My teaching is based on 1) my extensive academic and clinical background in adult critical care (Intensive Care, Coronary Care, Neurological/Neurosurgical Intensive Care) and 2) my physiological/autonomic research in high risk populations.
NURS-403: Concepts of Acute and Critical Illness. Using general systems theory, this theory course examines the concepts, causes and effects of critical, potentially life-threatening, physiological illness in adults. Life-threatening illness may include (1) sudden catastrophic events (trauma, myocardial infarction, stroke), (2) acute exacerbation of a chronic illness (lung or heart disease, cancer), (3) sudden irreversible deterioration in illness pattern or trajectory. Fall term.
NURS-832: Health and Chronic Illess: Lifestyle Modification for Cardiovascular Health. This is a seminar course that focuses on lifestyle modification to promote health, prevent illness, and improve recovery from illness. The main emphasis is on exercise as an intervention. Seminar course. Winter term.
NURS-899: Thesis supervision.
ResearchMy field of research is exercise physiology in health and chronic illness. The main research focus is on lifestyle modification (exercise) for reduction in cardiovascular risk factors, in both descriptive (acute exercise, cigarette smoking and cessation, high-risk pregnancy, hypertension, gender, aging) and experimental studies (exercise conditioning). Specifically, my research focuses primarily on investigating selected cardiovascular and autonomic responses to 1) acute stress (e.g. posture [supine, standing] and acute exercise and 2) adaptation to chronic exercise. Populations of interest include: men and women following cardiac surgery, myocardial infarction, or stroke; hypertensive adults; pregnant women with cardiovascular risk factors; healthy middle-aged men and women. Primary outcome measures are physiological: metabolic, cardiovascular (heart rate, rhythm, heart rate variability, blood pressure, and baroreflex sensitivity), and autonomic regulation of heart rate. Secondary outcome measures are psychological: self-efficacy and depressive symptoms. Collaborators at Queen's are: Dr. B. Kisilevsky (Nursing), Dr. Joel Parlow (Anaesthesia), Dr. G. Ropchan (Cardiothoracic Surgery), Dr. R. Birtwhistle (Centre for Studies in Primary Care) and Dr. S. Hains (Psychology). Key Words: Exercise physiology; men and women; health and chronic illness; acute cardiac illness; hypertension.