completion of BSC 2086C, DEP 2004, OTH 1001C, OTH 1014C

COREQUISITES: none

REVISIONS: 3/98, 11/98, 6/00, 12/01, 12/02, 1/06, 6/07, 11/07, 5/08, 8/09, 1/10, 6/13

STUDENT LEARNING OUTCOMES:

Upon satisfactory completion of the course, the student will be able to:

1.0 Discuss the basic concepts of disease and healing.1.1 Utilize the terms: etiology, pathology, pathogenesis, symptom, sign, diagnosis,

prognosis, organic disease and functional disease, in the discussion of conditions treated in occupational therapy.

1.2 Describe the mechanisms of disease with focus on elements involved in pathogenesis including: predisposing factors, genetic diseases, infection, inflammation and repair, neoplasms, physical trauma and chemical agents, malnutrition, immune disorders, aging, psychological factors and mental disorders.

1.3 Describe methodology for prevention of disease and disability.1.4 Understand the effects of physical and mental health, disability, heritable disease

and predisposing genetic conditions, disability, disease processes and traumatic injury to the individual within the cultural context of family and society on occupational performance.

2.0 Discuss the etiology, pathology, symptomatology and treatment principles associated with common medical, surgical, orthopedic and neurological conditions treated in occupational therapy.

2.1 Describe a variety of disorders that can affect body functions and body structures which may require therapeutic intervention to promote performance in areas of occupation.

2.2 Using prior knowledge from the biological sciences, explain the basic anatomy and physiology of the system related to specific pathological processes.

2.3 Discuss the etiology, pathology, signs and symptoms, and prognosis of common disorders/diseases which may require occupational therapy intervention to promote performance in areas of occupation.

2.4 Discuss the medical treatment and rehabilitation treatment principles of common disorders/diseases to promote, restore, maintain health, modify/adapt to compensate for limitations and/or prevent disability.

2.5 Discuss the rehabilitative potential of common disorders/diseases and relate to occupational therapy treatment planning.

2.6 Discuss the importance of occupation to the individual’s health and well being.2.7 Understand the impact of illness, disability, disease processes and traumatic injury

to the individual within the context of family and society.2.8 Discuss the individual’s perception of quality of life, well being and occupation to

promote health and prevention of injury and disease.

3.0 Use proper medical terminology associated with the pathophysiological conditions.3.0 Use selected “root” words, prefixes and suffixes which relate to the systems of

the body and pathophysiological conditions.3.1 Correctly use and spell medical terminology in all written and oral

presentations.3.2 Using prior knowledge, integrate medical terminology and abbreviations

associated with pathophysiological conditions in class discussions and reporting patient/client responses.

3.3 Utilize occupational therapy terminology, with reference to the Occupational Therapy Practice Framework, appropriately in all oral and written communication.

4.0 Promote understanding of scholarship related to practice.4.1 Articulate the importance of how scholarly activities and literature contribute to the

development of the profession.4.2 Locate and understand information, and articulate how the quality of the source

must be considered when utilizing the content.4.3 Read professional journals and compose written abstracts using correct format,

spelling and grammar.4.4 Demonstrate basic computer skills including word processing for writing.4.5 Utilize data bases and search engines for research.

5.0 Promote understanding of social issues related to health and welfare needs5.1 Review current publications and identify related health concerns and public

awareness.5.2 Review global social issues, health and welfare needs of populations with or at risk

for disabilities and chronic health conditions.

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5.3 Demonstrate an understanding of health literacy and the ability to educate the client, family and significant others to facilitate skills in areas of occupation, prevention, health maintenance, health promotion and safety.

TOPICAL OUTLINE

1. Basic concepts of pathologyA. TerminologyB. Inflammation/Infection C. Immune disordersD. Genetic disordersE. Metabolic disorders

i. ObesityF. Endocrine disorders

i. Diabetes mellitusG. NeoplasmH. Cell injury & healingI. Burns

2. Introduction to Vascular disordersa. Review of structure & functionb. Vascular disorders

i. Thrombus /Embolusii. Atherosclerosis / arteriosclerosis

c. Structural defectsi. Aneurysm

ii. PAD /PVDd. Cardiovascular disorders / review anatomy of heart

i. Hypertensionii. CAD

iii. Myocardial infarctioniv. Arrhythmiav. Treatment

e. Cardiopulmonary disordersi. Review anatomy of respiratory system

ii. Symptoms of pulmonary diseaseiii. Respiratory Diseases

3. Introduction to Neurologya. Review Structure and Function of the Nervous System

i. Central Nervous Systemii. Peripheral Nervous System

iii. Autonomic Nervous System

4. Central Nervous System Disordersa. Cerebral Vascular Accident /Stroke / Brain attack

i. Thrombolytic/ Embolic strokeii. Motor disordersiii. Sensory disorders

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iv. Cognitive disordersv. Treatment

b. TIA

5. Conditions of the Central Nervous Systema. Encephalitis /meningitisb. Brain Abscessc. Tumors of the Brain

i. Gliomaii. Meningioma

iii. Secondary metastasesd. Seizure Disorders / Epilepsy e. Traumatic Brain Injury

