Soap Note 2 Chronic Conditions essay
SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 1 of 15 Rev. 04/2021/ PB Modifications to the Course Syllabus The course syllabus could also be modified at any time. College students will likely be knowledgeable of modifications made to the syllabus. If a battle exists between the course syllabus and the College Catalog, the College Catalog governs. Pupil Assessments College students will likely be given assessments on occasion on the teacher's discretion. As a part of the course necessities, college students should take each introduced and unannounced assessments that will depend towards their grade. Course Description This course presents a wide range of content material to arrange the Household Nurse practitioner to ship major and/or acute care to adults, together with the geriatric inhabitants, experiencing and managing well being issues in a number of physique methods. Nurse practitioner college students will focus on well being care for various sort of inhabitants with explicit emphasis on tradition and the underserved populations. This course may also place emphasis on well being promotion and illness prevention, screening of grownup and older populations, and offering culturally competent care. Skilled, moral, and authorized points are addressed together with getting ready the household nurse practitioner on easy methods to appropriately diagnose and handle frequent well being points within the pediatric, grownup and geriatric inhabitants Pupil Studying Outcomes After finishing this course, the scholar ought to have the ability to: 1. Formulate differential diagnoses to advertise well being, stop illness, and handle acute and power sickness within the pediatric, grownup and geriatric inhabitants 2. Employs screening and diagnostic methods within the improvement of diagnoses Course Quantity: MSN5600L Course Title: Prognosis, Symptom and sickness Administration Credit score Hours: 1 semester credit score, 30 Lab Hours Stipulations Required: MSN5150, MSN5200, MSN5250, MSN5300, MSN5350, MSN5400, MSN5550 Location: Miami Regional College/Distant On-line Studying/ By way of Slype Course Days and Instances: Moodle Room Teacher: Grivel J. Hera Gomez, MSN, APRN FNP-C Contact Info: ghera@college.mru.edu Workplace Hours: By Appointment solely - Monday By means of Friday from 9:00 am to six:00 pm through Skype /Microsoft Workforce/ telephone. Please request appointments at the least 24-48 hours upfront SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 2 of 15 Rev. 04/2021/ PB three. Critically analyze information and proof for bettering well being outcomes four. Formulate differential diagnoses to advertise well being, stop illness and handle acute and power sickness within the pediatric, grownup, and geriatric inhabitants, 5. Make use of screening and diagnostic methods within the improvement of diagnoses. 6. Critically analyze information and proof for bettering well being outcomes. Topical Course Define • Mechanism of Prognosis and Remedy • Developmental and congenital childhood illnesses and problems • Ailments and Problems of the Neurological System • Ailments and Problems of the Cardiovascular System • Ailments and Problems of the Respiratory System • Ailments and Problems of the GI System • Ailments and Problems of the Endocrine System • Ailments and Problems of the Renal/GU System • Ailments and Problems of the Reproductive System • Ailments and Problems of the Integumentary System • Ailments and Problems of the Musculoskeletal System Strategies of Supply Lecture, Dialogue, Audio-Visuals, Out-of-Class Assignments, Case Research, On-line Assignments, Demonstration and Apply, Group, and Particular person Tasks/Displays. Strategies of Analysis Technique % Introduction & Syllabus Acknowledgment 5 Case Research 20 Cleaning soap Notes 20 Typhon Assignments 15 Medical Necessities (Complio American Knowledge Financial institution) 20 PowerPoint Presentation 20 Whole 100% SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page three of 15 Rev. 04/2021/ PB Late Task Coverage Assignments turned in late could have 1 (one) level deduction per day submitted late. After 7 (seven) days, any project will get a grade of zero (zero). No exceptions Remaining Presentation is not going to be accepted late. Grading Scale Letter Grade Scale Numeric Grade A four.zero 90 - 100 B three.zero 80 - 89 F zero < 80 Required Educational Sources and Supplies Terry Mahan Buttaro: Major Care: A Collaborative Apply fifth Version.