Philippine Society for Parenteral and Enteral Nutrition (PHILSPEN)

Course Title

Nutrition Care Management

Course No.

MSCN 620

No. of Units

3

TOPICS

CONTENT OUTLINE

Week 1:
Overview of the course, course requirement, student’s interest and expectations

Week 2:

1. Standards of care in nutrition support – hospital
2. Definition of terms and procedures comprising nutrition support care
3. Nutrition support services
4. Nutrition support team
5. Case discussion

• To discuss the concept and principles of nutrition care

• Explain the standards of care in the hospitalized and managed care environment

Week 3:
How to Set-up a Nutrition Support Program and Nutrition Support Team

1. Goals and objectives
2. Strategies
3. Nutrition care process
4. Organizing the team
5. Composition
6. Functions

• To identify approaches of setting up nutrition support program either in the hospital or managed care environment
• To identify the composition of a nutrition support team, function of each member
• Discuss the role of each member in patient care

Week 4:
Nutritional Care Process

1. Nutritional assessment
• Gathering and evaluation of the following:

• Medical
• Social
• Nutritional

• Medical History
• Physical Exam
• Biochemical data
1. Nutrition Diagnosis

3. Nutrition intervention
• Prioritizing problem
• Planning

• Goal
• Object
• Strategies
• Activities
• Nutrition protocols
• Guidelines

4. Implementation
5. Monitoring
• What to monitor
• Who to monitor
• How to monitor
• How often
• Where to monitor
6. Evaluation indicators

• To discuss the nutrition care process
• To identify nutritional problems

• Organize and evaluate information gathered
• Prioritize nutritional problem
• Formulate appropriate nutrition intervention based on identified problem

• To implement the plan intervention
• To discuss the principles of monitoring

• Identify indicators for monitoring and evaluation

Week 5:

Prelim Examination

Week 6 & 7:
Nutrition support system

• Enteral
• Parenteral
• Recent advances / literature

• To discuss enteral and parenteral support system

• To critic current literature in this areas

Week 8:
Effective nutrition support programs

• Quality assessment and improvement
• Performance based indication
• Clinical indication
• Management issues

• To discuss consideration for an effective nutrition support program
• To identify the variables and indicators of an effective nutrition support program

Week 9:

Mid-term Examination

Week 10 & 11:
Functional Foods in Nutrition Support Care

• Nutraceuticals
• Alternative / herbal medications

Week 12:

Final Examination

Professor’s Input

• Mediated lecture
• PowerPoint presentation

Enabling Activities

• Extensive reading
• Internet surfing

Interactive and Collaborative Activities

• Class discussion
• Sharing of current literature
• Case studies
• Situational analysis
• Problem solving

Basic and Extended Reading

Mauk, Kristen L., ed.  “Nutrition Assessment.”  In Gerontological Nursing: Competencies for Care.  Boston: Jones and Bartlett Pub., 2006.

Meiner, Sue E., ed.  “Nutrition Assessment.”  In Gerontologic Nursing.  3rd ed.  St. Louis, Missouri: Mosby Elsevier, 2006.

Whitney, Ellie. “Nutrition Care and Assessment.”  In Nutrition for Health and Health Care.   3rd ed.  Australia: Thomson/Wadsworth, 2007. 

Grosvenor, Mary B.  “Nutritional Assessment Can Evaluate an Individual’s Nutritional Health”.  In Nutrition: Everyday Choices.  Hoboken, NJ: John Wiley & Sons, 2006.

Hark, Lisa.   “Assess Your Health and Lifestyle”.  In Nutrition for Life.  London: Dorling Kindersley, 2005.

Roth, Ruth A.   Nutrition & Diet Therapy.  8th ed.  Australia” Delmar Learning, 2005.
Gibney, Michael J., ed.    Clinical Nutrition.    Oxford: Blackwell
Science, 2005.