6. Degenerative Diseases of the Central Nervous Systema. Amyotrophic Lateral Sclerosisb. Huntington’s Choreac. Parkinson’s Diseased. Multiple Sclerosise. Myasthenia Gravis

7. Spinal Cord Disorders (CNS)a. Traumatic Spinal cord injuryb. Brown-sequard syndromec. Poliomyelitis/post-polio syndromed. Posteriolateral sclerosise. Anterior cord syndromef. Central cord syndromeg. Posterior cord syndrome

8. Peripheral Nerve Pathology (PNS)a. Review anatomy and methods of repair

i. Causes of Nerve Injuryii. Types of Damage

iii. Characteristics of Nerve Injuryiv. Signs of Recovery

b. Brachial Plexus Injury1. Erb-Duchenne2. Klumpke

c. Injury to Nerves of the Upper Extremityi. Radial nerve

ii. Medial nerveiii. Ulnar nerveiv. Multiple nerve injury

d. Peripheral Neuropathyi. Peripheral / Traumatic neuritis

ii. Toxic neuritisiii. Acute polyneuritis iv. Guillian-Barre Syndrome

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9. Psychiatric Disordersa. Introduction to psychiatric disordersb. Dementiac. Alzheimer’s Diseased. Mood disorderse. Anxiety disordersf. Eating disordersg. Substance abuse

10. Musculoskeletal disorders / Orthopedica. Review of Anatomy

i. Fracturesii. Dislocations / Subluxations

iii. Tendon Strains and Sprainsb. Bone Disorders

i. Osteoporosisii. Osteomalacia / Ricketts

iii. Paget’s Disease (osteitis deformans)iv. Osteomyelitisv. Osteogenic Sarcoma

c. Upper Extremity Disordersi. Adhesive Capsulitis

ii. Complex regional pain syndrome(CRPS) or RSDiii. Dupytren’s contractureiv. Carpal tunnel syndromev. Tendonitis & bursitis

d. Orthopedic Disorders of Childreni. Congenital Hip Dislocation

ii. Talipes Equinovarus ( club foot)iii. Osteogenesis Imperfectaiv. Muscular Dystrophyv. Disorders of the spine

e. Osteoarthritis (degenerative joint disease)

11. Immune diseases/ autoimmunity / Arthritisa. Rheumatoid Arthritisb. Other types of arthritis

i. Septic arthritisii. Hemophilic arthritis

iii. Sclerodermaiv. Systemic Lupus Erythematosusv. Gout

vi. Ankylosing Spondylitis

12. Renal & urologic disordersa. Acute /chronic renal failureb. Urinary tract infectionsc. Urinary Incontinency

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d. Neurogenic bladder

13. Relationship of Health Care to Social and Welfare Needs

14. Scholarly Activitiesa. Use of professional journalsb. Review of current literaturec. Understand the use of and quality of data bases and search engines

15. Social Issues Related to Health and Welfare Needs16. Neoplasms

TEACHING/LEARNING EXPERIENCES

Lectures – PowerPoint PresentationsReadingsVideosDiscussion – large groupAssignments – written Literature review Review of newsstand publicationsWeekly quizzesWritten examsInterpersonal Communication

EVALUATION METHODS

Quizzes & Assignments 35%Exams 35%Final 30%

Grading Scale: A = 90-100B = 80-89C = 70-79D = 60-69F = 59 and below

A minimum grade of “C” is required in all occupational therapy assistant courses. Students who do not achieve a minimum grade of 70 in this course will not be able to progress in the OTA Program.

Initially developed 1/6/98 - Revised based on ACOTE 2011 OTA Standards

CDR Proposal Action Dates:Date of Original Submission: 10/1/97Date of Last Review: 3/98, 11/98, 6/00, 12/01, 12/02, 1/06, 6/07, 11/07, 5/08, 8/09, 1/10,

6/13Date of Last Revision: 11/19/07, 9/30/13

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