NTR 370 – Medical Nutrition Therapy I

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NTR 370 – Medical Nutrition Therapy I
Spring 2011
INSTRUCTOR:
Kay Southworth, MS, RD, LD
Phone: 471-0637
E-mail: ksworth@mail.utexas.edu
Office: GEA 30A
Office Hours:
TBA
PREREQUISITES: BIO 365S (or 416L), CH 369, NTR 326, and either BIO 325 or NTR 218 and
118L with a grade of at least C- in each.
OBJECTIVES: Upon completion of this course, the student should be able to:
1. Identify evidence-based principles of medical nutrition therapy for a variety of chronic
2.
3.
4.
diseases including diabetes, heart disease, gastrointestinal disorders, cancer, HIV disease,
and obesity.
Describe the physiological and biochemical basis for nutritional care in prevention and
treatment of chronic disease.
Demonstrate critical thinking in planning medical nutritional therapy for clients with a variety
of chronic diseases.
Apply education and behavioral concepts to the planning of nutritional care in prevention
and treatment of chronic disease.
REQUIRED MATERIALS:
3” x 5” index cards
NTR 370 handouts (lecture notes, etc.) – materials are posted to Blackboard or available
as a packet from the University CoOp
SUGGESTED TEXT:
Nelms, Sucher, Lacy and Roth: Nutrition Therapy and Pathophysiology, 2nd Ed.
Wadsworth, 2010
SUGGESTED REFERENCES:
Mahan & Escott-Stump: Krause’s Food & Nutrition Therapy (Life Science Library reserves)
ADA Nutrition Care Manual (On-line through UT Library)
ADA International Dietetics & Nutrition Terminology (IDNT) Reference Manual, 3rd ed. (Life
Science Library reserves)
BLACKBOARD: Announcements, assignments, lecture notes, handouts, suggested reading,
suggested web sites, etc. will be posted to Blackboard. Students are responsible for
checking Blackboard regularly.
NTR 370 – spring, 2011
EVALUATION:
Hour Exams (3)
Final Exam
Assignments
Participation: Class
WEB
Percent
50%
25%
14%
5%
6%
Grade Calculation (%)
A
≥ 93.0
C
73 - 76
AB+
90 - 92
87 - 89
CD+
67 - 69
B
83 - 86
D
63 - 66
BC+
80 - 82
DF
60 - 62
77 - 79
70 - 72
< 60
Grades will be posted to Blackboard
EXAMS: Exams will be multiple-choice questions similar in format to those on the Dietetic
Registration Examination. Questions will be taken from all lecture material with greatest
emphasis on medical nutrition therapy.
 Non-programmable calculators may be used for examinations. Students will not be
allowed to share calculators. Cell phones cannot be used in place of a calculator.
 Talking is not appropriate during the examination. Raise your hand and/or go to the
instructor's desk if you have a question.
 Exams will be available for student review, but will be kept by the instructor.
 Make-up exams will not be given. The final exam grade will substitute for any missed
exams.
FINAL EXAM: The date and time of the comprehensive final exam is set by the University and
cannot be changed. Each student will be allowed to bring one note card to the final exam.
 Students who earn a grade of 75 or better on all three hour exams may elect to
substitute their hour exam average for the final exam grade.
 If the grade (percentage) earned on the final exam is higher than the grade on one or
more hour exams, the final exam percentage will replace the hour exam grade.
ASSIGNMENTS: There are four assignments worth a total of 60 points. In each category,
students will have a choice of topics and due dates. Students may work in pairs for some
assignments.
All assignments should be submitted in a pocket folder (do not use brads); one assignment
per folder. Place your name clearly on the upper corner of the outside of the folder.
All assignments are due at the beginning of the class period. Ten percent will be deducted
for each day (M-F) that an assignment is late. Late assignments will not be accepted after
1 week past the due date.
