University of New Mexico
College of Education
Division of Individual, Family & Community Education
Nutrition/Dietetics Program
Spring, 2000
Course Information:
Course Title: NUTR 428: Medical Nutrition Therapy
Day/Time: TR 9:30-10:45 a.m.
Class Location: Education Office Bldg. 225
Course Title: NUTR 429L: Applied Medical Nutrition Therapy Laboratory
Day/Time: W 9:00-11:45 a.m.
Class Location: Education Office Bldg. 226
Course Instructor: Ginny Garza, M.Ed., R.D.
Office Location: Education Office Bldg. 216
Phone: 277-0937
Email: ggarza@unm.edu
Fax: 277-4362
Office Hours: M 1:30-3:00 p.m.
W 12:00-2:00 p.m.
R 2:00-3:30 p.m.
& by appointment
Course Description: The application of diets in the treatment of impaired digestive and metabolic
conditions using the case study approach.
Prerequisites: NUTR 244, 344, 345, and CHEM 212
Textbooks:
Mahan, L.K., Escott-Stump, S.: Krause’s Food, Nutrition and Diet Therapy.
10th Ed. Philadelphia: W.B. Saunders Co., 2000.
Billon, W.: Clinical Nutrition Case Studies. 3rd Ed. California: Wadsworth Publishing
Co., 1999.
Course Objectives: Upon completion of this course the students will be able to:
1. know the physiological, biochemical, and behavioral bases for nutrition intervention in health and
disease;
2. calculate an interpret nutrient composition of foods and apply this knowledge to dietary
management of disease states;
3. understand and apply principles of nutrition screening, assessment, planning, intervention,
evaluation and documentation;
4. demonstrate interviewing techniques and apply counseling theory and methods;
5. understand and demonstrate knowledge of the influence of psychosocial, cultural, and economic
factors on food and nutrition behavior in planning modified diets and menus;
6. demonstrate effective oral and written communication skills;
7. calculate and/or define diets and enteral and parenteral formulations for common conditions;
8. translate nutritional needs into menus for individuals and groups;
9. know fundamentals of quality management and health care policy and administration related to
clinical practice;
10. and know laws, regulations, and standards affecting dietetic practice.
Rationale for the Course: Specific nutrients play a role in the therapy for certain disease states.
This course and lab introduce students to these diseases, including pathophysiology and
recommended treatments. The application of this knowledge prepares students for a role on the
health care team.
Instructional Strategies: lecture, case study, role play, video, group work and guest presentation
Evaluation Descriptions:
Exams: There will be four (4) cumulative exams composed of a variety of question types: multiple
choice, short answer, essay, matching, and fill-in-the-blank.
Dates: 2/9, 3/9, 4/12, 5/9 (final exam 7:30-9:30 a.m.)
Case Studies: Students will be divided into small groups and each group will be assigned ten (10)
case studies from the text throughout the course of the semester. Each student within the group is
responsible for completing the assigned case study by its due date. On each due date, group
members will be given the opportunity to discuss the case within their group and ONE completed
(potentially modified) case study from each group will be turned in for a grade. All members of a
given group will receive the same grade for each case study. Group presentations of cases will be
selected at random on the due date.
Participation: This is a very interactive course and participation is essential. Attendance will be taken
in lab and is part of the participation grade. Each student will receive (5) points for each lab attended
(15 labs @ 75 points). The remaining (25) points will be determined by peer evaluation at the end of
the course. The instructor reserves the right to increase, but not to decrease points determined by
peer assessment.
Lab Quizzes: There will be a quiz at the beginning of each lab period (except 1/19, 2/9, 4/12)
consisting of 10 questions. The quizzes will only include material for the specific unit covered that
week (i.e., from one lab to the next). A total of twelve (12) quizzes will be given and the two (2) lowest
grades will be dropped. There will be no make-up quizzes given. An absence on the day of a quiz
will be recorded as a “0” and become one of the dropped grades.
Food Records: This assignment allows each student to become a patient. Two times during the
semester, each class member will be prescribed a diet to follow for 2 days and must record and
assess the diet. Most points are given for student reflections (i.e., what was most difficult/easy and
why) and not compliance to the diet itself. Forms will be handed out in class.
Due dates: 4/4, 4/25
Grading Procedure: Each student has until 1/26 to state which grading system (s)he prefers.
Exams (4 @ 100 points)
Case Studies (10 @ 30 points)
Participation
Lab Quizzes (12 @ 10 points)
(drop the 2 lowest scores)
Food Records (2 @ 50 points)
Total possible points:
400 points
300 points
100 points
100 points
100 points
1000 points
A = 900-1000
B = 800-899
C = 700-799
D = 600-699
F = < 600
A+ 970-1000
A 930-969
A- 900-929
B+ 870-899
B 830-869
B- 800-829
C+ 770-799
C 730-769
C- 700-729
D+ 670-699
D 630-669
D- 600-629
F < 600
Schedule for NUTR 428 and 429L
Date
Topic
Reading/Assignment Due
1/18
L1/19
Introduction/Overview
1/20
1/25
L1/26
The nutritional care process
Counseling for change
Quiz #1
Ch. 20; Ch. 21;
Ch. 15: pp. 347-351
1/27
2/1
L2/2
Dietary and clinical assessment
Laboratory data in nutrition assessment
Quiz #2
Ch. 16; Ch. 2: pp. 25-27;
Ch. 17: pp. 380-91, 395-97;
Ch. 35: pp. 782-83
Digestion, absorption, transport, and
excretion of nutrients
Ch. 1
2/3
2/8
L2/9
EXAM #1
2/10
2/15
L2/16
Enteral and parenteral nutrition support
2/17
2/22
L2/23
MNT for upper GI tract disorders
2/24
2/29
L3/1
MNT for lower GI tract disorders
3/2
3/7
L3/8
3/9
Ch. 22
Quiz #3
Quiz #4
Quiz #5
Ch. 30; Ch. 41;
Ch. 42: pp. 938-44
CS #1
Ch. 31;
Ch. 17: p. 391
CS #2
MNT for liver, biliary system, and exocrine
pancreas disorders
Ch. 32
Quiz #6
CS #3
EXAM #2
SPRING BREAK : )
3/21
L3/22
MNT for neoplastic disease
Quiz #7
Ch. 39
CS #4
3/23
3/28
L3/29
MNT for Diabetes Mellitus and hypoglycemia
Ch. 34;
Ch. 6: pp. 160-61
CS #5
3/30
MNT for cardiovascular disease, heart failure
and transplant
4/4
L4/5
Quiz #8
Quiz #9
Ch. 26; Ch. 36;
Ch. 17: pp. 391-95
Food Record #1
CS #6
4/6
4/11
L4/12
MNT for HIV infection and AIDS
Ch. 40
EXAM #3
CS #7
4/13
4/18
L4/19
MNT for pulmonary disease
Ch. 37;
Ch. 6: pp. 160-62
CS #8
4/20
4/25
L4/26
MNT for renal disorders
4/27
5/2
L5/3
Quiz #10
Quiz #11
Ch. 38
Food Record #2
CS #9
MNT for metabolic stress: sepsis, trauma,
burns, and surgery
MNT for metabolic disorders
Quiz #12
Ch. 33;
Ch. 42: pp. 965-68
Ch. 44: pp. 987-1001
CS #10
5/4
Course Review
5/9
FINAL EXAM (#4)
*** ALWAYS bring a calculator to class and lab***