1
7400:328 NUTRITION IN MEDICAL SCIENCE I (4 credits)
SCHOOL OF FAMILY AND CONSUMER SCIENCES
THE UNIVERSITY OF AKRON
Instructors:
Ms. Cinda Chima, MS, RD, LD
Office Hours:
Before and after class or by appointment
Call 330.972.6047 to schedule
Office – SHS 215-G
E-mail:
csc19@uakron.edu
Home Page:
http://www3.uakron.edu/chima/
SPRING 2008
Class Day & Time: Monday, Wednesday 11:40 AM -1:30 PM; lab Wednesday 1:30-2:30.
Required Course Materials:
Mahan LK, Escott-Stump S. Krause’s Food, Nutrition, and Diet Therapy. 12th ed.
Philadelphia:WB Saunders Co.; 2008.
Access Student Study Guide for Krause at http://evolve.elsevier.com/staticPages/s_index.html
Nelms MN, Anderson SL. Medical Nutrition Therapy: A Case Study Approach. 2nd Edition.
Belmont, CA:Wadsworth/Thomson Learning; 2004.
Pronsky Z. Food-Medication Interactions, 15th Edition. Order from
http://www.foodmedinteractions.com/
The American Dietetic Association Evidence Analysis Library. ADA members access online free
of charge at www.eatright.org. Follow the Practice link and choose Evidence Analysis Library.
Must sign in with ADA member number and password.
The American Dietetic Association. Pocket Guide for International Dietetics & Nutrition
Terminology (IDNT) Reference Manual, First Edition, 2008
The American Dietetic Association. Nutrition Care Manual. Access online free of charge.
http://nutritioncaremanual.org/universi13 (accessible from computers on campus only)
Recommended Resources:
Fischbach F. Manual of Laboratory and Diagnostic Tests; 7th ed. Philadelphia:Lippincott; 2003.
Escott-Stump S. Nutrition and Diagnosis-Related Care. 6th ed. Baltimore: Lippincott Williams &
Wilkins; 2008.
Course Objectives: At the completion of this course, the student will:
1. Use current information technologies.
2. Work effectively as a team member and recognize the role of the dietitian in the health care team.
3. Have knowledge of general health assessment, e.g. vital signs, blood pressure.
2
4. Have knowledge of physiology and nutrient metabolism.
5. Have knowledge of pathophysiology related to nutrition care.
6. Have knowledge of pharmacology, including nutrient-nutrient and drug-nutrient interactions.
7. Interpret laboratory parameters related to nutrition.
8. Interpret medical terminology.
9. Demonstrate the ability to interpret current research and apply it in clinical practice.
10. Have knowledge of the role of food in the promotion of a healthy lifestyle.
11. Calculate and interpret the nutrient composition of foods.
12. Have knowledge of evolving methods of assessing health status.
13. Have knowledge of nutrition and metabolism.
14. Have knowledge of medical nutrition therapy.
15. Have knowledge of strategies to assess need for adaptive feeding techniques and equipment.
16. Have knowledge of assessment and treatment of nutritional health risks.
17. Have knowledge of complementary and alternative nutrition and herbal therapies and dietary
supplements.
18. Demonstrate the ability to calculate and/or define diets for health conditions addressed by health
promotion/disease prevention activities or uncomplicated instances of chronic diseases of the
general population, e.g. hypertension, obesity, diabetes.
19. Screen individuals for nutritional risk.
20. Collect pertinent information for comprehensive nutrition assessments.
21. Identify and describe the nutritional implications and dietary modifications dictated by various
disease states or clinical conditions studied
22. Develop appropriate nutrition care plans while considering nutritional and medical requirements,
laboratory findings, surgical procedures, medical therapies, individual preferences, and drug
usage.
23. Recognize the impact of hospitalization and the disease process on the patient’s emotional and
physical needs.
Course Policies:
1.


2.
3.
4.
5.
Attendance at all classes for the full class time is expected. Attendance will be taken at
every class. Your final grade will be affected by tardiness and absences.
If you must be late or absent due to an emergency, leave a message on the instructor’s
voice mail (330.972.6047) as soon as possible.
Handouts, assignments, and tests will be distributed in class only once. After that, it is the
student’s responsibility to determine what was missed and obtain copies from the
instructor or a fellow student.
