DIE 4246: MEDICAL NUTRITION THERAPY APPLICATIONS -

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DIE 4246: MEDICAL NUTRITION THERAPY APPLICATIONS - PART 2SPRING ce Hours:Jeanette Andrade, PhD, RDN, LDN, FANDFood Science & Human Nutrition (FSHN)FSHN, room 467B352-294-3975jandrade1@ufl.eduWednesdays and Thursdays from 2-4pm, or by appointmentTeaching Assistant: Joseph (Joey) Olivera, MS, RDDepartment:Food Science & Human Nutrition (FSHN)Office:FSHN, room 459Phone:please contact via emailEmail:jolivera4@ufl.eduOffice Hours:Wednesdays 11-1pm, or by appointmentCourse Location & Meeting Times: Tuesdays 3:00-4:55pm (Rinker hall 220) and Wednesdays 9:35-10:25am(Dietetics lab)Course Description: Part 2 of a two-semester sequence that focuses on attainment of knowledge tomake nutrition diagnoses, to develop and implement effective nutrition intervention strategies, and toidentify appropriate monitoring and evaluation plans for patients with common chronic diseases anddisorders. Information learned in HUN 4446 will be integrated into class lectures, discussions, activities,assignments, and quizzes, as appropriate. Prerequisites: HUN 4445, DIE 4245C, APK 2105 or PCB 4723C;senior standing. Co-requisite: HUN 4446. Dietetics students only. Credits: 3Course Goals: Upon completion of this two-semester course sequence, students should be able to:1. Comprehend and use medical terminology and medical abbreviations in oral and writtencommunications.2. Apply the Nutrition Care Process by performing nutrition assessment, nutrition diagnosis, developingnutrition interventions, and identifying appropriate monitoring and evaluation indicators.3. Evaluate the nutritional status of simulated patients based on medical, social, physical, dietary,anthropometric, pharmacologic, and laboratory data.4. Write appropriate chart notes for simulated patients/clients using standardized language for thenutrition care process.5. Develop appropriate nutrition prescriptions for individuals with special needs due to acute/chronicillnesses or other medical/physical conditions.6. Construct/calculate appropriate diets for simulated patients/clients based on an assessment of theirmedical, nutritional, and health status.7. Develop skills in using an evidence-based approach to dietetics practice.

Foundation Knowledge and Learning Outcomes: Activities in this course are designed to contributetoward meeting core knowledge statements for the RD/RDN as defined by the Accreditation Council forEducation in Nutrition and Dietetics: Demonstrate how to locate, interpret, evaluate, and use professional literature to make ethicalevidence-based practice decisions. (KRDN 1.1) Use current information technologies to locate and apply evidence-based guidelines and protocols.(KRDN 1.2) Apply critical thinking skills. (KRDN 1.3) Demonstrate effective and professional oral and written communication and documentation. (KRDN2.1) Identify and describe the work of interprofessional teams and the roles of others with whom theregistered dietitian nutritionist collaborates in the delivery of food and nutrition services. (KRDN2.5) Use the nutrition care process to make decisions, to identify nutrition-related problems and determineand evaluate nutrition interventions. (KRDN 3.1) Required Materials: Fremgen BF, Frucht SS. (2015). Medical Terminology: A Living Language, 6th Ed. Upper SaddleRiver, NJ: Prentice Hall. ISBN-13: 978-0134070254. ORFremgen BF, Frucht SS. (2013). Medical Terminology: A Living Language, 5th Ed. Upper SaddleRiver, NJ: Prentice Hall. ISBN-13: 9780132843478. Student subscription to the eNCPT website: http://www.ncpro.org ( 25)Laptop computer, tablet, or other mobile device to access the internet during classCourse information and materials posted on e-Learning in Canvas (see below for accessinformation).Calculator with basic functions (programmable calculators, personal data assistants (PDAs), cellphones with calculators/PDA functions are NOT acceptable for use when taking quizzes or tests).Self-developed Medical Nutrition Reference Handbook (from DIE 4245). You will need to updateyour handbook and use your handbook in class and on selected exams.Access to the AND Evidence Analysis Library, which requires membership in the Academy ofNutrition and DieteticsReliable internet accessAccess to MS Word, MS Excel, and MS PowerPoint softwareRecommended Materials: Nelms M, Sucher K, Lacey K. (2016). Nutrition Therapy and Pathophysiology, 3rd Edition. Boston, MA:Cengage Learning. ISBN-13: 978-1305111967 How to Access Canvas: Access requires a Gatorlink account. If you need to establish a Gatorlink account, go ate-account/. Once you have created a Gatorlink account, access e-Learning support services home page athttp://lss.at.ufl.edu. Select “e-Learning in Canvas”. Log in using your Gatorlink ID. DIE 4246 should 2

be listed under “courses”. If you are unfamiliar with Canvas, information can be found under the “help”tab.Student Preparation for Class: Students are expected to use a self-instructional approach to learn medicalterminology and abbreviations. The medical terminology textbook selected for this course is designed forself-instructional use. Students are expected to complete reading assignments in advance. Classpreparation may require use of the Internet, library and/or other reference materials. Students areexpected to bring course notes and materials printed from Canvas to class and to contribute to classdiscussions.Class Attendance and Demeanor: Students are required to attend all classes and lab sessions, to arrive ontime and to leave when dismissed by the instructor. Students are expected to show courtesy to theirclassmates and instructor by turning cell phones off before the class period begins and refraining fromengaging in personal conversations during class. If you are found misusing your electronic devices, youwill be marked absent for the day. If this becomes an issue, your grade will be lowered.Absences and Make-Up Work: Requirements for class attendance and make-up exams, assignments, andother work are consistent with university policies that can be found ns/info/attendance.aspx. (See below for more details.)Evaluation of Student Performance: Policies, Grades and Grading /info/grades.aspx.gradepoints,see:The following will be used as the basis for student evaluation:Performance IndicatorsPointsMedical Terminology Quizzes: 5 @ 25 points each (drop lowest quiz grade)100Exams: 2 @ 75 points each150Case Studies: 1 @ 50 points; 1 @ 100 points150In-Class Activities and Homework AssignmentsEach lab is worth 15 points, the NFPE lab is worth 20 points200Total600Assignments are due on the dates indicated on the syllabus. Late assignments will be penalized 10% foreach day late for up to 5 days including weekends.Medical terminology quizzes are given during the first 10 minutes of class; students who are late will not begiven extra time, and students who arrive after quizzes have been collected will not be offered a make-up.Attendance Policy: Students are allowed ONE unexcused absence. Attendance is required for dietetics3

(DIE) courses, and a penalty of 10 points will be assessed for each class that is missed (after the oneallowed absence). Students who miss class due to illness or family emergency MUST call or email the TAprior to class and provide appropriate documentation (hospital discharge papers, police report, datedobituary, etc.) to be eligible to make up any quizzes, exams, or classwork for that day. Failure to do this willresult in a grade of 0 for any work that was missed.Tardiness is unacceptable in the workplace and therefore also inappropriate in the classroom. It showsdisrespect for the professor and other students in the class. Any student who is more than 5 minutes latewill lose 5 points from their attendance grade each time he/she is tardy.Grades are not negotiable and will be assigned according to the following scale560-60093.34-100%A400-41966.68-69.9% D 540-55990-93.33%A380-39963.34-66.67% D520-539 86.68-89.9% B 360-379 60-63.33% D- 500-519 83.34-86.67% B 360 60% E480-49980-83.33%B460-47976.68-79.9% C 440-45973.34-76.67% C420-43970-73.33%CSupplementary Information: Supplementary information, announcements, reminders, etc. will be postedon e-Learning in Canvas http://lss.at.ufl.edu or will be sent via the course listserv.Academic Honesty: As a student at the University of Florida, you have committed yourself to uphold theHonor Code, which includes the following pledge: “We, the members of the University of Floridacommunity, pledge to hold ourselves and our peers to the highest standards of honesty and integrity.”You are expected to exhibit behavior consistent with this commitment to the UF academic community,and on all work submitted for credit at the University of Florida, the following pledge is either required orimplied: "On my honor, I have neither given nor received unauthorized aid in doing this assignment."It is assumed that you will complete all work independently in each course unless the instructor providesexplicit permission for you to collaborate on course tasks (e.g. assignments, papers, quizzes, exams).Furthermore, as part of your obligation to uphold the Honor Code, you should report any condition thatfacilitates academic misconduct to appropriate personnel. It is your individual responsibility to know andcomply with all university policies and procedures regarding academic integrity and the Student HonorCode. Violations of the Honor Code at the University of Florida will not be tolerated. Violations will bereported to the Dean of Students Office for consideration of disciplinary action. For more informationregarding the Student Honor Code, please see: cthonor-code/.Student Responsibility: Students should report any condition that facilitates dishonesty to the instructor,department chair, college dean, Student Honor Council or Student Conduct and Conflict Resolution in theDean of Students Office.Faculty Responsibility: Faculty members have a duty to promote honest behavior and to avoid practices andenvironments that foster cheating in their classes. Teachers should encourage students to bring negative4

