Syllabus
Master of Science in Applied Nutrition
APN 765 Nutrition Therapy for Clinical Practice (Summer 2018)
Credits - 3
Description
The epidemiology and etiology of nutrition-related disease will be examined. Dietary, lifestyle and behavior change approaches in chronic disease prevention and management will be emphasized. Disease prevention and management using dietary modification and specialized therapies will be emphasized. Topics include specialized treatment for the critically wounded or ill, nutrition-related disease prevention, nutrition therapies for genetic and chronic disease states and therapeutic approaches to disease management.
Materials
Learning Objectives and Outcomes
Program Objectives
- Develop and utilize nutrition concepts and best-practices for nutrition and health promotion initiatives
- Apply core research principles to measure the nutrition status and environment of individuals and communities
- Develop communications and collaboration strategies with representatives from government, non-profit, community, and business entities regarding nutrition initiatives
- Interpret and modify explanations of complex nutrition concepts for various audiences
- Research, develop and disseminate evidence-based and theory driven educational materials and work-products at an audience appropriate level for topics related to nutrition and health promotion.
Course Outcomes/Objectives
- Make decisions, to identify nutrition related problems and determine nutrition interventions including medical nutrition therapy, disease prevention and health promotion using the nutrition care process.
- Develop interventions to effect change and enhance wellness in diverse individuals and groups taking into account the role of environment, food and lifestyle choices.
Make ethical evidence-based practice decisions informed by critical evaluation of professional literature. - Use current information technologies to locate and apply evidence-based guidelines and protocols, such as the AND Evidence Analysis Library.
- Discuss controversies in the scientific literature related to medical nutrition therapy and implications for clinical practice.
- Conduct, compile, and analyze interview findings of nutrition and nutrition related practitioners in various settings.
Assignments
Key Assessment: Exploring Nutrition-related Settings and Careers through interviewing Nutrition Professionals (in 4 Parts)
The purpose of this assignment is to investigate careers and professional settings through analysis of interviews of 3 various nutrition or nutrition-related professionals. Through this assignment, you will be exposed to various positions in the nutrition field, and identify possible areas of interest as you move forward in your studies and later onto a career. This project is a three-interview series with various practitioners of your choice. You will select professionals who use nutrition therapy in their daily activities.
You will be responsible for identifying practitioners, contacting and scheduling a call or meeting, developing a set of interview questions, and summarizing and analyzing your findings.
You will work on this assignment throughout the course.
This assignment will consist of 4 parts, submitted throughout the course (except for Part 3, Conducting Interviews, which will be done over a number of weeks but interview notes will only be submitted with Part 4, the final summary).
Reflection/e-Portfolio: You will select an artifact from the course to place in your e-portfolio and complete a reflection.
Discussion Board:
In this course, there are weekly discussions.
You will be required to participate in discussions. Initial posts are due on Sundays, and responses are due by Tuesday. If the initial post and response are not submitted within the discussion week you will be given a zero. Posts submitted after the discussion week will not be graded.
Your success in the course relies on robust discussion, critical thinking, and peer-response. Weekly posts responding to prompts posed are meant to facilitate a deeper understanding of the broader themes of the course as well as enrich the readings, handouts, and lectures. Your initial response should be no less than 400 words. Peer-responses should be no less than 200 words and must be thoughtful, contain compliment as well as constructive criticism, and maintain a professional tone.
Furthermore, in regard to all assignments, please observe the following:
- All assignments must be completed using AMA formatting where appropriate.
- All times refer to Eastern Time (ET).
- All questions about assignments, and all questions in general, should be sent through email.
Writing Statement
As professionals in the field, you will consistently be expected to clearly and concisely articulate advanced concepts for diverse audiences at a variety of educational levels.
Graduate students are expected to produce their best quality work, including screening their work prior to submission for clarity, grammatical, spelling, formatting and mechanical issues.
While there is often a portion of each assignment’s rubric dedicated specifically to grammar, spelling, mechanics, and formatting, it is critical to understand that failure to submit work that has been adequately proofed may result in a reduction of points in other areas of the rubric. These may include, but are not limited to metrics rating professionalism or content knowledge and synthesis; work submitted in graduate courses should provide evidence of strategic reading, writing, and academic speaking skills essential for success in the discipline.
