1. THE UNIVERSITY OF ALABAMA AT BIRMINGHAM
SCHOOL OF HEALTH RELATED PROFESSIONS
DIVISION OF OCCUPATIONAL THERAPY
COURSE NUMBER AND TITLE: OT 609 Barriers to Occupational Performance
LEVEL: First Year
SEMESTER & YEAR OFFERED: Fall, 2001
CREDIT HOURS: 3
CLOCK HOURS: LECTURE: 30 LAB: 30 EXAM: 0
COURSE INSTRUCTOR(S): Retta P. Johnson, MA, OTR/L, CHT
Mary Warren, MS, OTR/L
INSTRUCTOR(S) OFFICE NUMBER(S): Retta (BB145C)
E-MAIL ADDRESS(ES): (email@example.com) (firstname.lastname@example.org)
PHONE NUMBER(S): Retta 4-3568 Mary 4-1800
COURSE DESCRIPTION AND PREREQUISITES:
Evaluation of specific body systems and exposure to disease processes, injuries, and
inherited or developmental abnormalities within these systems.
PURPOSE OR JUSTIFICATION:
Occupational Therapists work in a variety of settings with a diverse patient population.
This course is designed to evaluate specific body systems and to be exposed to disease
processes, injury, and inherited or developmental abnormalities within these systems.
This course is a functional survey of the disease process, physical and developmental
diagnoses and general OT intervention. It will provide a foundation upon which the
physical dysfunction and developmental dysfunction coursework will expand into
specific OT evaluation, critical treatment design, treatment techniques, and patient
education development. The participant should be able to explain the relationship of OT
intervention within these medical diagnoses.
The participant will use material presented in lectures by instructors and guest lectures in
order to meet the following objectives.
1. Recognize the importance of health promotion and disease prevention as it relates
to patient care in OT.
2. Establish a level of understanding in the biopsychosocial effects associated with
disease, illness, and injury, including the concept that certain variations in patient
populations and lifestyles affect the incidence of pathological conditions.
2. COURSE OBJECTIVES (Continued)
3. Explain the effects of stress, coping, depression, adaptation on health and the
4. Develop a knowledge of the effects of environmental and occupational exposure
on health and the disease process.
5. Recognize the importance of obtaining diagnostic information and precautions
related to medical conditions.
6. Explain the wound healing properties of all tissues, including the stages of wound
7. Display knowledge of the basic functions of the human body system.
8. Recognize specific medical conditions and their pathological processes; recognize
the effects of aging, environmental genetics, stress, and infectious disease on the
human organ system.
9. Distinguish the environmental factors and personal choices that affect health.
10. Review the soft tissues’ response to injury and immobilization.
11. Review the specific pathology, trauma, and disease processes of the human organ
systems, display knowledge in identification of the medical conditions of the
12. Explain the effect of a medical condition on occupational performance.
STUDENT RESPONSIBILITIES AND ATTENDANCE:
1. Satisfactory completion of written examinations.
2. Satisfactory completion of paper on a specific diagnosis covered in coursework.
3. Class participation and presentation of paper.
4. Attendance is required for this course. Each absence that is not validated by a
physician’s excuse or properly documented and approved by coursemaster will
result in a 5% deduction of final grade.
Lecture, guest lecturers, videotape, presentations
Goodman C., Boissonnault W. Pathology: Implications for the Physical Therapist. WB
Saunders Company; 1998
3. GRADING CRITERIA:
A = 90 – 100 points
B = 80 – 89 points
C = 70 – 79 points
F = 69 and below
METHOD OF STUDENT EVALUATION:
Final Exam 40%
1. Discuss course requirements, written assignments, testing, and grading
2. Discuss medical terminology and medical abbreviations and their uses.
3. Health promotion and disease prevention.
4. Biopsychosocial effects associated with pathology
5. Stress, depression, coping, adaptation and the effects on health and the
6. Discuss the importance of obtaining diagnostic information on medical
conditions in order to provide OT intervention.
