MCCCD Official Course Competencies:

FON245AA  2004 Fall – 2010 Summer II

Practicum II: Medical Nutrition Therapy Lecture

1.

Describe medical record information to individual nutrition screenings and assessments. (I)

2.

Demonstrate skills in interpersonal communication, interviewing, and public speaking to be applied to nutritional screening, assessments, counseling and educational sessions. (I)

3.

Demonstrate documentation of nutrition screenings, assessments, and intervention. (I)

4.

Understand nutrition care for individuals of diverse ages, cultural, and religious backgrounds. (II)

5.

Identify and evaluate standard enteral nutrition regimens; e.g., to meet nutritional requirements in a medically stable patient where recommendations/adjustments involve primarily macronutrients. (III)

6.

Describe nutrition assessments for individual patients/clients with complex medical conditions; e.g., renal failure, multi-system organ failure, and trauma. (IV)

7.

Define the process to submit coding and billing of dietetics/nutrition services for reimbursement from public or private insurers. (V)

8.

Identify nutritional needs of patients/clients in disease prevention, health promotion and medical nutrition therapy for common conditions, e.g., hypertension, obesity, diabetes, and diverticular disease. (IV)

MCCCD Official Course Outline:

FON245AA  2004 Fall – 2010 Summer II

Practicum II: Medical Nutrition Therapy Lecture

I. Basic Medical Nutrition Therapy Skills

A. Medical terminology review

B. Medical records

1. Types

2. Documentation

C. Patient interviews

1. Purpose

2. Open vs. closed questions

D. Water, Electrolytes, and Acid-Base Balance

1. Hydration and fluid requirements

2. Hormonal control

3. Fluid/electrolyte imbalances

4. Acid-base balance/imbalance

5. Laboratory values

E. Nutritional status

1. Malnutrition

a. protein/energy

b. anthropometric measurements

c. laboratory values

2. Other indicators

a. hydration status

b. muscular response

c. strength/endurance

d. acid-base balance

3. Risk factors

a. medications and treatment

b. physiological status

c. pathological and genetic conditions

d. social, psychological, and economical factors

F. Diet evaluation

1. Dietary intake measures

2. Diet adequacy

G. Patient counseling and education

1. Theories and approaches

2. Interpersonal communication

3. Interviewing

4. Educational sessions

II. Nutritional Care for Special Populations

A. Pregnant/lactating

1. Monitoring

2. Nutritional requirements

3. Nutritional assessment

4. Complications

B. Pediatric

1. Infant

2. Preschool child

3. School-age child

4. Adolescence

C. Long Term Care

1. Geriatric

2. Rehabilitation

D. Vegetarian

1. Types

2. Risks and benefits

E. Cultural and religious

III. Nutrition Support

A. Routine and transitional diets

1. Individual nutrient and energy needs

2. Routine hospital diets

3. Techniques to increase nutrient and/or energy intake

B. Enteral Tube Nutrition

1. Indications and contraindications

2. Types

3. Components/formulas

4. Assessing nutrient and energy needs

5. Delivery regimen

6. Monitoring

7. Complications

8. Transitional feeding

C. Parental nutrition

1. Indications and contraindications

2. Types

3. Components/formulas

4. Assessing nutrient and energy needs

5. Delivery regimen

6. Monitoring

7. Complications

8. Transitional feeding

IV. Nutritional Care for Specific Conditions

A. Allergies

1. Prevention of sensitization

2. Diagnosis

3. Treatment

4. Drug therapy

B. Upper digestive tract disorders

1. Approaches to common symptoms

2. Nutritional assessment

3. Types and treatment

4. Dumping syndrome

C. Malabsorption

1. Diagnosis

2. Nutritional assessment

3. Special diets

D. Large intestine

1. Types and treatment

2. Diets for ostomy patients

E. Diabetes mellitus

1. Types

2. Monitoring

3. Drug therapy

4. Diet/meal planning

5. Pregnancy

F. Cardiovascular disease

1. Types

2. Treatment

3. Drug therapy

4. Drug/nutrient interaction

G. Renal failure

1. Nutritional assessment

2. Diet plan

3. Predialysis

4. Hemodialysis/peritoneal dialysis

5. Drug/nutrient interaction

H. Critically ill

1. Nutrient requirements

2. Types and treatment

3. Enteral versus parenteral support

I. Inborn errors of metabolism

1. Nutrition support

2. Primary imbalance in metabolic relationships

3. Types and treatment

4. Drug therapy

V. Coding and Billing of Nutrition/Dietetic Services

A. Acute

B. Long Term Care

C. Outpatient

D. Private Consulting