(2016) Writer: Mosby Ball, J., Dains, J., Flynn, J., Solomon, B., & Stewart, R. (2017). Seidel's Information to Bodily Examination (9thed.). St. Louis, MO: Elsevier Well being Sciences. Domino, F., Baldor, R., Golding, J., Stephens, M. (2020). The 5-Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute Seek the advice of Collection) Pagana, Ok., &Pagana, T. (2018). Mosby's Diagnostic and Laboratory Take a look at Reference (14th ed.). St. Louis, MO: Elsevier Well being Sciences. Out of Class Actions and Assignments: College students should full all of the medical necessities wanted to start out their medical rotations subsequent semester. College students with "flagged" background and/or drug display checks should be cleared by MRU Medical Requirement Division and/or MRU Compliance division to proceed their course of research. Necessities for Profitable Course Completion College students should attain a letter grade of B or larger for the course to depend towards SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page four of 15 Rev. 04/2021/ PB completion of the MSN. Educational Misconduct Assertion Miami Regional College is a neighborhood devoted to producing and imparting information via wonderful instructing and analysis, the rigorous and respectful alternate of concepts and neighborhood service. All college students ought to respect the correct of others to have an equitable alternative to study and actually to display the standard of their studying. Subsequently, all college students are anticipated to stick to the usual of educational conduct, which demonstrates respect for themselves, their fellow college students, and the tutorial mission of the College. All college students are deemed by the College to grasp that if they're discovered answerable for tutorial misconduct, they are going to be topic to the Educational Misconduct procedures and sanctions, as outlined within the Pupil Handbook. Educational Misconduct contains: Dishonest – The unauthorized use of books, notes, aids, digital sources; or help from one other individual with respect to examinations, course assignments, service stories, class recitations; or the unauthorized possession of examination papers or course supplies, whether or not initially licensed or not. Plagiarism – The use and appropriation of one other's work with none indication of the supply and the illustration of such work as the scholar's personal. Any scholar who fails to offer credit score for concepts, expressions or supplies taken from one other supply, together with web sources, is answerable for plagiarism. Consequently, any scholar/s concerned in such tutorial misconduct (akin to dishonest and PLAGIARISM) will obtain zero (zero) grade in such project/s and could also be despatched to the corresponding Educational Misconduct Committee. Syllabus Acknowledgment MUST be made by Moodle Room and required inside the first week of sophistication. No course work will likely be accepted or graded till the syllabus is acknowledged. Class Schedule Week Matter and Lecture Aims OCW and Assignments Whole OCW = 96 Hours 1 • Course Orientation • Syllabus Evaluate • Mechanism of illness analysis and remedy Learn (End result 2, three) Pagana, Ok., &Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Chapter 1 pages 1-10 SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 5 of 15 Rev. 04/2021/ PB 1. Introduction on Moodle Room 2. Acknowledge the syllabus in Moodle Room on the primary week of sophistication. Due by 05/08/2021 @11:59 pm OCW: 1 hour 2 • Immunologic Ailments and Problems • Guillain-Barré Syndrome • HIV/AIDS • Hodgkin Lymphoma • Leukemia • Lupus • A number of Myeloma • A number of Sclerosis • Scleroderma • Sjögren Syndrome 1. Learn: (End result 1,three): 2 hours Domino, F., Baldor, R., Golding, J., Stephens, M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute Seek the advice of Collection). 