Whitney, Ellie.   “Nutrition Assessment”.  In Understanding Nutrition.   10th ed.   Australia: Thomson/Wadsworth, 2005.

Escott-Stump, Sylvania.  “Nutritional Care Process.” In   Nutrition and Diagnosis-related Care.  6th ed.  Philadelphia: Lippincott Williams & Wilkins, 2008.

Nix, Staci.   “Nutritional Care.”  In Williams’ Basic Nutrition and
Diet Therapy.   12th ed.  St. Louis, Missouri: Elsevier Mosby,
2005.

Grodner, Michelle.  “Summary of the American Dietetic Association’s Nutrition Care Process (NCP).”  In   Foundations and Clinical Applications of Nutrition: a Nursing Approach.    4th ed.   St. Louise, Missouri:  Mosby Elsevier, 2007.

Marotz, Lynn R.   “Nutritional Assessment.”   In  Health, Safety, and Nutrition for the Young Child.    6th ed.   Australia: Thomson/Delmar Learning, 2005.  

Kaufman, Mildred.   Nutrition in Promoting the Public’s Health:
Strategies, Principles, and Practices.   Boston: Jones and Bartlett Pub., 2007.

King, Kathy, ed.  Nutrition Therapy: Advanced Counseling Skills.
3rd ed.  Philadelphia: Lippincott Williams & Wilkins, 2007.

Worobey, John.   Nutrition and Behavior: a Multi-disciplinary Approach.   Oxfordshire: CABI Pub., 2006.

Whitney, Ellie.   Nutrition for Health and Health Care.   3rd ed.  Australia: Thomson/Wadsworth, 2007.

Joshi, YK. Ed. Basics of Clinical Nutrition. New Delhi: Jaypee Brothers Medical Pub., 2003

Edelstien, Sari. Ed. Nutrition in Pubic Health: a Handbook for Developing Prograns and Services. 2nd ed. Sudbury, MA: Jones and Barlett Pub., 2006.

Mahan, Kathleen L., ed. Krause’s Food, Nutrition & Diet Therapy. 11th ed. Philadelphia, Pennsylvania: Saunders, 2004.

Mann, Jim. Ed. Essentials of Human Nutrition. Oxford University Press, 2002.

Gropper, Sareen S. The Biochemistry of Human Nutrition: A Desk Reference. 2nd ed. Australia: Wadsworth, 2000.

Worthington-Roberts, Bonnie S. “The Assessment of Nutritional Needs”. In Nutrition Throughout the Life Cycle. 4th ed. Boston, MA: McGraw-Hill, 2000.

Williams, Sue Rodwell. Nutritional Assessment and Medical Nutrition Therapy in Patient Care”. In Essential Nutrition & Diet Therapy. 8th ed. St. Louis, MO: Mosby, 2003.

Worthington, Patricia H. “Nutritional Assessment and Planning in Clinical Care”. In Practical Aspects of Nutritional Support:

Course Title

Nutrition Research

Course No.

MSCN 622

No. of Units

3

Major Competency

1. Develops skills in analytical assessment and survey of nutrition data.
2. Critical and analytical thinking.
3. Skill in planning, conceptualizing research protocols/proposal.
4. Skill in statistical computations and applications; and statistical software usage and applications.
5. Skills in evaluating ethical principles in human and animal researches.

Value Objectives:

• Demonstrate skill in making research proposal/protocols.
• Demonstrate critical and analytical thinking skill in interpreting research results.
• Appreciate and understand value of different  types of food and nutrition researches.
• Understand the /relevance of nutrition research.
• Understand the different steps in the research proposals.
• Appreciate the different studies done in food nutrition with emphasis on clinical nutrition.