Grading Policy
Your grade in this course will be determined by the following criteria:
Grade Breakdown
| Assignment | Points |
|---|---|
| Discussions | 19 |
| Case Studies and Additional Questions | 24 |
| Microbiome Infographic | 6 |
| Formula Recipe Handout | 5 |
| Type 2 Diabetes Education Handout and Video | 5 + 5 |
| Key Assessment: Exploring Nutrition-related Settings and Careers through interviewing Nutrition Professionals (in 4 Parts) | 33 |
| Reflection/ePortfolio | 2 |
| Syllabus Contract | 1 |
| Total | 100 |
Grade Scale
| Grade | Points Grade | Point Average (GPA) |
| A | 94 – 100% | 4.00 |
| A- | 90 – 93% | 3.75 |
| B+ | 87 – 89% | 3.50 |
| B | 84 – 86% | 3.00 |
| B- | 80 – 83% | 2.75 |
| C+ | 77 – 79% | 2.50 |
| C | 74 – 76% | 2.00 |
| C- | 70 – 73% | 1.75 |
| D | 64 – 69% | 1.00 |
| F | 00 – 63% | 0.00 |
Schedule
Weekly Schedule
Week One: 6/27 – 7/3
Week Two: 7/4 – 7/10
Week Three: 7/11 – 7/17
Week Four: 7/18 – 7/24
Week Five: 7/25 – 7/31
Week Six: 8/1 – 8/7
Week Seven: 8/8 – 8/14
Week Eight: 8/15 – 8/19
Major Due Dates
|
Final Assignment Part One: Identifying and Selecting Professionals to Interview |
Week 2 – Tuesday |
|
Final Assignment Part Two: Interview questions (Submit to discussion forum) |
Week 3 – Sunday |
|
Final Assignment Part Three: Conducting Interviews |
Week 7 – Tuesday |
|
Final Assignment Part Four: Summary and Analysis of the Interview Findings |
Week 8 – Friday |
| Discussion Board | Initial post is due every Sunday and all comments are due Tuesday of Week 1 through Week 7. Week 8 posts are due on the last Friday and Sunday of the term respectively. |
Week One:
Weekly Learning Outcomes
- Review and understand the NCP in various disease states and how it will be used in this course.
- Understand the role of cultural competency in health care setting
Lectures
- Course Overview
- Parenteral Nutrition
- Enteral Nutrition
- NCP Overview
- Cultural Competency
Required Readings
See course for additional readings.
Assignments
- No assignments to be submitted in Week 1
- Key Assessment introduced
Discussions
Personal Introduction discussion
Week Two:
Weekly Learning Outcomes
- Explain the inflammatory response following critical illness and the metabolic sequellae that accompanies it particularly as it relates to energy and protein metabolism.
- Evaluate the effects of physiologic stress and altered nutrition on body composition.
- Determine appropriate goals for nutrition support using information related to energy expenditure, and protein turnover, and substrate utilization during critical illness.
Lectures
- Final Assignment Part 1
- Clinical Controversy #1
- Nutrition to Critically Ill Patient
Required Readings
Articles, text and handouts as assigned
Assignments
- ADIME Case Study 1: Malnutrition in critically ill patient
- Case Study 1: Additional Questions
- Final Assignment Part One: Identifying and Selecting Professionals to Interview
Discussions
Clinical Controversy – DB#1
Week Three: Inpatient 2 – Adult Length of Stay
Weekly Learning Outcomes
- Design a progression for NG tube transition to PO intake.
- Recommend how and when to utilize modified diets in clinical settings.
- Complete comprehensive nutrition assessment for a case study requiring the tapering of a tube feed and modified diets.
