University of New Mexico
College of Education
Nutrition/Dietetics Program
Fall, 2006
Course Title: NUTR 427: Medical Nutrition Therapy I
Day/Time: TR 11:00-12:15. Class Location: SCS B20
Course Instructor: Jean Cerami MS RD CDE CCRC LD
Office Location: Hokona Hall 156 Phone: 277-0937
Email: jcerami@unm.edu Fax: 277-8361
Office Hours: T,R 12:30-1:30 p.m.
or 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.
11th Ed. Philadelphia: W.B. Saunders Co., 2003.
Billon, W.: Clinical Nutrition Case Studies. 4th 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 13th Ed.
Birchrunville, PA: Food Medication Interactions, 2003.
Denneril, J.T., Medical Terminology Made Easy. 3rd Ed. Thomson Delmare Learning.
2003.
Course Objectives: Upon completion of this course the students will be able to:
1. identify the physiological, biochemical, and behavioral bases for nutrition intervention in health and
disease;
2. calculate and 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 introduces 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 playing, video, group work
Evaluation Descriptions:
Medical terminology workbook to be completed by all students.
Exams: There will be 3 exams composed of a variety of question types: multiple choice, short
answer, essay, matching, calculations and fill-in-the-blank.
Case Studies: Students will be divided into small groups and each group will be assigned four (4)
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. ONE completed 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. Each group will present portions of the case studies.
Assignments: Students will be given four (4) individual assignments throughout the semester.
Food Record: This assignment allows each student to become a patient. 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).
Participation: These are very interactive courses and participation is essential. Classroom etiquette,
group participation and attendance (taken at random) will be part of the participation grade.
Grading Procedure:
Exams (3 @ 100 points)
300 points
Case Studies (4 @ 25 points)
100 points
Assignments (4 @ 25 points)
100 points
Medical Terminology Workbook
10 points
Participation
40 points
Total possible points:
550 points
A+
A
AB+
B
534-550
512-533
495-511
479-494
457-478
BC+
C
CD+
440-456
424-439
402-423
385-401
369-384
Students with Special Needs: Qualified students with disabilities needing appropriate academic
adjustments should contact the instructor as soon as possible to ensure their needs are met in a
timely manner. Access to Education: A Guide to Accommodating Students with Disabilities published
by the UNM Committee for Students with Disabilities is a publication available at Student Support
Services, 2021 Mesa Vista Hall (telephone 272-3506)
Course Policies: Students are expected to abide by the UNM policies on academic honesty &
integrity as outlined in the UNM Pathfinder:Student Handbook. It is your responsibility to be familiar
with these policies. Additional information about plagiarism can be found at the following:
http://www.csubak.edu/ssric/Modules/Other/plagiarism.htm
http://www.bridgewater.edu/WritingCenter/manual/paraphrase.htm
Academic dishonesty, including plagiarism, whether intentional or not, will result in a grade of
“F” and referral to the Dean of Students.
Make-up exams will be given only with an authorized excuse approved, by the instructor, at
least 1 week before the originally scheduled exam. Make-up exams will be essay/short
answer/calculations.
Check WebCT for course announcements, assignments and updates. Log on at http://webct.unm.edu
You need a CIRT ID to use WebCT. You can obtain a Net ID @ http://netid.unm.edu .
Always bring calculator to class!
Date
Topic
Reading/Assignment Due
T 8/22
R 8/24
Introduction/Overview
Overview of nutrition care process
Dietary and clinical assessment
T 8/29
R 8/31
Counseling for change
Counseling role play
K-Ch. 22
T 9/5
R 9/7
Laboratory data in nutrition assessment
Interactions between drugs and nutrients
Nutrition assessment calculations
K-Ch. 18:pp.436-446, 450-453
K-Ch. 19, 1st Assignment given
B-Appendix A & D
T 9/12
R 9/14
Nutrient needs in nutrition assessment
Integrative medicine and herbal therapy
Assignment 1 Due; K-Ch. 2
K-Ch. 20;
T 9/19
R 9/21
EXAM #1
Pathophysiology basics
Digestion, absorption, transport….
P-Ch. 1
P-Ch. 11:pp.309-15; K-Ch. 1
T 9/26
R 9/28
Enteral & Parenteral Nutrition support
“
“
“
K-Ch. 23, 2nd Assignment given
Assign 1st Case Studies (9/27)
T 10/3
R 10/5
Enteral/parenteral continued
"
"
"
Assignment 2 due
T 10/10
(R 10/12)
Case Study Presentations
No Class – Fall Break 
Med.Term. Workbook due
(bring to class on 10/11)
T 10/17
R 10/19
MNT for upper GI tract disorders
Upper GI disorders continued
P-Ch. 11:pp.327-30, 336-38; K-Ch. 29
T 10/24
R 10/26
Exam 2
MNT for lower GI tract disorders
T 10/31
R 11/2
MNT for lower GI tract disorders
Lower GI continued
T 11/7
R 11/9
Case Study 2
MNT for Type 1 DM
Assignment 3 Due
P-Ch.23:pp123-29,140-45;
Assign CS 3
T 11/14
R 11/16
Type 1 DM continued
K-Ch. 33; 6:pp.172-176 Assignment 4
T 11/21
R 11/23
Case Study 3
No Class – Happy Thanksgiving!
Assignment 4 Due, Assign CS 4
T 11/28
R 11/30
MNT for Type 2 DM, GDM, and hypoglycemia
"
"
"
T 12/5
R 12/7
Case Study 4
Course review
T 12/12
FINAL EXAM ( Tuesday 10:00-12:00)
K-Ch. 21
K-Ch. 17
P-Ch. 11:pp. 324-27, 330-32, 339-41;
K-Ch. 30; 32; 17:p.446, Assign CS 2
Assignment 3 given