MEDICAL NUTRITION THERAPY STUDENT OBJECTIVES
Describe both traditional
and emerging issues in the health care environment that relate to MNT such as
patient focused care model
Describe both traditional
and emerging roles of the clinical dietitian in the "ideal" and the
"real" environment
Define MNT and cite examples
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 simulations
and medical chart to assess information re. clients, and generate care plans
Utilize standard
formulas/equations to calculate nutrient needs
Cite and utilize research
journals relative to clinical nutrition and identify specific standard
protocols for MNT
Evaluate clinical nutrition
research literature and apply pertinent information to patient care models
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 assessment of
common drug/nutrient interactions and formulation of strategies to address
Discuss the pathophysiology
of chronic diseases for which medical
nutrition therapy is
warranted
Apply principles of Medical
Nutrition Therapy in the treatment of
chronic diseases, justifying
different philosophies related to MNT, and listing basic objectives of MNT
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 which
MNT is the cornerstone of treatment
Write a senior-level
research paper on MNT topic
MEDICAL NUTRITION THERAPY SPRING 2005
Class hours and location: Course Instructor:
MWF: 9:30-l0:20 STONE 215 Olivia Bennett Wood
T:
I. Required materials and suggested materials:
Required:
1. Applications in Medical Nutrition
2. F&N 520 Syllabus-2004
Edition, Boiler Copy Maker:
As individually necessary, select reading(s) from the following texts
which are on reserve in CFS Library:
1. Nutrition in the Prevention and Treatment of Disease, Coulston, Rock, Monsen, Academic Press, 2001.
2. Understanding Clinical Nutrition. Cataldo, Rolfes, Whitney, West
Publishing, 2nd Edition, 1998.
3. Krause’s Food, Nutrition, and Diet Therapy. Mahan, Escott-Stump.
Saunders Publishing. 10th Edition, 2000
4. Modern Nutrition in Health and Disease. Shils, Olson, Shihe, Ross,
Williams and Wilkins, 9th Edition, 1998.
II. Additional References helpful in F&N 520:
*1. Medical Dictionary
2. Access to a nutritional analysis program for paper
*3. F&N 330 syllabus
*4. F&N 436 text and syllabus
*5. A beginning nutrition text such as F&N 315
6. In F&N 520, files of related educational materials for most topics are
Stone 221. These materials may give you some ideas for your paper for
The nutrition care plan.
7. As necessary, special material filed in CFS library under Wood: F&N
520. Announced in class when placed in library
* Suggested for your own professional bookshelf. You will use
these references in dietetic experience programs.
III. Course Pre‑requisites
F&N 435, 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, exam questions may require you to apply previously learned
material in an application question in F&N 520. For example medical
terms used in class and on exams will not be further defined since they were in F&N 436. A working knowledge of all of the following, but not limited to the following, is necessary to understand the material in F&N
520: nutrition assessment (A,B,C,D), diet planning based on acceptable guides, the food composition lists, Hamwi method, counseling, 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 can be replaced in lecture to be up to date with the latest material. Attendance sheets may be used at any unannounced time just
to keep a record for information, and sometimes to award free points! They will not be used in the regular grading of the course.
2. Reading the course syllabus material/being familiar with the study
questions PRIOR to the lecture will greatly facilitate your
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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 course 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 3 articles from a research or practice journal
when indicated on course outline and write a paragraph summary (index card) of the article using an acceptable bibliographical format i.e. in JADA. A sample will be shown in class. Reading cards will be due as indicated 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 make a note when that topic’s cards are due that
that is the topic of your paper.
6. Completion of class exams, any quizzes, labs, etc. as scheduled.
V. Grading:
Course grade is determined by the percentage of total points possible.
The total possible points will be approximately:
3 exams 100-125 each
Term paper 100 points
Comprehensive final exam 150-200 pts.
Lab assignments 100 total for all labs
There are optional extra credit points available as described
Final Grade based on percentage of: 90‑100 = A
80‑89 = B
70‑79 = C
65‑69 = D
< 65 = F
Note: Labs: Many labs do not have graded portions, but all are monitored
to assure they were completed. Additionally material from the lab
assignments may be on class exams. When there are graded portions, the
following applies:
· The answers to the lab will be posted for you to see correct answers versus correct answers written on your report
· If the lab is to be completed in the lab period, no grade is given
If the student is absent
· If the lab is completed outside of the lab/class 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: technically completely correct and all aspects answered in detail/equivalent to 100 score. Could not be improved
4: 1 answer not technically correct, or detail expected not present, but
all questions are answered/equivalent to a 90 score
3: 2 answers not correct and/or detailed answers not given/equivalent to a 80 score
2: 3 answers 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”
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1: 4 answers not correct and/or little detail given/assignment seemed to
be done just to get done/equivalent to a 60 score
0: assignment not done and/or more than 4 answers not correct with no
detail
All the lab assignments will be tallied and a percent taken with that
percent used as the lab grade for the course. Therefore 100 points
Are possible from the labs.
The reading cards will not be given
points.
requirement of any course.
If you wish to challenge an exam question, or a graded lab report, you may hand 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 emergency and the instructor was notified immediately. Emergencies are events COMPLETELY beyond your control such as severe documented illness, documented immediate family crisis, accident, etc.
VI. Responsibilities of the student:
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 class discussions, and timely receipt of lab assignments and graded reports. Five points per day will be deducted for late assignments beginning at the start of the class period that the assignment is due. Additionally late lab reports begin their grading equivalent to a C. University regulations regarding withdrawal from course and use of INC are strictly followed. There is no make‑up work available. There are several optional credits available.