7. Environmental and occupational exposure on health and the disease
II. Immune System
1. The immune response and factors affecting immunity.
2. Immunodeficiency diseases
3. Hypersensitivity disorders
4. Autoimmune diseases
5. Infection control in immunodeficiency disorders
III. Skin and Tissue Injury: Steps involved in wound healing
1. Introduction to skin anatomy
2. Discuss the wound healing principles of inflammation, repair/remodeling,
and scar maturation
3. Introduction to specific diagnoses related to skin: burns, wounds,
decubitus ulcers, infections, and neoplastic skin diseases
4. Specific terminology related to wound healing and disease processes of
5. Skin infections
6. Skin cancers
7. Thermal injuries
8. Skin and the aging process
4. TOPIC OUTLINE (Continued)
IV. Multiple System/Imbalances
1. Systemic effects of pathology
2. Adverse drug reactions
3. Fluid and electrolyte imbalances
4. Acid-base imbalances
5. Signs of systemic disorders
V. Infectious Diseases
1. Signs and symptoms of infectious diseases
2. The effects of aging on infectious diseases
3. Types of organisms and specific infectious diseases
4. Infections with prostheses and implants
5. Uncommon infectious diseases
1. Tumor definitions
2. Neoplasm classifications
3. Staging and grading of tumors
4. Cancer incidences
5. Factors related to tumor formation: environmental, occupational, and
genetic and other risk factors and personal behaviors
6. Oncogenesis and pathogenesis
7. Clinical symptoms of cancer: local and systemic
8. Manifestations of metastasis
9. Treatment of cancer
10. Side effects of cancer therapy
VII. Cardiovascular System
1. Anatomy structure and function of the heart and peripheral vascular
2. Circulation of the heart
3. Signs and symptoms of cardiovascular disease
4. Integration of cardiac and pulmonary function
5. Environmental factors related to cardiac disease
6. Infectious disease and nutritional factors related to cardiac dysfunctions
7. Risk factors related to cardiac disease
8. Specific cardiac disorders: CAD, CHF, MI, PVCs, Congenital diseases,
valve defects, aortic aneurysms, ventricular fibrillations, aortic stenosis,
RHD, bacterial endocarditis, right vs. left heart failure
9. Diseases of the peripheral system: PVD, arteriosclerosis, thrombosis and
embolism, HTN, aneurysm, hemorrhage, phlebitis, varicosities
VIII. The Hematological System
1. Composition of blood and specific cell function
2. Signs and symptoms of hemodynamic disorders
5. TOPIC OUTLINE (Continued)
3. Disorders of the erythrocytes
4. Disorders of the leukocytes
5. Neoplastic diseases of the blood and lymphatic system
6. Disorders of hemostasis
IX. Pulmonary System
1. Anatomy, structure, and function of the pulmonary system
2. Mechanics of respiration
3. Environmental, occupational, and personal risks that affect pulmonary
4. Infections and inflammatory diseases
5. Obstructive diseases
6. Pleural space disorders
7. Obstruction of the airway
8. Developmental pulmonary dysfunction
X. The Endocrine and Metabolic Systems
1. Review of anatomy, structure, and function
2. Specific hormone actions excreted by endocrine glands
3. Specific endocrine disorders and their treatment
4. The pancreas: an endocrine and exocrine gland
5. Diabetes and clinical manifestations
6. Comparison of hypoglycemia and hyperglycemia
7. Nutrition, vitamin and mineral requirements, daily nutritional requirement.
8. Describe disorders related to nutrition, including obesity and eating
XI. The Kidney, Urinary System and the Male/Female Genital/Reproductive Systems
1. Anatomy, structure, and functions of the kidney, including the functional
unit (nephron) and bladder.
2. Disease processes of the urinary tract, hypertension related to
3. Review specific disorders of the male and female reproductive system.
4. Discuss sexually transmitted diseases.
XII. The Musculoskeletal System
1. Review the structure and function of muscle, bone, and joint systems and
the role that soft tissues play in their function.