TOPICS

CONTENT OUTLINE

Week 1:
Overview of the course, course requirements, student’s interest and expectations

Week 2:
Meaning of research

• Skills and attitude essential in research
• Ethics in research
• Purpose of research

Week 3:
Methods used in nutrition research

• Quantitative
• Qualitative

Week 4 & 5:
Research Protocol

• Importance/uses of nutrition research and epidemiology

Parts of research protocol
Chapter 1

• The problem and its background
• Introduction
• Background of the study
• Statement of the problem
• Hypothesis
• Significance of the study
• Scope and limitation of the study
• Definition of terms

Chapter 2

• Synthesis
• Conceptual framework

Chapter 3

• Research diagram
• Participants of the study
• Instrumentation
• Data gathering procedures
• Statistical treatment of data

Chapter 4

• Presentation, analysis and interpretation of data

Chapter 5

• Summary, conclusion and recommendation

• Summary and findings
• Conclusion
• Recommendations

Bibliography
List of tables
List of Appendices

• To discuss the research process
• To discuss the value of clinical / medical research and epidemiology
• To explain about the different study designs and how to use them
• To explain the different nutrition research tools

• To identify the different parts of a research
• To discuss each part confidently

Week 6 & 7:
Preparation of Research Protocol/Proposal

• To select a specific research topic on clinical nutrition (topic of interest)
• Work on the topic following the format of the thesis proposal (based on PWU guidelines)
• Complete chapter 1 to 3
• Submit thesis proposal completed as your output for the course

Week 8:

Mid-term Examination

Week 9 & 10:
Fine tuning of Research Protocol/Proposal

Week 11 & 12:
Actual Presentation of Research Protocol/Proposal
Evaluation of Research Protocol/Proposal

Week 13:
Completion of Research Protocol/Proposal

Week 14:

Final Examination

Professor’s Input

• Mediated lecture
• PowerPoint presentation

Enabling Activities

• Extensive reading
• Internet surfing
• Class Discussion

Interactive and Collaborative Activities

• Critiquing of research articles
• Brain storming
• Actual presentation of research proposal
• Actual evaluation of research proposal

Basic and Extended Reading

Taylor, Steve L., ed.  Advances in Food and Nutrition Research
Amsterdam: Elsevier, 2006.    vol. 51

Wardlaw, Gordon M.  Contemporary Nutrition: a Functional
Approach.  Boston: McGraw-Hill Higher Education, 2009

Gropper, Sareen S. “Experimental Design and Critical
Interpretation of Research”.  In  Advanced Nutrition and Human
Metabolism.  4th ed.   Australia: Thomson/Wadsworth, 2008.

Blake, Joan Salge.  “What the Real Deal When it Comes to
Nutrition Research and Advice?”  In Nutrition & You.   San
Francisco, CA: Pearson Benjamin Cummings, 2008.

Brown, Judith E.   “The Methods of Science”.  In   Nutrition Now.
4th ed.  Australia: Thomson Wadsworth, 2008.

Contento, Isobel R.  Nutrition Education: Linking Research,
Theory, and Practice.  Sudbury, MA: Jones and Batlett Pub., 2007.
Whitney, Ellie.  “Nutrition Research”.  In    Understanding
Nutrition.   10th ed.   Australia: Thomson/Wadsworth, 2008.

Smolin, Lori A.  “Nutrition Research Studies.”  In  Nutrition:
Science and Applications.   Hoboken, NJ: John Wiley & Sons,
2008.

Thompson, Janice.  “Research Study Results: Who Can We
Believe?   In   Nutrition: an Applied Approach.   2nd ed.  San
Francisco, CA: Pearson Benjamin Cummings, 2009. 

