MEDICAL NUTRITION THERAPY STUDENT OBJECTIVES =
Describe both traditio=
nal
and emerging issues in the health care environment that relate to MNT such =
as
patient focused care model
Describe both traditio=
nal
and emerging roles of the clinical dietitian in the "ideal" and t=
he
"real" environment
Define MNT and cite ex=
amples
of documentation of clinical nutrition services with emphasis on outcomes of
MNT
Explain the importance=
and
use of quality care standards in
patient care
Utilize computer simul=
ations
and medical chart to assess information re. clients, and generate care plan=
s
Utilize standard
formulas/equations to calculate nutrient needs
Cite and utilize resea=
rch
journals relative to clinical nutrition and identify specific standard
protocols for MNT
Evaluate clinical nutr= ition research literature and apply pertinent information to patient care models<= o:p>
Use appropriate medical
terminology in lab assignments/MNT paper
Utilize appropriate and
effective means of verbal and written communication to the client and health
care team
Awareness and assessme= nt of common drug/nutrient interactions and formulation of strategies to address<= o:p>
Discuss the pathophysi=
ology
of chronic diseases for which medical
nutrition therapy is
warranted
Apply principles of Me=
dical
Nutrition Therapy in the treatment of
chronic diseases, just= ifying different philosophies related to MNT, and listing basic objectives of MNT<= o:p>
Utilize appropriate
nutrition assessment techniques in the analysis and care plan protocols of =
disease
states in F&N 520
Modify diet patterns to
achieve desired results including patient compliance
Outline and describe
philosophies and principles of counseling for selected disease states for w=
hich
MNT is the cornerstone of treatment
Write a senior-level
research paper on MNT topic
= MEDICAL NUTRITION THERAPY SPRING 2006<= /b> =
Class hours and location: = Course Instructors:
MWF: 9:30-l0:20 Beerin= g 2290 = Olivia Bennett Wood, MPH, RD
T: 7:30-10:20 Beering = 2290 = Stacey L. Mobley, PhD, RD, CNSD
I. Required materials and suggested materials:
Required:
1. Applications in
Medical Nutrition
2. F&N 520 Syll=
abus-2006
Edition, Boiler Copy Maker:
As individually necessary, select reading(s) from the following texts
which are on reserve i= n CFS Library:
1.&n= bsp; Nutrition in the Prevention and Treatment= of Disease, Coulston, Rock, Monsen, Academic Press, 2001.
2.&n= bsp; Krause’s Food, Nutrition, and Diet Therapy. Mahan, Escott-Stump.
Saunders Publishing. 11th Edition, 2004.
3.&n= bsp; Modern Nutrition in Health and Disease. <= /u>Shils, Shihe, Ross, Caballero,
Cousins. Lippincott, Williams and Wilkins, 10th Edition, 2006.
II. Additional References helpful in F&N 520:
*1. Medical Dictionary
2. Access to a nutritional analysis p= rogram for paper
*3. F&N 330 syllabus
*4. F&N 436 text and syllabus
*5. A beginning nutrition text such as= one used in F&N 315
6. In F&N 520, files of related educational materials for most topics are
Stone 222. These materials provide you with examples of nutrition
education materials available, but are not always the most current. =
7.&n= bsp; As necessary, special material filed in CFS library under Wood: F&N
520. Announced in clas= s when placed in library
* Suggested for your professional library. You will need/use these
references extensively in all diet= etic experience programs.
III. Course Pre‑requisites=
F&N 43= 5, 436, and 330 are pre‑requisites for 520. It is expected that the material learned in those courses will be applicable knowledge in F&N 520. Although there will not be specific exam questions from these
courses, e= xam questions may require you to apply previously learned
material i= n an application question in F&N 520. A working knowledge of
at least t= he following is considered pre-requisite knowledge and
application and is necessary to understand the material in F&N 520:
Medical terminology, nutrition assessment (A,B,C,D), diet planning
based on acceptable guides for normal nutrition for the life span and
for specif= ic diet components such as lipid, fiber, sodium, etc., the
food compo= sition lists, methods to determine energy needs/weight
gain/loss, counseling theory/practice, etc.
