A Simulation for Teaching the Basic and Clinical Science of Fluid Therapy

Autor/inn/en	Rawson, Richard E.; Dispensa, Marilyn E.; Goldstein, Richard E.; Nicholson, Kimberley W.; Vidal, Noni Korf
Titel	A Simulation for Teaching the Basic and Clinical Science of Fluid Therapy
Quelle	In: Advances in Physiology Education, 33 (2009) 3, S.202-208 (7 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1043-4046
DOI	10.1152/advan.90211.2008
Schlagwörter	Physiology; Mechanics (Physics); Therapy; Technology; Biochemistry; Animals; Computer Uses in Education; Computer Software; Veterinary Medicine; Feedback (Response); Patients; Critical Thinking; Constructivism (Learning); Computer Simulation; Scientific Concepts + Suchen Sie Ihr Suchwort? Physiologie; Mechanik; Therapie; Technologie; Biochemie; Animal; Tier; Tiere; Computernutzung; Tiermedizin; Patient; Kritisches Denken; Computergrafik; Computersimulation
Abstract	The course "Management of Fluid and Electrolyte Disorders" is an applied physiology course taught using lectures and paper-based cases. The course approaches fluid therapy from both basic science and clinical perspectives. While paper cases provide a basis for application of basic science concepts, they lack key components of genuine clinical cases that, by nature, are diverse, change over time, and respond in unique ways to therapeutic interventions. We developed a dynamic model using STELLA software that simulates normal and abnormal fluid and electrolyte balance in the dog. Students interact, not with the underlying model, but with a user interface that provides sufficient data (skin turgor, chemistry panel, etc.) for the clinical assessment of patients and an opportunity for treatment. Students administer fluids and supplements, and the model responds in "real time," requiring regular reassessment and, potentially, adaptation of the treatment strategy. The level of success is determined by clinical outcome, including improvement, deterioration, or death. We expected that the simulated cases could be used to teach both the clinical and basic science of fluid therapy. The simulation provides exposure to a realistic clinical environment, and students tend to focus on this aspect of the simulation while, for the most part, ignoring an exploration of the underlying physiological basis for patient responses. We discuss how the instructor's expertise can provide sufficient support, feedback, and scaffolding so that students can extract maximum understanding of the basic science in the context of assessing and treating at the clinical level. (Contains 3 tables and 3 figures.) (As Provided).
Anmerkungen	American Physiological Society. 9650 Rockville Pike, Bethesda, MD 20814-3991. Tel: 301-634-7164; Fax: 301-634-7241; e-mail: webmaster@the-aps.org; Web site: http://advan.physiology.org/
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10