Lectures
- Final Assignment Part 2
- Oral Cancer Case Study
- NG Tube Feeding to Oral Feeding
- Dysphagia
Required Readings
Articles, text and handouts as assigned
Assignments
- ADIME Case Study 2: Oral cancer
- Case Study 2: Additional questions
- Final Assignment Part Two: Interview questions (Submit to discussion forum by Sunday)
Discussions
Cultural Competency – DB#1
Week Four:
Weekly Learning Outcomes
- Define and differentiate maldigestion and malabsorption.
- Discuss factors which cause maldigestion and malabsorption.
- Describe the clinical manifestations and nutritional management of short bowel syndrome.
Lectures
- Clinical Controversy #2
Required Readings
Articles, text and handouts as assigned
Assignments
- ADIME Case Study 3: SBS and TPN
- Case Study 3: Additional questions
Discussions
Clinical Controversy – DB#2
Week Five: Outpatient 1 – Older Adult Long-Term Care
Weekly Learning Outcomes
- Characterize pediatric spinal muscle atrophy and describe the role of enteral support.
- Develop formula education tools for at-home tube feeding for parents.
- Evaluate cultural relativism in healthcare.
Lectures
- At home tube feeding
- SMA and Case Study Intro
Required Readings
Articles, text and handouts as assigned
Assignments
- ADIME Case Study 4: SMA patient
- Case Study 4: Additional questions
- Formula Recipe Handout
Discussions
Cultural Competency – DB#2
Week Six: Outpatient 2 – Adult Weight Management Setting
Weekly Learning Outcomes
- Develop a comprehensive nutrition assessment and MNT regimen for patient with liver disease.
- Explain the relationship between liver disease and malnutrition.
- Evaluate and characterize complications of liver disease and the role of nutrition.
Lectures
- Clinical Controversy #3
Required Readings
Articles, text and handouts as assigned
Assignments
- Microbiome Infographic (submitted and shared through discussion forum)
- Case Study 5: Additional Questions
Discussions
Clinical Controversy – DB#3
Week Seven: Outpatient 3 – Dialysis Clinic
Weekly Learning Outcomes
- Determine the role of nutrition in DM2 disease progression and treatment.
- Evaluate novel educational tools and methods for DM2 nutrition counseling.
- Create an educational handout for a mock patient, newly diagnosed DM2 for patient and their family.
Lectures
- Intro to T2DM
- Diabetes Education
- MNT for T2DM
Required Readings
Articles, text and handouts as assigned.
Assignments
- Type 2 Diabetes Education Handouts
- Educational Video
- Final Assignment Part Three: Conducting Interviews (All interviews need to be completed by the end of week 7)
Discussions
Cultural Competency – DB#3
Week Eight: Wrap Up and Final Reflection
Weekly Learning Outcomes
- Complete final assessment interview series,
- Reflect on professional and academic growth throughout the course.
Lectures
- Course Wrap-Up
Required Readings
Articles, text and handouts as assigned.
Assignments
- Final Assignment Part Four: Summary and Analysis of the Interview Findings (Submit by Friday)
Discussions
Final Discussion:
Student Resources
Online Student Support
Your Student Support Specialist is a resource for you. Please don't hesitate to contact them for assistance, including, but not limited to course planning, current problems or issues in a course, technology concerns, or personal emergencies.
Questions? Visit the Student Support Applied Nutrition page
UNE Libraries:
- Library Access for all students: Your library login ID and password are the same as the ones you use to log into Blackboard/Brightspace.
- Applied Nutrition Database
- Library Tutorial: Find an article
- Library Questions: Ask a librarian or phone library staff at (207) 602-2361 or (207) 221-4330.
UNE Student Academic Success Center
The Student Academic Success Center (SASC) offers a range of services to support your academic achievement, including tutoring, writing support, test prep and studying strategies, learning style consultations, and many online resources. To make an appointment for tutoring, writing support, or a learning specialist consultation, go to une.tutortrac.com. To access our online resources, including links, guides, and video tutorials, please visit:
Information Technology Services (ITS)
- ITS Contact: Toll Free Help Desk 24 hours/7 days per week at 1-877-518-4673
Accommodations
Any student who would like to request, or ask any questions regarding, academic adjustments or accommodations must contact the Student Access Center at (207) 221-4438 or pcstudentaccess@une.edu. Student Access Center staff will evaluate the student's documentation and determine eligibility of accommodation(s) through the Student Access Center registration procedure.
