NSC 340: Introduction to Diet Therapy Syllabus - Spring 2013 8:00am - 9:15 am - Tuesdays & Thursdays / C E Chavez Bldg, Rm 111 Instructor Information: Instructor: Mary Marian, MS, RD; mmarian@u.arizona.edu (This is the best way to contact me). Office Location: 430 Shantz (4th floor); Phone number: 235-6793 (cell phone) Office Hours: 10 am – 11:30 am Tu/Th or by appointment Teaching assistant: Donella Yoon; djyoon@email.arizona.edu Description of Course Major diseases and corresponding diet therapy Nutritional Physiology Course Objectives and Expected Learning Outcomes: Acquire knowledge and skills for applying evidence-based medical nutrition for disease prevention and treatment. Understand the pathophysiology related to discussed medical conditions and determine appropriate evidencebased medical nutrition therapy. Complete a nutrition assessment and interpret nutrition assessment data to develop a nutrition prescription with goals and objectives including dietary and nutrient modifications to promote positive outcomes. Topics: Introduction to: Nutritional Care Process Obesity/weight management Cardiovascular Disorders Diabetes Renal Disease Hepatic and Pancreatic Disorders Neurologic Disorders Cancer Musculoskeletal disorders Integrative Medicine/Dietary Supplements Course Methodology: Overheads & PowerPoint, web-based programs, case studies and interactive discussions will be used to enhance the learning process. Teaching Format: Lecture activities Case Studies and Nutrition Care Assignment Exam reviews and Discussion Required Texts: All notes for lectures (PPT and supplement materials/readings) are available on the course D2L website. Nutrition Therapy & Pathophysiology; Nelms M, Sucher KP, Lacey K, Roth SL (eds). Wadsworth Cengage Learning. Revised January 2013 pg. 1 (340) Recommended Websites: http://www.usda.gov (United States Department of Agriculture) http://www.eatright.org (American Dietetic Association) o www.adaevidencelibrary.com o www.eatright.org.ealtutorial http://www.fda.gov (Food and Drug Administration) http://www.healthlinkalberta.ca/Topic.asp?GUID={3E3E8DBF-1CCD-442B-ACF2-3C867FFC043B}(quick reference for DRIs) www.mypyramid.gov (Healthy Eating Index) http://www.diabetes.org (American Diabetes Association) http://www.americanheart.org (American Heart Association) http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/ (DASH diet) http://www.cancer.org (American Cancer Society) http://www.aicr.org (American Institute for Cancer Research) http://www.kidney.org (National Kidney Foundation) Required or Special Materials Calculator, PowerPoint software, internet access Required/Recommended Knowledge: NSC 301 – Nutrition in the Lifecycle; NSC 308 – Nutrition and Metabolism Concurrent Enrollment or Completed Biochem 400 level and Human Physiology You are responsible for the information provided in these required courses, this class builds on such information and moves rapidly. Examples of what you need to know to get through this class: Krebs cycle, protein metabolism, role of vitamins in the energy cycles, basic nutrition for infants, and general nutritional requirements of the elderly. If you do not have basic knowledge of these concepts, this class will be difficult for you, withdraw now. Grading Policy: Case Studies (print out from d2l and submit paper assignment: due in class on due date. Assignments can always be turned in early. Examinations I and II Final Exam (non-cumulative) Examinations include both multiple-choice questions and case studies. Bring a pencil to class on exam day – scantrons are used; case studies can be answered directly on the exam. All reading materials are fair game for examinations. There will be 10 random essay in-class quizzes. Students will be allowed to work together however, notes or other materials cannot be utilized. Only Dean’s excuses will be accepted for missing class. An incomplete grade will only be given when there are extenuating circumstances at the discretion of the Instructor; 80% of the course assignments/exams must have been completed. If you have any questions regarding grades or assignments OR want to make-up missing assignments (that you received permission to make-up), these must be addressed within 2 weeks of the assignment, exam, quiz, etc. Late Work Policy: No late work will be accepted unless the student receives written prior approval from the course instructor. Students should contact the course instructor via email with a request for late work. The instructor will provide email response indicating whether the request has been approved as the revised due date if indicated. Make-up Examination Policy: Students are expected to take all examinations for this class during the designated examination periods Revised January 2013 pg. 2 (340) specified on the course syllabus. Make-up examinations are only possible with authorized approval from the course director and require an emergency circumstance. Any medical rationale for missing an exam must be accompanied by written notification from a medical doctor. All make-up examinations will be administered in the instructor’s office and will be in essay format. There is no make-up for missing in-class quizzes. Attendance Policy: Students are expected to attend all classes in order to perform quality work for