CLINICAL AND THERAPEUTIC NUTRITION I

Paper Code: 
HFN 323
Credits: 
4
Contact Hours: 
60.00
Max. Marks: 
100.00
Objective: 

Course Objectives:

This course will enable the students to –

 

  • Acquire knowledge and functions related to human body
  • Enable them to understand nutrition management in infection, stress and diseases conditions

Course Learning Outcomes (COs):

Course

Learning outcomes

(at course level)

Learning and teaching strategies

Assessment

Strategies

Paper Code

Paper Title

 

 

 

 

 

 

HFN 323

 

 

Clinical and Therapeutic Nutrition -I

(Theory)

 

 

 

 

 

The students will be able to –

 

COFN75: Gain knowledge about anatomy and functions of different organs of the body

 

COFN76: Describe the importance of nutritional care process of patients

 

COFN77: Identify causative factors and metabolic changes in various diseases/disorders and the associated principles of medical nutrition therapy.

 

Approach in teaching:

Interactive Lectures, Discussion, Power Point Presentations, Informative videos, group discussion

 

Learning activities for the students:

Self learning assignments, Effective questions, presentations, Field trips

 

 

Quiz, Poster Presentations,

Power Point Presentations, Individual and group projects,

Open Book Test, Semester End Examination, discussion, demonstration

 

 

 

 

12.00
Unit I: 
  • Introduction to human body and chemistry of life
    • Various organs and their position
    • Homeostasis and Homeostatic imbalance
    • Meaning of Terms – anatomy, physiology, etiology, pathogenesis, pathophysiology
    • Cells, tissues, membrane, glands, body cavities
  • Lymphatic System
    • Lymph vessels, Lymph organs and tissues
    • Non specific defense mechanism. Immunity - cell mediated and humoral immunity, Acquired immunity
    • Hypersensitivity, diagnosis and dietary management
    • Autoimmune diseases – Systemic Lupus, Celiac disease, Addison disease
12.00
Unit II: 

Nutrition Care Process                                                                              

  • Nutritional screening and assessment of out-patients and hospitalized patients, Nutritional interpretation of  laboratory data
  • Use of screening tools (Activity)
  • Nutritional Intervention – Diet modifications
  • Special feeding methods in nutritional support
  • Significance of Anti inflammatory foods
12.00
Unit III: 

·Nutrition and stress -Stress types, body’s response (endocrine and metabolic) to short term and long term stress. Role of nutrition in stress coping

  • Surgery- pre operative and post operative nutritional care
  • Burns –classification, dietary management and mode of feeding
  • Trauma –physiological, metabolic and hormonal response to injury, dietary management
  • Diet, nutrient and drug interaction
    • Basic concept, Effect of Nutrition on drugs
    • Effect of drug on Nutritional status, food intake, digestion, absorption and metabolism of nutrient.
12.00
Unit IV: 
  • Respiratory System and associated organs
  • Transport and exchange of gases
  • Control of Respiration
  • Lung volume and capacity Incidence, etiology, diagnosis, clinical manifestations, COPD (Chronic obstructive pulmonary disease)
  • Reproductive system – structure and functions of female reproductive organs, menstrual cycle, menopause, PCOS and its nutritional management
12.00
Unit V: 
  • Bone structure, types and formation
  • Incidence, etiology, pathology. clinical manifestations, dietary management and counseling in Rheumatoid arthritis, osteoarthritis, osteoporosis and cancer
  • Nervous System – Structure of neurons, Nerve impulse transmission, structure and functions of brain and spinal cord, Disorders of brain – stroke, dementia, Parkinson’s disease, multiple sclerosis and their nutritional management

 

Essential Readings: 
  • Swaminathan, M.S. (1985). Advanced Textbook on Food and Nutrition. Vol. I & II. The Bangalore Printing & Publishing Co. Ltd. Bangalore.
  • Antia, F.P. and Abraham, P. (1997). Clinical Dietetics and Nutrition. Oxford University Press, Delhi.
  • Robinson, C.H. and Lawler, M.R. (1986). Normal and Therapeutic Nutrition. Macmillan, New York
References: 
  • Mahan, L.K. & Ecott-Stump, S. (2000) : Krause’s Food, Nutrition and Diet Therapy, 10th Edition, W.B. Saunders Pvt. Ltd.
  • Shils, M.E.. Olson, J.A., Shike, N. and Ross, A.C. (Ed) (1999) : Modern Nutrition in Health & Disease, 9th Edition, Williams and Wilkins.
  • Escott-Stump, S. (1998) : Nutrition and Diagnosis Related Care, 4th Edition, Williams and Wilkins.
  • Garrow, J.S., James, W.P.T. and Ralph, A. (2000) : Human Nutrition Dietetics, 10th Edition, Churchill Livingstone.
  •  Williams, S.R. (1993) : Nutrition and Diet Therapy, 7th Edition, Times Mirror/Mosby College Publishing.
  •  Davis, J. and Sherer, K. (1994) : Applied Nutrition and Diet Therapy  for Nurses, 2nd Edition, W.B. Saunders Co.
  • Walker, W.A. and Watkins, J.B. (Ed) (1985) : Nutrition in Pediatrics, Boston, Little, Brown & Co.
  •   Guyton, A.C. and Hall, J.E. (1999) : Textbook of Medical Phyiology, W.B. Saunders Co.
  •   Ritchie, A.C. (1990) : Boyd’s Textbook of Pathology, 9th Edition, Lea and Febiger, Philadelphia.
  •   Fauci, S.A. et al (1998) : Harrison’s Principles of Internal Medicine, 14th Edition, McGraw Hill.
  • World Cancer Research Fund 9[1997). Food, Nutrition and the Prevention of Cancer – A Global Perspective. Washington E.D. WCRF
  •  Khanna, K., Gupta, S. and Seth, R. (1999). Textbook of Nutrition and Dietetics, Phoenix Pub. House Pvt. Ltd. , New Delhi.
  •  Bamji, M.S., Rao, N.P. and Reddy, V. (1999) : Textbook of Human Nutrition, Oxford & IBH Publishing Co. Pvt. Ltd., New Delhi
  • Ganong W.F.(2003)-Review of Medical Physiology.21st ed. McGraw Hill.
  • Guyton A.C. and Hall J.E. (2000) Textbook of Medical Physiology.10th ed. India: Harcourt  Asia..
  •  Tortora G.J and Grabowski S.R. (2000) Principles of Anatomy and Physiology. 9th ed. John Wiley and Sons.Inc.
  • West J.B.(1996): Physiological Basis of Medical Practice .12th Edition. B. I. Waverly Pvt. Ltd.
  • Marieb E.N (2001) Human Anatomy and Physiology (5th ed) Pearson Education ,Inc, publishing as Benjamin Cummings.
  • Jain A. K (2014) Human Physiology for BDS (5th Edition), Publisher: Avichal Publishing Company; ISBN: 9788177394337 .
  • Pal G.K and Pal Pravati (2016) Comprehensive Textbook Of Medical Physiology (2Vols) Publisher:Jaypee Brothers Medical Pub (P) Ltd. ) ISBN:5551234080758
  • Ross and Wilson(1973). Foundation of Anatomy and Physiology, Medical Division of Longman Group Ltd.
  • Journals :
  •  
  • Nutrition Update Series.
  • World Review of Nutrition and Dietetics.
  •  Journal of the American Dietetic Association.
  • Indian Journal of Nutrition and Dietetics
  •  American Journal of Clinical Nutrition.
  • European Journal of Clinical Nutrition.
  • Nutrition Reviews.           
Academic Year: 
2019-2020
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