Cnm Naturopathic Nutrition

CNM NATUROPATHIC NUTRITION

DIPLOMA YEAR 2

LECTURE GUIDE 2014-2015

CNM

The College of Naturopathic Medicine

DIPLOMA OF NATUROPATHIC NUTRITION

Year 2 Lecture Guide: Semester 1

Unit 3: Pharmacology, Physiology, Pathology

Unit 3: Pharmacology, Physiology, Pathology

Year 2: Semester 1

Day / Topic
1 / Nutrigenomics and Metabolic Detoxification
2 / Nutritional Pharmacology
3 / Assessment and Diagnostics
4 / Herbal Medicine
5 / Detoxification and Gastrointestinal health
6 / Stress and Fatigue
7 / Cardiovascular health
8 / Over and under nutrition
9 / Nervous system health
10 / Immune system health

Core Learning Outcomes

Your Core Learning Outcomes form the basis of your study programme. For more detailed descriptions of what you will be learning please read the relevant sections of your Lecture Guide below.

Unit 3

1. Pharmacology Discuss the actions and potential interactions of commonly prescribed drugs and access the standard pharmaceutical reference sources

2. Research and Professional Development Gather and analyse relevant information from a wide variety of standard and accepted reference sources

3. Pathophysiology Demonstrate an understanding of the common diseases and show awareness of the importance of referral with ‘red flag’ symptoms

4. Nutritional Physiology Explain the application and interpretation of appropriate diagnostic tests

5. Nutritional Physiology Evaluate how disease triggers influence health and disease

6. Nutritional Physiology Explain how to support systems through nutritional therapy

Year 2

Essential Reading

Gaby A (2006) A-Z Guide to Drug-Herb-Vitamin Interactions. 2nd Revised edn. New York: Three Rivers Press. ISBN 9780307336644

Johns C (2013) Becoming a Reflective Practitioner. 4th Edn. Oxford: Blackwell Publishing. ISBN 9780470674260

Jones S & Quinn S (Eds) (2010). Textbook of functional medicine. USA: Institute of Functional Medicine. ISBN 0977371301

Huber P (2009) CNM Referencing Guidelines for Students. London: CNM. Available from student website.

Murray M & Pizzorno J (2012) The Encyclopaedia of Natural Medicine 3rd Rev Ed. USA: Atria. ISBN 9781451663006

Recommended Reading

Balch P (2000) Prescription for Nutritional Healing: A Practical A-Z Reference to Drug-free Remedies Using Vitamins, Minerals, Herbs and Food Supplements. USA: Avery Publishing. ISBN 15833-30771

Berkoff N (2005) Nutrition for the Culinary Arts. Pearson Prentice Hall. ISBN 01309-46281

Bone K (2007) The Ultimate Herbal Compendium. A Desktop Guide for Herbal Prescribers. Warwick: Phytotherapy Press. ISBN 978-0-646-47602-5

Breuss R (1998) The Breuss Cancer Cure: Advice for the Prevention and Natural Treatment of Cancer, Leukaemia and Other Seemingly Incurable Diseases. USA: Alive Books, ISBN 09204-70564

British Medical Association (any recent edition) British National Formulary. Royal Pharmaceutical Society.

British Medical Association (2007) Concise Guide to Medicines and Drugs. 7th edn. UK: Dorling Kindersley. ISBN 978-1405317771

Carper J (2000) Food: Your Miracle Medicine - How Food Can Prevent and Treat Over 100 Symptoms and Problems. Pocket Books. ISBN 06717-13361

Epstein O, Perkin G, De Bono D, Cookson J (1997) Clinical Examination (3rd edn). Mosby. ISBN 978-0723434658

Food Standards Agency (2002) Manual of Nutrition. UK: The Stationery Office Books. ISBN 978-0112431169

Foster RW (2001) Basic Pharmacology. 4th edn. Arnold Publishers. ISBN 978-0407004160

Fuhrman J (1995) Fasting and Eating for Health.St. Martin's Press ISBN 978-0312187194

Gerson, C & Walker M (2003) The Gerson Therapy: The amazing juicing programme for cancer and other illnesses. USA: Thorsons. ISBN 00071-56081

Gibney M, Lanham-New S, Cassidy A and Vorster H (2009) Introduction to Human Nutrition. 2nd Edn. UK: Wiley-Blackwell ISBN 9781405168076

Gray R (1989) Colon Health Handbook: New Health through Colon Rejuvenation. Emerald Publishing. ISBN 09615-75727

Healthgate Data Corporation, Harkness R, and Bratman S (2002) Mosby’s Handbook of Drug-Herb and Drug-Supplement Interactions. Mosby. ISBN 978-0323020145

Jamison J (2007) Differential Diagnosis for Primary Practice. 2nd edn. UK: Churchill Livingston. ISBN 978-0443102875

Jensen B (2000) Guide to Diet and Detoxification. Keats Publ. ISBN 06580-02759

Langley S (2004) The Naturopathy Workbook. London: CNM. From CNM Head office.