Guest speakers and off campus presentations are scheduled for several class sessions.
Prompt attendance, your undivided attention, and professional dress are required/expected
at these times.
Quizzes and exams are based on lecture material, class discussions and presentations, and
assigned readings. No makeup quizzes will be given; however the lowest quiz grade will
be dropped. No makeup exams will be given unless prior approval is arranged with the
instructor. If you are ill on a test date, leave a message on the instructor’s voice mail
(330.972.6047) by 8:45 AM. Makeup exams may be essay.
Assignments are due at the beginning of class. Late assignments will be penalized 10%
for each late class session day.
All phones and beepers are to be turned off during class time.
3
6.
7.
8.
9.
10.
11.
Attendance at two single-session (e.g. GADA) or one multi-session professional meeting is
required. Concise, complete, legible reports of these meetings are due one week after the
meeting on the provided forms. Do not wait until the end of the semester to complete
this assignment.
Academic Dishonesty: Any student found cheating on an exam or assignment will be given
a zero and reported to the Academic Affairs Office. Documentation will also be placed in
the student’s permanent file. There may be assignments that will involve handing in one
paper from a group. Those assignments will be clearly delineated. For other assignments,
each student must hand in work in his/her OWN WORDS. Any text directly quoted from a
textbook or online source must be clearly delineated and limited to situations where
quoting a well-known authority strengthens the work. Please reference the following
University of Akron plagiarism policy and familiarize yourself with its contents.
http://www.uakron.edu/ogc/PreventiveLaw/plagiarism.php
Adjustments will be made to the schedule and assignments as necessary.
Course-related documents (Powerpoints, handouts, forms, syllabi) are accessible at the
professor’s home page at http://www3.uakron.edu/chima/. Posted information is updated
frequently, so check back often.
Some information may be communicated to students via email. Students should check their
email frequently and provide the professor an update if email changes
Labs are opportunities for enrichment of course content and application of techniques
learned in class. Some lab sessions related to clinicals may be attended by CPs only but
most labs will involve both CPs and DPDs
Course Grades: Course grades will be determined by the following:
Element
Exams: 4 @ 100 points
Quizzes
Written assignments
Attendance and class participation
Possible points
400
80
120
50
Medical Terminology Text or Class
Attendance at 2 professional meetings
Total points possible
30
40
720
Final Grade
Percentage
A
AB+
B
BC+
93-100
90-92
87-89
83-86
80-82
77-79
Final
Grade
C
CD+
D
DF
Attendance points:
0-1 absences=50 points
2=40, 3=30, 4=20, 5=10
6 or more = 0 points)
Percentage
73-76
70-72
67-69
63-66
60-62
59 &
below
4
Date
1/14 Monday
Topic
Introduction to course
Review of Nutrition
Care Process (NCP)
Nutrition Screening
Readings and Written Assignments
Krause Chapter 14, 17; review IDNT pocket guide from ADA
Read JADA article on NCP at
http://www.eatright.org/ada/files/Aug2003.pdf
1/16 –
NCP: Nutrition
Wednesday Assessment
Anthropometric Data
Clinical Data
Dietary Data
Estimation of Energy
Needs
Assessment and Weight Readings
In lab: 24 hour intake
Homework: analysis of intake by computer and food groups
method
Handout: University of Akron standards of care
1/21Monday
NO CLASS
Martin Luther King
Observance
1/23 –
Laboratory Data in
Wednesday Nutrition Assessment
MNT in Nutritional
Anemias
Krause, Chapter 15, 31
Charney and Malone, Laboratory Assessment, pp. 63-109,
excluding acid-base balance
1/28/07 Monday
Krause Chapter 17
Handouts: Diet Manual Example
Handout: JCAHO forbidden abbreviations
Handout: Nutrition Diagnostic Labels
NCP forms
ADA Evidence Analysis Library > Nutrition Care Process >
Nutrition Assessment > Energy Expenditure Measurement vs.
