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COURSE SYLLABUS

EMS 233 EMT-P Medical Emergencies

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6.3 UNIT TERMINAL OBJECTIVE

6-3 At the completion of this unit, the paramedic student will be able to integrate the pathophysiological principles and the assessment findings to formulate and implement a treatment plan for the geriatric patient.

At the completion of this unit, the paramedic student will be able to:

6-3.1 Discuss population demographics demonstrating the rise in elderly population in the U.S. (C-1)

6-3.2 Discuss society’s view of aging and the social, financial, and ethical issues facing the elderly. (C-1)

6-3.3 Assess the various living environments of elderly patients. (C-3)

6-3.4 Describe the local resources available to assist the elderly and create strategies to refer at risk patients to appropriate community services. (C-3)

6-3.5 Discuss issues facing society concerning the elderly. (C-1)

6-3.6 Discuss common emotional and psychological reactions to aging to include causes and manifestations. (C-1)

6-3.7 Apply the pathophysiology of multi-system failure to the assessment and management of medical conditions in the elderly patient. (C-2)

6-3.8 Discuss the problems with mobility in the elderly and develop strategies to prevent falls. (C-1)

6-3.9 Discuss the implications of problems with sensation to communication and patient assessment. (C-2)

6-3.10 Discuss the problems with continence and elimination and develop communication strategies to provide psychological support. (C-3)

6-3.11 Discuss factors that may complicate the assessment of the elderly patient. (C-1)

6-3.12 Describe principles that should be employed when assessing and communicating with the elderly. (C-1)

6-3.13 Compare the assessment of a young patient with that of an elderly patient. (C-3)

6-3.14 Discuss common complaints of elderly patients. (C-1)

6-3.15 Compare the pharmacokinetics of an elderly patient to that of a young adult. (C-2)

6-3.16 Discuss the impact of polypharmacy and medication non-compliance on patient assessment and management. (C-1)

6-3.17 Discuss drug distribution, metabolism, and excretion in the elderly patient. (C-1)

6-3.18 Discuss medication issues of the elderly including polypharmacy, dosing errors and increased drug sensitivity. (C-1)

6-3.19 Discuss the use and effects of commonly prescribed drugs for the elderly patient. (C-1)

6-3.20 Discuss the normal and abnormal changes with age of the pulmonary system. (C-1)

6-3.21 Describe the epidemiology of pulmonary diseases in the elderly, including incidence, morbidity/ mortality, risk factors, and prevention strategies for patients with pneumonia, chronic obstructive pulmonary diseases and pulmonary embolism. (C-1)

6-3.22 Compare and contrast the pathophysiology of pulmonary diseases in the elderly with that of a younger adult, including pneumonia, chronic obstructive pulmonary diseases, and pulmonary embolism. (C-3)

6-3.23 Discuss the assessment of the elderly patient with pulmonary complaints, including pneumonia, chronic obstructive pulmonary diseases, and pulmonary embolism. (C-1)

6-3.24 Identify the need for intervention and transport of the elderly patient with pulmonary complaints. (C-1)

6-3.25 Develop a treatment and management plan of the elderly patient with pulmonary complaints, including pneumonia, chronic obstructive pulmonary diseases, and pulmonary embolism. (C-3)

6-3.26 Discuss the normal and abnormal cardiovascular system changes with age. (C-1)

6-3.27 Describe the epidemiology for cardiovascular diseases in the elderly, including incidence, morbidity/ mortality, risk factors, and prevention strategies for patients with myocardial infarction, heart failure, dysrhythmias, aneurism, and hypertension. (C-1)

6-3.28 Compare and contrast the pathophysiology of cardiovascular diseases in the elderly with that of a younger adult, including myocardial infarction, heart failure, dysrhythmias, aneurism, and hypertension. (C-3)

6-3.29 Discuss the assessment of the elderly patient with complaints related to the cardiovascular system, including myocardial infarction, heart failure, dysrhythmias, aneurism, and hypertension. (C-1)

6-3.30 Identify the need for intervention and transportation of the elderly patient with cardiovascular complaints. (C-1)

6-3.31 Develop a treatment and management plan of the elderly patient with cardiovascular complaints, including myocardial infarction, heart failure, dysrhythmias, aneurism and hypertension. (C-3)

6-3.32 Discuss the normal and abnormal changes with age of the nervous system. (C-1)

6-3.33 Describe the epidemiology for nervous system diseases in the elderly, including incidence, morbidity/ mortality, risk factors, and prevention strategies for patients with cerebral vascular disease, delirium, dementia, Alzheimer’s disease and Parkinson’s disease. (C-1)

6-3.34 Compare and contrast the pathophysiology of nervous system diseases in the elderly with that of a younger adult, including cerebral vascular disease, delirium, dementia, Alzheimer’s disease and Parkinson’s disease. (C-3)

6-3.35 Discuss the assessment of the elderly patient with complaints related to the nervous system, including cerebral vascular disease, delirium, dementia, Alzheimer’s disease and Parkinson’s disease. (C-1)

