CALIFORNIA STATE UNIVERSITY, CHICO COLLEGE OF NATURAL SCIENCES Department of Nutrition and Food Sciences Medical Nutrition Therapy I NFSC 470 Fall, 2016 Lecture: MWF 2:00-2:50 Butte 221 Lab Sec. 2 (4919): F 11:00-12:50 Modoc 118 Lab Sec. 3 (4924): TH 6-7:50 PM Tehama 134 Instructor: Office Location: Telephone: Email: Office Hours: Deborah Bellis McCafferty, MS, RD Holt 375 530-898-4006 (Worst contact) dmccafferty@csuchico.edu Be sure to put your name and course in the subject header. Monday and Wednesday 12:30-1:50 and Thursday 12:30-1:40 Prerequisites: Course Fees: BIOL 104; CHEM 108; NFSC 340 completed with a C or better. NFSC 440 (can be taken concurrently) There is no fee for this course. However, you will need to do a significant amount of printing, as I upload lecture outlines and supplemental materials for students to download. Course Materials REQUIRED: Nelms, Sucher & Long: Nutrition Therapy and Pathophysiology 3 rd Edition Leonard: Quick and Easy Medical Terminology, 7 th edition There is no need to buy a newer edition. Recommended: Pagana: Mosby s Diagnostic and Laboratory Test Reference or Lab Tests Online app (ios or Android) Pronsky: Food-Medication Interactions or Medscape app (ios or Android) Course Purpose This course is designed to develop skills in the use of Medical Nutrition Therapy (MNT) in the prevention and treatment of diet-related health problems.
Course Objectives Upon successful completion of this course, you will be able to: 1. Explain the current theories of how diet and nutrition status relate to health promotion and the prevention of diet-related diseases in the American population. 2. Identify physiological changes, physical manifestations, and Medical Nutrition Therapy recommendations associated with common diet-related disease states. 3. Demonstrate knowledge and appropriate use of medical terminology. 4. Perform nutrition risk assessments through interpretation of anthropometric, biochemical, clinical, and dietary information. (KR 3.1.a). 5. Devise a diet plan for health improvement. (KR 3.2.a). QUIZZES, ASSIGNMENTS, AND CASE STUDIES Medical Terminology Quizzes There will be ten medical terminology quizzes. You ll be responsible for completing assigned medical terminology exercises on your own, then taking the quizzes on Blackboard. After the quiz closes, your opportunity to take that quiz ends. There are no makeups for quizzes. If you miss a quiz and have an acceptable, documented excuse, you will be exempted from that quiz. Quizzes close Fridays at noon. You may work ahead on them if you wish. Practice Sets/Assignments There will be many unannounced in-class and out of class assignments. These will be announced in class; a good reason to stay in contact with your resource students. Case Studies (Jigsaw) You will complete case studies using a collaborative learning method. Each student will be responsible for competencies in all areas of the case study assignments. These case studies will involve demonstrating the ability to assess a patient, develop a nutrition diagnosis, choose appropriate goals and interventions, and develop an appropriate plan for monitoring and evaluating the patient. This collaborative learning method will necessitate each student s full involvement. Lab (Activity) Lab attendance is mandatory. You will be exempted from a missed lab only if you have a valid, documented excuse (see my policies). However, even if you miss a lab, you will be responsible for the content of that lab for testing purposes. Any materials necessary for lab usually will be available for download by the Wednesday before that lab. If for some reason last-minute changes are necessary, a printout of the lab will be provided for you in class.
