CLINICAL & THERAPEUTIC NUTRITION

Paper Code: 
HFN 421
Credits: 
4
Contact Hours: 
60.00
Max. Marks: 
100.00
Objective: 

This course will enable the students to –

1.    Understand the anatomy and functioning of human body system

2.    Understand the pathophysiology of commonly occurring diseases.

3.    Understand the role of diet in the management of various diseases

 

Course Outcomes (COs): 

Course outcomes

(at course level)

Learning and teaching strategies

Assessment

Strategies

  
 

The students will be able to –

COFN96: Comprehend functional organization of different organ systems in the human body.

COFN97: Gain knowledge about causative factors, symptoms and metabolic changes in various diseases/disorders and the associated principles of diet therapy.

COFN98: Apply the knowledge in planning therapeutic diets for the disease conditions

COFN99: Acquire professional diet counselling skills

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: 
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

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 II: 
Diseases of Gastro-intestinal tract and accessory organs

·         Incidence, etiology, metabolic changes, clinical manifestations, complications, and dietary management of the following - Gastro-Intestinal Diseases and Disorders –Gastro Oesophageal Reflux Disorder (GERD), Hiatus Hernia, Gastritis, Diverticular disease, Peptic Ulcer, Haemorrhoids

·         Inflammatory Bowel Syndrome, Ulcerative Colitis, Short Bowel Syndrome.

·         Liver, Gall bladder and Pancreatic diseases

·         Liver Diseases –Liver Cirrhosis, Hepatic Encephalopathy (HE)/ Hepatic Coma,

·         Pancreatic Diseases – Pancreatitis

·         Gall Bladder Diseases – Cholelithiasis, Cholecystitis, Cholecystectomy

·         Eating Disorders

12.00
Unit III: 
UNIT III

Diseases of Cardiovascular system                                                       12 Hrs

·         Incidence, etiology, metabolic changes, clinical manifestations, complications, and dietary management for the following

·         Cardio vascular disease (CVD) – Dyslipideimia, Atherosclerosis, Hypertension (HT),   Angina Pectoris, Myocardial Infarction (MI), Congestive Cardiac failure (CCF), Rheumatic Heart Disease (RHD) Prevention of CHD.

 

12.00
Unit IV: 
UNIT IV

Metabolic disorders 

·         Diabetes Mellitus (Type 1, Type 2 and Gestational), factors affecting normal blood glucose level, metabolic aberration, diagnosis, Complication, Management of Diabetes, hypoglycemic drugs and insulin, role of exercise. 

·         Gout, Thyroid

Renal Diseases – Glomerulonephritis (Acute and Chronic), Nephrotic Syndrome, Nephrolithiasis (Renal calculi), Nephrosclerosis, Renal Failure (Acute and chronic), End Stage Renal Failure (ESRD), Dialysis (Haemodialysis and Peritoneal Dialysis), Kidney Transplantation

12.00
Unit V: 
UNIT-V

Nutrition and stress -Stress types, body’s response (endocrine and metabolic) 

·         Surgery- pre operative and post operative nutritional care

·         Burns –classification, dietary management, and mode of feeding

·         Trauma –physiological, metabolic, and hormonal response to injury,

Inborn Errors of Metabolism

·         Disorders of Amino Acid metabolism – Phenylketonuria, hypertyrosinemia, hypervalinemia, hyperhistidinemia, hyperlysinemia, homocystinuria.

·         Disorders of carbohydrate metabolism – Galactosemia, Pentosuria, MSUD

·         Disorders of lipid metabolism – Hyperchylomicronemia, hypercholesterolemia – pure and mixed.

Cancer 

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. (2001). 4th Edition. Clinical Dietetics and Nutrition. Oxford University Press, Delhi.

·         Robinson, C.H. and Lawler, M.R. (1990). Revised 17th Edition. Normal and Therapeutic Nutrition. Macmillan, New York.

·         Seth, K.,Kalyani, K. Principles of Medical Nutrition Therapy for positive clinical outcomes (2021). Elite Publishing House.

 

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. (2015): Nutrition and Diagnosis Related Care, 8th Edition, Williams and Wilkins.

·         Garrow, J.S., James, W.P.T. and Ralph, A. (2000): Human Nutrition Dietetics, 10th Edition, Churchill Livingstone.

·         William’s Essentials of Nutrition and Diet Therapy (2018) 12th Edition. Authors - Eleanor SchlenkerJoyce Ann Gilbert. Times Mirror/Mosby College Publishing.

·         Davis, J. and Sherer, K. (1993): 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. (2010): Textbook of Medical Phyiology. 12th Edition. 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, 3rd Expert Report (2017). Diet, Nutrition and Physical Activity – A Global Perspective. Washington E.D. WCRF

·         Khanna, K., Gupta, S. and Seth, R. (2001). Textbook of Nutrition and Dietetics, 2nd Edition. Phoenix Pub. House Pvt. Ltd., New Delhi.

·         Bamji, M.S., Rao, N.P. and Reddy, V. (2009): Textbook of Human Nutrition, 4th Edition. Oxford & IBH Publishing Co. Pvt. Ltd., New Delhi

·         Ganong W.F. (2003)-Review of Medical Physiology.21st ed. McGraw Hill.

·         Tortora G.J and Grabowski S.R. (2016) Principles of Anatomy and Physiology. 15th 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 (2014). Anatomy and Physiology in Health and Illness. Authors: Anne Waugh Allison Grant.12th Edition. Churchill Livingstone

 

E RESOURCEs

·         https://www.wcpsky.org/userfiles/2840/Classes/7808/Digestion.ppt

·         https://www.education.ne.gov/wp-content/uploads/2017/07/177-Anatomy-Endocrine-System.ppt

 

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: 
2023-2024
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