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NSC 340: Introduction to Diet Therapy

Syllabus - Spring 2013 8:00am - 9:15 am - Tuesdays & Thursdays / C E Chavez Bldg, Rm 111

Instructor Information:

Instructor: Mary Marian, MS, RD; mmarian@u.arizona.edu (This is the best way to contact me).

Office Location: 430 Shantz (4th floor); Phone number: 235-6793 (cell phone)

Office Hours: 10 am – 11:30 am Tu/Th or by appointment

Teaching assistant: Donella Yoon; djyoon@email.arizona.edu

Description of Course

Major diseases and corresponding diet therapy

Nutritional Physiology

Course Objectives and Expected Learning Outcomes:

Acquire knowledge and skills for applying evidence-based medical nutrition for disease prevention and

treatment.

Understand the pathophysiology related to discussed medical conditions and determine appropriate evidence-

based medical nutrition therapy.

Complete a nutrition assessment and interpret nutrition assessment data to develop a nutrition prescription

with goals and objectives including dietary and nutrient modifications to promote positive outcomes.

Topics:

Introduction to:

Nutritional Care Process

Obesity/weight management

Cardiovascular Disorders

Diabetes

Renal Disease

Hepatic and Pancreatic Disorders

Neurologic Disorders

Cancer

Musculoskeletal disorders

Integrative Medicine/Dietary Supplements

Course Methodology:

Overheads & PowerPoint, web-based programs, case studies and interactive discussions will be used to

enhance the learning process.

Teaching Format:

Lecture activities

Case Studies and Nutrition Care Assignment

Exam reviews and Discussion

Required Texts:

All notes for lectures (PPT and supplement materials/readings) are available on the course D2L website.

Nutrition Therapy & Pathophysiology; Nelms M, Sucher KP, Lacey K, Roth SL (eds). Wadsworth Cengage

Learning.

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Recommended Websites:

http://www.usda.gov (United States Department of Agriculture)

http://www.eatright.org (American Dietetic Association)

o www.adaevidencelibrary.com

o www.eatright.org.ealtutorial

http://www.fda.gov (Food and Drug Administration)

http://www.healthlinkalberta.ca/Topic.asp?GUID={3E3E8DBF-1CCD-442B-ACF2-3C867FFC043B}(quick

reference for DRIs)

www.mypyramid.gov (Healthy Eating Index)

http://www.diabetes.org (American Diabetes Association)

http://www.americanheart.org (American Heart Association)

http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/ (DASH diet)

http://www.cancer.org (American Cancer Society)

http://www.aicr.org (American Institute for Cancer Research)

http://www.kidney.org (National Kidney Foundation)

Required or Special Materials

Calculator, PowerPoint software, internet access

Required/Recommended Knowledge:

NSC 301 – Nutrition in the Lifecycle;

NSC 308 – Nutrition and Metabolism

Concurrent Enrollment or Completed Biochem 400 level and Human Physiology

You are responsible for the information provided in these required courses, this class builds on such

information and moves rapidly. Examples of what you need to know to get through this class: Krebs cycle,

protein metabolism, role of vitamins in the energy cycles, basic nutrition for infants, and general nutritional

requirements of the elderly. If you do not have basic knowledge of these concepts, this class will be difficult

for you, withdraw now.

Grading Policy:

Case Studies (print out from d2l and submit paper assignment: due in class on due date. Assignments can

always be turned in early.

Examinations I and II

Final Exam (non-cumulative)

Examinations include both multiple-choice questions and case studies. Bring a pencil to class on exam day –

scantrons are used; case studies can be answered directly on the exam. All reading materials are fair game

for examinations.

There will be 10 random essay in-class quizzes. Students will be allowed to work together however, notes or

other materials cannot be utilized. Only Dean’s excuses will be accepted for missing class.

An incomplete grade will only be given when there are extenuating circumstances at the discretion of the

Instructor; 80% of the course assignments/exams must have been completed.

If you have any questions regarding grades or assignments OR want to make-up missing assignments

(that you received permission to make-up), these must be addressed within 2 weeks of the assignment,

exam, quiz, etc.

Late Work Policy:

No late work will be accepted unless the student receives written prior approval from the course instructor.

Students should contact the course instructor via email with a request for late work. The instructor will

provide email response indicating whether the request has been approved as the revised due date if indicated.

Make-up Examination Policy:

Students are expected to take all examinations for this class during the designated examination periods

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specified on the course syllabus.

Make-up examinations are only possible with authorized approval from the course director and require an

emergency circumstance. Any medical rationale for missing an exam must be accompanied by written

notification from a medical doctor.

All make-up examinations will be administered in the instructor’s office and will be in essay format.

There is no make-up for missing in-class quizzes.

Attendance Policy:

Students are expected to attend all classes in order to perform quality work for this course. Information

provided during class time will be critical to successful completion of all assignments. All holidays or special

events observed by organized religions will be honored for those students who show affiliation with that

particular religion. Absences pre-approved by the UA Dean of Students (or Dean designee) will be honored.

Assignments/Testing Schedule/Due Dates:

Assignments: Due Dates Possible Points

o Nutrition Assessment January 29 100

o Cardiovascular Case Study February 14 50

o Diabetes Diet Case Study February 26 50

o Renal Case Study March 26 50

o Neoplastic Case Study April 11 50

Exams I, II and Final 100 each

In-class essay quizzes (10 @ 5 points each) 50

Total Possible Points for semester grade 650 points

Course Schedule:

DATE TOPIC READING (CH)

Jan. 10 Orientation and Introduction

Lecture: Nutrition Care Process/Nutrition Assessment

2 & 3

Jan. 15 Nutrition Assessment continued 3

Jan. 17 Nutrition Diagnosis & Intervention, Monitoring & Evaluation 2 & 4

Jan. 22 Nutrition Support – Enteral & Parenteral Nutrition 5

Jan. 24 Nutrition Assessment Case Study in-class review

Jan. 29 Obesity: Energy Balance & Body Weight

Nutrition Assessment Assignment Due in class 12

Jan. 31 Exam 1 review

Feb. 5 Exam 1

Feb. 7 Diseases of the Cardiovascular System 13

Feb. 12 CVD, HTN, Heart Failure continues 13

Feb. 14 Diabetes – Endocrine System CVD Case Study due 17; pgs 482-top of 509

Feb. 19 Continue Diabetes – review case study in class 16 & 452, 649 & 663-667

Feb. 21 Diseases of the Liver, Gallbladder & Exocrine Pancreas 16

Feb. 26 Continue liver, gallbladder & pancreas Diabetes Case Study due

Feb. 28 Diseases of the Renal System 18

March 5 Renal System continued

March 7 Renal System continued – review case study

March 9-17 Spring Break

March 19 Exam Review

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March 21 Exam 2

March 26 Neoplastic Disease Renal case study due 23

March 28 Neoplastic disease continued

April 2 Neoplastic case study review

April 4 Neurologic Disorders 20

April 9 Neurologic Disorders continued

April 11 Diseases of the Musculoskeletal System Neoplastic Disease case studies due 25 – pgs 771-787; 789

(arthritis) - 797

April 16 Diseases of the Musculoskeletal system continued

April 18 Dietary Supplements

April 23 Dietary Supplements/Complementary Medicine 208-211; 209t; 228t-229t;

331-333; 641-644; 719-721;

730-732; 800-802

April 25 Complementary Medicine continued

April 30 Final Exam review

May 9

8am–10am

Final Exam: Neoplastic diseases, Neurologic Disorders, Musculoskeletal

System and Dietary Supplements/Integrative Care

Assignment Format:

Case studies and diet calculation assignments vary in format. Specific formatting/content requirements

will be provided in class on the designated diet calculation presentation dates.

Grades:

Your grade will depend on the number of points you earn. Grades will be awarded as follows:

GRADE PERCENTAGE REQUIRED POINTS REQUIRED

A 90-100 585-650

B 80-89 520-581

C 70-79 455-516

D 60-69 390-451

E <59 <386

Any questions regarding grades must be addressed within 2 weeks of receiving your assignment back. Any

inquiries after 2 weeks can be discussed but will not result in any grade changes. Case studies turned in late will

be subjected to a 20% grade reduction per week. Grades such as >69.5-69.99%, >79.5-79.99% and >89.5-89.99%

will be rounded up to the next grade.

Classroom Behavior:

Policy regarding use of cell phones/pagers: The Arizona Board of Regents’ Student Code of Conduct, ABOR

Policy 5-308, prohibits threats of physical harm to any member of the University community, including to one’s

self. See: http://policy.web.arizona.edu/~policy/threaten.shtml. If you need to leave class early, please leave

quietly.

Notification of Objectionable Materials (if applicable):

Warning of course content that may be deemed offensive by some students – Not applicable.

Special Needs and Accommodations Statement:

Students who need special accommodation or services should contact the Disability Resources Center, 1224 East

Lowell Street, Tucson, AZ 85721, (520) 621-3268, FAX (520) 621-9423, email: uadrc@email.arizona.edu,

http://drc.arizona.edu/. You must register and request that the Center or DRC send me official notification of your

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accommodations needs as soon as possible. Please plan to meet with me by appointment or during office hours to

discuss accommodations and how my course requirements and activities may impact your ability to fully

participate. The need for accommodations must be documented by the appropriate office.

Student Code of Academic Integrity:

Students are encouraged to share intellectual views and discuss freely the principles and applications of course

materials. However, graded work/exercises must be the product of independent effort unless otherwise instructed.

Students are expected to adhere to the UA Code of Academic Integrity as described in the UA General Catalog.

See: http://w3.arizona.edu/%7Estudpubs/policies/cacaint.htm

Confidentiality of Student Records: http://www.registrar.arizona.edu/ferpa/default.htm

Subject to Change Statement:

Information contained in the course syllabus, other than the grade and absence policy, may be subject to change

with advance notice, as deemed appropriate by the instructor.