2. Learn(End result 2, three): 5.6 hours Pagana, Ok., &Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix B: Immunologic Research OCW 7.6 Hours three Ailments and Problems of the Integumentary System • Pimples • Burns • Dermatitis • Impetigo • Lyme Illness • Melanoma • Methicillin-Resistant Staphylococcus Aureus (MRSA) • Pediculosis (Lice) • Psoriasis • Tinea (Capitis, Corporis, Cruris, Pedis) • Scabies Learn (End result 1,2): three hours 1. TerryMahanButtaro: Major Care:ACollaborative Apply (PART 5 SKIN DISORDERS 2. Learn (End result 1,2): 3hours Domino, F., Baldor, R., Golding, J., Stephens, M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute Seek the advice of Collection). three. Learn (End result 2, three): four.6Hours Pagana, Ok., &Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 6 of 15 Rev. 04/2021/ PB • Stevens-Johnson S. Sciences. • Appendix B: Miscellaneous Research • Appendix B: Melanoma Genetic Testing four. Case Research 1 & 2 due by 05/22/2021 @ 11:59 pm OCW: 10.6 hours four Illness problems of the Circulatory System: • Acute Coronary Syndrome • Anemia • Aneurysm of the Stomach Aorta (Triple A) • Atrial Fibrillation & Flutter • Carotid Stenosis • Deep Vein Thrombosis • Endocarditis • Coronary heart Failure • Hemophilia • Heparin-Induced Thrombocytopenia • Hypercholesterolemia • Hypertension • Mitral Valve Prolapse, Regurgitation, Stenosis • Peripheral Arterial Illness • Raynaud Phenomenon • Rhabdomyolysis • Rocky Mountain Noticed Fever 1. Learn (End result 1,2, three) 5hours Terry Mahan Buttaro: Major Care: A Collaborative Apply PART 11 CARDIOVASCULAR DISORDERS 2. Learn (End result 1,2): four hours Domino, F., Baldor, R., Golding, J., Stephens, M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute Seek the advice of Collection). three. Learn (End result 2, three): 5 hours Pagana, Ok.,&Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix B: Cardiovascular Research OCW: 14 hours 5 Ailments and Problems of the Respiratory System • Bronchial asthma 1. Learn (End result 1,2, three) 5hours TerryMahanButtaro:Major Care:ACollaborative Apply SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 7 of 15 Rev. 04/2021/ PB • Atelectasis • Basal/Squamous Cell Carcinoma • Bronchitis • Continual Obstructive Pulmonary Illness and Emphysema • Cystic Fibrosis • Influenza • Legionnaires' Illness • Sleep Apnea, Obstructive • Pleural Effusion • Pneumonia • Pulmonary Emboli • Sarcoidosis • Tuberculosis (TB) • PART 10 RESP DISORDERS 2. Learn (End result 1, 2): three hours Domino,F.,Baldor,R.,Golding, J.,Stephens,M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute ConsultSeries). three. Learn(End result 2, three): three.9hours Pagana, Ok.,&Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix: Pulmonary Research four. Cleaning soap Notice #1 (Any Grownup Acute Situation from weeks 1 via 5) due by 06/05/2021 @11:59 pm OCW: 11.9 hours 6 Ailments and Problems of the Gastrointestinal System • Ascites • Appendicitis • Celiac Illness • Cholelithiasis • Cirrhosis • Clostridium Difficile (C. Diff) • Colitis • Crohn's Illness • Constipation • Diarrhea • Diverticulitis • Esophageal Varices 1. Learn (End result 1,2, three)4hours Terry Mahan Buttaro: Major Care: A Collaborative Apply PART 12 GI DISORDERS 2. Learn(Outcome1,2): three hours Domino, F., Baldor, R., Golding, J., Stephens, M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute Seek the advice of Collection). three. Learn(End result 2, three): 2.eight hours Pagana, Ok.,&Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page eight of 15 Rev. 04/2021/ PB ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix B: Gastrointestinal Research OCW: 9.eight hours 7 • Ailments and Problems of the Gastrointestinal System • Gastritis • Gastroesophageal Reflux Illness • Hemorrhoids • Hepatic Encephalopathy • Hepatitis • Irritable Bowel Syndrome (IBS) • Pancreatic Most cancers • Pancreatitis • Peptic Ulcer Illness (ZollingerEllison Syndrome) • Salmonella An infection • 1. Learn (End result 1,2, three):four hours TerryMahanButtaro:Major Care:ACollaborative Apply PART 12 GI DISORDERS 2. Learn(End result 1,2): three hours Domino, F., Baldor, R., Golding, J., Stephens, M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute Seek the advice of Collection). three. Learn(End