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NORTHERN ILLINOIS UNIVERSITY Nutrition in Clinical Care I: FCNS 415 Fall 2007 COURSE DESCRIPTION: Introduction to therapeutic nutrition. An understanding of the metabolic and pathologic changes during chronic disease conditions and adaptation of food choices to optimize nutritional intake during disease states. CREDIT HOURS: CLOCK HOURS: CLASS TIME: INSTRUCTOR: OFFICE: PHONE: E MAIL: WEBPAGE: OFFICE HOURS: 3 credits 2 (75 minute lectures per week) M/W 2:00-3:15 p.m. WZ 318 Judith M. Lukaszuk, PhD, RD, LDN. 122 C Wirtz Work: 815-753-6352 [email protected] http://webpages.chhs.niu.edu/lukaszuk M 1-2 p.m., Wed 10-12 p.m. Although above are my stated open/advisement office hours you are welcome to stop in anytime GSA: TIFFANY KEEHN [email protected] PREREQUISITES: Chemistry 370, Biology 355 or 357, FCNS 310 REQUIRED TEXT: KRAUSE’S FOOD, NUTRITION AND DIET THERAPY, Mahan, K.L., Escott-Stump, S., W. B. Saunders 12thEdition, 2007. Exchange Lists for Meal Planning, American Dietetic Association, 2003 or newest addition. Pronsky, Z. M., (2006). Powers and Moore’s Food Medication Interactions (14th ed.). or newest addition Birchrunville, PA. Medical Abbreviations Davis, N.M., 12th Edition, 2005. A basic calculator is required for this course and it may be used on exams. Day Mon Date 8/27 Wed Mon Wed Mon Wed 8/29 9/3 9/5 9/10 9/12 Mon Wed 9/17 9/19 Mon Wed Mon 9/24 9/26 10/1 Wed Mon 10/3 10/8 Wed Mon Wed Mon Wed Mon Wed Mon Wed Mon Wed Mon Wed Mon Wed Mon Wed Mon 10/10 10/15 10/17 10/22 10/24 10/29 10/31 11/5 11/7 11/12 11/14 11/19 11/21 11/26 11/28 12/3 12/5 12/10 Reading P 393 No Class Ch 10, 17, 18. p 7172 p 854-855 p 605-607 Ch 17 P 749 Ch 2,10, 17 (p 260-262) Ch 18 p 12061219 Topics/ Assignments Introduction to the class Code of Ethics Ethics In Class Exercise Labor Day Exchange system/CHO counting Exchange system CHO quiz/Protein Energy Malnutrition (PEM) PEM Anthropometrics Anthropometrics laboratory Nutritional Assessment (SGA) Nutritional Assessment Biochemical Interpretation I Biochemical Interpretation II No Class Ch 1 & 29 Biochemical Interpretation III Nutrition Care Plan Process Review for Midterm Midterm Weight Management Weight Management Diabetes Diabetes Heart Disease Heart Disease Heart Disease Heart Disease Heart Disease Upper GI 2-3:50 p.m. Upper GI Review for final Final Exam Ch 21 & 22 Ch 24 Ch 33 Ch 35& 36 p 297 ATTENDANCE: Time spent is better spent answering questions and explaining material, thus, formal attendance is not taken, with the first day being the only exception. The student is however, completely responsible for all academic material, special announcements, changes in the course outline or exam dates, whether present or not. STUDY: It is unrealistic for anyone to expect to thoroughly understand a topic from lectures alone or from reading the text without attending lecture. It is best to read a topic in the text before coming to class, and then review the lecture notes and text after class. Questions about the topic are strongly encouraged in or out of class. When in doubt, ask! GRADING: Your assignment grade will be affected if it is late (see late assignment section), illegible or incomplete. Submit all work on time using the format specified. Always submit assignments in pen (black or blue) unless otherwise specified. All exams must be taken when scheduled. The only exception will be students providing evidence for missing exams (e.g. medical excuse, obituary notice etc). Only these students will be provided a make-up exam. EXAMS: Exam #1 Exam #2 Exam #3 Final exam (cumulative) GRADING SCALE: A B C D F 90% and above 80-89% 70-79% 60-69% <59.5% TENTATIVE ASSIGNMENTS: Specific details for each assignment will be given at the appropriate time. I. Diet planning 10 points each II. Case studies---point value to be announced (TBA) III. SOAP notes and other assignments as given--point value TBA GRADES WILL BE DETERMINED BY AVERAGING % OBTAINED ON TESTS AND ASSIGNMENTS EXAMPLE: TEST 80%, TEST 76%, CASE STUDY 98%, CASE STUDY 93% GRADE BASED ON THOSE SCORES: 80+76+98+93/400 = 86.7% LATE