VII. Special days of note
You will be invited, for a nominal lunch
fee, to attend the Indiana Dietetic Association Spring Meeting in
VIII. Optional extra credit in this class includes:
1)
5 points for attending the Kirksey lecture on
Friday, January 21, in
development
and forearm fractures in children”. Write a one page abstract of the
presentation and hand in on Monday, 1/24. If you have class at this time you
may still receive the points by abstracting an article by Dr. Kalkwarf and
handing in a 1 page abstract on the article on 1/24. You are welcome to lunch (free!) which follows but must reserve by
calling 494-8231 IMMEDIATELY, as no later than 1/11.
2) Up to 10 points optional credit for staying on task re. the research paper
IX. Course Outline and assigned reading.
Under Reading assignment, #1 refers to applications manual, and #2 to when the reading cards are required. All syllabus materials are required reading and are not separately listed under reading assignments.
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Following the outline is a listing of how readings from the texts on reserve in the CFS library apply to the lecture topics.
COURSE OUTLINE AND
SEQUENCE
DATE TOPIC(S)
1/10-14 Course Introduction 1. Part I as review Chpt 1-7, 12
Role/Responsibilities of RD Review Apdx. A,D, E, F, M
Recording in the Medical Chart
Lab 1/11 Complete introductory lecture: 1 hour
The Math of Medical Nutrition Therapy: Due Friday in class
1/17
Lab 1/18 Special considerations 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
1/19-24 Continue lecture re. to disabled
Begin Critical Care unit
1/25-2/4 Critical Care Unit with videos 1. Chpt 22
Trauma/Stress 2. 3 articles
Surgery, COPD
Infection
Thermal Injury
Lab 1/25 Lecture: 1 hour
Lab: Self-study on acid/balance
Lab 2/1 Drug/Nutrient Considerations
Lab assignment: Drug/Nutrient Case Studies due Friday in class
2/7-2/15
Alternatives to
2/8
Exam I: Covers through lecture on
2/4
No lab this day, but 1 lab hour needed
on Monday 2/21
Lab 2/15 Calculating alternative feeding modalities: Due Monday in class
2/16-21 Neoplastic Disease and it's 1. Pp. 303-305
effect on nutritional status 2. 3 articles
Lab 2/22 Complete Neoplastic, if needed and Start GI Lecture
Critical Care Case Study: due Monday in class
2/23-3/4 Gastrointestinal disorders: 1. Chpt 15, 16, 17, 18
maldigestion/malabsorption, IBD, 2. 3 articles
pancreatitis, allergies, etc.
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Lab 3/1 Allergies tape
Malabsorption Case Study: Due Monday in class
3/7-11 Obesity: Metabolic Theories- 2. 3 articles
Management of Severe
3/8 Exam II: Covers through GI
_____________________________________________________________________________
3/21-25 SELF-STUTY UNIT WITH CLASS INTRODUCTION on 3/21. Read the
syllabus material and answer the study questions on CV. There will
be class 3/21, but not on 3/22-25. This was chosen to allow
you usual class time to work on the paper. USE THIS TIME WISELY! E-mail or come by instructor’s office with any questions.
Cardiovascular Diseases and 1. Chpt 20
the Hyperlipoproteinemias 2. 3 articles
Lab 3/22 Cardiovascular Disease CD assigned assigned on 3/21
3/28-4/5 Renal Diseases and Diets 1. Chpt 21
Includes lecture for lab time for 3/29 2. 3 articles
Lab 3/29 Lab time will be used for renal lecture/may be changed
depending on IDA atttendance
Lab 4/5 Lecture, 1 hour
Renal CD assigned
4/6-11 Hypertension 1. Chpt 20 (351-255)
2. 3 articles
4/12 Exam III through hypertension
4/13-19 Diabetes 1. Chpt 19
2. 3 articles
Lab 4/19: 1 hour lecture
Diabetes CD
4/20-25 Liver diseases and Alcoholism 2. 3 articles
Begin Peds lectures, if time
4/26 Presentation of clinical case studies by senior CPD students
This lab time will go for 2 hours
Nutrition Screening assignment: due Friday in class
4/27-4/29 Pediatric MNT 1. Chpt 9, 23
2. 3 articles
4/29 FINAL
EXAMS SRL CARDS DUE PAPER DUE
2/8 TUES Set 1: March 11 April 4 in class
3/8 TUES Set 2: April 29
4/12 TUES
(Text as identified on page 2 of course information)
Topic Text 1 Text 2 Text 3 Text 4
Role C 1,2 C 15-17 C 16,17,20 C 54,58
Routine Diets
Assessment
Medical Record
Charting
Ethics IV I, 102
DD/Dysphagia C 21 C 42 Apd A 180
Critical
Care C 47 C 25,30 C 33,37,39,40 IV D,F,H
Drug/Nut C 15 C 18 IV H, 99
Feeding C 16 C 23,24 C 22 IV I, 100-101
Neoplastic C 26 C 30 C 39 IV D
GI C 36-38,44 C 21,22 C 30,31 IV B
Obesity C 12 C 23 IV F, 87
Cardiovascular C 18-19, 21 C 28 C 26,36 IV C 75,77
Renal C 40 C 29 C 38 IV F, 89
Hypertension C 20 C 28 C 27 IV C, 76
Diabetes C 27-30 C 27 C 34 IV F, 86
Liver C 39 C 26 C 32 IV G, 94
Pediatrics C 45, 14 C 44 IV A, 61
“Medical Nutrition Therapy
refers to the comprehensive nutrition services provided by registered
dietitians as part of the health-care team”
*Institute report commissioned by Congress
Educational Theory and
Techniques
Needs Assessment
Research methodologies
Alternative nutrition and
herbal therapies
Evolving methods of
assessing health status
Health Care Policy and
Administration