Intensive Metabolic Nutrition Support
FCNS 515
Spring 2006
CLASS TIME:
CLOCK HOURS:
CREDIT HOURS:
Tuesday 4-6:45 pm DeKalb Campus (Wirtz 220)
1 (~3 hour lecture per week)
3 credits
INSTRUCTOR:
OFFICE:
PHONE:
E MAIL:
Judith M. Lukaszuk, Ph.D., RD, LDN.
122 C Wirtz Hall
Work: 815-753-6352
jmlukaszuk@niu.edu (judy_lukaszuk@yahoo.com)
WEBSITE:
http://webpages.chhs.niu.edu/lukaszuk/
ADVISEMENT HRS: M 2:30-3:30 p.m.; W 1:00-2:00 p.m. or by appt.
OPEN HRS:
Th 2:00-3:00 p.m.
PREREQUISITES:
FCNS 416 OR CONSENT OF SCHOOL
REQUIRED:
ASPEN (2001). The Science and Practice of Nutrition Support A
Case-Based Core Curriculum. (Gottschlich, M., Ed). Dubuque:
Kendall/Hunt Publishing Co.
REFERENCES ONLY:
Pronsky, Z. M., (2004). Powers and Moore’s Food Medication
Interactions (Rev. ed.). Birchrunville, PA.
Easterday-Heitz, U., Horne, M., (2001). Pocket Guide to Fluid,
Electrolyte, and Acid-Base Balance. Philadelphia: Mosby.
Halperin, M.L., Goldstein, M.B., (1998). Fluid, Electrolyte and
Acid-Base Physiology, - A Problem-Based Approach. (Rev. ed.).
Philadelphia: W.B. Saunders Co.
A basic calculator is required for this course and it may be used on exams.
1-17 Nutritional Assessment Overview/In Class Case Study
Calorie Comparison Exercise
1-24 Biochemical Interpretation
1-31 Parenteral Nutrition/Arterial Blood Gas Interpretation
Case Study
2/7
Pulmonary Disease
2-14 Trauma
Case Study
2-21 CHI
2-28 Sepsis
3-7
Pancreatitis
Case Study
3-14 Spring Break (Take home midterm)
3-21 DM
3-28 Obesity
4-4
Hepatic
4-11 GI Disease
4-18 Renal Disease
4-25 TBA
5-2
No Class
5/9
Final examination (4-6:00 p.m. )
GRADING:
Your assignment grade will be affected if it is late (see late assignment section),
illegible or incomplete. Submit all work on time using the format specified. Always
submit assignments in pen unless otherwise specified
All exams must be taken when scheduled. The only exception will be students providing
evidence for missing exams (e.g. medical excuse, obituary notice etc). Only these
students will be provided a make-up exam.
EXAMS:
Midterm
Final exam (cumulative)
GRADING SCALE:
A
B
C
D
F
90% and above
80-89%
70-79%
60-69%
<59.5%
TENTATIVE ASSIGNMENTS:
Specific details for each assignment will be given at the appropriate time.
I. Case studies---point value TBA
II. Other class exercises --point value TBA
GRADES WILL BE DETERMINED BY AVERAGING % OBTAINED ON
TESTS, CASE STUDIES
AND OTHER ASSIGNMENTS
LATE ASSIGNMENTS:
Assignments are due in class on the day as previously announced. Assignments one day
to one week late will have 10% deducted from the grade. Assignments more than one
week late will not be accepted.
AMERICANS WITH DISABILITIES ACT:
Any student who, because of a disability may require some special arrangements in order
to meet course requirements should contact the instructor within the first 2 weeks of the
semester to ensure the implementation of necessary accommodations.
GENERAL COURSE OBJECTIVES: INTENSIVE METABOLIC NUTRITION
SUPPORT
The overall objective of this course is to have acquired the necessary knowledge and skill
required to provide alternate feeding modalities (enteral tube feeding and parenteral
nutrition therapies) safely and effectively to critically ill individuals during various
disease states. This is a competency-based course, therefore, a minimum of 80% must be
attained on all graded assignments, cases studies and examinations. Students will be
required to redo and/or retake an assignment or an examination until a minimum of 80%
is achieved (the one exception to the latter would be on the final examination)..
The graduate student should be able to perform the following objectives upon completion
of this course:
CD6. Use current technologies for information and communication activities
CD13. Interpret and incorporate new scientific knowledge into practice
CD29. Manage safety and sanitation issues related to food and nutrition
CD31. Supervise nutrition assessment of individual patients/clients with common
medical conditions
CD32. Assess nutrition status of individual patients/clients with complex medical
conditions
CD34. Design and implement nutrition care plans as indicated by the patient's/client's
health status
CD35. Manage monitoring of patients'/clients' food intake and/or nutrient intake
NT1. Supervise nutrition assessment of individual patients/clients with complex
medical conditions
NT2. Integrate pathophysiology in medical nutrition therapy recommendations
NT3. Supervise design through evaluation of the nutrition care plan for patients/clients
with complex medical conditions
NT4. Select, monitor, and evaluate complex enteral and parenteral nutrition regimens
NT5. Supervise development and implementation of transition feeding plans from the
inpatient to home setting
NT6. Conduct counseling and education for patients/clients with complex needs
NT7. Perform basic physical/subjective global assessment
NT10. Participate in the care of patients/clients requiring adaptive feeding devices
Recognize the potential complications associated with enteral tube feeding or parenteral
nutrition therapies.
Identify appropriately patients for enteral tube feeding and/or parenteral nutrition and
develop nutrition care plans that provide nutrient needs while minimizing complications.
Evaluate available laboratory data in relation to the nutritional status of patients receiving
nutritional support
Describe the laboratory monitoring required when providing enteral tube feeding and/or
parenteral nutrition therapies.