Purdue University Department of Nutrition Science NUTR Medical Nutrition Therapy Course Syllabus, Fall 2014

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1 Times and Locations: Lecture day, nesday 10:30-11:20 AM Room: BRNG 2280 Laboratory day or Thursday 2:30-5:20 PM 3:00-5:50 PM Room: LYLE 1160 Special note: When guest speakers present during lecture hour, all or part of the lab session may be used as a lecture time. This is a courtesy for the guest speakers so they only need to present to the class one time. Instructors: Graduate Teaching Assistant Dr. Kathleen Hill Gallant, PhD, RD, CD Assistant Professor Director, Didactic Program in Dietetics Stone Hall, Room 207 Phone: (765) hillgallant@purdue.edu Donna L. Zoss, MS, RD, CD, CNSC Continuing Lecturer Assistant Director, Didactic Program in Dietetics Stone Hall, Room 220 Phone: (765) zossd@purdue.edu Rachel Clark, MS, RD, CSSD Continuing Lecturer Lyles-Porter Hall, Room 1144D Phone: (765) RachelClark@purdue.edu Julia Choi, BS Stone Hall, Room G54 mchoi@purdue.edu Office Hours: By appointment ( possible meeting times) Office Hours: By appointment ( possible meeting times) Office Hours: By appointment ( possible meeting times) Office Hours: TBA Course Description: Application of nutrition principles in the dietary treatment of certain organic, functional, and metabolic diseases. Course Goal: Implementation of the standardized language for the Nutrition Care Process in various disease states and conditions to prepare students for supervised practice programs.

2 Course Objectives: To meet selected DPD Knowledge Requirements as established by the Accreditation Council for Education in Nutrition and Dietetics through lectures, laboratories, assignments, projects, readings, presentations, quizzes and examinations. Core Knowledge for the RD (KRD): KRD 1.1: The curriculum must reflect the scientific basis of the dietetics profession and must include research methodology, interpretation of research literature and integration of research principles into evidence-based practice. KRD 2.1: The curriculum must include opportunities to develop a variety of communication skills sufficient for entry into pre-professional practice. KRD 2.3: The curriculum must include opportunities to understand governance of dietetics practice, such as the Scope of Dietetics Practice and the Code of Ethics for the Profession of Dietetics; and interdisciplinary relationships in various practice settings. KRD 3.1: The curriculum must reflect the principles of Medical Nutrition Therapy and the practice of the nutrition care process, including principles and methods of assessment, diagnosis, identification and implementation of interventions and strategies for monitoring and evaluation. KRD 4.2: The curriculum must include content related to quality management of food and nutrition services. KRD 4.5: The curriculum must include content related to coding and billing of dietetics/nutrition services to obtain reimbursement for services from public or private insurers. Attendance: Attendance is mandatory. If you are unable to attend a class, it is your responsibility to obtain notes and other missed information from a classmate. Turning in/ Returning Assignments: Unless otherwise specified, assignments are to be printed and turned in on the due date at the beginning of class. Certain writing assignments will also be submitted online through Blackboard using SafeAssign plagiarism detection service. Your graded assignments will be returned using a mailbox system. The mailbox will be located in Stone 220 and will be accessible from 8:00 am to 5:00 pm, day through Friday. You are expected to check your mailbox weekly.

3 Required Textbooks (also used for NUTR 481): 1. Mahan, L.K., Escott-Stump, S., Raymond, J.L. Krause's Food & the Nutrition Care Process. 13 th Ed. Elsevier/Saunders, ISBN: Nelms, M, Roth, S. Medical Nutrition Therapy: A Case Study Approach. 4 th Edition. Cengage Learning, ISBN: Chabner, D. The Language of Medicine. 10 th Ed. Elsevier, ISBN: Academy of Nutrition and Dietetics Nutrition Care Process Terminology subscription (encpt). This is an online manual and not available through the campus bookstores. Student members receive special pricing ($25 for 1-year access). We will explain in class. Required Resources: 1. Academy of Nutrition and Dietetics. Nutrition Care Manual. online subscription. Contact Donna Zoss if you need to purchase a subscription and arrangements will be made through Boiler Copy Maker. 2. Student membership of the Academy of Nutrition and Dietetics. Application information is available on bulletin board outside the Department of Nutrition Science office, second floor, Stone Hall. 3. Academy of Nutrition and Dietetics. Evidence Analysis Library. Available free of charge to student members of the Academy of Nutrition and Dietetics. 4. Journal of the Academy of Nutrition and Dietetics. Available free of charge to student members of the Academy of Nutrition and Dietetics. 5. Diabetes (or weight management) exchange booklets (You may have purchased one of these for NUTR 330). If you need an exchange booklet, Choose Your Foods: Exchange Lists for Diabetes will be available for purchase at Boiler Copy Maker. 6. Purchase a 3-ring binder and dividers for creating your reference notebook 7. Formulary Card (Instructor will provide in class) 8. Bring a calculator to all class and laboratory sessions. Other Resources: It is recommended if you have a laptop computer or tablet to bring it to the laboratory sessions.