6-3.36 Identify the need for intervention and transportation of the patient with complaints related to the nervous system. (C-1)

6-3.37 Develop a treatment and management plan of the elderly patient with complaints related to the nervous system, including cerebral vascular disease, delirium, dementia, Alzheimer’s disease and Parkinson’s disease. (C-3)

6-3.38 Discuss the normal and abnormal changes of the endocrine system with age. (C-1)

6-3.39 Describe the epidemiology for endocrine diseases in the elderly, including incidence, morbidity/ mortality, risk factors, and prevention strategies for patients with diabetes and thyroid diseases. (C-1)

6-3.40 Compare and contrast the pathophysiology of diabetes and thyroid diseases in the elderly with that of a younger adult. (C-3)

6-3.41 Discuss the assessment of the elderly patient with complaints related to the endocrine system, including diabetes and thyroid diseases. (C-1)

6-3.42 Identify the need for intervention and transportation of the patient with endocrine problems. (C-1)

6-3.43 Develop a treatment and management plan of the elderly patient with endocrine problems, including diabetes and thyroid diseases. (C-3)

6-3.44 Discuss the normal and abnormal changes of the gastrointestinal system with age. (C-1)

6-3.45 Discuss the assessment of the elderly patient with complaints related to the gastrointestinal system. (C-1)

6-3.46 Identify the need for intervention and transportation of the patient with gastrointestinal complaints. (C-1)

6-3.47 Develop and execute a treatment and management plan of the elderly patient with gastrointestinal problems. (C-3)

6-3.48 Discuss the assessment and management of an elderly patient with GI hemorrhage and bowel obstruction. (C-1)

6-3.49 Compare and contrast the pathophysiology of GI hemorrhage and bowel obstruction in the elderly with that of a young adult. (C-3)

6-3.50 Discuss the normal and abnormal changes with age related to toxicology. (C-1)

6-3.51 Discuss the assessment of the elderly patient with complaints related to toxicology. (C-1)

6-3.52 Identify the need for intervention and transportation of the patient with toxicological problems. (C-1)

6-3.53 Develop and execute a treatment and management plan of the elderly patient with toxicological problems. (C-3)

6-3.54 Describe the epidemiology in the elderly, including the incidence, morbidity/ mortality, risk factors, and prevention strategies, for patients with drug toxicity. (C-1)

6-3.55 Compare and contrast the pathophysiology of drug toxicity in the elderly with that of a younger adult. (C-3)

6-3.56 Discuss the assessment findings common in elderly patients with drug toxicity. (C-1)

6-3.57 Discuss the management/ considerations when treating an elderly patient with drug toxicity. (C-1)

6-3.58 Describe the epidemiology for drug and alcohol abuse in the elderly, including incidence, morbidity/ mortality, risk factors, and prevention strategies. (C-1)

6-3.59 Compare and contrast the pathophysiology of drug and alcohol abuse in the elderly with that of a younger adult. (C-3)

6-3.60 Discuss the assessment findings common in elderly patients with drug and alcohol abuse. (C-1)

6-3.61 Discuss the management/ considerations when treating an elderly patient with drug and alcohol abuse. (C-1)

6-3.62 Discuss the normal and abnormal changes of thermoregulation with age. (C-1)

6-3.63 Discuss the assessment of the elderly patient with complaints related to thermoregulation. (C-1)

6-3.64 Identify the need for intervention and transportation of the patient with environmental considerations. (C-1)

6-3.65 Develop and execute a treatment and management plan of the elderly patient with environmental considerations. (C-3)

6-3.66 Compare and contrast the pathophysiology of hypothermia and hyperthermia in the elderly with that of a younger adult. (C-3)

6-3.67 Discuss the assessment findings and management plan for elderly patients with hypothermia and hyperthermia. (C-1)

6-3.68 Discuss the normal and abnormal psychiatric changes of age. (C-1)

6-3.69 Describe the epidemiology of depression and suicide in the elderly, including incidence, morbidity/ mortality, risk factors, and prevention strategies. (C-1)

6-3.70 Compare and contrast the psychiatry of depression and suicide in the elderly with that of a younger adult. (C-3)

6-3.71 Discuss the assessment of the elderly patient with psychiatric complaints, including depression and suicide. (C-1)

6-3.72 Identify the need for intervention and transport of the elderly psychiatric patient. (C-1)

6-3.73 Develop a treatment and management plan of the elderly psychiatric patient, including depression and suicide. (C-3)

6-3.74 Discuss the normal and abnormal changes of the integumentary system with age. (C-1)

6-3.75 Describe the epidemiology for pressure ulcers in the elderly, including incidence, morbidity/ mortality, risk factors, and prevention strategies. (C-1)

6-3.76 Compare and contrast the pathophysiology of pressure ulcers in the elderly with that of a younger adult. (C-3)

6-3.77 Discuss the assessment of the elderly patient with complaints related to the integumentary system, including pressure ulcers. (C-1)