conditions or incidents of dishonesty to their attention. In their own work, teachers should practice the samehigh standards they expect from their students.Administration Responsibility: As highly visible members of our academic community, administrators shouldbe ever vigilant to promote academic honesty and conduct their lives in an ethically exemplary ccessed0729-15)It is assumed all work will be completed independently unless the assignment is defined as a group project,in writing by the instructor. This policy will be vigorously upheld at all times in this course.Software Use: All faculty, staff and students of the university are required and expected to obey the laws andlegal agreements governing software use. Failure to do so can lead to monetary damages and/or criminalpenalties for the individual violator. Because such violations are also against university policies and rules,disciplinary action will be taken as appropriate.Online Course Evaluation Process: Student assessment of instruction is an important part of efforts toimprove teaching and learning. At the end of the semester, students are expected to provide feedback onthe quality of instruction in this course using a standard set of university and college criteria. Theseevaluations are conducted online at https://evaluations.ufl.edu. Evaluations are typically open forstudents to complete during the last two or three weeks of the semester; students will be notified of thespecific times when they are open. Summary results of these assessments are available to students athttps://evaluations.ufl.edu/results.Students with Disabilities: The Disability Resource Center coordinates the needed accommodations ofstudents with disabilities. This includes registering disabilities, recommending academic accommodationswithin the classroom, accessing special adaptive computer equipment, providing interpretation servicesand mediating faculty-student disability related issues. Students requesting classroom accommodationmust first register with the Dean of Students Office. The Dean of Students Office will providedocumentation to the student who must then provide this documentation to the instructor whenrequesting accommodation. Contact information: 0001 Reid Hall, 392-8565, www.dso.ufl.edu/drc/Student Complaints: The following link describes the University of Florida’s policy related to studentcomplaints. Residential Course: https://www.dso.ufl.edu/documents/UF Complaints policy.pdfCampus Helping Resources: Students experiencing crises or personal problems that interfere with theirgeneral wellbeing are encouraged to utilize the university’s counseling resources. The Counseling &Wellness Center provides confidential counseling services at no cost for currently enrolled students.Resources are available on campus for students having personal problems or lacking clear career oracademic goals, which interfere with their academic performance.ServiceLocationPhoneWeb siteServices wc/ 5Counseling Services -

CounselingandWellnessCenter3190 Radio RoadU MatterWe eduCareerFirst Floor352-392-ResourceCenterJ. Wayne ReitzUnion1601individual and group Groups andWorkshops Outreach andConsultation Self-Help Library Wellness Coaching Training Programs Community ProviderDatabaseCare-related programsand resources forstudents and employeesCareer developmentassistance and counselingYour well-being is important to the University of Florida. The U Matter, We Care initiative is committed tocreating a culture of care on our campus by encouraging members of our community to look out for oneanother and to reach out for help if a member of our community is in need. If you or a friend is in distress,please contact umatter@ufl.edu so that the U Matter, We Care Team can reach out to the student indistress. A nighttime and weekend crisis counselor is available by phone at 352-392-1575. The U Matter,We Care Team can help connect students to the many other helping resources available including, but notlimited to, Victim Advocates, Housing staff, and the Counseling and Wellness Center. Please rememberthat asking for help is a sign of strength. In case of emergency, call 9-1-1.Other Information: Lecture material and information are the property of the University of Florida and thecourse instructor and may not be used for any commercial purpose. Students found in violation may besubject to disciplinary action under the University’s Student Conduct Code. Only students formallyregistered for the course are permitted to attend lectures and take quizzes/tests.6

