CLINICAL AND THERAPEUTIC NUTRITION (THEORY)

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 Outcomes (COs): 
 

 

 

 

12.00
Unit I: 
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: 
UNIT II
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 III: 
UNIT III
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
 
12.00
Unit IV: 
UNIT IV
 Nutrition Care Process and Diet Prescription                                                                                                                                                
Nutritional screening and assessment of out-patients and hospitalized patients, Nutritional interpretation of  laboratory data
Use of screening tools (Activity)
Nutritional Intervention – Diet modifications
Diet prescriptions- Essential , components of diet prescriptions.
Special feeding methods in nutritional support
Significance of Anti inflammatory foods
 
12.00
Unit V: 
UNIT V
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.
 
Essential Readings: 
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.
6 Guyton, A.C. and Hall, J.E. (1999) : Textbook of Medical Phyiology, W.B. Saunders Co.
7 Ritchie, A.C. (1990) : Boyd’s Textbook of Pathology, 9th Edition, Lea and Febiger, Philadelphia.
8 Fauci, S.A. et al (1998) : Harrison’s Principles of Internal Medicine, 14th Edition, McGraw Hill.
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. (2007) Principles of Anatomy and Physiology. 11th 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 .
15 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.
Kronberg, H.,Melmed. S.,Pollonski, K.S., Larsen ,P., Reed(2010), Williomson Texbook od Endocrinology, 11ed. 
 
R RESOURCES 
 
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: