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400:428/528 NUTRITION IN MEDICAL SCIENCE II (5 credits)FALL 2007

SCHOOL OF FAMILY AND CONSUMER SCIENCES

THE UNIVERSITY OF AKRON

Instructor: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:

Home Page:

Class Day & Time:Monday and Friday, 9:00 – 11:30 AM

Lab 1:30-2:30 p.m. Friday as needed

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

NelmsMN, 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

The American Dietetic Association Evidence Analysis Library. ADA members access online free of charge at 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. (accessible from computers on campus only)

Recommended Course Materials

Escott-Stump S. Nutrition and Diagnosis-Related Care. 6th ed. Baltimore: Lippincott Williams & Wilkins; 2007.

Fischbach F. Manual of Laboratory and Diagnostic Tests; 6th ed. Philadelphia:Lippincott; 2000.

Course Objectives: At the completion of this course, the student should be able to:

  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.
  5. Have knowledge of pathophysiology related to nutrition care.
  6. Have knowledge of pharmacology, including nutrient-nutrient and drug-nutrient interactions.
  7. Have knowledge of fluid and electrolyte requirements.
  8. Interpret laboratory parameters related to nutrition.
  9. Interpret and utilize medical terminology.
  10. Demonstrate the ability to interpret current research and apply it in clinical practice.
  11. Have knowledge of the role of food in the promotion of a healthy lifestyle.
  12. Calculate and interpret the nutrient composition of foods.
  13. Have knowledge of evolving methods of assessing health status.
  14. Have knowledge of nutrition and metabolism.
  15. Have knowledge of medical nutrition therapy.
  16. Have knowledge of strategies to assess need for adaptive feeding techniques and equipment.
  17. Have knowledge of assessment and treatment of nutritional health risks.
  18. Have knowledge of complementary and alternative nutrition and herbal therapies and dietary supplements.
  19. 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.
  20. Screen individuals for nutritional risk.
  21. Collect pertinent information for comprehensive nutrition assessments.
  22. Identify and describe the nutritional implications and dietary modifications dictated by various disease states or clinical conditions studied
  23. Develop appropriate nutrition care plans while considering nutritional and medical requirements, laboratory findings, surgical procedures, medical therapies, individual preferences, and drug usage.
  24. Calculate enteral and parenteral nutrition formulations.
  25. Recognize the impact of hospitalization and the disease process on the patient’s emotional and physical needs.
  26. Have knowledge of interpersonal communications skills.
  27. Have demonstrated the ability to counsel individuals on nutrition issues.
  28. Have demonstrated the ability to document appropriately a variety of activities.

Course Policies:

1.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.

2.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.

3.Quizzes and exams are based on lecture material, class discussions and presentations, and assigned readings.

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.

No makeup quizzes will be offered. However the lowest quiz grade will be dropped.

4.Assignments are due at the beginning of class. Late assignments will be penalized 10% for each late day.

5.All phones and beepers are to be turned off during class time.

6.Attendance at two professional meetings 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.

7.Adjustments will be made to the schedule and assignments as necessary.

Graduate Students: Additional Requisites for 7400:528

Additional objectives for graduate students:

  1. Critically evaluate the quality of nutrition research, summarize a body of evidence, and make recommendations for practice.
  2. Use ADA’s Evidence Analysis System to evaluate a research publication.
  3. Examine nutrition practice controversies and summarize for undergraduate students.

In addition to the requirements above, graduate students are required to complete the following assignments:

  1. A special project on a topic selected in collaboration with the instructor(50 points). This project may be an annotated literature review on a nutrition topic, the development of a lecture on a relevant topic that supports the course, completion of an evidence analysis worksheet on an assigned nutrition article, or presentation of selected lectures with feedback from students
  2. A review of the literature on an area of nutrition practice controversy chosen in collaboration with the professor. (50 points).
  3. Total points for graduate students will therefore be 810 points.