ASSIGNMENTS: Assignments are due in class on the day as listed in syllabus. Assignments one day to one week late will have 10% deducted from the grade. Assignments more than one week late will not be accepted. You will not be penalized for submitting work early ☺☺ AMERICANS WITH DISABILITIES ACT: Any student who, because of a disability may require some special arrangements in order to meet course requirements should contact the instructor within the first 2 weeks of the semester to ensure the implementation of necessary accommodations. CLASS BEHAVIOR: Disruptive behavior will not be tolerated. The following would be considered disruptive if done during class time: gum chewing, reading the newspaper, sleeping and tardiness. ATTIRE: Hat wearing in the classroom is prohibited on exam days. <<The use of cell phones or beepers in class is strictly prohibited>>. ACADEMIC DISHONESTY: Will not be tolerated. Those caught cheating will be given a zero for the test and be asked to report to the judicial committee for further action. PLAGIARISM MEANS: 1) Copying some or all of another students work. 2) Direct quote of more than 4 words written by another individual without giving credit to that individual. 3) Paraphrasing material written by another individual without giving credit to that individual. 4) Students who plagiarize will be penalized to the full extent allowable by the student judicial code. Generally this will mean, at minimum, expulsion from the course and an earned “F” grade for the course. PROGRAM OBJECTIVES FOR A BACHELOR OF SCIENCE IN NUTRITION DIETETICS AND HOSPITALITY ADMINISTRATION The student should be able to perform the following objectives upon completion of the B.S. program: Apply basic concepts of physical and behavior sciences to nutrition care and hospitality administration Collect, analyze, and interpret quantitative data utilizing current technology. Utilize effective oral and written communication skills, using current technology where appropriate. Develop values and habits compatible with ethical and effective professional practices. Demonstrate possession of perspectives and specific skills in nutritional care and/or hospitality operations, education, and management to enter a dietetics internship or function effectively in an entry-level position in hospitality administration. GENERAL OBJECTIVES OF THIS COURSE “NUTRITION IN CLINICAL CARE I” The overall objective of the course is to select the best nutritional plan for individuals across the age spectrum with various disease states. Upon completion of this course students should be able to: Identify patients at nutritional risk and recommend and implement nutrition care strategies. Describe the etiology of the disease. Define the special medical terminology and acronyms associated with each disease state. Describe the pathological and biochemical changes associated with diseases. Identify the nutritional and psychological needs of a hospitalized patient. Analyze the medical and surgical management of each disease and justify a nutritional care plan accordingly. Modify general and therapeutic diets requiring qualitative and quantitative changes in Calorie, carbohydrate, protein and fat, sodium, potassium, calcium, and other nutrients whenever necessary. Translate dietary prescriptions to practical diets for individual patients. List the foods permitted or not permitted for each dietary modification. Identify the problems in selecting, buying, preparing, and acceptability of foods in planning modified diets. Plan diet instructions for patients with different disease states and varied socioeconomic, cultural and racial backgrounds. Identify the problems of adherence to such diets for prolonged periods by the patients. List the sources of special foods and the sources of their nutritional composition List the source of new advances in dietary management of diseases. Define the best mode of nutritional support for a patient i.e. p.o., enteral or parenteral Evaluate the legal rights and responsibilities of the dietitian and assess the ethical issues involved in managing the nutritional care of patients.