University of New Mexico
College of Education
Division of Individual, Family & Community Education
Nutrition/Dietetics Program
Spring, 2004
Course Information:
Course Title: NUTR 428: Medical Nutrition Therapy II
Day/Time: TR 12:30-1:45 p.m.
Class Location: ASM 1070
Course Instructor Jean Cerami MS RD CDE CCRC
Office Location: Education Office Bldg. 216
Phone: 277-0937
Email: jcerami@unm.edu
Office Hours: T/R 2:00-3:15
or 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.
Pathophysiology made Incredibly Easy. 2nd Ed. Lippincott Williams & Wilkins, 2002.
Pronsky Z. Powers and Moore’s Food Medication Interactions 11th Ed.
Birchrunville, PA: Food Medication Interactions, 2000.
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, role play, video, group work and guest presentation
Evaluation Descriptions:
Exams: There will be three (3) 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 six (6) 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.
Assignments: Students will be given four (4) individual assignments throughout the semester.
Shadow an RD: Each student will shadow a Registered Dietitian in a clinical setting for 2 hours and
type a 2-3 page paper on his/her reflections.
Participation: These are very interactive courses and participation is essential. Attendance will be
taken at random and will be part of the participation grade. Classroom
*Late assignments will have 2.5 points deducted per day (24 hours).
**Any student who misses class on a day when a case study is due will have his/her case
study graded separately, not included with the group grade.
Grading Procedure:
Exams (3 @ 100 points)
Case Studies (6 @ 25 points)
Assignments (4 @ 25 points)
300 points
150 points
100 points
Participation
50 points
Total possible points:
A+
A
AB+
B
582-600
559-581
540-558
522-539
499-521
600 points
*** ALWAYS bring a calculator to class.***
BC+
C
C-
480-498
462-479
439-461
420-438
Schedule for NUTR 428
Date
Topic
Reading/Assignment Due
1/20-22
Overview/Review 427 Final Exam
MNT for liver and biliary system disorders
P-Ch.11: pp.317-324
K-Ch.32
1/27-28
MNT for pancreatic disorders
P-Ch.11: pp.332-335
2/3-5
Liver/Pancreatitis Case Studies – 2/3
MNT for cardiovascular disease
CS #32, 33
P-Ch.8; K-Ch.26; 17: pp.391-95
2/10-12
MNT for heart failure & transplant
K-Ch.36
2/17-19
Cardiac Case Studies-2/17
MNT for neoplastic disease
CS #21, 22, 24
P-Ch. 2; K-Ch. 39
2/24-26
Assignment 1- Shadow an RD
Write up reflections
No Class 2/24-26
Assignment 1 due 3/2
3/2-4
Cancer Case Studies – 3/2
EXAM #1 – 3/4
CS #34, 35
3/9-11
MNT for neurological disorders
P-Ch. 9; K-Ch. 42
3/16-18
Spring Break 
3/23-25
MNT for HIV infection and AIDS
P-Ch. 3&4: pp. 43-46, 67-79
K-Ch. 40
3/30-4/1
MNT for pulmonary disease
Pediatric Nutrition Assessment
Assignment 2 due 4/1
P-Ch. 5: pp. 104-06; Ch. 7
K- Ch. 37; 6: pp. 160-62
4/6-8
Pulmonary Case Studies – 4/6
CS #14, 20;
Assignment 3 due 4/8
4/13-15
EXAM #2 – 4/13
MNT for renal disorders
P-Ch. 12; K-Ch. 38
4/20-22
Hemodialysis & Peritoneal Dialysis
K-Ch. 38 cont.
4/27-29
Renal Case Studies- 4/29
MNT or metabolic stress: sepsis, trauma,
burns and surgery
CS #38, 43; Assignment 4 due
5/4-6
Metabolic stress Case Studies
Course Review
CS #30, 42 due 5/6
5/13
Final Exam 10 a.m.-12 noon
K-Ch. 33