Predictive Equation
http://www.adaevidencelibrary.com/topic.cfm?cat=1071
Nutrition Care
Process: Diagnosis,
Intervention,
Evaluation
Intervention: Standard
Hospital Diets
1/30 Nutrition Care Process
Wednesday (continued)
Nutrition Care
Documentation
Charting formats
Abbreviations
Written assignment: NCP forms and documentation formats
Use Nelms Case Study #6, p. 57 (do not complete rest of case
study)
2/4 –
Monday
Krause Chapter 16
Assessment: FoodDrug Interactions
2/6 Integrative Medicine
Wednesday and phytotherapy
Krause Chapter 18
5
Date
Topic
2/11 Monday
EXAM 1
Readings and Written Assignments
2/13 Diabetes
Wednesday
Krause Chapter 30
American Diabetes Association (ADA)
Standards of Medical Care for Diabetes
http://care.diabetesjournals.org/cgi/reprint/30/suppl_1/S4
Nutrition Principles and Recommendations in Diabetes
http://care.diabetesjournals.org/cgi/reprint/30/suppl_1/S48
Diagnosis and Classification of Diabetes Mellitus
http://care.diabetesjournals.org/cgi/reprint/30/suppl_1/S42
2/18 Monday
Speaker: Kelly Dardinger Reed, RD, CDE, Akron General
Medical Center. MNT Considerations in Diabetes
Diabetes
2/20 Diabetes
Wednesday
Speaker: Kelly Dardinger Reed, RD, CDE, AGMC
Diabetes Medications, Diabetes Self Management Education,
and Pattern Management in Diabetes
MNT for Diabetes: considerations and calculations
Homework: diabetes diet calculation exercise
2/25 Monday
Nelms Case Study #28: Diabetes Mellitus Type 2, p. 317
ADA nutrition Care Manual, Disease and Nutrition Care sections
for Metabolic Syndrome
www.nutritioncaremanual.org
Diabetes
PCOS/Diabetes
Prevention
2/27 –
Gestational Diabetes
Wednesday Diabetes in Pregnancy
Speaker: Kelly Dardinger Reed, RD, CDE, Akron General
Medical Center
ADA Position Paper: Gestational Diabetes Mellitus
http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s88
ADA Nutrition Care Manual www.nutritioncaremanual.org
sections on Disease and Nutrition Care for Gestational Diabetes
ADA Evidence Analysis Library sections on Diabetes 1 and 2
(sign in at www.eatright.org)
3/3 Monday
Cardiovascular
Disease
Krause Chapter 32
Medical Terminology Texts due
3/5 Cardiovascular
Wednesday Disease
Nelms Case Study 7, Cardiovascular Disease, p. 71
ADA Evidence Analysis Library Disorders of Lipid Metabolism
Guideline
3/10 Monday
Krause Chapter 33
Hypertension
6
Date
Topic
Readings and Written Assignments
3/12 EXAM 2
Wednesday
3/17 Monday
SPRING BREAK
3/19 SPRING BREAK
Wednesday
3/24 –
Monday
Heart Failure and
Transplant
Krause Chapter 34
3/26 –
Weight Management
Wednesday
Krause Chapter 21
ADA Nutrition Care Manual sections on Disease and Nutrition
Care for Weight Management
ADA Evidence Analysis Library: Evidence Based Adult Weight
Management Guideline (sign in at www.eatright.org)
3/31 –
Monday
Guest Speaker: Kim Knopp, MS, RD, Akron General
Medical Center
Mrs. Chima at CNM Symposium
Bariatric Surgery
4/2 Weight Management
Wednesday (cont)
4/7 Monday
Eating Disorders
Krause Chapter 22
4/9–
EXAM 3
Wednesday
4/14 Monday
Normal Digestion
Krause Chapter 1
4/16 MNT in Oral and
Wednesday Dental Health
MNT in Upper GI
Disorders
Krause Ch 25
Krause – Ch 26
Mrs. Chima at meeting
4/21 Monday
Krause Ch 26
MNT in Upper GI
Disorders
4/23 MNT in Celiac
Wednesday Disease
Krause Ch 26 pp 681-687
Speaker: Trisha Lyons MS RD on Celiac Disease
Evidence Analysis Library – Gluten Intolerance/Celiac
7
Date
Topic
Readings and Written Assignments
Disease
Mrs. Chima at ODA Board Meeting
4/28 –
Monday
MNT in Lower GI
Disorders
Krause Ch 27
Nelms Case #10: GERD, p. 107
4/30 MNT in Lower GI
Wednesday disorders (cont)
EXAM WEEK 5/5 –
5/11