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