DIE 4246 - TENTATIVE CLASS SCHEDULE*Spring 2018*Subject to change – check Canvas for most up-to-date informationClass DateTopicReading Assignment(Tuesday)Lab DateActivity/Topic(Wednesday)Jan 8Course SyllabusReview Nutrition Care ProcessChap 2 – Nutrition Therapy andPathophysiology: 17-35Jan 9Global malnutritionGuest Speaker: Juan Andrade, PhDJan 15The Exchange ListsChoose Your Foods: Exchange Listsfor DiabetesJan 16Calculating Meal Plans Using the ExchangeListsJan 22Medical Terminology Quiz 1Calculating meal plansLiquid, Texture, and Consistency ModificationsGuest Speaker: Dana Griffis, MA, CCC-SLPArticles posted on CanvasJan 23Weight management case studiesNutrition Therapy andPathophysiology: 359-362Jan 30What am I eating?Feb 6NFPE Practice Demonstrations withFeedbackGuest Speaker: Laura Acosta, MS, RD, CSSDJan 29Feb 5NFPEGuest Speaker: Laura Acosta, MS, RD, CSSDFeb 12Medical Terminology Quiz 2Dysphagia Case StudyNutritional Care of Patients with Diseases ofthe Upper GI TractArticles posted on CanvasChap 14 – Nutrition Therapy andPathophysiology: 342-378Feb 13Upper GI case studiesFeb 19Medical Terminology Quiz 3Nutritional Care of Patients with Diseases ofthe Lower GI TractArticles posted on CanvasChap 15 – Nutrition Therapy andPathophysiology: 379-435Feb 20Play with your grainsFeb 26Medical Terminology Quiz 4Adaptive Feeding and Food PreparationModified Sodium and FatArticles posted on CanvasFeb 27Adaptive Feeding LabDysphagia Case Study Due7

Mar 5Spring Break – No ClassMar 6Spring Break – No ClassMar 12Exam 1Mar 13Modified Sodium and Fat PresentationMar 19Nutrition Management of Diabetes MellitusGuest Speaker: Amy Aponick, MPH, RDN, LDN,CDE (UF Division of Pediatric Endocrinology)Mar 20Diabetes app testingMar 26Medical Terminology Quiz 5Gestational diabetesCount Your Carbs: Getting Started(Booklet)Articles posted on CanvasChap 17 – Nutrition Therapy andPathophysiology: 469-520Mar 27Carb Counting and Meal Planning ActivityApr 2Cultural CompetencyDiabetes case studyArticles posted on Canva75sApr 3Diabetes and Eating DisordersGuest Speaker: Kohrine Counts, MS, RD, LDNApr 9Kidney DiseaseArticles posted on CanvasApr 10CKD Menu Planning ActivityApr 16Kidney DiseaseArticles posted on CanvasApr 17Let’s eat!Guest Speaker: Bridget Besonser, RD, LD/NChap 18 - Nutrition Therapy andPathophysiology: 521-561Apr 24Steps to becoming a successful RDNDiabetes Case Study DueApr 23Blood Pressure & Vital SignsExam 2: Wednesday, May 1, 7:30-9:30am8

DIE 4246 – Spring 2018What to Study for Medical Terminology Quizzes (6th Edition)Quiz 1: What you need to know (Chapter 8: Digestion)Page(s)Combining Forms262Suffixes264Word parts used to build digestive system terms: Combining forms,suffixes, prefixes, and anatomical terms273-276Pathology277-284Diagnostic Procedures285-287Therapeutic Procedures287-290Abbreviations291Quiz 2: What you need to know (Chapter 11: Endocrinology)Page(s)Combining Forms386Suffixes386Word parts used to build endocrine system terms: Combining forms,suffixes, prefixes, and anatomical terms397-398Pathology398-404Diagnostic Procedures404-405Therapeutic iz 3: What you need to know (Chapter 9: Urinary System)Page(s)Combining Forms304Suffixes304Word parts used to build urinary system terms: Combining forms,suffixes, prefixes, and anatomical terms312-313Pathology314-318Diagnostic Procedures319-321Therapeutic Procedures321-323Abbreviations324-3259