2. Demonstrate the human body’s biological response to trauma and
immobilization in the musculoskeletal system.
3. Explain metabolic disorders of the musculoskeletal system.
4. Describe specific metabolic bone disorders and their clinical
5. Differentiate the causes of specific metabolic bone conditions.
6. TOPIC OUTLINE (Continued)
6. Discuss infectious disease processes of the human musculoskeletal
7. Introduce specific neoplastic conditions found in the humans
8. Present specific joint disorders and differentiate between the
manifestations of these processes.
9. Describe soft tissue and connective tissue disease processes and their signs
10. Review the basic muscle units, from myoneural junction and motor
endplates to entire muscle bellies.
11. Discuss disorders and conditions in the muscle system of the human body,
including, muscle injury and tendon involvement.
12. Describe specific diseases related to muscle irritation and failure and
XIII. The Human Nervous System
1. Review the structure and function of the central nervous system,
autonomic nervous system, and peripheral nervous system. Discuss
pathology and disease processes of the specific nervous systems, including
demylenization, traumatic injuries, developmental errors, seizure
disorders, vascular diseases, Guillan-Barré, and peripheral nerve
2. Review the autonomic nervous system and pathological processes that
3. Review the spinal cord and peripheral nervous system, including specific
pathology and disease processes, including developmental errors,
compression syndromes, and traumatic injuries.
4. Review infectious conditions in the human nervous system.
5. Describe specific primary and metastatic neoplastic conditions in the
central and peripheral nervous system and the specific cell involvement.
6. Differentiate degenerative neurological syndromes and their
manifestations as well as location of lesion.
7. Review specific peripheral nerve disorders and nerve injuries.
8. Discuss the presentation of brachial plexus injuries.
XIV. Genetic and Developmental Disorders
1. The mechanism of transmission of heredity or familial diseases will be
2. Inheritance of diseases from a single autosomal dominant gene, autosomal
recessive gene, homozygous, chromosomal abnormalities, or sex-linked
diseases are discussed.
3. Review genetic testing for determination of pre-disposition or fetal testing.
4. Explain acquired birth-related disorders of the human body and their effect
on mental retardation and learning disabilities.
7. TOPIC OUTLINE (Continued)
5. Review other developmental conditions that are categorized into a
psychosocial diagnostic group and differentiate by manifestation of the
6. Discuss birth related nervous system disorders, including, cerebral palsy,
obstetrical nerve palsy, hydrocephaly, anoxia and its effect on mental
retardation and learning disabilities.
7. Discuss genetic and developmental disorders of the musculoskeletal
WEEK#/TOPIC ASSIGNED/READING LEARNING OBJECTIVES OR ACTIVITY:
Week Topic Assignment Objectives
1 1. Introduction to course, require- Readings: Topic Outline
ments, assignments. Ch. 1, pp. 7-8 I,II
Thurs 2. Health Promotion/Disease Pre- Ch. 2, pp. 9-26
Aug vention. Ch. 3, pp. 44-54
23 3. Biopsychosocial effects of Ch. 5, pp. 91-121
4. Diagnostic Testing
5. The Immune System and its
2 1. The hematological system Ch.11, pp. 354-395 Topic Outline
2. Composition of Blood VIII and IX
Tues 3. Specific disorders of the
Aug RBCs, WBCs, platelets
28 4. Neoplastic conditions of the
blood and lymphatic system
