KNH 413 MNT II Syllabus and Assignments Miami University Oxford, Ohio Department of Kinesiology and Health KNH 413— Medical Nutrition Therapy II FACULTY: Gretchen B. Matuszak, M.S., R.D., L.D. OFFICE: 100A Phillips Hall OFFICE HOURS: T-Th 8:30 – 9:20 am CLASS HOURS: Tuesday 12:00 -1:00 PM, 2:00-3:00 PM, Thurs. 12:00-2:00 pm E-MAIL: matuszg@muohio.edu PREREQUISITES: KNH 102, KNH 411 and a minimum of six hours of chemistry CATALOG DESCRIPTION: Examination of physiological and metabolic changes in condition and implications for medical nutrition therapy. 3 credit hours GOALS: • To utilize one’s knowledge of nutrition as a foundation for nutritional care of all age group and stages of disease. • To gain an understanding of the principles of clinical nutrition and be able to interpret these principles to other healthcare professionals. • To learn nutritional and medical terminology. • To develop nutritional care plans for some physiological disorders. • To review the fundamental principles of nutrition and apply these principles to the feeding of individuals and family in relation to overall health and various diseases. OUTLINE • • • • • • • • • • • Nutritional Pharmacology Nutrition Genomics Nutritional Care for Hematological System Nutritional Care and Electrolyte Balance Nutritional Care for Metabolic Stress Nutritional Care and the Immune System Nutritional Care for Renal Disorders Nutritional Care and Acid-Base Balance Nutritional Care for Diseases of the Musculoskeletal System Nutritional Care for Diseases of the Neurological System Nutritional Care for other selected disorders REQUIRED TEXT: Nelms M, Sucher K, Lacey, K., Habash, D., Roth S. Nutrition Therapy and Pathophysiology. 2nd ed. Belmonte, CA: Thomson Brooks/Cole, 2010. International Dietetic & Nutrition Terminology (IDNT): Reference Manual. Standardized Language for Nutrition Care Process. 4 ed. Chicago, IL: Academy of Nutriiton and Dietetics, 20013. RECOMMENDED REFERENCES: AND pocket guide to nutrition assessment. 2nd ed. Eds: Charney P, Malone A. Chicago, IL: American Dietetic Association, 2009. Pronsky, ZM. Food Medication Interactions. 17th ed. Birchrunville, PA: FoodMedication Interactions, 2012. Mahan, L.K., Escott-Stump, S. Krause’s Food Nutrition & Diet Therapy, 13th ed., Philadelphia, PA: W.B. Saunders Company, 2012. Cohen, Medical Terminology: An illustrated approach, 7th ed., Publisher: Lippincott, Williams and Wilkins 2011 For Drug Information: Internet www.rxlist.com sites: www.MEDLINEplus.gov or This course contributes to fulfilling criterion 2.1 in Standard Two of the Eligibility Requirements and Accreditation Standards for a Didactic Program in Dietetics 2.1.1 Didactic learning activities prepare students for pre-professional supervised practice with patient/client with various conditions, including but not limited to overweight and obesity, diabetes, and cardiovascular disease. 2.1.2 Didactic learning activities prepare students to implement the nutrition care process in pre-professional supervised practice with various populations and diverse cultures, including infants, children, adolescents, adults, pregnant/lactating females and the elderly. 2.1.3 Didactic learning activities prepare students to implement all nutrition interventions defined in the nutrition care process (food and/or nutrient delivery, nutrition education, nutrition counseling and coordination of nutrition care) in preprofessional supervised practice. Foundation Knowledge Requirements and Learning Outcomes. The students will have knowledge of the following based on the assignments, lectures, case studies, quizzes, and exams: 1. Scientific and Evidence Base of Practice: Integration of scientific information and research into practice. KR1.1 The curriculum must reflect the scientific basis of the dietetics profession and must include research methodology, interpretation of research literature and integration of research principles into evidencebased practice. KR1.1b. Learning outcome: Students are able to use current information technologies to locate and apply evidence-based guidelines and protocols, such as the ADA Evidence Analysis Library, Cochrane Database of Systemic reviews and the U.S. Department of Health and Human Services, Agency for healthcare Research and Quality, National Guidelines Clearinghouse websites. 1. Professional Practice Expectations: beliefs, values, attitudes and behaviors for the preparation of the dietitian into the professional level of practice. KR2.1 The curriculum must include opportunities to develop a variety of communication skills sufficient for entry into pre-professional practice. KR2.1.a. Learning outcome: Students are able to demonstrate effective and professional oral and written communication and documentation and use of current information technologies when communicating with individuals, groups, and the public. KR2.2 The curriculum must provide principles and techniques of effective counseling methods. KR2.2.a. Learning outcome: Students are able to demonstrate counseling techniques to facilitate behavior change. 