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Children's Health - #25490


 

 
Anne Packard-Spicer, DC
2.0
30.0
2.0
0.0
Growth and development of the child. Course includes diseases of childhood, evaluation of the child, nutrition and is geared toward prevention of health complications. Special emphasis will be given to the chiropractic approach to management of the child.
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The Institution-wide learning goals define the common ground that unites the programs within the university. They are purposefully broad so that the various colleges and schools can continue to develop their unique identities through varying ways in which the goals are met.

  1. Effective Communication
    Graduates will demonstrate effective verbal, non-verbal, and written communication skills in a wide variety of contexts, including collaborative activities.
  2. Self Directed and Lifelong Learning
    Graduates will be aware of the limits of one’s personal knowledge and experience and have an intellectual interest in scholarly and creative endeavors. Graduates will actively set appropriate learning goals, pursue them, and apply the knowledge gained.
  3. Ethical Reasoning
    Graduates will demonstrate a willingness to recognize the values of others while maintaining one’s own integrity, and act ethically and professionally in all endeavors.
  4. Individuals, Communities and Cultures
    Graduates will demonstrate awareness and sensitivity to the cultural and health practices of individuals and communities. Graduates will be able to identify appropriate health related resources.
  5. Service to the Community
    Graduates will understand and value the benefits of service to the community.
  6. Influence of Mind, Body and Spirit on Health
    Graduates will recognize the inter-relationship of the mind, body and spirit and the influence of extrinsic factors on an individual’s health.
  7. Critical Thought and Knowledge Acquisition
    Graduates will acquire, appraise and apply scientific information. Graduates will contextually organize and synthesize relevant information to address an issue or problem.
  8. Competence in one's Discipline
    Graduates will demonstrate competence of appropriate depth and scope for one's discipline.

Course Objectives
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  1. Examine the infant/child
  2. Describe normal and abnormal growth and development
  3. Describe appropriate nutrition
  4. Describe common childhood conditions, including key factors, diagnosis and treatment
  5. Describe the unique aspects of managing the pediatric patient, including communication, diagnosis and treatment

Materials
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A. Required Text(s):
  1. Chiropractic Pediatrics, Neil Davies
  2. Clinical Management of Infants and Children, Karen Bilgrai Cohen, D.C.
  3. Pediatric Chiropractic, Anrig, Plaugher
  4. Chiropractic Care for Pediatric Patient, Peter Fysh
  5. Current Pediatric Diagnosis and Treatment, Hay, Groothuis, Hayward, Levin
  6. Adjusting the Child, Stierwalt

B. Recommended Text(s):
  1. Common Symptoms of Disease in Children, Illingworth Enter name and author of recommended text here
  2. Atlas of Pediatric Clinical Diagnosis, Shah, Laude
  3. Clinical Pediatric Orthopedics, Tachdjian

C. Required Materials for Lab:
  • N/A
    • Assignments
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    Attendance
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    Case Quizzes will be given randomly during the class period and will be assigned 1-2 bonus points.
    Three or more missed quizzes will result in a drop of one grade level.
    While roll call will not be taken, examinations will be weighted toward lecture materials.
    Grading Criteria
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    1. Midterm: 50 points; multiple choice
    2. Final: 50 points; multiple choice.
    3. Examinations will be based on all lectures, reading assignments, handouts, videos, and guest speakers.

    Guaranteed grades are as follows:

    A = 92 - 100%
    B = 84 - 91%
    C = 76 - 83%
    D = 70 - 75%
    F = less than 70%
    Course Competencies
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    -

    COGNITIVE DOMAIN


    1. Students will be able to construct and follow a rational diagnostic process in evaluating pediatrics patients who present with the following symptoms:

      1. weight abnormalities 19. limitation of joint movement
      2. fever 20. bow legs
      3. lassitude 21. knock knees
      4. decreased appetite 22. toe-in
      5. vomiting 23. flat foot
      6. constipation 24. claw foot
      7. diarrhea 25. limp
      8. abdominal pain 26. back pain
      9. jaundice 27. leg pain
      10. respiratory distress 28. headache
      11. cough 29. body/head assymetry
      12. wheeze 30. abnormal head size
      13. crying 31. ear pain
      14. sore throat 32. discharge from the nose, ears, mouth, eyes
      15. eye pain 33. skin rash/lesion
      16. eye redness 34. allergies
      17. torticollis  
      18. scoliosis  

    2. Students will be familiar with the following common pediatric symptoms:

      1. convulsions 6. over-activity
      2. visual abnormalities 7. sleep disturbances
      3. stool color 8. sexual precosity
      4. tonsillar enlargement  
      5. teething  

    3. Students will be able to explain the clinical utility and indications for the following studies:

      1. allergy tests: scratch, RAST, challenge 5. milestone charts
      2. x-ray 6. tympanometer
      3. lab: CBC w/ diff, UA 7. cultures: body fluids or surfaces
      4. Denver Developmental Screening Test II 8. orthopedic bracing

    4. Students will be able to make case management decisions regarding common pediatric conditions based on their understanding of the following information regading each condition:
      1. definition
      2. etiology
      3. manifestations
      4. clinical course
      5. management
      1. chiropractic
      2. nutrutional/supplemental
      3. lifestyle management
      4. medical
      5. other
      6. management guidelines where available

    5. The above outlined common pediatric conditions include:
      1. failure to thrive
      2. obesity
      3. infection:
        a. URI j. rubeola
        b. LRI k. mumps
          l. tetanus
        d. croup m. polio
        e. RSV n. pertussis
        f. meningitis o. diphtheria
        g. botulism p. roseola
        h. chicken pox q. Fifths diseases
        i. rubella  

      4. anorexia
      5. jaundice
      6. ADD/ADHD
      7. otitis media
      8. asthma
      9. atopic disease
      10. gastroesophogeal reflux
      11. regurgitation
      12. pyloric stenosis
      13. esophageal achalasia
      14. intussusception
      15. reye syndrome
      16. celiacs ds
      17. colic
      18. allergy
      19. pes planus
      20. pes cavus
      21. genu valgum
      22. genu varum
      23. tibia vara
      24. Osgood Shlatters
      25. patellar dislocation
      26. bakers cyst
      27. congenital hip dysplasia/developmental dislocation
      28. slipped capital femoral epiphysis
      29. legg-calve-perthes
      30. nursemaids elbow
      31. erbs palsy
      32. klumpkes paralysis
      33. down syndrome
      34. phenylketonuria
      35. galactosemia
      36. scoliosis


    Conditions:
    Clinical condition

    Etiol-ogy

    Patho-phys

    		 Hx and course Exam and Dx Tx and Mgmnt
    cephalohematoma 2 2 3 1,2,3,4,6 1,6
    growth(normal & abnormal) 3 2 2 1,2,3,5,6 1,3,5
    adolescence     3 2,3 1,3,4,5,
    ADD/HD 3 3 3 1,2,3,4,7 1,3,4,5,6,7
    autism 3 3 3 1,2,3,4 1,2,3,4,5,6,7
    fever 1 2 3 1,2,3,4 1,5,6,7,8
    dehydration 2 1 2 1,2,3,5 1,3,4,5
    flat foot 2 1 2 1,2,3,4,6 1,2,4,5
    claw foot 2 1 2 1,2,3,6 1,6
    foot pain 2 2 2 1,2,3,4 1,2,3,4,5
    club foot 2 1 1 1,3,4,6 1,2,3,6
    toe walking   1 1 1,2,3,4 1,3,5,6
    toe-in 1 1 1 1,2,3,4 1,2,5
    genu varum 2   2 1,2,3,4 1,
    genu valgum 2   2 1,2,3,4 1
    tibia vara 1 1 1 1,2,3,4,6 6
    osgood schlatters 2 2 2 1,2,3,4,6 1,2,3,5,6
    bakers cyst   1 1 1,3,5 7
    developmental dysplasia of hip 3 2 2 1,2,3,4,6 1,2,3,6
    SCFE 2 2 2 1,2,3,4,6 1,2,5,6
    legg-calve-perthes 1 1 3 1,2,3,4,6 1,2,3,5,6
    limp   2 1 1,2,3,4,6 1,2,3,4,5,6
    nursemaids elbow 1 2 2 1,2,3,4,6 1,3,5,6
    plagiocephaly 1 1 2 1,2,3,4,6 1,6
    seizures 1   1 1,2,3,4 1,3,6
    Erbs/Klumpkes

    1

    		 2 2 1,2,3,4 1,2,3,4,5,6
    otitis media 3 3 3 1,2,3,4,5 1,3,5,6,7,8
    adenoidal tonsillar hypertrophy   1 2 1,2,3 1,3,6
    allergies 1 1 1 1,2,3,4,5,7 1,3,5,6
    botulism 1 1 2 1,2,3 1,3,6
    roseola 1 1 2 1,2,3 1,3,6
    fifths ds 1 1 2 1,2,3 1,3,6
    hand,foot,mouth 1 1 2 1,2,3 1,3,6
    chicken pox 1 1 2 1,2,3 1,3,6
    rubeola 1 1 2 1,2,3 1,3,6
    rubella 1 1 2 1,2,3 1,3,6
    diphtheria 1 1 2 1,2,3 1,3,6
    meningitis 1 1 2 1,2,3,7 1,3,6
    pertussis 1 1 2 1,2,3 1,3,6
    polio 1 1 2 1,2,3 1,3,6
    tetanus 1 1 2 1,2,3 1,3,6
    breastfeeding   1 3 1,2,3,4 1,3
    obesity 3 2 2 1,2,3,4,7 1,3,4,5,7
    bulimia   1 1 1,3 7
    anorexia   1 1 1,2,3

    7
    growing pains 1 2 2 1,2,3,4 1,3
    diarrhea 2 2 2 1,2,3,4,5 1,3,6
    constipation 2 2 2 1,2,3,4,6 1,3,4,5,6,7
    rotavirus 1 1 2 1,3,5 1,3,6
    adenovirus 1 1 2 1,3,5 1,3,6
    salmonella 1 1 2 1,3,5 1,3,6
    shigella 1 1 2 1,3,5 1,3,6
    e coli 1 1 2 1,3,5 1,3,6
    giardia 1 1 2 1,3,5 1,3,5,6
    GERD 2 2 2 1,2,3,4, 1,3,5,6
    esophageal achalasia 1 2 2 1,2,3,4,6 1,6
    pyloric stenosis 2 2 2 1,2,3,4, 6
    intussusception 2 2 2 1,2,3,4,6 6
    jaundice 1 1 1 1,2,5 5,6
    reye's syndrome     1 1,2 6
    celiac ds     1 1,2,3,4 3
    colic 3 3 3 1,2,3,4 1,2,5,6,7
    scoliosis 2 3 3 1,2,3,4,5,6 1,2,3,4,5,6
    down syndrome 2 2 2 1,3,4,5,6 1,3,4,5
    PKU 1 2 2 1,2,3,5 1,3
    galactosemia 1 1 1 1 3
    hypothyroid   1 1 1,3 6
    reactive airway ds 1 1 2 1,2,3,4,7 1,3,4,5,6
    atopic ds 2 1 2 1 1,3,5
    croup 1 1 2 1,2,3,4 1,2,3,6
    bronchiolitis/RSV 1 1 2 1,2,3,4 1,3,5,6,7
    bronchitis 1 1 2 1,2,3,4 2,4,6
    As above

    PSYCHOMOTOR DOMAIN


    N/A

    AFFECTIVE DOMAIN


    Students will demonstrate integrity, sensitivity, respect, courtesy, compassion and professionalism at all times, and will be able to apply the history, physical exam and management techniques learned in this course to any pediatric patient while demonstrating those same qualities.
    Weekly Calendar of Learning Objectives
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    Week Dates Topics/Learning objectives
    Week 1 5/3/07

    Intro

    Defining care of the child

    History taking

    Week 2 5/10/07

    Care of the newborn

    Growth and Development
    Behavior/
    Week 3 5/17/07

    The Adolescent
    Week 4 5/24/07

    The ill child
    Orthopedics

    Week 5 5/31/07

    Neuro
    Week 6 6/7/07

    Otitis Media

    Immunology/Allergy Infectious Diseases
    Week 7 6/14/07 MIDTERM - 50 pts
    Week 8 6/21/07 Vaccinations/Nutrition
    Week 9 6/28/07

    Pediatric Radiology - Steve Fridinger, DACBR

    Week 10 7/5/07

    Gastrointestinal/Scoliosis

    Week 11 7/12/07

    NO CLASS - APPRECIATION DAY

    Week 12 7/19/07 Child Protection/Mandated reporting
    Week 13 7/26/07

    Respiratory
    Week 14

    --

    		 Final Exams As Scheduled
    Week 15 -- Final Exams As Scheduled
    Please Note
    This schedule of lecture and lab topics and quizzes and exams may be changed during the course of the trimester as circumstances require. Whenever possible, such changes will be announced in class before the date and time in question. You are responsible for anything that transpires during lectures and labs, even when you are unable to attend. In the event that you miss a class session, make sure you check with a classmate about any announcements or schedule changes which may have been made. Makeup exams are allowed only according to the policies described in the current student handbook, which is available in the Student Affairs office.
    Maintained by Northwestern College of Chiropractic
    Last updated: 10 May, 2007
     

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