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Topic outline
- General
General
Instructions/Guideline for the course:
- All the students registered for this course have to enroll in Moodle
- Students can find all the course materials from Moodle.
- All the students have to submit the soft copy of their "Assignment" in Moodle under assignment section created here and for this they will be graded here.
- One discussion or feedback forum is created under each of the lecture Students have to give their feedback on these forum and marks will be given for their feedback
- Any announcement regarding the class will be posted on Moodle. So they have to keep themselves always active on Moodle.
- All the quizzes and presentation will be held on face to face class and may be few of the class will be held on online (Moodle) and it will be announced before the class
- The question pattern and the syllabus for the quizzes, midterm and final exam is given here under each of the section (quizzes, midterm and final)
- There are midterm and final exam preparation forum under these sections where students can discuss with each other about their midterm and final exam syllabus, any problem regarding the exam etc.
OBJECTIVES
-
Recognize the value of nutrition assessment in the comprehensive care of ambulatory and
hospitalized patients.
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Obtain an appropriate patient history, including medical, family, social, nutrition/dietary, physical
activity, and weight histories; use of prescription and over-the-counter medicines, dietary and herbal
supplements; and consumption of alcohol and other recreational drugs.
-
Demonstrate how to interpret physical findings that reflect nutritional status, including body mass
index, waist circumference, growth and development, and signs of nutritional deficiency.
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Describe the diagnosis, prevalence, health consequences, and etiology of obesity and malnutrition.
-
Identify the most common physical findings associated with vitamin/mineral deficiencies or excesses.
-
List the laboratory measurements commonly used to assess the nutritional status of patients
- Course Teacher Profile
Course Teacher Profile
Arifa sultana
Working Hour : 8.30Am to 4.00pm
Working Day: Saturday to Thursday
Email :arifasultana.nfe@diu.edu.bd
Cell number:01762662481
- Case study on hypertension and cardiovascular disease
- Demonstration signs on malnutrition and vitamin deficiencies
- Iron deficiency anemia in women
- Case study on chronic renal failure advancing to dialysis
- Diet for cardiovascular disease
Diet for cardiovascular disease
Objective
Identify cardiac risk factors for coronary artery disease in obese patients without known disease.
-
Describe other physical examination findings and screening and laboratory measurements relevant in
a patient with disorders of lipid metabolism.
-
Describe the science-based nutritional and lifestyle recommendations for patients with disorders of
lipid metabolism.
-
Apply the current AHA/ACC guidelines for screening, evaluation, and treatment of disorders of lipid
metabolism.
-
Recognize the importance of medical nutrition therapy and lifestyle recommendations for treatment
and prevention of cardiovascular disease.
Outcome
- Diagnosis of health condition
- Prescription of appropriate nutritional advice
Experimental Assignment Submission
If you have any questions to ask or any discussions to start, you can use the attached activities for any queries regarding the topic.
Have you any queries on last class activities?
- Overweight and obesity
Overweight and obesity
Objective & Outcomes
Take an appropriate dietary and medical history including family history of overweight or obesity, and
social history regarding physical activity, sedentary activity, and other lifestyle issues. Perform an appropriate physical examination for an overweight or obese child or adolescent; evaluate
the patient for other signs and symptoms of chronic diseases associated with obesity (e.g.,
hypertension, insulin resistance, dyslipidemia, sleep apnea, orthopedic problems, etc.).Identify factors responsible for increasing weight in order to recommend suitable dietary or lifestyle
changes. Recognize the importance of the patient and patient’s family involvement in making changes as well
as the social, emotional, and psychological factors that may support the development of obesity and
may influence the response to intervention.
Study material
Complete manual on analysis of case history of overweight child with insulin resistance and formation of individualized diet plan
Case-Study Assignment Submission
Jamey Whitmer is taken to see her pediatrician by
her parents, who have noticed she appears to stop
breathing while sleeping. She is diagnosed with
sleep apnea related to her weight and referred to
the registered dietitian for nutrition counseling.
How can AN and his family’s readiness to change be assessed and how should this treatment process be explained?
- Lab performance Fall2022
Lab performance Fall2022
Timing:Question type:- All objective questions = mcq, T/F, matching
- Based on disease pathology, diagnostic criteria, treatment guidelines and recommendations as per discussions in class
Total marks:
25
Resources for study:
- E-books, web or other resources (for only concept clearance)
- Case study on T1DM & Ketoacidosis
Case study on T1DM & Ketoacidosis
Objectives and outcomes
- This topic will help students achieve the following:
- Describe the role of exogenous insulin and medical nutrition therapy in the management of type 1
diabetes and in the prevention and/or treatment of acute and long-term diabetic complications.