5. Anatomy, function, and Ch. 12, pp. 399-452
mechanics of respiration
6. Risks affecting pulmonary
Thurs 1. Cardiovascular system, begin- Ch. 10, pp. 263-347 Topic Outline VII
Aug ning Lecture—Anatomy,
30 function, circulation Cardiac
and pulmonary integration
2. Specific disorders of the car-
8. 3 1. Continuation—pulmonary Readings: Topic Outline
disorders Ch. 4, pp. 74-86 IV,V,VI
Tues 2. Multiple System Imbalances Ch. 6, pp. 124-149
Sept 4 3. Infectious diseases
Thurs 1. Continuation, Cardiovascular
Sept 6 System
4 1. Oncology Readings: Topic Outline VII
Ch. 7, pp. 152-170
Thurs 1. The endocrine system—func- Ch. 9, pp. 216-260 Topic Outline X
Sept tion and disorders
5 1. Skin anatomy and function Readings: Topic Outline
2. Skin and tissue injury: Steps Ch. 8, pp.173-176, III
Tues involved 185-193, 202-211
Sept 3. Skin infections
18 4. Skin cancer
Thurs 1. Continuation, endocrine Topic Outline X
Sept system disorders
6 1. The aging process Topic Outline
2. Burn Management III
Tues 3. Decubitus Ulcers
Thurs 1. Nervous system structure and Ch. 24-26, pp. Topic Outline XIII
Sept Pathology: structure and 681-721
27 function of the CNS, ANS, and
2. Pathology of specific nervous
3. Infections of the CNS
4. CNS Neoplasms
9. 7 1. Spinal cord injury Readings: Topic Outline
2. PNS Disorders Ch. 30, pp. 775-784 XIII
Tues Ch. 34, pp. 811-836
Thurs 1. Continuation, Nervous System
Oct 4 Structure and Pathology
Thurs 1. Degenerative neurological Ch. 27-29,
Oct Disease pp. 723-773
11 1. Stroke
9 1. The Musculoskeletal System Ch. 18, pp. 571-575 Topic Outline
2. Structure and function of Ch. 20, pp. 617-622 XI
Tues muscles, bones, and joint Ch. 21, pp. 626-634
Oct systems Ch. 22, pp. 639-655
16 3. Response of the
musculoskeletal system to
trauma and immobilization
4. Metabolic disorders: causes
and clinical manifestations
5. Neoplastic conditions of the
Thurs 1. Continuation, Degenerative
Oct Neurological conditions, CVA,
10 1. Continuation, the Topic Outline
musculoskeletal system XII
Thurs 1. Continuation, CNS disorders— Ch. 33, pp. 799-810
Oct CVA, TBI, vestibular disorders
10. 11 1. Joint disorders: OA and RA Topic #1 & 2 Topic Outline
2. Soft tissue and connective Ch. 23, pp. 660-676 XII
Tues tissue disease processes
Oct 3. Muscle unit function
30 4. Disorders and condition of the
Thurs 1. Genetic and Developmental Ch. 19, pp. 577-614
Nov 1 Disorders:
2. Mechanism of transmission of
heredity or familial diseases
3. Inheritance of diseases from
dominant, recessive, x-linked,
4. Acquired birth-related
Disorders and their effect on
12 1. Muscle Joint Function Ch. 34, pp. 833-834 Topic Outline
2. Disorders and conditions of the XII
Tues muscle system
Thurs 1. Genetic and developmental Topic Outline
Nov 8 disorders of the XIII
13 1. The Kidney, urinary system Ch. 15-17 Topic Outline
and genital/reproductive pp. 532-568 XI
Nov 2. Anatomy, structure, and func-
13 tions of the kidney and urinary
3. Disease process of the kidney
and urinary system
4. Specific disorders of the male
and female reproductive
5. Discuss STDs
1. Continuation, genetic and
Thurs developmental disorders
11. 14 1. Continuation, the kidney and Topic Outline
urinary system XI
Tues 2. Specific disorders of the male
Nov and female reproductive
Thurs THANKSGIVING BREAK
15 1. The hepatic system and its Ch. 2, pp. 14-22 Topic Outline X
disorders Ch. 14, pp. 496-525
Tues 2. Disorders related to diet,
Nov nutrition, and lifestyle
Thurs 1. Learning disabilities and Topic Outline XIV
Nov mental retardation
29 2. Psychosocial diagnostic
3. Birth-related nervous system
16 FINAL EXAMINATION