NFSC 460 - Medical Nutrition Therapy
This syllabus covers the general subject matter and format for the course but does not apply to any specific semester. For information about this course for a particular semester please contact the course Instructor. Syllabi for all courses in the Department of Nutrition and Food Science are subject to change at any time per decision of the Instructor. The Instructor for the course may also change at the discretion of the Department of Nutrition and Food Science.
Prerequisites
NFSC 380 and NFSC 440
Course Description
This course is designed to increase the students’ knowledge of clinical nutrition and to learn practical applications that can ultimately impact ones’ health. Principles of dietary management as a preventative and therapeutic tool in health care will be emphasized during various physiologic changes such as disease, metabolic alterations and stress. The course encompasses understanding, application and teaching of dietary modifications by considering the physiological, psychological and psychosocial aspects of the individual.
Objectives
Upon completion of the course, the student will be able to:
- Recognize, define and use appropriate medical terminology.
- Explain the effects of disease, medications and other treatments of the digestion, absorption and metabolism of nutrients.
- Explain the etiology, symptoms and pathophysiology of selected diseases in which nutritional intervention plays a major role.
- Modify a normal diet to meet nutritional needs for various diseases and intervene with the appropriate counseling techniques.
- Write appropriate patient nutrition care plans.
- Identify relevant resource materials useful for teaching food pattern and behavior modifications to meet the individual’s nutritional needs.
Instructor
This course is currently be taught by an adjunct Instructor. For information about the course please contact:
Nancy Brenowitz, MS, RD, LD
3307 Marie Mount Hall
(301) 404-4532
nbrenowi@umd.edu
Required Materials
- Text: Mahan L K, Escott-Stump S. Krause’s Food, Nutrition, and Diet Therapy, 11th edition, 2000.
- Food Medication Interactions.
- The American Dietetic Association, Exchange Lists for Meal Planning
- Medical Dictionary: Taber’s Cyclopedic Medical Dictionary (recommended)
- Lee and Neiman “ Nutritional Assessment” (NFSC 380 text) (recommended)
Schedule of Classes
| Week # | Lecture | Readings | Lab |
| Week 1 | Introduction Intro to Nutrition Care Process Assessment and HIPPA |
Chapters 17, 18 and 21 | NO LAB |
| Week 2 | Documentation/Counseling Diabetes |
Chapters 22 and 33 | General Policies, Procedures and Requirements Medical Terminology Review Term Project Introduction to Counseling SOAP Notes |
| Week 3 | Diabetes | Chapter 33 | Introduction to Diabetes: Exhange Lists, General Principles of Diet Modfication, and CHO Counting Practice SOAP Notes DUE:Client Info for Term Project Medical Terminology Assignment |
| Week 4 | Cardiovasular Disease Hypertension |
Chapters 35 and 36 | Planning Diets Modified for CHD: TLC, DASH Diet, Modify Regular Diets in Workbook DUE: Diabetes Case Study |
| Week 5 | Energy Balance and Weight Control |
Chapter 24 | Discuss Obesity Case DUE: CVD Case Study Term Project Part 1A Quiz 1 |
| Week 6 | Eating Disorders HIV |
Chapters 25 and 41 | NO LAB |
| Week 7 | Cancer EXAM 1 |
Chapter 40 | Discuss Cancer Case DUE:Obesity Case Study Term Project Part 1B |
| Week 8 | Liver Disease | Chapter 31 | Discuss Hepatitis/Liver Case DUE: Cancer Case Study Practice SOAP Note |
| Week 9 | Renal Guest Speaker: MaryAnn Thornton, RD, LD Nutrition Coordinator The Independent Dialysis Foundation Fluid/Electrolyte Balance |
Chapters 39 and 6 | Discuss Renal Case Quiz 2 |
| Week 10 | Allergies/Food Intolerances Guest Speaker: Victoria Wood, MPH, RD, CNS Upper GI |
Chapters 32 and 29 | Practice SOAP Note DUE: Practice SOAP Note |
| Week 11 | Lower GI Nutrition Support: Enteral Guest Speaker: Ann Linton, MS, RD, CNSD Nutrition Support Specialist CORUM Home Health Care |
Chapters 30 and 23 | Practice Enteral Calculations Discuss Enteral Case DUE: Practice SOAP Note |
| Week 12 | EXAM II Nutrition Support: Parenteral |
Chapter 23 | Practice Parenteral Calculations Discuss Parenteral Case DUE: Enteral Case |
| Week 13 | Metabolic Stress Eating Disorders |
Chapters 42 and 25 | Discuss Pulmonary Case Practice SOAP Note DUE: Parenteral Case Term Project Part III and Supporting Documents |
| Week 14 | Heart Failure and Transplant Neurological Disorders |
Chapters 37, 38 and 43 | Discuss Ethical Issues in Long Term Care Discuss Neurolgical Disorders Case DUE: Practice SOAP Note |
| Week 15 | Rheumatic Disorders Long Term Care Guest Speaker: Phyllis McShane, MS, RD, LD Internship Director University of Maryland Dietetic Internship |
Chapter 44 | NO LAB |
Grading
Exams
| Exams I & II | 200 |
| Final Exam | 100 |
Lab Assignments/Quizzes/Case Studies
| Term Project Assignment | 100 |
| 2 Lab Quizzes | 30 |
| Medical Terminology Assignment | 10 |
| Obesity Case | 25 |
| Cardiovascular Case | 35 |
| Diabetes Case | 35 |
| Renal Case | 25 |
| Enteral Feeding Case | 15 |
| Parenteral Feeding Case | 15 |
| Total Points | 625 |
For more information, contact Nancy Brenowitz, MS, RD, LD
Last updated: 10/5/2006