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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 2007
Class Day & Time: Monday, Wednesday 11:30 AM -1:20 PM; lab Wednesday 1:20-2:20.
Required Course Materials:
Mahan LK, Escott-Stump S. Krause’s Food, Nutrition, and Diet Therapy. 11th ed.
Philadelphia:WB Saunders Co.; 2004.
Access Student Study Guide for Krause at http://evolve.elsevier.com/productPages/s_228.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, 14th 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. Nutrition diagnosis and intervention. (from Nutrition
Assessment class)
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; 6th ed. Philadelphia:Lippincott; 2000.
Escott-Stump S. Nutrition and Diagnosis-Related Care. 5th ed. Baltimore: Lippincott Williams &
Wilkins; 2002.
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.
4. Have knowledge of physiology and nutrient metabolism.
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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:
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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.
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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
Attendance at 2 professional meetings
Total points possible
40
690
Date
Final Grade
Percentage
A
AB+
B
BC+
93-100
90-92
87-89
83-86
80-82
77-79
Topic
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
Readings and Written Assignments
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Date
Topic
1/17 Introduction to course
Wednesday Nutrition Care Process
(NCP)
Nutrition Screening
Readings and Written Assignments
Krause Chapter 21, 17; review Nutrition Diagnosis and
Intervention book from ADA
Read JADA article on NCP at
http://www.eatright.org/ada/files/Aug2003.pdf
1/22 –
Monday
Assessment and Weight Readings
In class: 24 hour intake
Homework: analysis of intake by computer and food groups
method
NCP: Nutrition
Assessment
Anthropometric Data
Clinical Data
Dietary Data
1/24Laboratory Data in
Wednesday Nutrition Assessment
MNT in Nutritional
Anemias
Krause, Chapter 18, 34
1/29 –
Monday
Krause Chapter 21
Handouts: Diet Manual Example
Handout: JCAHO forbidden abbreviations
Handout: Nutrition Diagnostic Labels
NCP forms
Nutrition Care
Process: Diagnosis,
Intervention,
Evaluation
Standard Hospital
Diets
Nutrition Care
Documentation
Charting formats
Abbreviations
1/31 Nutrition Care Process
Wednesday (continued)
Written assignment: NCP forms and documentation formats
Use Nelms Case Study #6, p. 57 (do not complete rest of case
study)
2/5 –
Monday
Krause Chapter 19
Food-Drug
Interactions
2/7 Integrative Medicine
Wednesday and phytotherapy
2/12 Monday
Krause Chapter 20
EXAM 1
2/14 Diabetes
Wednesday
Krause Chapter 33
American Diabetes Association (ADA) Nutrition Principles and
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Date
Topic
Readings and Written Assignments
Recommendations in Diabetes
http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s36
ADA Position Statement: Diagnosis and Classification of
Diabetes Mellitus
http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s5
2/19 Monday
Diabetes
Speaker: Kelly Dardinger Reed, RD, CDE, Akron General
Medical Center. MNT Considerations in Diabetes
2/21 Diabetes
Wednesday
Speaker: Kelly Dardinger Reed, RD, CDE, AGMC
Diabetes Medications, Diabetes Self Management Education,
and Pattern Management in Diabetes
ADA Position Statement: Diabetes Nutrition Recommendations
for Health Care Facilities
http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s55
MNT for Diabetes: considerations and calculations
Homework: diabetes diet calculation exercise
2/26 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
2/28 –
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 Position Statement: Prevention or Delay of Type 2
Diabetes
http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s47
ADA Nutrition Care Manual www.nutritioncaremanual.org
sections on Disease and Nutrition Care for Gestational Diabetes
3/5 Monday
Weight Management
3/7 Weight Management
Wednesday
3/12 -
Weight Management
Krause Chapter 24
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)
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Date
Monday
Topic
Readings and Written Assignments
3/14 EXAM 2
Wednesday
3/19 Monday
SPRING BREAK
3/21 SPRING BREAK
Wednesday
3/26 –
Monday
Eating Disorders
Krause Chapter 25
3/28 –
Cardiovascular
Wednesday Disease
Krause Chapter 35
4/2 –
Monday
Nelms Case Study 7, Cardiovascular Disease, p. 71
ADA Evidence Analysis Library Disorders of Lipid Metabolism
Guideline
Cardiovascular
Disease
4/4 Hypertension
Wednesday
Krause Chapter 36
4/9 Monday
Krause Chapter 37
Heart Failure and
Transplant
4/11 –
EXAM 3
Wednesday
4/16 Monday
Normal Digestion
Krause Chapter 1
4/18 MNT in Oral and
Wednesday Dental Health
MNT in Upper GI
Disorders
Krause Ch 28
Krause – Ch 29
Krause Ch 43 – p 1087-1092
Appendix 55
4/23 Monday
Krause Ch 30 pp 712-716
Speaker: Trisha Lyons MS RD on Celiac Disease
Evidence Analysis Library – Gluten Intolerance/Celiac
Disease
Mrs. Chima at ODA
MNT in Celiac
Disease
4/25 MNT in Upper GI
Wednesday Disorders
Krause Ch 29
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Date
Topic
Readings and Written Assignments
4/30 –
Monday
MNT in Lower GI
Disorders
Krause Ch 30
Nelms Case #10: GERD, p. 107
5/2 MNT in Lower GI
Wednesday disorders (cont)
EXAM WEEK 5/7 –
5/11
Exam per university schedule Friday 5/12 noon-1:55 p.m. may
reschedule