IV. Course Requirements:
1. Attendance at all class periods is extremely important in this = course. This course is constantly under revision as new guidelines
and standards are published. Single pages and entire sections of the syllabus c= an be replaced in lecture to be up to date with the latest material. Attendance sheets may be used at any unannounced time as a means to have a record for information, and perhaps to award free points!
2.&n= bsp; Reading the course syllabus material/being familiar with the study
questions PRIOR to the lecture will greatly facilitate your
= &nb= sp; = &nb= sp; =
understanding the lecture and being able to ask timely questions
during lecture.
3. Completion of all assignments and = all assignments on time. No student can pass the cour= se without doing all the assignments. Late points will = be deducted as stated on the assignment at the start of class when = it is due. Most assignments are related to the labs. In the lab assignments, the grading begins with a C if the assignment is late regardless of the technical performance on the assignment.
4. Completion of research paper. See separate pages for detailed
information.
5.= Assigned readings in selected text(s) is an individual decision.
Assigned readings from= the research and/or practice literature is
required. Choose
when indicated on cour= se outline and write a paragraph summary (index card) of the art= icle using an acceptable bibliographical format i.e. in JADA. A sample will be shown in class. Reading cards will be due as indicat= ed throughout the semester. Do NOT hand in the article,
just the summary. You = do not need to read the 3 articles on your
paper topic. Simply ma= ke a note when that topic’s cards are due that
that is the topic of y= our paper.
6. Completion of class exams, any qui= zzes, labs, etc. as scheduled.
V. Grading:
Course grade is determ= ined by the percentage of total points possible.
The total possible poi= nts will be approximately: =
= &nb= sp; = &nb= sp; = &nb= sp;
&= nbsp; 3 exams = &nb= sp; 100-125 each
&= nbsp; Term paper &n= bsp; = ; 100 points
&= nbsp; Comprehensive final exam 150-200 pts.
= Lab assignments = 100 total for all labs
There are option= al extra credit points available as described
&nb= sp;
Final Grade base= d on percentage of: 90‑100 = =3D A
= = &nb= sp; 80‑89 =3D B
&= nbsp; = = 70‑79 =3D C
&= nbsp; &nbs= p; = 65‑69 =3D D
= &nb= sp; = < 65 =3D F
Note: Labs: Many= labs do not have graded portions, but all are monitored
to assure they w= ere completed. Additionally material from the lab
assignments may = be on class exams. When there are graded portions, the
following applie= s:
· The answers to the lab will be posted for yo= u to see correct answers versus correct answers written on your report
· If the lab is to be completed in the lab per= iod, no grade is given
If the student is absent
· If the lab is completed outside of the lab/c= lass period, but handed in late, the grading begins with a C regardless of the technical accuracy of the lab.
· The graded labs will be scored with a 5,4,3,= 2,1, or 0, as determined by the following:
5: technic= ally completely correct and all aspects answered in = detail/equivalent to 100 score. Could not be improved
4: 1 answe= r not technically correct, or detail expected not present, but
all questions are answered/equivalent to a 90 score
3: 2 answe= rs not correct and/or detailed answers not given/equivalent to = a 80 score
2: 3 answe= rs not correct and/or detailed answers not given/equivalent to = a 70 score and/or average detail given with respect to rest of class- a late assignment begins with= a “2”
1: 4 answe= rs not correct and/or little detail given/assignment seemed to
be done just to get done/equivalent to a 60 score
0: assignm= ent not done and/or more than 4 answers not correct with no
detail
All the lab assignments will be tallied and a percent taken. The percent
will be us= ed for the lab grade for the course. Therefore 100 points will
come from = the labs.
The reading
cards will not be given points.
requiremen= t of any course.