6-3.78 Identify the need for intervention and transportation of the patient with complaints related to the integumentary system. (C-1)

6-3.79 Develop a treatment and management plan of the elderly patient with complaints related to the integumentary system, including pressure ulcers. (C-3)

6-3.80 Discuss the normal and abnormal changes of the musculoskeletal system with age. (C-1)

6-3.81 Describe the epidemiology for osteoarthritis and osteoporosis, including incidence, morbidity/ mortality, risk factors, and prevention strategies. (C-1)

6-3.82 Compare and contrast the pathophysiology of osteoarthritis and osteoporosis with that of a younger adult. (C-3)

6-3.83 Discuss the assessment of the elderly patient with complaints related to the musculoskeletal system, including osteoarthritis and osteoporosis. (C-1)

6-3.84 Identify the need for intervention and transportation of the patient with musculoskeletal complaints. (C-1)

6-3.85 Develop a treatment and management plan of the elderly patient with musculoskeletal complaints, including osteoarthritis and osteoporosis. (C-3)

6-3.86 Describe the epidemiology for trauma in the elderly, including incidence, morbidity/ mortality, risk factors, and prevention strategies for patients with orthopedic injuries, burns and head injuries. (C-1)

6-3.87 Compare and contrast the pathophysiology of trauma in the elderly with that of a younger adult, including orthopedic injuries, burns and head injuries. (C-3)

6-3.88 Discuss the assessment findings common in elderly patients with traumatic injuries, including orthopedic injuries, burns and head injuries. (C-1)

6-3.89 Discuss the management/ considerations when treating an elderly patient with traumatic injuries, including orthopedic injuries, burns and head injuries. (C-1)

6-3.90 Identify the need for intervention and transport of the elderly patient with trauma. (C-1)

At the completion of this unit, the paramedic student will be able to:

6-3.91 Demonstrate and advocate appropriate interactions with the elderly that conveys respect for their position in life. (A-3)

6-3.92 Recognize the emotional need for independence in the elderly while simultaneously attending to their apparent acute dependence. (A-1)

6-3.93 Recognize and appreciate the many impediments to physical and emotional well being in the elderly. (A-2)

6-3.94 Recognize and appreciate the physical and emotional difficulties associated with being a caretaker of an impaired elderly person, particularly the patient with Alzheimer’s disease. (A-3)

At the completion of this unit, the paramedic student will be able to:

6-3.95 Demonstrate the ability to assess a geriatric patient. (P-2)

6-3.96 Demonstrate the ability to adjust their assessment to a geriatric patient. (P-3)

6.4 UNIT TERMINAL OBJECTIVE

6-4 At the completion of this unit, the paramedic student will be able to integrate the assessment findings to formulate a field impression and implement a treatment plan for the patient who has sustained abuse or assault.

At the completion of this unit, the paramedic student will be able to:

6-4.1 Discuss the incidence of abuse and assault. (C-1)

6-4.2 Describe the categories of abuse. (C-1)

6-4.3 Discuss examples of spouse abuse. (C-1)

6-4.4 Discuss examples of elder abuse. (C-1)

6-4.5 Discuss examples of child abuse. (C-1)

6-4.6 Discuss examples of sexual assault. (C-1)

6-4.7 Describe the characteristics associated with the profile of the typical abuser of a spouse. (C-1)

6-4.8 Describe the characteristics associated with the profile of the typical abuser of the elder. (C-1)

6-4.9 Describe the characteristics associated with the profile of the typical abuser of children. (C-1)

6-4.10 Describe the characteristics associated with the profile of the typical assailant of sexual assault. (C-1)

6-4.11 Identify the profile of the "at-risk'' spouse. (C-1)

6-4.12 Identify the profile of the "at-risk'' elder. (C-1)

6-4.13 Identify the profile of the "at-risk'' child. (C-1)

6-4.14 Discuss the assessment and management of the abused patient. (C-1)

6-4.15 Discuss the legal aspects associated with abuse situations. (C-1)

6-4.16 Identify community resources that are able to assist victims of abuse and assault. (C-1)

6-4.17 Discuss the documentation associated with abused and assaulted patient. (C-1)

At the completion of this unit, the paramedic student will be able to:

6-4.18 Demonstrate sensitivity to the abused patient. (A-1)

6-4.19 Value the behavior of the abused patient. (A-2)

6-4.20 Attend to the emotional state of the abused patient. (A-1)

6-4.21 Recognize the value of non-verbal communication with the abused patient. (A-1)

6-4.22 Attend to the needs for reassurance, empathy and compassion with the abused patient. (A-1)

6-4.23 Listen to the concerns expressed by the abused patient. (A-1)

6-4.24 Listen and value the concerns expressed by the sexually assaulted patient. (A-2)

At the completion of this unit, the paramedic student will be able to:

6-4.25 Demonstrate the ability to assess a spouse, elder or child abused patient. (P-1)

6-4.26 Demonstrate the ability to assess a sexually assaulted patient. (P-1)