- Take an appropriate medical and lifestyle history of a person with type 1 diabetes.
- Recognize the importance of individualizing rapid-acting insulin algorithm based on carbohydrate
intake, physical activity, and blood glucose monitoring.
- Evaluate and identify potential metabolic complications of diabetes mellitus based on nutritional and
physical activity history, use of medications, and alcohol consumption.
Study Materials
Manual on case history analysis and nutrition care formulation of patient suffering from ketoacidosis
What important lessons did you receive from this topic?
Case-study Assignment Submission
- Demonstration signs on malnutrition and vitamin deficiencies
Demonstration signs on malnutrition and vitamin deficiencies
Objectives and outcomes
This topic will help achieve the following
Recognize the value of nutrition assessment in the comprehensive care of ambulatory and
hospitalized patients.Demonstrate how to interpret physical findings that reflect nutritional status, including body mass
index, waist circumference, growth and development, and signs of nutritional deficiency.Identify the most common physical findings associated with vitamin/mineral deficiencies or excesses.
List the laboratory measurements commonly used to assess the nutritional status of patients.
Study Materials
Pellagra is caused by niacin deficiency and affects primarily the skin, gastrointestinal tract, and nervous system.
Malnutrition can affect all areas of the nervous system. Risk factors for malnutrition include
alcohol abuse, eating disorders, older age, pregnancy, homelessness, and lower economic
status. Any medical condition that affects the GI tract can also impair absorption of essential
vitamins. Nutritional deficiencies have been described in patients with inflammatory bowel
disease, fat malabsorption, chronic liver disease, pancreatic disease, gastritis, and small
bowel resections. Patients receiving total parental nutrition (TPN) are also at risk for vitamin
deficiency and TPN formulations should be carefully formulated to include supplemental
vitamins and trace minerals. Neurological complications following gastric bypass surgery
are increasingly recognized. Nutritional neuropathies manifest either acutely, subacutely, or
chronically. They can be either demyelinating or axonal.
A unique class of peripheral neuropathy with coexistent myelopathy, also called
myeloneuropathy, can also been seen with nutritional neuropathies. Myeloneuropathy has
been described with deficiencies of vitamin B12 and copper.
Patients with myeloneuropathy will present with both upper motor neuron and lower motor
neuron signs. Peripheral neuropathy may mask the symptoms and signs of the myelopathy
presenting a diagnostic challenge. Hyper reflexia may be difficult to assess in the presence
of severe peripheral neuropathy and ankle jerks may be absent. Muscle weakness may
impair the toe extensors, so Babinski sign may not be present. Besides spinal cord/cauda
equina arteriovenous malformation, the clinician should suspect myeloneuropathy when the
predominant complaint is gait impairment or bowel or bladder dysfunction in the setting of a
peripheral neuropathy.
Forum
what important lessons did you get from this topic?
Case-study Assignment Submission
RD is an 8-year-old boy of Liberian descent who lives in the United States with his parents. In
October, RD and his family flew to Liberia to spend a few months with their extended family.
Several weeks after his arrival, political unrest erupted. RD and his family were forced from their
homes at gunpoint, taken to a university, and held against their will in overcrowded, unsanitary
conditions. Medical and food supplies were scarce. Food was provided by soldiers outside the camp
who lowered buckets of rice and occasionally fish over the barbed-wire fences. Daily tea was also
provided. Many of the hostages died from starvation. RD and his family escaped after 3 months of
captivity and sought refuge in the American Embassy. From there, they were airlifted to a neigh-
boring country. Shortly thereafter, RD returned to the United States.
- Iron deficiency in women
- Chronic renal failure advancing to dialysis
Chronic renal failure advancing to dialysis
Objectives and outcomes
At the end of the topic the student will be able to achieve the following:
Study Materials
CD is a 28-year-old administrative hospital worker who presented to the emergency room complaining of headaches and shortness of breath. She was admitted to the hospital for evaluation when she was found to have a blood pressure of 170/110 mm Hg and mild congestive heart failure (CHF) by chest X-ray. CD reports that over the past year, her weight has increased about 10 pounds (4.5 kg), although her dietary intake has remained unchanged or even lower due to desire for weight loss.
What dietary recommendations are indicated for hemodialysis based on her initial
laboratory data and what fluid and electrolyte management does CD require?
Case-study Assignment Submission
- Final Exam
Final Exam
Final exam syllabus:
Final Marks Distribution
- Total marks for the exam will be 40 marks
- Diet chart preparation will carry 10 marks approx.
- The rest of the marks will be distributed in short and medium questions from concepts of various topics included in the syllabus
- Transitional diets in hospital
Transitional diets in hospital
- Lab final mcq