If
you wish to challenge an exam question, or a graded lab report, you may han=
d in
WITHIN 24 hours after the exam=
an
analysis of the question, with references, to support your
challenge. References must be=
from
printed sources related to the course: text, syllabus, journals, etc. There
will be NO make-up exams. The average of your regular exams will be used for
the percent score for any exam you miss IF the missed exam was due to an
VI. Responsibilities of the student: <= /p>
You = are responsible for all the material covered in class, and assigned from the reading. It is expected that any work will be an individual effort i.e., no part of your assignment can be identical to another student's in the class. Attendance at all class sessions is important for continuity of course content, participation in cl= ass discussions, and timely receipt of lab assignments and graded reports. Five points per day will be deduct= ed for late assignments beginning at the start of the class period that the assign= ment is due. Additionally late lab reports begin their grading equivalent to a C. University regulations reg= arding withdrawal from course and use of INC are strictly followed. There is no ma= ke‑up work available. There are several optional credits available.
VII. Special days of note
You will be invi=
ted,
for a nominal lunch fee, to attend the Indiana Dietetic Association Spring
Meeting in
VIII. Optional extra credit in this class includes:
1)&n=
bsp;
5 points for attending the Kirksey lecture on
Friday, April 21, in Fowler,
Habict,
Ph.D. Write a one page abstract of the presentation and hand in on Monday, =
4/24.
If you have class at this time you may still receive the points by abstract=
ing
an article by Dr. Habict and handing in a 1 page abstract on the article on=
4/24.
You are welcome to lunch (free!) w=
hich
follows but must reserve by calling 494-8231 no later than 3/1.
2)&n= bsp; Up to 10 points optional credit for staying = on task re. the research paper
3)&n= bsp; = &nb= sp; =
IX. Course Outline and assigned reading.
Under Reading
assignment, #1 refers to applications manual, and #2 to when the reading ca=
rds
are required. All syllabus materials are required reading and are not
separately listed under reading assignments.
=
=
&nb=
sp; =
&nb=
sp;
Following the outline is a listing of how readings from the texts on reserve in the C= FS library apply to the lecture topics.
= &nb= sp; = &nb= sp; = &nb= sp;
=
&nb=
sp;
COURSE OUTLINE AND SEQUENCE
DATE =
TOPIC(S) =
&nb=
sp;
1/9-13 Course Introduction = 1. Part I as review Chpt 1-7, 12
= The Nutrition Care Process &nb= sp; = Review Apdx. A,D, E, F, M
=
= Recording in the Medical Chart
= &nb= sp;
Lab 1/10 Complete introductory lecture: 1 hour
= The Math of Medical Nutrition Therapy: Due Friday in class
1/16
Lab 1/17 Special considerat= ions in = 2. 3 articles
= working with Developmentally
= disabled, stroke patients, etc.