Wardlaw, Gordon M.  “Using Scientific Research to Determine
Nutrient Needs.”  In Perspectives in Nutrition.   7th ed.  Boston:
McGraw-Hill Higher Education, 2007

Williams, Melvin H.   “Research and Prudent Recommendations”.
In Nutrition for Health, Fitness, & Sport.  7th ed.  Boston:
McGraw-Hill Higher Education, 2008

Rowe, Philip.   Essential Statistics for the Pharmaceutical
Sciences.  England: John Wiley & Sons, 2007

Coulston, Ann M.,  ed.  “Research Methodology.”  In  Nutrition in
the Prevention and Treatment of Disease.   2nd ed.  Amsterdam:
Elsevier, 2008

Mehas, Kay Yockey.  “The Scientific Method”.  In   Food
Science: the Biochemistry of Food and Nutrition.   5th ed.   New
York: McGraw-Hill Glencoe, 2006.    3 vols

Byrd-Bredbenner, Carol. “Using Scientific Research to Determine
Nutrient Needs.”  In   Wardlaw’s Perspectives in Nutrition.  8th ed.
Boston: McGraw-Hill Higher Education, 2009

Taylor, Steve L., ed.   Advances in Food and Nutrition Research. 
Amsterdam: Elsevier, 2006.    v. 51

Journals

.

Web-Based

Course Title

Clinical Biostatistics

Course No.

MSCN 621

No. of Units

3

Major Competency

1. Develop skill in the use of statistical methods.
2. Critically appraise the different statistical methods used in clinical trials.
3. Evaluate correlations between variables.

Value Objectives:

• Recognize the role of statistics in clinical nutrition and other allied health sciences
• Demonstrate critical and logical thinking skills
• Develop skill in the use of computer software in generating biostatistical data
• Appreciate the relevance of different kinds of computer software
• Appreciate the relevance of continuous literature research in the pursuant of critical and logical thinking skills

TOPICS

CONTENT OUTLINE

Week 1:
Overview of the course, course requirements, student’s interest and expectations.

Week 2:

1. Scope of Biostatistics and Epidemiology

• Biostatistics in medicine
• Study designs in medical research
• Classification of study designs

• Explain the scope of use of statistics in the field of epidemiology especially in medicine
• Discuss the different study designs and how to use them

Week 3:

1. Summarizing data and presenting data in tables and graphs
2. Scales of measurements
3. Summarizing numerical data with numbers

• Display in tables and graphs
• Summarizing nominal and ordinal data with numbers

• Demonstrate the mechanical use of the different scales of measurements
• Present systematic, statistical data

Week 4:

1. Population and samples
2. Random variables and probability distributions
3. Sampling distributions estimation and hypothesis testing

• Explain the concept of population and sampling
• Create sample distributions
• Generate hypothesis generation testing

Week 5:

1. Research questions about one group
2. Mean in one group when observations are normally distributed
3. Hypothesis testing
4. Research questions about proportions in one group
5. Means when same group is measured twice
6. Proportions when the same group is measured twice
7. A single group when the observation are not normally distributed
8. Mean differences when the observations are not normally distributed
9. Finding the appropriate sample size of research

• Generate research questions on one group and made the necessary decisions whether this is normally distributed or not
• To calculate the mean difference and to determine whether it is significant or not

Week 6:

Prelim Examination

Week 7:

1. Research questions about two separate or independent groups
2. Decisions about means in two independent groups
3. Decisions about proportions in two independent groups
4. Finding sample sizes for proportion in two groups
5. Research questions about means in three or more groups
6. ANOVA
7. Multiple comparison procedures
8. Non-parametric ANOVA
9. Sample sizes for ANOVA

• Case discussions

Week 8:

1. Research questions about relationships among variables
2. Correlations
3. Comparing two correlation coefficients
4. Other measures of correlation
5. Linear regression
6. Use of correlation and regression
7. Sample sizes for correlation and regression

• Organize data comparing the correlation between groups
• Perform linear regression analysis between groups
• Perform sample size determination for either correlation or regression

Week 9:

1. Analyzing research questions about survival
2. Actuarial or life table analysis
3. Kaplan Meier product limit method
4. The hazard function in survival analysis
5. Interpreting survival curves from the literature
6. Interpreting survival curves from the literature
7. The intention to treat principles

• Explain research and methods used about survival
• Discuss the intention to treat principle

Week 10:

Midterm Examination

Week 11:

1. Statistical methods for multiple variables
2. Multiple regression
3. Analysis of covariance
4. Predicting nominal or categorical outcomes
5. Predicting a censored outcome
6. Meta-analysis
7. Other methods for multiple variables

• Perform statistical methods of analyzing multiple variables either nominal or categorical
• Analyze meta-analysis

Week 12:

1. Methods of evidence based medicine
2. Evaluating diagnostic procedures with the threshold model
3. Measuring the accuracy of diagnostic procedures
4. Using sensitivity and specificity to revise probabilities
5. ROC curves
6. Assumptions in using sensitivity and specificity

• Illustrate the different processes in applying evidence based medicine
• Perform sensitivity and specificity analysis of procedures or processes

Week 13:

1. Clinical decision making
2. The decision process
3. Making a decision for an individual patient
4. Making decision on health policy
5. Using decision analysis to compare different methods
6. Using decision analysis to evaluate timing and methods
7. Extension of decision theory
8. Computer programs of decision analysis

• Perform correct clinical decision making processes

Week 14:

1. Reading the medical literature
2. Review of major study designs
3. The abstract and introduction sections of a research report
4. The method section of a research report
5. The results section of a research report
6. The discussion and conclusion sections of a research report
7. A checklist of reading the literature

• Analyze medical literature and point out adequacy of the research done
• Write acceptable research article

Professor’s Input

• Mediated lecture
• PowerPoint presentation

Enabling Activities

• Extensive reading
• Internet surfing

Interactive and Collaborative Activities

• Class discussion
• Brain storming
• Certifying statistical methods
• Research study design presentation

Basic and Extended Reading

Basic and Clinical Biostatistics – Dawson and Trapp

Dinscombe, Martyn. Ground Rules for Good Research: A 10 Point Guide for Social Researchers. Buckingham. Open University Press, 2002.

Brown, Judith E. Nutrition Now. 4th ed. Australia: Thompson Wadsworth, 2005

Taylor, Steve L. ed. Advances in Food and Nutrition Research. Amsterdam: Elsevier, 2004

Willaims, Melvin H. “Research and Prudent Recommednation”. Nutrition for Health, Fitness and Sport. 7th ed. Boston: McGraw-Hill Higher Education

Kumar, Ranjit. Research Methodology. A Step by Step Guide for Beginners. 2nd ed. London: Sage Publications, 2005

Polit, Denise F. Essentials of Nursing Research: Methods, Appraisal and Utilization. 6th ed. Philadelphia: Lippicott, Williams and Wilkins, 2006

Dains, Joyce E. Advanced Health Assessment & Clinical Programs in Primary Care. 2nd ed. St. Louis, MO. Mosbey, 2002

Gibney, Michael J. ed. “Nutritional Epidemiology” In Public Health Nutrition Oxford: Blackwell Science, 2004.

Whitney, Ellie. “Nutrition Research”. In Understanding Nutrition. 10th ed. Australia: Thompson/Wadsworth, 2005

Gropper, Sareen S. “Experimental Design and Critical Interpretation of Research”. In Advanced Nutrition and Human Metabolism. 4th ed. Australia: Thompson/Wadsworth, 2005

Padget, Deborah K. ed. The Qualitative Research Experience. Australia: Thompson/Brooks/Cole, 2004

Garcia, Cerlito D. Fundamentals of Research and Research Designing. Quezon City: Katha Publishing, 2003

Glicken, Morley D. Social Research: A Simple Guide. Boston: Allyn and Bacon, 2003

Radford, Marie L. Web Research: Selecting Evaluating and Citing. Boston: Allyn and Bacon, 2002

Lynsen, Lucinda K., ed. Quick Reference to Clinical Dietetics. 2nd ed. Sudbury, MA: Jones and Barlett Pub., 2006

Dawson, B. and Trapp RG. Basic and Clinical Biostatistics. 4th ed. International ed. McGraw-Hill Companies, Inc. Boston, 2004

Journals

Web-Based