Case Studies (One worth 30 points): Case studies will be used to stimulate independent
study and application medical nutrition therapy. Students may work individually or in pairs
to complete the case study. Students cannot partner with the same person for two
assignments. Students may choose from:
topics:
Diabetes
Gastroenterology
Oncology
to be submitted by:
Fri. 2/11
Mon. 3/7
Wed. 4/6
NTR 370 – spring, 2011
Writing for the Public (One worth 20 points): Dietitians are often asked to translate
scientific information for the lay public. Students will practice this skill by writing a brief
newsletter article. Students may choose from:
topics:
Diabetes
Oncology
Cardiology
to be submitted by:
Wed. 2/2
Fri. 3/25
Fri. 4/15
Modified Diet Experiences (Two worth 5 points each): Following a modified diet allows
students to better understand the challenge facing their future clients. Students may
choose from:
topics:
CHO Counting
Gluten Free Diet
Low Sodium DASH Diet
to be submitted by:
Fri. 2/18
Fri. 3/4
Mon. 4/25
PARTICIPATION:
In-class: Participation points can be earned with:
 Practice quizzes (1 pt correct, ½ pt incorrect) given at the beginning of class. These
multiple-choice questions cover material from previous lectures and serve as
examples of typical exam questions. Students must use 3 x 5 index cards for
answering questions. Students who arrive late may submit a blank card for ½ pt.
 Optional “homework” activities.
 Blackboard based quizzes.
Grade will be assigned based on percentage of ~90% of available points.
Example: student earns 14 points out of 18 available points. 18 pt x 90% = 16 pt (goal);
grade = 14/16 = 87.5%
WEB discussion: Students will be assigned to discussion groups to evaluate and plan
care for hypothetical patients. Points will be earned by:
 Care planning for one assigned patient scenario
 Critique/correction of the care planning for two patient scenarios
topics:
Diabetes
Cardiology
to be completed by:
Mon. 2/14
Fri 4/22
STUDENTS WITH SPECIAL NEEDS: “The University of Austin provides upon request
appropriate academic accommodations for qualified students with disabilities. For more
information, contact the Office of the Dean of Students at 471-6259, 471-6441 TTY."
ACADEMIC HONESTY: Cheating in its various forms such as copying or sharing information
on individually assigned projects or examinations, plagiarism or falsification of information
or data will not be tolerated. Students are encouraged to become familiar with the
University policy on academic honesty. Suspected violations of the policy will be reported
to the Dean of Students.
NTR 370 – spring, 2010
Schedule
Week
Monday
1/17
Wednesday
Friday
Orientation
Diabetes – Introduction
1/24
Diabetes – Type 1
Diabetes – Type 1
Diabetes – Type 2
1/31
Diabetes – Diagnosis
Diabetes – Medications
Diabetes – Medications
2/7
Diabetes – Medications
Diabetes – MNT
2/14
Diabetes – MNT
due: Web (Diabetes)
due: Writing (Diabetes)
Diabetes – Exercise
2/21
GI – Malabsorption
GI – Celiac Disease
2/28
GI – Gastric Surgery
GI – Dumping Syndrome
Obesity
Obesity – Bariatric
Surgery
3/7
due: Case Study (GI)
3/14
Diabetes – MNT
due: Case Study (Diabetes)
Diabetes – GDM
due: Modified Diet (CHO Counting)
EXAM I
Obesity
due: Modified Diet (Gluten Free)
Obesity – Bariatric
Surgery
Spring Break
3/21
Oncology – Introduction
Oncology – Treatment
Oncology – Treatment
3/28
Oncology – Treatment
HIV Disease – Introduction
EXAM II
4/4
HIV Disease – Treatment
Oncology – MNT
Oncology – MNT
4/11
Cardiology – Introduction
Cardiology –
Hypertension)
4/18
Cardiology - Hyperlipidemia
Cardiology - Hyperlipidemia
4/25
Cardioprotective Diet
Cardioprotective Diet
Cardiology – CHF
5/2
EXAM III
Cardiology – CHF
Review
due: Modified Diet (DASH)
due: Case Study (Oncology)
due: Writing (Oncology)
Cardiology – Hypertension
due: Writing (Cardiology)
Cardioprotective Diet
due: Web (Cardiology)
UT Scheduled Final Exam Period: Wed. May 11, 9-12 noon
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