= Lecture/tape on Dysphagia
= Lab: Paper Analysis of a Medical Record/Writing a SOAP note
= Due Friday in class
1/18-23 Continue lecture re. disabled=
= Begin Critical Care unit = &nb= sp; = &nb= sp;
1/24-2/3 Critical Care Unit with videos 1. C= hpt 22
= Trauma/Stress = &nb= sp; 2. 3 articles
= Surgery, COPD
= Infection =
= Thermal Injury = &nb= sp;
Lab 1/24 Lecture: 1 hour
= Lab: Self-study on acid/balance
Lab 1/31 Drug/Nutrient Considerat= ions
= Lab assignment: Drug/Nutrient Case Studies due Friday in class
2/7-2/15
Alternatives to
2/7
Ex=
am I:
Covers through lecture on 2/4
No lab this day, but 1 lab hour ne=
eded
on day to be determined
Lab 2/14 Calculating alternative feeding modalities: Due Monday in class
2/15-20 Neoplastic Disease and it's<= span style=3D'mso-spacerun:yes'> 1. Pp. 303-305
= effect on nutritional status 2. 3 articles
Lab 2/21 Complete Neoplastic, if = needed and Start GI Lecture
= Critical Care Case Study: due Monday in class
Dr. Mobley begins lectures through Renal Disease
=
2/22-3/3 Gastrointestinal disorders: 1. Chpt 15, 16, 17, 18=
= maldigestion/malabsorption, IBD, 2. 3 articles
=
pancreatitis, allergies, etc. =
= &nb= sp; = &nb= sp; = &nb= sp;
Lab 2/28 Allergies tape
= Lab TBD
3/6-10 Obesity: Metabolic Theories- 2. 3 articles
Management of Severe =
3/7 Exam II: Covers through GI
_____________________________________=
________________________________________
3/20-24 Cardiovascular Diseases and<= span style=3D'mso-spacerun:yes'> 1. Chpt 20
= the Hyperlipoproteinemias = 2. 3 articles
Lab 3/21 Lecture and Cardiovascul= ar Disease CD, due 3/27
3/27-4/5 Renal Diseases and Diets 1.= Chpt 21
= = &nb= sp; = 2. 3 articles
Lab 3/28 Lecture and Renal CD due= 4/7
Lab 4/4 Lecture, 1 hour
= Lab TBD
4/5-10 Hypertension = 1. Chpt 20 (351-255)
2.&n= bsp; 3 articles&= nbsp;
4/11 Exam III t= hrough hypertension
= &nb= sp; = &nb= sp; =
4/12-18 Diabetes = &nb= sp; 1. Chpt 19
= &nb= sp; 2. 3 articles
Lab 4/18: 1 hour lecture
Diabetes CD due 4/24
4/19-24 Liver diseases and Alcoholism= 2. 3 articles
Begin Peds lectures, if time
= &nb= sp; = = &nb= sp;
4/25 Presentation of clinical case studies by senior CPD students
This lab time will go for u=
p to 2
hours
Nutrition Screening assignment due 4/28 in class
4/26-4/28 Pediatric MNT = 1. Chpt 9, 23
2.&n= bsp; 3 articles
4/28 FINAL
EXAMS SRL CARDS DUE = PAPER DUE &n= bsp;
2/7 TUES Set 1: March 10 = April 3 in class
3/7 TUES Set 2: April 28
4/11 TUES
= (Texts as identified on page 2 of course information)
(Coulston..)
(Krause’s..)
Topic Text 1 Text 2 Text 3
Nutr.
Care Process C 1,2 =
C 17,18,21 C 7, 100, 101
Routine Diets
Assessment
Medical Record
Charting = &nb= sp; =
DD/Dysphagia &nb= sp; = &nb= sp;C 43 = C 73
Critical Care C 47<= span style=3D'mso-spacerun:yes'> = C 38,41,42 C 89-91, 93
Drug/Nut = &nb= sp; C 19 = C 97
Feeding C 16 =
C 23 =
C 98, 99
Neoplastic C 26 =
C 40 =
C 83 GI =
C 36-38,44 C 1,29-32 C 70,71,75-78,95 O=
besity C 12 =
C 2, 24 =
C 46, 63-64 <=
o:p> C=
ardiovascular C 18-19, 21 C 35,37
C 62,66,67,69 <=
o:p> R=
enal =
C 40=
=
C 39 =
C 94 <=
o:p> H=
ypertension C 20 =
C 36 =
C 68 <=
o:p> D=
iabetes C 27-30
C 33 =
C 62, 65 <=
o:p> <=
o:p> L=
iver
C 39 C 31
C 79 <=
o:p> P=
ediatrics C 45, 14 C 9,45 =
C
56, 61 <=
o:p> <=
span
style=3D'mso-spacerun:yes'>
<= o:p>
<= o:p>
“Medical Nut=
rition
Therapy refers to the comprehensive nutrition services provided by register=
ed
dietitians as part of the health-care team”
*Institute report commissioned by Congress
=
&nb=
sp; =
&nb=
sp; =
&nb=
sp;