result 2, three): 2.eight hours Pagana, Ok.,&Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix B: Gastrointestinal Research • Case research three & four due 06/19/2021 @11:59 pm OCW: 9.eight hours eight • Mid Time period Lecture Course • Preparation for Mid Time period examination (Lecture Course) 9 Ailments and Problems of the Renal/GU System • Acute Kidney Harm (AKI) • Bladder Most cancers 1. Learn(End result 1,2): three hours Domino, F., Baldor, R., Golding, J., Stephens, M. (2020). The 5- Minute Medical Seek the advice of 2017 SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 9 of 15 Rev. 04/2021/ PB • Glomerulonephritis • Hematuria • Hydronephrosis • Interstitial Cystitis • Priapism • Prostate Most cancers • Prostatic Hyperplasia, Benign (BPH) • Prostatitis • Pyelonephritis • Testicular Torsion • Urinary Tract An infection (UTI) • (28th ed.). Print (The 5-Minute Seek the advice of Collection). 2. Learn(End result 2, three): 6.1Hours Pagana, Ok.,&Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix B: Urologic Research three. Cleaning soap Notice # 2 (Continual Situation) due by 07/03/2021 at 11:59 pm Please choose any Grownup Continual Illness from Weeks 6-10 OCW: 9.1 hours 10 DiseasesandDisordersofthe Endocrine System • Addison Illness • Cushing Syndrome • Diabetes • Graves' Illness • Hyper-, Hypoparathyroidism • Hyper-,Hypothyroidism • Myasthenia Gravis • Syndrome ofInappropriate Antidiuretic Hormone Secretion 1. Learn (End result 1,2, three) 5hours TerryMahanButtaro:Major Care:ACollaborative Apply. 2. Learn(End result 1,2): 2 hours Domino, F., Baldor, R., Golding, J., Stephens, M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute Seek the advice of Collection). three. Learn(End result 2, three): 7.7 hours Pagana, Ok.,&Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix B: Endocrine Research OWC: 14.7 hours SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 10 of 15 Rev. 04/2021/ PB 11 Psychological Well being Problems • Alcohol Abuse, Dependence, and Withdrawal • Alzheimer's • Anorexia Nervosa • Nervousness • Bipolar • Despair • Obsessive-Compulsive Dysfunction (OCD) • Psychosis • Schizophrenia • Substance Use Problems 1. Learn (End result 1,2, three) 4hours TerryMahanButtaro:Major Care:ACollaborative Apply 2. Learn(End result 1,2): 2 hours three. Domino,F.,Baldor,R.,Golding, J.,Stephens,M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute ConsultSeries). four. Learn(End result 2, three): 1.5 hours Pagana, Ok., &Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix B: Nervous System Research Complio American Knowledge financial institution: Due by Saturday 07/17/21 by 11:59 pm – Submit proof from Complio of completion as follows (akin to a screenshot of out of your Complio account together with background and drug display inexperienced checks ) All of your medical necessities documentation (akin to vaccinations, tb, legal responsibility insurance coverage, and many others.) ought to have been already submitted. All of them ought to be authorised by this date) OCW: 7.5 hours SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 11 of 15 Rev. 04/2021/ PB 12 Ailments and Problems of the Neurological System • Bell Palsy • Herpes Zoster (Shingles) • Hydrocephalus • Meningitis • Parkinson Illness • Posttraumatic Stress Dysfunction (PTSD) • Seizure • Stroke • Transient Ischemic Assault (TIA) • Vertigo Ailments and Problems of the Eye and Ear • Cataract • Conjunctivitis • Epistaxis • Glaucoma • Labyrinthitis • Lacrimal Problems • Macular Degeneration • Meniere Illness • Otitis Media/Externa • Tinnitus • Retinal Detachment OCW: # Hours 1. Learn (End result 1,2, three) 4hours Terry Mahan Buttaro: Major Care: A Collaborative Apply 2. Learn(End result 1, 2): four hours Domino, F., Baldor, R., Golding, J., Stephens, M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute Seek the advice of Collection). three. Learn(End result 2, three): 1.6 hours Pagana, Ok.,&Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix B: Nervous System Research Typhon Task 1: Due by 07/24/2021 11:59 pm Log into Typhon and Watch the Pupil Entry Tutorial Video (70 minutes) in all solely. Then write a 1 paragraph abstract about what you discovered about