Topic outline

  • 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.

    • 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


  • Course Teacher Profile

    Arifa sultana

    pp6

    Working Hour : 8.30Am to 4.00pm

    Working Day: Saturday to Thursday
    Email :arifasultana.nfe@diu.edu.bd
    Cell number:01762662481

    • Nutrition Conferences | Food Conferences 2022 Europe Asia USA Middle East Japan UK Australia | Dietetics, Clinical Nutrition Conferences | Obesity, Diabetes, Public Health Meetings | Peers Alley Media

      • TOPICS 
      • 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

    Can Your Attitude Protect You From Heart Disease? - Information Nigeria



    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


  • Overweight and obesity

    Childhood Overweight Infographic - 1,000 Days

    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.


  • 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)


    • Case study on T1DM & Ketoacidosis

      Lightning Learning: DKA in Adults — #EM3: East Midlands Emergency Medicine Educational Media

      • 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.




      • Video Tutorial

      • Study Materials


      • Lecture Materials Lesson

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

      • Q & A Forum


      • Reflection on the topic Forum



        What important lessons did you receive from this topic?

      • Case-study Assignment Submission


    • Demonstration signs on malnutrition and vitamin deficiencies

      Marasmus | Protein-Energy Malnutrition - Causes, Symptoms, Diagnosis, Treatment and Prevention

      • 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


      • Pallor Page
      • Mouth Page
      • Pellagra Lesson

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


      • Nutritional Neuropathy Page

        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


      • Discussion forum


        what important lessons did you get from this topic?

      • Case-study Assignment Submission


      • Submit your assignment on the solution of following case study Lesson


        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.


    • Chronic renal failure advancing to dialysis

      CRACKCast E097 - Renal Failure - CanadiEM

      • 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.


      • Video tutorial


      • 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.


      • Medical Nutrition Therapy Page

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


      • Follow up Page

      • Case-study Assignment Submission


      • Q & A Forum


      • Discussion forum

        Ask your questions here

    • 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


      • Transitional diets in hospital