Policies
AMA Writing Style Statement
In keeping with the requirements of the Journal of the Academy of Nutrition and Dietetics and the Journal of Nutrition Education and Behavior, the American Medical Association (AMA) Manual of Style, 11th edition is the required writing format for this course and is available at both UNE libraries under the title "AMA Manual." Additional support for academic writing and AMA format is provided throughout the coursework as well as at the UNE Portal for Online Students.
Online resources: AMA Style Guide
Turnitin Originality Check and Plagiarism Detection Tool
The College of Professional Studies uses Turnitin to help deter plagiarism and to foster the proper attribution of sources. Turnitin provides comparative reports for submitted assignments that reflect similarities in other written works. This can include, but is not limited to, previously submitted assignments, internet articles, research journals, and academic databases.
Make sure to cite your sources appropriately as well as use your own words in synthesizing information from published literature. Webinars and workshops, included early in your coursework, will help guide best practices in AMA citation and academic writing.
You can learn more about Turnitin in the Turnitin Student quick start guide.
Technology Requirements
Please review the technical requirements for UNE Online Graduate Programs: Technical Requirements
Course Evaluation Policy
Course surveys are one of the most important tools that University of New England uses for evaluating the quality of your education, and for providing meaningful feedback to instructors on their teaching. In order to assure that the feedback is both comprehensive and precise, we need to receive it from each student for each course. Evaluation access is distributed via UNE email at the beginning of the last week of the course.
Attendance Policy
Online students are required to submit a graded assignment/discussion prior to Sunday evening at 11:59 pm ET of the first week of the term. If a student does not submit a posting to the graded assignment/discussion prior to Sunday evening at 11:59 pm ET, the student will be automatically dropped from the course for non-participation. Review the full attendance policy.
Late Policy
Assignments: Late assignments will be accepted up to 3 days late; however, there is a 10% grade reduction (from the total points) for the late submission. After three days the assignment will not be accepted.
Discussion posts: If the initial post is submitted late, but still within the discussion board week, there will be a 10% grade reduction from the total discussion grade (e.g., a 3 point discussion will be reduced by 0.3 points). Any posts submitted after the end of the Discussion Board week will not be graded.
Please make every effort ahead of time to contact your instructor and your student support specialist if you are not able to meet an assignment deadline. Arrangements for extenuating circumstances may be considered by faculty.
Student Handbook Online - Policies and Procedures
The policies contained within this document apply to all students in the College of Graduate and Professional Studies. It is each student's responsibility to know the contents of this handbook.
UNE Course Withdrawal
Please contact your student support specialist if you are considering dropping or withdrawing from a course. The last day to drop for 100% tuition refund is the 2nd day of the course. Financial Aid charges may still apply. Students using Financial Aid should contact the Financial Aid Office prior to withdrawing from a course.
Academic Integrity
The University of New England values academic integrity in all aspects of the educational experience. Academic dishonesty in any form undermines this standard and devalues the original contributions of others. It is the responsibility of all members of the University community to actively uphold the integrity of the academy; failure to act, for any reason, is not acceptable. For information about plagiarism and academic misconduct, please visit UNE Plagiarism Policies.
Academic dishonesty includes, but is not limited to the following:
- Cheating, copying, or the offering or receiving of unauthorized assistance or information.
- Fabrication or falsification of data, results, or sources for papers or reports.
- Action which destroys or alters the work of another student.
- Multiple submissions of the same paper or report for assignments in more than one course without permission of each instructor.
- Plagiarism, the appropriation of records, research, materials, ideas, or the language of other persons or writers and the submission of them as one's own.
Charges of academic dishonesty will be reviewed by the Program Director. Penalties for students found responsible for violations may depend upon the seriousness and circumstances of the violation, the degree of premeditation involved, and/or the student’s previous record of violations. Appeal of a decision may be made to the Dean whose decision will be final. Student appeals will take place through the grievance process outlined in the student handbook.