Lanham-New S, Macdonald A, and Roche H (2011) Nutrition & Metabolism. 2nd Edn. UK: Wiley-Blackwell ISBN 9781405168083

Lay BM (1998) Phytonutrients: Medical Nutrients found in food. BI Publications. ISBN 978-0964270398

Leader G &LeaderL (2006) Parkinson's Disease: Reducing Symptoms with Nutrition and Drugs. Denor Press. ISBN 978-0952605690

Lindlahr H (1993) Philosophy of Natural Therapeutics. Kessinger Publishing Co. ISBN 00919-06598

Lindlahr, H. (1993) Nature Cure. USA: Wildside Press. e-book: www.bookrags.com/ebooks/4273

Loo M (2008) Integrative medicine for children. Saunders. ISBN 978-1416022992

Lord R. & Bralley J (2008). Laboratory evaluations for integrative and functional medicine. 2nd edn. Duluth, Georgia: Metametrix Institute. ISBN 978-0967394947

Murray M T (1996) Encyclopaedia of Nutritional Supplements. USA: Prima Health. ISBN 978-0761504108

Murray M & Pizzorno, J (2006) Textbook of Natural Medicine. 3rd edn. .USA: Churchill Livingstone. ISBN 978-0443073007

Murray M & Pizzorno J (2008) The Clinician’s Handbook of Natural Medicine. 2nd Ed. USA: Churchill Livingstone. ISBN 978-0443067235

Osiecki H (2010) The Nutrient Bible. 8th Ed. Brisbane: Bioconcepts Publishing ISBN 9781875239535

Osiecki H (2007) The Physicians Handbook of Clinical Medicine. 7th Ed. Brisbane: Bioconcepts Publishing. ISBN 978-1875239351

Pagana K & Pagana T Mosby's Manual of Diagnostic and Laboratory Tests. USA: Mosby. ISBN 978-0323039031

Pitchford P (1993) Healing with Whole Foods. USA: Atlantic Books. ISBN 978-1556434303

Pizzorno J & Murray M (2006) Textbook of Natural Medicine. 3rd Edn. Missouri: Churchill Livingstone Elsevier ISBN 9780443073007

Rughani (2001) The GPs Guide to Personal Development Plans. Oxon, Radcliffe Medical Press. ISBN 978-1857755091

Sarris J & Wardle J (2010) Clinical Naturopathy: An evidence-based guide to practice. Australia: Churchill Livingstone Elsevier ISBN 9780729539265

Shannon N (1999) The Raw Gourmet. USA: Alive books. ISBN 09204-70483

Silverman J, Kurtz S & Draper J (2004) Skills for Communicating with Patients. Abingdon. Radcliffe Medical Press. ISBN 978-1857756401

Trickey R (2003)Women, hormones and the menstrual cycle. 2nd edn. Allen & Unwin. ISBN 978-1865089805

Underwood J (2000) General and Systemic Pathology. 4th edn. Churchill Livingstone. ISBN 978-0443073342

Watts DL (1997) Trace Elements and Other Essential Nutrients. Block. ISBN 978-1885676207

Weatherby D & Ferguson S(2008) Blood Chemistry and CBC Analysis. Jackonsville: Vis Medicatrix Press. ISBN: 0-7926469-0

Unit 3: Pharmacology, Physiology, Pathology

Day 1 : Nutrigenomics and Metabolic Detoxification

Aims:

· To provide a detailed overview and review of how diet and genes interact to promote health or disease – the study of nutritional genomics or nutrigenomics

· To explore commonly occurring phase 1 and phase 2 polymorphisms

· To review methylation and the impact of single nucleotide polymorphisms (SNPs) on health and wellness

· To outline naturopathic nutritional approaches to the support of metabolic detoxification

· To explore the ethics around genetic information and client consent

Learning Outcomes:

On successful completion you will be able to:

1. Explain the relevance of nutrigenomics to the practise of naturopathic nutrition

2. Describe in detail the functions of phase 1 and phase 2 detoxification and appraise the impact of common polymorphisms