1. Clinical and Customer Services: development and delivery of information, products and services to individuals, group, and populations. KR3.1 The curriculum must reflect the nutrition care process and include the principles and methods of assessment, diagnosis, identification and implementation of interventions and strategies for monitoring and evaluation. KR3.1.a. Learning outcome: Students are able to use the nutrition care process to make decisions, to identify nutrition-related problems and determine and evaluate nutrition interventions, including medical nutrition therapy, disease prevention and health promotion. 4. Practice Management and Use of Resources: strategic application of principles of management and systems in the provision of services to individuals and organization. KR4.4 The curriculum must include content related to healthcare systems. KR4.4.a. Learning outcome: Students are able to explain the impact of health care policy and administration, different health care delivery systems and current reimbursement issues, policies, and regulations on food and nutrition services. ASSIGNMENTS AND GRADING: Undergraduate Readings in text Diet Instruction 100 points 3 Exams @ 100 points each 300 points 5 Case Studies (@30 points each) 150 points Manual/Diet/Nutrient 40 points 8 Nutrition Quizzes/Tutorials 160 Total points 750 points points A 92-100% A- 90-91.9% C+78-79.9% D-60-61.9% C 72-77.9% F<60% B+ 88-89.9% C-70-71.9% B 82-87.9% D+68-69.9% B- 80-81.9% D 62-67.9% * All assigned coursework must be completed and turned in to the professor at the beginning of class on or before the due date. In order to receive a possible passing grade all assignments and exams must be completed. There will be a 20% penalty for any assignment turned in late. No assignment will be accepted one week after its due date. Do not e-mail me your finished work unless noted on the assignment QUIZZES/TUTORIALS There will be eight quizzes/tutorials on abbreviations, conversions, calculations, medical terminology, and lecture material. There will be NO make-up quizzes/tutorials. These quizzes/tutorials are intended to help you stay current with the material. If you arrive late to class, you will not be given extra time to complete the quiz. No tutorials will be accepted if they are handed in late. CASE STUDIES Disease states covered in this course will be supplemented with a case study. These case studies are your tool to learn more information about a disease state. You must show all work for calculations in each case study. Your answers must be typed, in black ink, concise, and thorough. MEDICAL NUTRITION THERAPY MANUAL/DIET/NUTRIENT Students will compile a Medical Nutrition Manual on the various topics discussed during the course. The manual will include sections such as assessment, therapeutic diet, nutrients, drugs, abbreviations, and disease specific nutrient and dietary requirements. You will be given additional guidelines on how to create your manual. This manual is meant to be a concise compilation of pertinent materials that you will need to reference in the future. This project is due at the end of the semester. STUDENT RESPONSIBILITIES 1. Assignments will be posted on Niihka according to the course schedule or provided in class. Please check Niihka often for updated information from the professor. For a late assignment to not receive a 20% penalty you must submit to the professor a documented excuse, i.e. a doctor’s note, health center visit, if you have to be hospitalized or a death in the family. Grading of assignments will take at least 1 week. 1. Students are expected to attend all classes. You are responsible for any materials covered in class. Attendance will be taken for all classes. You may have 2 excused absences but this should be used for illness, family emergencies. Your final grade will be dropped 5% for every absence after 2. 3. 4. 5. 6. 2. Students are expected to be prepared for class. Complete assignments in a timely manner and take exams as scheduled. Students are expected to act as a professional in class. Do not study for another class during this one, seek assistance from the professor and appropriate University support services Students are expected to meet the course standards as defined by the professor and articulated on http://www.miami.muohio.edu/documents_and_policies/handbook/. Exam dates are indicated on the course schedule. You will have the entire class period for the final exam. If an emergency occurs and you must miss an exam, notify me prior to the exam or call the main office (5292700). You will need a medical excuse or other valid excuse to make up the exam. If you need special accommodations in order to complete any coursework please contact me as soon as possible in addition to the Office of Disability Resources. All concerns will be kept confidential.