Clinical Nutrition practical (Fall 2022)

Section outline

• Select section General

  General

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  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.

  • 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.

  • 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

  
  

  • Select activity Announcements

    

    Announcements Forum
  • Select activity Routine tests and their nutritional implications

    

    Routine tests and their nutritional implications File

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  • Select activity biochemical parameters

    

    biochemical parameters File

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  • Select activity WELCOME MESSAGE FOR CLINICAL NUTRITION (Video)

    

    WELCOME MESSAGE FOR CLINICAL NUTRITION (Video) URL

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• Select section 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

  • Select activity Course content (FALL 2022)

    

    Course content (FALL 2022) File

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  • Select activity Label

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  • Select activity TOPICS Case study on overweight and obesityCa...

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    • TOPICS 

    • Case study on overweight and obesity

    • Case study on hypertension and cardiovascular disease

    • Demonstration signs on malnutrition and vitamin deficiencies

    • Case study on ketoacidosis and type 1 diabetes

    • Iron deficiency anemia in women

    • Case study on chronic renal failure advancing to dialysis 

    
    

• Select section 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

  
  

  • Select activity Video Tutorial

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    Video Tutorial

  • Select activity Experimental Assignment Submission

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    Experimental Assignment Submission

    
    

  • Select activity CASE STUDY

    

    CASE STUDY File

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  • Select activity SOLVE YOUR CASE STUDY

    

    SOLVE YOUR CASE STUDY File

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  • Select activity ASK YOUR QUESTION

    

    ASK YOUR QUESTION Forum

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  • Select activity Student's Discussion ForumIf you have any question...

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    Student's Discussion Forum

    If you have any questions to ask or any discussions to start, you can use the attached activities for any queries regarding the topic.

    
    

    
    

  • Select activity Q/A

    

    Q/A Forum

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    Have you any queries on last class activities?

• Select section 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.

  
  

  • Select activity Video Tutorial

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    Video Tutorial

    
    

  • Select activity Childhood obesity

    

    Childhood obesity URL

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  • Select activity Study material

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    Study material

    
    

  • Select activity Case study 2: overweight child with insulin resistance

    

    Case study 2: overweight child with insulin resistance File

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    Complete manual on analysis of case history of overweight child with insulin resistance and formation of individualized diet plan

  • Select activity Discussion Forum

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    Discussion Forum

    
    

  • Select activity Q & A Forum

    

    Q & A Forum

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  • Select activity Case-Study Assignment Submission

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    Case-Study Assignment Submission

    
    

  • Select activity Pediatric weight management

    

    Pediatric weight management Lesson

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    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.

    

    
    

    
    

  • Select activity Submit your class task(Case study ,q-2)

    

    Submit your class task(Case study ,q-2) Assignment

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    How can AN and his family’s readiness to change be assessed and how should this treatment process be explained?

    
    

• Select section Lab performance Fall2022

  Lab performance Fall2022

  
  

  Timing:

  • 10.30AM - 12.00 PM

  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:

  • Lecture file

  • class record

  • E-books, web or other resources (for only concept clearance)

  
  
• Select section Case study on T1DM & Ketoacidosis

  Case study on T1DM & Ketoacidosis

  
  

  • Select activity Objectives and outcomesThis topic will help studen...

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    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.

    
    

  • Select activity Video Tutorial

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    Video Tutorial

  • Select activity What is ketoacidosis?

    

    What is ketoacidosis? URL

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  • Select activity Study Materials

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    Study Materials

    
    

  • Select activity Lecture Materials

    

    Lecture Materials Lesson

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    Manual on case history analysis and nutrition care formulation of patient suffering from ketoacidosis

  • Select activity Q & A Forum

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    Q & A Forum

    
    

  • Select activity Reflection on the topic

    

    Reflection on the topic Forum

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    What important lessons did you receive from this topic?

  • Select activity Case-study Assignment Submission

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    Case-study Assignment Submission

    
    

  • Select activity Read the case study carefully and answer questions pertaining to disease diagnosis and treatment

    

    Read the case study carefully and answer questions pertaining to disease diagnosis and treatment Lesson

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• Select section Demonstration signs on malnutrition and vitamin deficiencies

  Demonstration signs on malnutrition and vitamin deficiencies

  
  

  • Select activity Objectives and outcomes This topi...

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    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.

    
    

  • Select activity Video TutorialIntroduction to Protein Energy Malnu...

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    Video Tutorial

    
    

  • Select activity Study Materials

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    Study Materials

    
    

  • Select activity Signs of malnutrition

    

    Signs of malnutrition Page

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  • Select activity Pallor

    

    Pallor Page

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  • Select activity Temporal Muscle wasting

    

    Temporal Muscle wasting Page

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  • Select activity Mouth

    

    Mouth Page

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  • Select activity Pellagra

    

    Pellagra Lesson

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    Pellagra is caused by niacin deficiency and affects primarily the skin, gastrointestinal tract, and nervous system. 

    
    

  • Select activity Nutritional Neuropathy

    

    Nutritional Neuropathy Page

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    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.
    

  • Select activity Forum

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    Forum

    
    

  • Select activity Discussion forum

    

    Discussion forum

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    what important lessons did you get from this topic?
    

  • Select activity Case-study Assignment Submission

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    Case-study Assignment Submission

    
    

  • Select activity Submit your assignment on the solution of following case study

    

    Submit your assignment on the solution of following case study Lesson

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    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.

    
    

• Select section Iron deficiency in women

  Iron deficiency in women

  Not available
• Select section Chronic renal failure advancing to dialysis

  Chronic renal failure advancing to dialysis

  
  

  • Select activity Objectives and outcomes A...

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    Objectives and outcomes

    
    

    At the end of the topic the student will be able to achieve the following:

    • Given the medical history, physical examination, and laboratory data, identify factors affecting the nutritional status of a patient with chronic kidney disease (CKD stage 5) initiating hemodialysis.

    • Describe the appropriate medical nutrition therapy for a patient with CKD on hemodialysis changing to peritoneal dialysis.

    
    

  • Select activity Video tutorialRenal replacement therapy

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    Video tutorial

    
    

  • Select activity Study MaterialsCD is a 28-year-old administrative ...

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    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.

    
    

  • Select activity Chronic Renal Failure Advancing to Dialysis-patient history

    

    Chronic Renal Failure Advancing to Dialysis-patient history Page

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  • Select activity Diagnosis and medication

    

    Diagnosis and medication Page

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  • Select activity Nutritional Assessment

    

    Nutritional Assessment Page

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  • Select activity Medical Nutrition Therapy

    

    Medical Nutrition Therapy Page

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    What dietary recommendations are indicated for hemodialysis based on her initial laboratory data and what fluid and electrolyte management does CD require?
    

    
    

  • Select activity Dialysis treatment plans

    

    Dialysis treatment plans Page

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  • Select activity Follow up

    

    Follow up Page

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  • Select activity Case-study Assignment Submission

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    Case-study Assignment Submission

    
    

  • Select activity solve your own case study

    

    solve your own case study Lesson

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  • Select activity Q & A Forum

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    Q & A Forum
    

    
    

  • Select activity Discussion forum

    

    Discussion forum

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    Ask your questions here

• Select section Final Exam

  Final Exam

  Final exam syllabus:

  • Case studies on T1DM

  • Malnutrition

  • Overweigh and obesity

  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

  
  
• Select section Transitional diets in hospital

  Transitional diets in hospital

  
  

  • Select activity Hospital diets

    

    Hospital diets File

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• Select section Lab final mcq

  Lab final mcq

  Not available