this course. Information provided during class time will be critical to successful completion of all assignments. All holidays or special events observed by organized religions will be honored for those students who show affiliation with that particular religion. Absences pre-approved by the UA Dean of Students (or Dean designee) will be honored. Assignments/Testing Schedule/Due Dates: Assignments: o Nutrition Assessment o Cardiovascular Case Study o Diabetes Diet Case Study o Renal Case Study o Neoplastic Case Study Exams I, II and Final In-class essay quizzes (10 @ 5 points each) Total Possible Points for semester grade Due Dates January 29 February 14 February 26 March 26 April 11 Possible Points 100 50 50 50 50 100 each 50 650 points Course Schedule: DATE Jan. 10 Jan. 15 Jan. 17 Jan. 22 Jan. 24 Jan. 29 Jan. 31 Feb. 5 Feb. 7 Feb. 12 Feb. 14 Feb. 19 Feb. 21 Feb. 26 Feb. 28 March 5 March 7 March 9-17 March 19 TOPIC Orientation and Introduction Lecture: Nutrition Care Process/Nutrition Assessment Nutrition Assessment continued Nutrition Diagnosis & Intervention, Monitoring & Evaluation Nutrition Support – Enteral & Parenteral Nutrition Nutrition Assessment Case Study in-class review Obesity: Energy Balance & Body Weight Nutrition Assessment Assignment Due in class Exam 1 review Exam 1 Diseases of the Cardiovascular System CVD, HTN, Heart Failure continues Diabetes – Endocrine System CVD Case Study due Continue Diabetes – review case study in class Diseases of the Liver, Gallbladder & Exocrine Pancreas Continue liver, gallbladder & pancreas Diabetes Case Study due Diseases of the Renal System Renal System continued Renal System continued – review case study Spring Break Exam Review READING (CH) 2&3 3 2&4 5 12 13 13 17; pgs 482-top of 509 16 & 452, 649 & 663-667 16 18 Revised January 2013 pg. 3 (340) March 21 March 26 March 28 April 2 April 4 April 9 Exam 2 Neoplastic Disease Neoplastic disease continued Neoplastic case study review Neurologic Disorders Neurologic Disorders continued Renal case study due 23 20 April 11 Diseases of the Musculoskeletal System Neoplastic Disease case studies due April 16 April 18 Diseases of the Musculoskeletal system continued Dietary Supplements April 23 Dietary Supplements/Complementary Medicine April 25 April 30 May 9 8am–10am Complementary Medicine continued Final Exam review Final Exam: Neoplastic diseases, Neurologic Disorders, Musculoskeletal System and Dietary Supplements/Integrative Care 25 – pgs 771-787; 789 (arthritis) - 797 208-211; 209t; 228t-229t; 331-333; 641-644; 719-721; 730-732; 800-802 Assignment Format: Case studies and diet calculation assignments vary in format. Specific formatting/content requirements will be provided in class on the designated diet calculation presentation dates. Grades: Your grade will depend on the number of points you earn. Grades will be awarded as follows: GRADE A B C D E PERCENTAGE REQUIRED 90-100 80-89 70-79 60-69 <59 POINTS REQUIRED 585-650 520-581 455-516 390-451 <386 Any questions regarding grades must be addressed within 2 weeks of receiving your assignment back. Any inquiries after 2 weeks can be discussed but will not result in any grade changes. Case studies turned in late will be subjected to a 20% grade reduction per week. Grades such as >69.5-69.99%, >79.5-79.99% and >89.5-89.99% will be rounded up to the next grade. Classroom Behavior: Policy regarding use of cell phones/pagers: The Arizona Board of Regents’ Student Code of Conduct, ABOR Policy 5-308, prohibits threats of physical harm to any member of the University community, including to one’s self. See: http://policy.web.arizona.edu/~policy/threaten.shtml. If you need to leave class early, please leave quietly. Notification of Objectionable Materials (if applicable): Warning of course content that may be deemed offensive by some students – Not applicable. Special Needs and Accommodations Statement: Students who need special accommodation or services should contact the Disability Resources Center, 1224 East Lowell Street, Tucson, AZ 85721, (520) 621-3268, FAX (520) 621-9423, email: uadrc@email.arizona.edu, http://drc.arizona.edu/. You must register and request that the Center or DRC send me official notification of your Revised January 2013 pg. 4 (340) accommodations needs as soon as possible. Please plan to meet with me by appointment or during office hours to discuss accommodations and how my course requirements and activities may impact your ability to fully participate. The need for accommodations must be documented by the appropriate office. Student Code of Academic Integrity: Students are encouraged to share intellectual views and discuss freely the principles and applications of course materials. However, graded work/exercises must be the product of independent effort unless otherwise instructed. Students are expected to adhere to the UA Code of Academic Integrity as described in the UA General Catalog. See: http://w3.arizona.edu/%7Estudpubs/policies/cacaint.htm Confidentiality of Student Records: http://www.registrar.arizona.edu/ferpa/default.htm Subject to Change Statement: Information contained in the course syllabus, other than the grade and absence policy, may be subject to change with advance notice, as deemed appropriate by the instructor. Revised January 2013 pg. 5 (340)