34.381 Introduction to Dietetics Practice

Fall 2002

Professor: Susan Massad, H.S.D., R.D.

Office: HH 120

Phone: 626-4743

Course Schedule: Mondays and Wednesdays: 12:30-1:20, Thursdays: 12:30-2:20

Office Hours: Tuesday, 10:30-Noon and 1:00-2:30 p.m., Friday, 1:00-2:30 p.m.

Course description: An introduction to the principles of practice in the nutrition care of individuals and groups applied in a variety of health care settings. Emphasis is on learning theory and instructional techniques, interviewing, counseling, data collection, and evaluation. Beginning topics in medical nutrition therapy inclu-ding medical terminology, medical records, nutrition assessment, prescription planning, medical ethics and professional credentialing prepares students for more advanced course work. Coordinated program in Dietetics has the required concurrent clinical experience in coordinating health care facilities. Dietetics majors with a minimum Q.P.A. of 2.5 may elect to complete a clinical experience. Physical exams and liability insurance are required for clinical experience. Prerequisites: 23.273 Human Physiology and Anatomy II and 34.262 Food, Culture, and Society.

Method: This course will consist of lecture, discussion, assignments and some applied experiences (e.g. interviewing and counseling practice, taking anthropometric measurements).

Required texts:

Bauer, K., & Sokolik, C. (2002), Basic Nutrition Counseling Skill Development, Belmont, CA: Wadsworth Thompson Learning.
Prendergast, A.V. & Fulton, F.L. (1996), Medical Terminology: A Text/Workbook, 4th ed., Menlo Park, CA: Addison Wesley Longman, Inc.

Optional texts:

* Miller-Keane, (1997), Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, 6th Ed., W.B. Sunders, Inc.
Davis, N., (1997), Medical Abbreviations, 8th ed. Huntington Valley, Pennsylvania, N.M. Davis Associates.

* Will be required of students in Coordinated Program

Course objectives:

Explain basic criteria used in nutritional screening and assessment.
Demonstrate ability to do anthropometric measurements.
Examine medical record format and content.
Practice writing S.O.A.P. notes.
Discuss the American Dietetic Association code of ethics and patient confidentiality.
Demonstrate knowledge of medical terminology.
Explain how to assess appropriate body weight.
Explain how to set appropriate calorie levels.
Explain weight management strategies.
With example, explain the Stages of Change Model.
With example, explain the Health Belief Model.
Examine scientific research studies utilizing diet history, 24-hour recall, and food frequency checklists for data collection.
Demonstrate interviewing using diet history, 24-hour recall, and food frequency checklists.
Practice utilizing the diabetic exchange lists for diet planning.
Explain the basic concepts of diet therapy for diabetes management.
Practice nutritional counseling.
Discuss strategies for nutritional counseling of culturally diverse client
Develop a nutritional care plan.
Develop sample nutrition education materials using various readability levels.
Evaluate nutrition education materials.
Develop a nutrition instructional plan.

Student responsibilities and course requirements:

Regular attendance. Greater than one week’s worth of unexcused absences will result in a 5-point deduction from your total number of points earned, for each class missed. (See section on grading). The Dean of Undergraduate Education and Academic Support Services, whose office is in Peirce Hall (CASA), must approve excused absences.
Completion of assigned exercises from medical terminology workbook as independent study.
Completion of 3 exams (one at the end of each unit), and 6 quizzes on medical terminology.
Completion of all other assignments, which include: *

            a.         Sample SOAP note

            b.         Nutritional care plan

            c.         Videotaping exercise

            d.         Nutritional educational pamphlet

            e.         Instructional plan with visual aids and oral presentation

*          Specific details will be provided on separate handouts.

* All papers handed in must be computer word-processed.

* There will be a 5% deduction in credit for each day that an assignment is

overdue.

Dates for exams and quizzes:

Exam 1: Thursday, 10/10

Exam 2: Thursday, 11/7

Exam 3 (Final): Monday 12/17 9:00 a.m.

Quizzes on medical terminology:

1. Thursday, 9/12

2. Thursday, 9/26

3. Thursday, 10/17

4. Thursday, 10/31

5. Thursday, 11/14

6. Thursday, 12/5

Grading:

Nutritional care plan with SOAP note: 50 points

Videotaping exercise: 20 points

Educational brochure: 20 points

Instructional plan with oral presentation: 40 points

Exams: (3): 75 points each

Quizzes (6): 20 points each

Total points: 475

Grade, based on total number of points:

A 441-475

A- 425-440

B+ 410-424

B 390-409

B- 375-389

C+ 360-374

C 345-259

C- 330-344

D+ 315-329

D 300-314

D- 285-299

F < 285

Other pertinent information:

Disabilities: Students requiring special accommodations due to a disability should contact Dr. Massad during the first week of classes.

