University of New Mexico
College of Education
Division of Individual, Family & Community Education
Nutrition/Dietetics Program
Spring, 2002
Course Information:
Course Title: NUTR 428: Medical Nutrition Therapy II
Day/Time: TR 9:30-10:45 a.m.
Class Location: Education Office Bldg. 225
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, part II.
Prerequisites: NUTR 427
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;
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, 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.
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.
Participation: This is a very interactive course and participation is essential. Attendance will be taken
and is part of the participation grade. Each student will receive (2.5) points for each class attended
(30 class days @ 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.
Quizzes: There will be a quiz at the beginning of Tuesday class period (except on exam days)
consisting of 10 questions. The quizzes will only include material for the specific unit covered that
week (i.e., from one Tuesday 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.
Grading Procedure: Each student has an option regarding which grading system (s)he prefers.
Exams (4 @ 100 points)
Case Studies (10 @ 30 points)
Participation
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
Date
Wk 1
Wk 2
Topic
Introduction/Overview
MNT for Liver and Biliary Disease
MNT for Exocrine Pancreas Disorders
Reading/Assignment Due
Chapter 30: pp. 695-715
Chapter 30: pp. 715-720
CS #1
Wk 3
MNT for Neoplastic Disease
EXAM #1
Chapter 39
CS #2
Wk 4
MNT for Diabetes Mellitus: Type I & II
Wk 5
MNT for GDM & & Hypoglycemia
Chapter 34;
CS #3
Chapter 7: p.184
CS #4
Wk 6
MNT for Cardiovascular Disease
Wk 7
MNT for Heart Failure & Transplant
EXAM #2
Wk 8
MNT for HIV Infection & AIDS
Chapter 40
CS #7
Food Record #1 Due
Wk 9
Wk 10
MNT for Pulmonary Disease: Pediatric
MNT for Pulmonary Disease: Adult
EXAM #3
Chapter 37: pp. 815-26
Chapter 37: pp. 826-831
Chapter 6: pp. 160-162
CS #8
Wk 11
Wk 12
MNT for Renal Disorders: Predialysis
MNT for Renal Disorders: ESRD
Chapter 38: pp. 833-44
Chapter 38: pp. 844-65
CS #9
Wk 13
MNT for Metabolic Stress: Sepsis/MOSF & Trauma
Wk 14
MNT for Metabolic Stress: Burns and Surgery
Chapter 33: pp. 723-35
Chapter 42: pp. 965-68
Food Record #2 Due
Chapter 33: pp. 735-39
CS #10
Wk 15
MNT for metabolic disorders
FINAL EXAM (#4)
Chapter 26
CS #5
Chapter 36
Chapter 17: pp.391-5
CS #6
Chapter 44: pp. 987-1001
*** ALWAYS bring a calculator to class and lab***