Course Grades: Course grades will be determined by the following:

Element / Possible points
Exams: 4 @ 100 points / 400
Quizzes / 80
Written assignments / 140
Attendance and class participation / 50 / Attendance points:
0-2 absences=50 points
3=40, 4=30, 5=20, 6=10
7 or more = 0 points)
Attendance at 2 professional meetings / 40
Total points possible / 710
Final Grade / Percentage / Final Grade / Percentage
A / 93-100 / C / 73-76
A- / 90-92 / C- / 70-72
B+ / 87-89 / D+ / 67-69
B / 83-86 / D / 63-66
B- / 80-82 / D- / 60-62
C+ / 77-79 / F / 59 & below
Date / Topic / Readings and Written Assignments
8/27 – Monday / Course overview
Enteral Nutrition Support / Krause Ch 23
E-S p 689-704
8/31 – Friday / Enteral Nutrition Support
9/3 – Monday / Labor Day: No classes
9/7 – Friday / Enteral Nutrition Support / Nelms Case #17: IBD with Enteral Nutrition, p. 173
9/10 – Monday / Parenteral Nutrition Support / Enteral Worksheet Due
Krause, Ch 23
E-S p 705-710
9/14 – Friday / Parenteral Nutrition Support
9/17 – Monday / Parenteral Nutrition Support / Nelms: Case #18: IBD surgical treatment with PN, p. 185
9/21 – Friday / MNT in Pulmonary Disease / Krause Ch 38; E-S pp 183-211
9/24 – Monday / Parenteral Nutrition Support: Case Applications / Parenteral Nutrition Calculations Worksheet due
Guest: Dawn Saurer, RD, CNSD, Nutrition Support Dietitian, AkronCityHospital
9/28 – Friday / Exam #1
Note: Mrs. Chima is at HOD meeting.
Bette Klein to proctor exam.
10/1 – Monday / MNT in LTC
Note: Mrs. Chima is at FNCE meeting;
Bette Klein to assist speaker / Krause Chapter 13
Guest: Natalie Smolilo, RD, LD, Director of Clinical Nutrition Services, Mt.Alverna Nursing Home
10/5 – Friday / Nutrition in Burns
Burn Unit Tour at Children’s HospitalMedicalCenter of Akron
One Perkins Square – Parking Fee
9-11:30 / Krause Ch 42 p 1071-1076
E-S p 620-622
10/8 – Monday / MNT in Renal Disorders / Krause Ch 39
E-S p 653-684
10/12 – Friday / MNT in Renal Disorders / Nelms Case #32: Impaired renal function, p. 359
10/15 – Monday / MNT in Renal Disorders: Practice Applications / Guest: Debby Memmer, MS, RD, Renal Dietitian at Aultman
10/19 – Friday / EXAM #2
10/22 – Monday / Pathophysiology of Liver, Biliary System and Exocrine Pancreas Disorders / Krause – Ch 31
E-S – p 337-357 (Liver)
Guest: Joe Marino, M.D.
10/26 – Friday / MNT for Liver, Biliary System and Exocrine Pancreas Disorders / E-S – p 358-365 (Pancreas)
10/29- Monday / MNT for Liver, Biliary System and Exocrine Pancreas Disorders / E-S – p 366-372 (Gallbladder)
Nelms Case #19: Chronic pancreatitis secondary tochronic alcoholism. P. 197
11/2– Friday / NO CLASS; COMMUNITY NUTRITION x2
11/5 – Monday / MNT in Cancer / Krause Ch 40
E-S 520-574
11/9 - Friday / MNT in Cancer / Guest: Suzanne Shammo, RD, Oncology Specialist, Akron GeneralMedicalCenter
11/12 – Monday / EXAM #3
11/16 – Friday / Pediatrics
Class will meet 9 a.m. to 3 p.m.
CHMCA – Parking Fee / Krause – Ch 8,9,10,11;
E-S – p 12-25, 91-140
11/19 – Monday / Pediatrics
Class will meet 9 a.m. to 3 p.m.
CHMCA – Parking Fee
11/23 – Friday / Thanksgiving Break: no classes
11/26 – Monday / MNT in Neurological Disorders / Krause Ch 43; E-S p. 144-165
11/30– Friday / MNT for Metabolic Stress / Krause Ch 42
E-S p 202-203
12/3 – Monday / MNT for Metabolic Stress
12/7 – Friday / MNT for Metabolic Stress / Kathy Barco, RD, MetroHealthMedicalCenter
Nelms Case #34: Closed Head Injury: metabolic stress with nutrition support, p. 389
12/10-14 EXAM WEEK / Final Exam will be held on day and time TBD in Room 202