You re required to attend your assigned lab time, and may not attend another lab time without prior permission from me. Grading Criteria (Based on Weighted Average) Requirement Percentage of Grade Percent Score Final Grade Midterm Exams 30% 93+ A Final Exam (comprehensive) 15% 90-92.9 A- Medical Terminology Quizzes (10) 15% 87-89.9 B+ Practice Sets/Assignments 5% Case Studies (Jigsaw) 15% 83-86.9 B Lab Activities 20% 80-82.9 B- 77-79.9 C+ Total: 100% 73-76.9 C 70-72.9 C- 67-69.9 D+ 60-66.9 D Below 60 F Final Grade Calculation (grades are not negotiable): I will regularly take attendance and track student participation. I reserve the right to adjust the score of any student by up to 3% based on my perception of overall class performance, attendance and participation. However, I will not adjust grades at the end of the semester based on a student s request for me to do so. Note: University policy states that Adds/Drops must be completed within the first two to four weeks of the semester. Following this time period, students must have a serious or compelling reason to add or drop a course. It is the student s responsibility to add/drop classes. OTHER IMPORTANT INFORMATION (MOSTLY PERTAINS TO PERSONAL RESPONSIBILITY) Preparing for Class: o Download lecture outlines/lab materials before coming to class. If for some reason you forget or are unable to do so, do the best you can until the problem is resolved. o Read through the previous day s notes prior to lecture. Students who do this are more prepared for lecture are more ready to participate in discussions, tend to ask pertinent questions and do better on exams and assignments. The schedule is subject to change. This class is constantly evolving, so you ll need to be flexible. Do not plan on using a laptop in class. There may be assignments where a laptop will be helpful,
and I ll let you know ahead of time if that s the case. Tablets flat on the desk are allowed for note-taking purposes only. If you need help, it s your responsibility to seek it. Any discussion concerning grades will be handled during office hours, not during class. Be respectful of everyone in the class. Don t text message, web surf, do other homework, or use headphones during class. It is distracting to me and to those around you. Please refrain from packing up before lecture has concluded. It is distracting to your classmates and to me. Assignments are due at the beginning of class. After lecture begins, it s a 25% deduction. Once I hand it back, no late papers will be accepted. Professionalism: Please do not come in the day an assignment is due (or an exam day) and ask me for a stapler, a pencil, a calculator or a paperclip. If your assignment isn t ready, it s not ready. As soon as I begin class, it s late. So if your work isn t done, you might as well accept the deduction, get to class on time, and turn your work in when it s ready. Rushing into class late is an abuse of everyone s time and attention, so please do not be surprised or dismayed when you realize that yes, I actually do enforce the late policy. Therefore, if you are anticipating heavy traffic, loss of your keys, automotive breakdown, a faulty alarm clock, computer/printer malfunctions, a fight with your roommate, a break up with your significant other, your dog escaping the yard, a tree falling on your car/scooter/motorcycle/bike, an overnight stay in jail, a court date due to said overnight detention, bad news from home (there s usually a surge of crippling bad news from home the day there s an exam or the case study is due), a hangover, your birthday, dehydration, your sister s wedding, a delayed flight, lost luggage from said flight, a sunburn, a windburn, being trapped on a ski lift, being trapped in an elevator, being shot from a cannon, a sudden questioning of your life path, being struck by lightning, being struck by lightning twice, uncontrollable sniffles, rage/despair over the injustice in the world, a zombie apocalypse or any combination of these, BE SURE TO WORK AHEAD. If you must miss an exam or deadline you must have a legitimate, verifiable excuse with written documentation, and you must contact me via phone or email before the exam or deadline (even if it s the morning of the exam). I must be able to verify your excuse, so be sure contact information is included. No exceptions. (Leaving early for a three day weekend or Thanksgiving break is not an acceptable excuse. Same goes for a late return to Chico.) KEEP COPIES OF EVERYTHING. If you fail to do so, and you lose your assignment (or it mysteriously evaporates from the stack of turned in materials) you will have to redo it. Take early/late assignments to the department office by 4:00 PM and use the punch machine to mark the time/date. Papers without a date stamp will be considered received when I personally find them. I do not accept assignments by email. I only accept late work until I hand the assignment back to the class. Late work is my last priority for grading. A NOTE ABOUT OFFICE HOURS: To make the best use of your time, my time and the time of your fellow students, please come to office hours prepared. That is, have your notes with you, have your questions organized, and the appropriate readings in the textbook completed. It is your responsibility to make an appointment with me if you are unable to