4 Grading Total points Laboratory 120 Assignments (12) 10 points each Projects 90 Case study paper 50 points Counseling report 40 points Quizzes 100 Medical Terminology Quiz 40 points Exchange List Quizzes (3) 20 points each Reference Notebook 30 Exams 600 Exam points Exam points Exam points Final Comprehensive Exam 300 points Grading Scale Total 910 A+ = 98 to 100% A = 93 to 97% A- = 90 to 92% B+ = 87 to 89 % B = 83 to 87% B- = 80 to 82% C+ = 77 to 79 % C = 73 to 77 % C- = 70 to 72 % D = 65 to 69 % F = less than 65 % Incomplete grades will be given in accordance with University Regulations. Grades will be posted on Blackboard. Grading, cont d All assignments must be completed (i.e. met the objectives of the assignment) in order for a student to receive a passing grade. Assignments are expected to be word-processed unless noted otherwise in the instructions. Unless otherwise noted, assignments are expected to be handed in at the beginning of class on its due date.

5 Assignments handed in late will have points deducted unless the instructor has given prior approval: -10% (1 letter grade) for 1 day late, -20% (2 letter grades) for 2 days late, 0 pts (F) for 3 days late. Note that even if a late assignment will receive 0 pts, it is required for all assignments to be submitted, with their objectives met, in order to pass the course. Please notify the instructor immediately if you have a grade discrepancy or if a grade has been inaccurately recorded so the problem can be addressed in a timely manner. Make-up Exams: Make-up exams will not be given after a scheduled exam, except for major illnesses or extenuating circumstances, both requiring documentation. If a student needs to arrange a make-up exam, please be aware that the make-up exam can be different from the regularly scheduled exam. Failure to notify the instructor by 5:00 pm on the day of the scheduled exam will forfeit a student s right for consideration of a make-up exam. Contact the instructor either in person or by telephone or as to the reason for the absence. A message may be left at (Main 2 nd floor office, secretary Jessica). Academic Dishonesty: Students are required to follow the Code of Ethics for the Profession of Dietetics, the University Student Code of Honor and all student policies and procedures. Please see your student handbook for a complete transcript of University policies. Any student guilty of cheating or other forms of academic dishonesty will be disciplined according to University Regulations. Acts of academic dishonesty will be reported to the Dean of Students and may result in failure of the course. Campus Emergency: In an event of a major campus emergency, course requirements, deadlines and grading percentages are subject to changes that may be necessitated by a revised semester calendar or other circumstances. Contact Mrs. Donna Zoss or Dr. Hill Gallant using the contact information above. Additionally, Please sign up for Purdue Alert text messages The Purdue homepage will have up-to-date information during emergencies Find more information on emergency preparedness Back page of this syllabus **When in doubt, please act in the interest of your safety.**

6 Non-Discrimination: Purdue University and these instructors and staff do not discriminate against any member of the University community on the basis of race, religion, color, sex, age, national origin or ancestry, genetic information, marital status, parental status, sexual orientation, gender identity and expression, disability, or status as a veteran. Course Evaluation: During the last two weeks of the semester, students will be provided an opportunity to evaluate this course and instructors. To this end, Purdue has transitioned to online course evaluations. On day of the fifteenth week of classes, students will receive an official from evaluation administrators with a link to the online evaluation site. Students will have two weeks to complete this evaluation. Your participation in this evaluation is an integral part of this course. Your feedback is vital to improving education at Purdue University. You are strongly urged to participate in the evaluation system. This syllabus and course schedule are subject to revisions as needed throughout the semester. Students will be given advance notice of any change in class, on Blackboard, and/or by .

7 EMERGENCY PREPAREDNESS SYLLABUS ATTACHMENT EMERGENCY NOTIFICATION PROCEDURES are based on a simple concept if you hear a fire alarm inside, proceed outside. If you hear a siren outside, proceed inside. Indoor Fire Alarms mean to stop class or research and immediately evacuate the building. o Proceed to your Emergency Assembly Area away from building doors. Remain outside until police, fire, or other emergency response personnel provide additional guidance or tell you it is safe to leave. All Hazards Outdoor Emergency Warning Sirens mean to immediately seek shelter (Shelter in Place) in a safe location within the closest building. o Shelter in place means seeking immediate shelter inside a building or University residence. This course of action may need to be taken during a tornado, a civil disturbance including a shooting or release of hazardous materials in the outside air. Once safely inside, find out more details about the emergency*. Remain in place until police, fire, or other emergency response personnel provide additional guidance or tell you it is safe to leave. *In both cases, you should seek additional clarifying information by all means possible Purdue Home page, alert, TV, radio, etc review the Purdue Emergency Warning Notification System multicommunication layers at EMERGENCY RESPONSE PROCEDURES: Review the Emergency Procedures Guidelines Review the Building Emergency Plan (available from the building deputy) for: o evacuation routes, exit points, and emergency assembly area o when and how to evacuate the building. o shelter in place procedures and locations o additional building specific procedures and requirements. EMERGENCY PREPAREDNESS AWARENESS VIDEOS "Shots Fired on Campus: When Lightning Strikes," is a 20-minute active shooter awareness video that illustrates what to look for and how to prepare and react to this type of incident. See: (Link is also located on the EP website) MORE INFORMATION Reference the Emergency Preparedness web site for additional information:

8 NUTR 480 Medical Nutrition Therapy I Fall 2014 Week 1 Date Theme/Topic Readings **additional readings on Blackboard as assigned** Course introduction Course Syllabus 8/25 Intro to Nutrition Assessment Intro to Nutrition Assessment Krause: Ch. 4 & p /27 Reminders and Notes Lab ( or Thurs) Anthropometrics MNA Week 2 9/1 9/3 Labor Day No Class Nutrition Counseling Labor Day No Lab Week 3 Week 4 9/8 9/10 9/15 9/17 Biochemical Factors Krause: Ch. 7, 8 & p Biochemical Factors Assessment Nutrition Counseling Assignment 1 Due Nutrition Counseling Counseling Project Assigned Biochemical Factors Assessment Exam #1 Assignment 2 Due Week 5 9/22 9/24 Nutrition Counseling & Clinical Factors Nutrition Counseling & Dietary Factors (Food Processor) Krause: Ch. 3 & p Krause: Ch. 2 Food Processor Tutorial Clinical Factors Assessment Assignment 3 Due Week 6 9/29 10/1 Dietary Factors Krause: Ch. 4 Dietary Factors Assessment Energy & Protein Requirements Krause: review p. 53 Assignment 4 Due

9 NUTR 480 Medical Nutrition Therapy I Fall 2014 Week 7 Week 8 10/6 10/8 10/13 10/15 Nutrition Care Process Exam #2 October Break No Class encpt readings Nutrition Care Manual Review (online) Code of Ethics Malnutrition Krause: p & review p Friday, October 10th, 5:00PM: Counseling Project Due (turn in BOTH a paper copy in Stone 220 and electronic submission on Blackboard) Case Study Paper Assigned (Due 12/3) Nutrition Care Process Nutrition Care Manual Code of Ethics Assignment 5 Due October Break No Lab Week 9 10/20 10/22 Evidence Analysis Library & Chabner: Ch. 1-4 Evaluating and Citing Research Intro to Nutrition Support Krause: Ch. 14 Medical Terminology Assignment 6 Due Week 10 10/27 10/29 Intro to Nutrition Support Chabner: Ch. 13 Medical Terminology Quiz Intro to Nutrition Support Nutrition Support Assignment 7 Due Week 11 11/3 11/5 11/10 Nutrition Prescription & Modified Consistency Diets Neurological Problems & Dysphagia Neurological Problems & Dysphagia National Dysphagia Diets Formulary Sheet Krause: p Chabner: Ch. 10 & 17 Guest Speaker: Claudia Mornout, MS, CCC-SLP Modified Consistency Diets Exchange List Quiz: Fruits & Non-starchy Vegetables Assignment 8 Due Neurological Problems & Dysphagia Week 12 11/12 Neurological Problems & Dysphagia Exchange List Quiz: Starches and Fats Assn 9 Due: Malnutrition Case Study

10 NUTR 480 Medical Nutrition Therapy I Fall 2014 Week 13 11/17 11/19 Exam #3 Intro to Diabetes Mellitus Krause: Ch. 31 Chabner: Ch. 18 Interpersonal skills in healthcare settings Assn 10 Due: Neurological Case Study 11/24 Intro to Diabetes Mellitus Thanksgiving Break No Lab Week 14 11/26 Thanksgiving Break No Class Week 15 Week 16 12/1 12/3 12/8 12/10 Intro to Cardiovascular Disease Krause: Ch. 34 Chabner: Ch. 11 Intro to Cardiovascular Disease Case Paper Due 5:00PM (turn in BOTH a paper copy in Stone 220 and electronic submission on Blackboard) Diabetes Mellitus Exchange List Quiz: Meat & Meat Substitutes and Milk Assn 11 Due: Diabetes Case Study Obesity and Metabolic Syndrome Krause: Ch. 22 Cardiovascular Disease Review Sodium and Salt Substitutes Assn 12 Due: CVD Case Study TBD Comprehensive Final Exam