Typhon and add a phrase doc in exterior paperwork in Typhon. Additionally, add it into Moodle beneath Typhon Task 1. (5 factors) SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 12 of 15 Rev. 04/2021/ PB OCW: 9.6 hours 13 DiseasesandDisordersofthe MusculoskeletalSystem • Arthritis • Carpal tunnel • Fractures • Gout • MuscularDystrophy • Osteomyelitis • Osteoporosis • Plantar Fasciitis • Popliteal (Baker)Cyst 1. Learn (End result 1,2, three) 4hours TerryMahanButtaro:Major Care:ACollaborative Apply 2. Learn (End result 1,2,three): 2hours Domino,F.,Baldor,R.,Golding,J., Stephens,M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute ConsultSeries). three. Learn (End result 2, three): 1.6 hours Pagana, Ok., &Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix B: Skeletal SystemStudies Begin working in your medical Case Research Presentation (PowerPoint) with VoiceOver. Decide any Illness from Week 11-15 Typhon Task 2: (5 factors) due by Saturday 07/31/2021 at 11:59 pm • Add Cleaning soap Notice 1 to Exterior Paperwork in Typhon (5 factors) Make a case log that goes along with your affected person in your cleaning soap word 1 (fill out all of the info required in Typhon) Submit time labored on each Cleaning soap and Case Log beneath time log (The aim of this final project is to practice /apply utilizing Typhon in SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 13 of 15 Rev. 04/2021/ PB preparation for subsequent semester in your medical rotation) OCW: 7.6 hours 14 Ailments and Problems of the Reproductive System • Amenorrhea • Cervical Malignancy • Chlamydia • Ductal Carcinoma in Situ • Ectopic Being pregnant • Endometriosis • Gonococcal Infections • Gynecomastia • Herpes, Genital • Hydrocele • Menopause • Menorrhagia • Ovarian Most cancers, Cyst, Tumor • Pelvic Inflammatory Illness • Syphilis • Trichomoniasis • Uterine and Pelvic Organ Prolapse OCW: # Hours 1. Learn (End result 1,2, three) 4hours TerryMahanButtaro:Major Care:ACollaborative Apply 2. Learn(End result 1,2): four hours Domino, F., Baldor, R., Golding, J., Stephens, M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute Seek the advice of Collection). three. Learn(End result 2, three): 6.three hours Pagana, Ok., &Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix B: Reproductive SystemStudies four. Preserve working onClinicalCase PowerPointPresentation 5. Typhon Task three: (5 factors) Due by Saturday 08/07/2021 at 11:59 pm (5 factors) UploadSoapNote2toExternal Paperwork in Typhon Makeacase logthatgoeswithyour affected person in SOAP #2 (Fill out all demographics and required SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 14 of 15 Rev. 04/2021/ PB info, drugs lessons, and a small word about your expertise with Typhon) Posttimeworked on bothSoap word and Case log beneath time log (The aim of this final project is to coach /apply utilizing Typhon in preparation for subsequent semester in your medical rotation) OCW: 14.three hours 15 Developmental and congenital childhood illnesses and problems • Atrial Septal Defect • Consideration Deficit/Hyperactivity Dysfunction • Autism Spectrum Dysfunction • Hen Pox • Cerebral Palsy • CorPulmonale • Croup • Cryptorchidism • Down Syndrome • Hand-Foot-and-Mouth Illness • Kawasaki illness • Reye Syndrome 1. Learn (End result 1,2, three) 4hours Terry Mahan Buttaro: Major Care: A Collaborative Apply 2. Learn(End result 1,2): three hours Domino, F., Baldor, R., Golding, J., Stephens, M. (2020). The 5- Minute Medical Seek the advice of 2017 (28th ed.). Print (The 5-Minute Seek the advice of Collection). three. Learn (End result 2, three): 2 hours Pagana, Ok., &Pagana, T. (2018). Mosby's handbook of diagnostic and laboratory checks (14th ed.). St. Louis, MO: Elsevier Well being Sciences. • Appendix B Group Medical Case Research Presentation Due by Saturday 08/14/2021 at 11:59 pm) Add to MoodleRoom. *** No late Task will likely be accepted *** SCHOOL OF GRADUATE STUDIES MSN Program MSN5600L Prognosis, Symptom and sickness Administration Web page 15 of 15 Rev. 04/2021/ PB Put together for the ultimate examination within the lecture class OCW: 9 hours 16 • Remaining Lecture Course • Date TBD Good Luck along with your Remaining Exams! Final week of Class!