3. Evaluate the importance of methylation and the potential impact of SNPs on health and wellness

4. Outline nutritional therapy approaches to support of metabolic detoxification

5. Show awareness of the importance of appropriate ethics and client care in regards to genetic information

Assessment Criteria

To achieve the learning outcome you must demonstrate the ability to:

· Describe in detail the study of nutrigenomics

· Analyse the relevance of genetic profiling in clinical choices

· Detail phase 1 /phase 2 detoxification and methylation pathways including common SNPs

· Describe the use of nutritional therapy including dietary choices and nutraceuticals in the support of metabolic pathways and homeostatic control

· Discuss the issues of ethics and consent in regards to genetic information

Student Required Reading

Text / Pages
Textbook of Functional Medicine / 20-23
Chapter 7
115-117
354-355

Unit 3: Pharmacology, Physiology, Pathology

Day 2: Nutritional Pharmacology

Aims:

· To understand the principles of pharmacokinetics and pharmcodynamics and how they relate to nutritional therapy

· To explore a wide range of commonly used pharmaceutical drugs and their potential interactions with foods and nutritional supplements

Learning Outcomes:

On successful completion you will be able to:

1. Describe the principles of pharmacokinetics and pharmacodynamics

2. Demonstrate knowledge of a wide range of commonly used pharmaceutical drugs, their actions, contraindications and potential interactions with dietary and nutritional supplement recommendations

3. Evaluate the effects of a range of pharmaceutical drugs on human health and possible nutrient depletions and health complications they may cause

Assessment Criteria

To achieve the learning outcomes you must demonstrate the ability to:

· Explain factors affecting variability of responses to drugs, including pharmacokinetics

and pharmacodynamics

· Identify reliable sources of information about drug actions, side effects and interactions with foods, herbs and nutritional supplements

· Interpret information regarding pharmaceutical drugs, their actions, side effects and contraindications

· Describe the actions of a range of commonly prescribed pharmaceutical drugs in relation to pathologies of various body systems

Material to be covered

· Principles of pharmacokinetics and pharmacodynamics

· General classification, administration, absorption, metabolism and excretion of pharmaceutical drugs

· Barriers to absorption and metabolism of pharmaceutical drugs

· Detoxification pathways for pharmaceutical drugs in the liver

· Resources for information about individual drugs such as British National Formulary

· Resources for information about drug nutrient interactions

· Detailed description of commonly used drugs for pathologies of different body systems including indications, contraindications, dosages, side effects, administration and interactions with foods and nutritional supplements

Student Required Reading

Text / Pages
British Medical Association (any recent edition) British National Formulary. Royal Pharmaceutical Society. / As required
A-Z Guide to Drug-Herb-Vitamin Interactions. / As required

Please Note : Students willneed to bring a BNFto the lecture in order to participate in group work.

Additional Reading

Text / Pages
BMA Concise Guide to Medicines and Drugs. 7th ed / As required
Foster RW (2001) Basic Pharmacology. 4th edn. / All
Healthgate Data Corporation, Harkness R, and Bratman S (2002) Mosby’s Handbook of Drug-Herb and Drug-Supplement Interactions. / As required

Unit 3: Pharmacology, Physiology, Pathology

Day 3: Assessment and Diagnostics/Functional Testing

Aims:

· To provide a comprehensive overview of the range of tests and assessments used by nutritional therapists

· To develop an understanding of how testing can enhance and inform nutritional therapy practice.

Learning Outcomes:

On successful completion you will be able to:

1. Evaluate the use of functional testing in nutritional therapy

2. Interpret the results of a range of anthropometric and functional tests

3. Explain the application of various types of testing available to nutritional therapists

Assessment Criteria

To achieve the learning outcome you must demonstrate the ability to:

· Explain how a range of functional and anthropometric tests are carried out

· Identify a range of basic medical test results and what they indicate about the client’s state of health

· Identify how and when to use a wide range of specialist diagnostic tests to inform nutritional therapy therapeutics

· Critically assess the use and limitations of functional tests and conventional tests as tools within a naturopathic practice

Material to be covered :

· Types of testing

· Anthropometric testing

· DEXA scanning

· Standard medical blood tests including Haematology, Blood Chemistry and Full Blood Count

· Nutritional testing suppliers

· Allergy Testing

· Digestive and parasite testing

· Hormonal testing

· Vitamin and Mineral Profiles

· Cardiovascular screening