make it to my office hours. Furthermore, if you miss class, it is your responsibility to get the notes from another student, complete any missed assignments, and come in and get help if, at that point, anything is still unclear. Don t ask me for my notes. Any violation of the university s academic honesty policy will result in a report to Student Judicial Affairs. Exams: Bring a pencil and a calculator to every exam. Using a cell phone during an exam constitutes cheating. There will be no sharing of calculators during the exam. If you forget your calculator, expect to be doing long division. Readings: Please be aware that I cannot possibly cover everything in class. For this reason, you ll be responsible for all textbook readings listed on the course schedule, below, as well as any supplemental readings I may upload to your Blackboard page. Extra Credit: The only extra credit offered this semester will be on the last MT quiz. The lab component of this course skews grades significantly upward, so any additional extra credit would inappropriately inflate grades. It is your responsibility to keep track of your grades on Blackboard this semester. When you sit for your final exam, you will do so having acknowledged that you ve checked all scores and that there are no errors or omissions. I will not, under any circumstances, go back and fill in or change grades after the semester has ended. Tentative Course Schedule All exam dates/due dates are tentative and may be adjusted slightly based on where we are in lecture. Be sure to check your media list for additional content. All MT quizzes close on Fridays at noon. Week Begins on Topic Readings 1 8/22 Intro to MNT The Health Care System Lab 1: Patient Interviews 2 8/29 The Nutrition Care Process: Assessment Lab 2: Adult Anthropometry 3 9/6 Assessment, Cont. Lab 3: Lab Values be ready for peer review Nelms Chapter 1-2 (We ll revisit Chapter 2 again) Nelms Chapter 3 Diagnostic and Lab Test Reference pages per lab values covered Medical Terminology (MT) Quiz 1 Chapters 1-2 No class Monday due to Labor Day Campus Closed
Week Begins on Topic 4 9/12 Nutrition Care Process: Diagnosis Lab 4: Assessment and PES Statements 5 9/19 Intervention/Evaluation and Charting No Lab: Exam Week 6 9/26 (Fluid & Electrolyte Balance) Lab: Lecture Activity 7 10/3 Upper GI Disorders Lab 5: Upper GI and ADIME Nelms Chapter 2 MT Quiz 2 Chapter 3 Nelms Chapters 4 and 6 Readings Exam I: During Lab (You must take the exam during your assigned lab.) Nelms Chapter 7 MT Quiz 3 Chapter 5 Nelms Chapter 14 MT Quiz 4 Chapter 9 8 10/10 Upper GI Disorders MT Quiz 5 Chapter 12 9 10/17 Lower GI Disorders Lab: Lower GI 10 10/24 Enteral Nutrition No lab: Exam Week 11 10/31 Enteral and Parenteral Nutrition Lab 6: Enteral Nutrition 12 11/7 Parenteral Nutrition, Cont. Lab 7: Parenteral Nutrition 13 11/14 Liver, Biliary and Exocrine Pancreas Diseases Lab 8: Nutrition Support EN and PN Nelms Chapter 15 MT Quiz 6 Chapter 6 Exam II: During Lab (You must take the exam during your assigned lab.) Nelms Chapter 5 (first half ) Nelms Chapter 5 (second half ) MT Quiz 7 Chapter 7 Thanksgiving Break November 21-25 14 11/28 Diabetes and Hypoglycemia Lab 9: Diabetic Exchanges (You won t teach these, but you need to learn therm.) 15 12/5 Metabolic Stress Lab 10: Diabetes Education Carb Counting Campus Closed Friday for Veteran s Day No Class or Lab MT Quiz 8 Chapter 8 Chapter 16 MT Quiz 9 Chapter 10 Pertinent pages in Chapter 17 Exam III Chapter 22 (If we re behind, we ll float this over to 471) MT Quiz 10 (Cumulative) 16 12/12 Final Exam Week Final: Friday, 12/16 from 12-1:50 PM in lecture classroom. Case Study II will be part of your final exam. If you wish to take the final exam early, the only opportunity to do so will be Monday, 12/12 at 8:00 AM, and it will be a different exam.
Academic Integrity This professor is committed to compliance with the University s statement on academic integrity. Ignorance of university policies are not acceptable excuses for violations. Please see the university s web site for complete text of these policies, as this is required content and testable material. http://www.csuchico.edu/prs/ems/2004/04-036.shtml. Any violation of the university s policy on academic integrity will result in a report to Student Judicial Affairs. In addition, penalties may include an F on the assignment, and F in the course, and charges of cheating/plagiarism that can affect the student s ability to enroll in future classes.