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The University of Akron
College of Fine and Applied Arts
School of Family and Consumer Sciences
COURSE TITLE: Nutrition in Medical Science I – Clinical
COURSE NUMBER: 7400:329
COURSE CREDIT: 2 semester hours (Credit/Noncredit)
PREREQUISITE: CP students only
CO-REQUISITE: 7400:328
COURSE DESCRIPTION: Clinical experiences in hospitals for application of
principles of nutritional care learned in 328.
HOME PAGE: www3.uakron.edu/chima/
REQUIRED COURSE MATERIALS
Pocket Guide for International Dietetics & Nutrition Terminology (IDNT)
Reference Manual; available from the ADA online catalogue at www.eatright.org.
Student Member price: $15.00.
Pronsky Z. Food-Medication Interactions, 14th Edition. Order from
http://www.foodmedinteractions.com/
COURSE OBJECTIVES AND STUDENT COMPETENCIES:
Upon completion of this course, the student will:
1. Perform ethically in accordance with the Code of Ethics for the Profession of Dietetics
2. Refer clients/patients to other dietetics professionals or disciplines when a situation is
beyond one's level or area of competence
3. Participate in professional activities
4. Use current technologies for information and communication activities
5. Use effective oral and written communications skills.
6. Provide dietetics education in supervised practice settings
7. Interpret and incorporate new scientific knowledge into practice
8. Screen patients for nutritional risk.
9. Assess nutritional status of individual patients/clients with selected medical conditions,
e.g. diabetes, cardiovascular disease, gastrointestinal disease.
10. Design and implement nutrition care plans as indicated by the patient's/client's health
status
11. Manage monitoring of patients'/clients' food and/or nutrient intake
12. Coordinate and modify nutrition care activities among caregivers
13. Refer patients/clients to appropriate community services for general health and nutrition
needs and to other primary care providers as appropriate
14. Provide nutrition care for people of diverse cultures and religions across the lifespan, i.e.,
infants through geriatrics
15. Demonstrate the ability to interpret medical terminology.
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16. Demonstrate knowledge of general health assessment, e.g. vital signs, blood pressure.
17. Demonstrate knowledge of pharmacology, nutrient-nutrient and drug-nutrient
interactions.
18. Supervise nutrition assessment of individual patients/clients with less complex medical
conditions, e.g., diabetes, cardiovascular disease, gastrointestinal disease
19. Integrate pathophysiology into medical nutrition therapy recommendations
SCHEDULE SUMMARY: Tuesdays and Thursdays at clinical sites beginning Thursday, March
6, 2008.
Schedule Notes:
 TUESDAY March 4 students meet on The University of Akron campus for clinical
orientation, calculation reviews, and case presentations.
 Thursday (March 6th) first day at clinical sites: onsite orientation
 Tuesday and Thursday March 18-20, 2008 – Spring Break – no clinicals
 Thursday, April 10, attend New Directions in Nutrition seminar at Summa sponsored by
University of Akron Nutrition and Dietetics Advisory Committee
 The last clinical day (Thursday, May 1, 2007) Student post-clinical conference (case
presentations) at The University of Akron.
 Written Clinical Case study is due to your clinical instructor no later than April 22 or as
determined by your clinical instructor.
APPROPRIATE DRESS FOR CLINICALS
Appropriate professional attire is expected for all clinical and related experiences (orientations,
introductions, scheduled work settings and presentations.) You will also need a lab coat. Read
policies/guidelines carefully.
GRADING
Final grade is Credit/Noncredit. Credit is earned by work equivalent to a “B”.
 Clinical performance = 50%
o Mini Rounds: Prior to the end of the semester, students will present at least two
“mini rounds” at the clinical site, presenting patients to the clinical instructor and
preceptors. This will serve as preparation for the Post Clinical Conference at the
end of the semester.
 Nutrition Care Process Forms = 25%
o Nutrition Care Process (NCP) Forms are to be completed on every patient contact
according to your clinical instructor’s direction. Due dates and/or presentation
dates will be assigned weekly.
 Case study = 25%
o Your clinical instructor must approve your case study.
o Select a case study patient by the last week in March/first week in April or
according to your Clinical Instructor’s directions. Select a patient with one welldefined problem that has been or will be discussed in class (e.g. diabetes mellitus,
cardiovascular disease, gastrointestinal disease, morbid obesity, anemia, etc.) The
patient may have other problems but the student will be concentrating primarily
on the problem(s) addressed in class.
o Case study must be typed and follow the outline and format provided. Written
case study is to be turned into your clinical instructor for grading. It is DUE on
April 22 or on a date assigned by your clinical instructor.
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o
Post Clinical Conference: A formal post-clinical conference will be held on
Friday, May 4, 2006 in SHS 209 from 1 to 4 p.m. See Post Clinical Conference
Presentation guidelines in this packet.
CLINICAL SKILLS WORKSHOPS (for on-campus workshops and orientation at
hospital)
I.
Overview of Clinical Experience
a. Objectives
b. Professional dress, conduct, attitude
c. Policies
d. Assignments
II.
Screening for Nutrition Risk
a. Role of screening
b. Examples of nutrition screening tools
c. Regulations relating to screening
III.
Nutrition Assessment in Hospitalized Patients
a. Review of University of Akron Nutrition Assessment standards of care
b. Review of anthropometric data and interpretation
c. Role and limitations of laboratory tests used in nutrition assessment of acutely ill
patients
d. Pharmacology and nutrition
i. Use of medication references
ii. Use of food-medication interactions references
Interviewing and counseling skills
IV.
V.
VI.
VII.
Medical Record
a. Definition
b. Role of the medical record as a legal document
c. Confidentiality
d. JCAHO standards relating to medical record documentation
e. Medical record examples from clinical sites
f. Where do you find nutritional information in the medical record?
g. Growth of electronic charting
Documentation of Nutrition Care
a. Allowed abbreviations
b. Charting formats
i. SOAP
ii. ADIME
iii. Narrative
iv. Screening documentation
v. Assessments vs progress notes
Clinical Case Studies
a. Nutrition Assessment
b. The Nutrition Care Process
c. Medical record documentation
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7400:329 NUTRITION IN MEDICAL SCIENCE CLINICALS
SCHOOL OF FAMILY AND CONSUMER SCIENCES
THE UNIVERSITY OF AKRON
Date
Tuesday, March 4, 1-4 p.m.
Thursday, March 6
March 11 and 13
March 18 and 20
March 25, 27, April 1, 3, 8
Topic
AT THE UNIVERSITY OF
AKRON
Introduction/overview of
course
Policies and Procedures
Nutrition Screening and
Assessment practices
Review of formulae and
calculations
The Medical Record
Data collection: clinical,
anthropometric, biochemical
Confidentiality and Ethics in
Nutrition Practice
Interviewing and Counseling
Skills
ON SITE AT ASSIGNED
HOSPITAL
Nutrition Care Plans/Case
Studies
Documentation of Nutritional
Care
Orientation to
processes/procedures at
clinical site
Screening, data collection,
care plan development (two
patients per day per student)
1. Review medical record
2. Interview patient
3. Complete a screen
4. Complete Nutrition Care
Process form
5. Prepare progress note
SPRING BREAK
Screening, data collection,
care plan development (two
patients per student per day)
1. Review medical record
2. Interview patient
3. Complete a screen
4. Complete Nutrition Care
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Presenters/Comments
C. Chima
E. Taylor
Clinical Instructors and
Preceptors
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Process form
5. Prepare progress note
Present mini-rounds to
preceptors and clinical
instructors on site (once)
Thursday, April 10, 2008
April 15, 17, 22, 24, 29
Thursday, May 1, 2008
Attend New Directions in
Nutrition Nutrition/Dietetics
Sponsored Seminar at Akron
City Hospital (students)
Three patients per student as
above
Provide nutrition education to
2 patients
Present mini-rounds to
preceptors and clinical
instructors on site (once)
Present case study on site to
preceptors/clinical instructor
Written case study due April
22 or as assigned by your
clinical instructor
LAST CLINICAL DAY
½ day at hospital
Present CASE STUDIES 1 to
4 p.m. at U of A Room 209