Quiz 4: What you need to know (Chapter 5: Cardiovascular System)Page(s)Combining Forms138Suffixes138Word parts used to build cardiovascular system terms: Combiningforms, suffixes, prefixes, and anatomical terms151-153Pathology153-160Diagnostic Procedures161-163Therapeutic 68Quiz 5: What you need to know(Chapter 4: Musculoskeletal Sys. & Chapter 10: Reproductive Sys.)Page(s)Combining Forms (Section I); Combining Forms (Section II)82, 112Suffixes (Section I); Suffixes (Section II)84, 112Prefixes112Muscle Actions (Table 4.5)118-119Word parts used to build skeletal/muscular system terms: Combiningforms, suffixes, prefixes, and anatomical termsPathology; Pathology95-98/12012198-106, 121123Combining Forms336Suffixes336Word parts used to build female reproductive system terms: Combiningforms, suffixes, prefixes, anatomical terms, and pregnancy terms346-348Pathology349-353Diagnostic Procedures354-356Therapeutic Procedures356-358Pharmacology359Combining Forms361Suffixes361Word parts used to build male reproductive system terms: Combiningforms, suffixes, prefixes, and anatomical terms366-367Pathology367-370Diagnostic Procedures371Therapeutic Procedures371-37210

Pharmacology373DIE 4246 – Spring 2018What to Study for Medical Terminology Quizzes (5th Edition)Quiz 1: What you need to know (Chapter 8: Digestion)Page(s)Combining Forms256Suffixes256Word parts used to build digestive system terms: Combining forms,suffixes, prefixes, and anatomical terms266-268Pathology268-276Diagnostic Procedures276-278Therapeutic Procedures279-281Abbreviations282Quiz 2: What you need to know (Chapter 11: Endocrinology)Page(s)Combining Forms378Suffixes378Word parts used to build endocrine system terms: Combining forms,suffixes, prefixes, and anatomical terms388-389Pathology390-395Diagnostic Procedures395-396Therapeutic 98Quiz information continued on back.Quiz 3: What you need to know (Chapter 9: Urinary System)Page(s)Combining Forms296Suffixes296Word parts used to build urinary system terms: Combining forms,suffixes, prefixes, and anatomical terms304-305Pathology305-310Diagnostic Procedures310-312Therapeutic Procedures312-315Abbreviations31611

Quiz 4: What you need to know (Chapter 5: Cardiovascular System)Page(s)Combining Forms138Suffixes138Word parts used to build cardiovascular system terms: Combiningforms, suffixes, prefixes, and anatomical terms151-152Pathology152-158Diagnostic Procedures159-160Therapeutic 64-165Quiz 5: What you need to know(Chapter 4: Musculoskeletal Sys. & Chapter 10: Reproductive Sys.)Page(s)Combining Forms (Section I) ; Combining Forms (Section II)84, 111Suffixes (Section I); Suffixes (Section II)84, 111Prefixes111Muscle Actions (Table 4.5)116-118Word parts used to build skeletal/muscular system terms: Combiningforms, suffixes, prefixes, and anatomical termsPathology; Pathology97-99/11999-106, 120122Combining Forms330Suffixes330Word parts used to build female reproductive system terms: Combiningforms, suffixes, prefixes, anatomical terms, and pregnancy terms339-341Pathology342-346Diagnostic Procedures347-348Therapeutic Procedures349-350Pharmacology351Combining Forms352Suffixes352Word parts used to build male reproductive system terms: Combiningforms, suffixes, prefixes, and anatomical terms356-357Pathology358-360Diagnostic Procedures360Therapeutic Procedures361-36212

Pharmacology36213

Comprehend and use medical terminology and medical abbreviations in oral and written . Frucht SS. (2015). Medical Terminology: A Living Language, 6th Ed. Upper Saddle River, NJ: Prentice Hall. ISBN-13: 978-0134070254. OR Fremgen BF, Frucht SS. (2013). Medical Terminology: A Living Language, 5t

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