Plagiarism and cheating: Students who plagiarize (copy) or who cheat in class risk formal action that may result in a loss of credit for the assignment or exam in question.

Please turn off cell phones and beepers prior to coming to class.

Topical outline

Week: Topics: Text/other assignments:

9/2 Introduction

Course overview, objectives

Introduction to dietetics profession Web sites

www.eatright.org

http://www.massnutrition.org/licensure.htm

http://www.state.ma.us/reg/boards/nu/rule_reg.htm

(Settings for dietitians and nutritionists, ADA website)

ADA Mission Statement

Licensure of Dietitians and Nutritionists

9/9 Theoretical approaches to health behavior counseling

Behavior change models:

Stages of change model, Health Belief Model Bauer & Sokolik, ch. 1

QUIZ 1: MEDICAL TERMINOLOGY (9/12) Prendergast, chapters 1-3

9/16 Blood borne pathogens and film (OSHA)

Screening, diagnosis related groups (DRGS),

level of care, rationale for assessment of

nutrient intake.

Steps involved in nutrition assessment Selected handouts

Conducting client interview

9/23 Steps involved in nutritional care plan Selected handouts

Nutritional counseling skills Bauer & Sokolik, ch. 2

Intercultural counseling skills Bauer & Sokolik, ch. 3

QUIZ 2: MEDICAL TERMINOLOGY (9/26) Prendergast, chapters 4-6

9/30 Interviewing: 24-hour recall, diet history, Bauer & Sokolik, Ch. 4

food frequency checklist

Research studies utilizing diet intake data Selected research articles

Medical record format and content:

SOAP notes

10/7 American Dietetic Association Code of ethics Web page ADA/ethics:

http://www.eatright.com/adacode.html

Patient confidentiality

Weight management, setting calorie level Bauer & Sokolik, Ch. 4

Determining healthy body weight

Anthropometric measurements

EXAM I (10/10)

10/14 Exchange lists ADA Exchange list booklet

Nutritional therapy for diabetes Selected handouts

Carbohydrate counting

QUIZ 3: MEDICAL TERMINOLOGY (10/17) Prendergast, chapters 7-9

10/21 Diabetes management, continued Selected handouts

Instructional plan development Selected handouts

Implementing and evaluating learning

Educational material development

10/28 Fry readability formula Selected handouts

Preparing materials for lower literacy clients

Preparing materials for culturally diverse clients

Addressing language barriers

QUIZ 4: MEDICAL TERMINOLOGY (10/31) Prendergast, chapters 10-12

11/4 Behavior modification

Strategies to facilitate self management Bauer & Sokolik, Ch. 5

EXAM 2 (11/7)

11/11 Social support, cognitive restructuring, Bauer & Sokolik, Ch. 6

relapse prevention

Role of Nutritional Counselor in physical Bauer & Sokolik, Ch. 7

activity promotion

QUIZ 5: MEDICAL TERMINOLOGY (11/14) Prendergast, chapters 13-15

11/18 Professional issues Bauer & Sokolik, Ch. 8

Evaluation of client progress

11/25 Guided counseling experience Bauer & Sokolik, Ch. 9

12/2 Student presentations

Overview of alternative and complementary

medicine

QUIZ 6: MEDICAL TERMINOLOGY (12/5) Prendergast, ch. 18, 20, 26

12/9 Internet search on alternative and complementary medicine

Review (Last day of classes 12/13/02)

34.381 American Dietetic Association competencies met:

A. 1.2 Lay and technical writing

A. 1.3 Media presentations

A. 2.1 Interpersonal communication skills

A. 2.2 Counseling theory and methods

A. 2.3 Interviewing techniques

A. 2.4 Education theory and techniques

A. 2.5 Concepts of human and group dynamics

A. 2.6 Public speaking

A. 2.7 Education materials development

A. 3.1 Present an educational session for a group

A. 3.2 Counsel individuals on nutrition

A. 3.3. Demonstrate a variety of documentation methods

A. 3.5 Use of current information technologies

B. 3.1 Interpret medical terminology

E. 3.1 Calculate and interpret nutrient composition of foods

F. 2.1 Evolving methods of assessing health status

F. 2.3 Assessment and treatment of nutritional health risks

F. 3.2 Screen individuals for nutritional risk

F. 3.3 Collect pertinent information for comprehensive nutritional assessment

F. 3.5 Measure, calculate, and interpret body composition data