Maricopa Community Colleges  FON245   20004-20045 
Official Course Description: MCCCD Approval: 06/22/04
FON245 20004-20045 LEC
LAB
2 Credit(s)
2 Credit(s)
2 Period(s)
10 Period(s)
Practicum II: Medical Nutrition Therapy
Practicum experience, integrated with classroom preparation and training, under the instruction and supervision of a registered dietitian. Application of principles, knowledge, and skills required for the delivery of medical nutrition therapy. Includes nutritional screening, assessment, monitoring, and evaluation for common and complex medical conditions, medical documentation, patient interviewing and counseling, and education in health promotion and disease prevention. Prerequisites: FON125, FON242, HCE103 or equivalent, and MAT092 or equivalent, or satisfactory score on district placement exam.
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MCCCD Official Course Competencies:
 
FON245   20004-20045 Practicum II: Medical Nutrition Therapy
1. Interpret and apply medical record information to individual nutrition screenings and assessments. (I)
2. Apply knowledge and skills in interpersonal communication, interviewing, and public speaking to nutritional screening, assessments, counseling and educational sessions. (I, V)
3. Perform and document nutrition screenings, assessments, and intervention. (I, V)
4. Provide nutrition care for individuals of diverse ages, cultural, and religious backgrounds. (II, V)
5. Select, monitor, and evaluate standard enteral nutrition regimens; e.g., to meet nutritional requirements in a medically stable patient where recommendations/adjustments involve primarily macronutrients. (III, V)
6. Perform nutrition assessments for individual patients/clients with complex medical conditions; e.g., renal failure, multi-system organ failure, and trauma. (IV, V)
7. Assess, educate, counsel, and monitor patients/clients in disease prevention, health promotion and medical nutrition therapy for common conditions, e.g., hypertension, obesity, diabetes, and diverticular disease. (IV, V)
8. Design and implement nutrition care plans as indicated by patients health status. (V)
9. Develop, measure, and document outcomes for food and nutrition services and practice. (V)
10. Develop and conduct education and training sessions for target populations. (V)
11. Provide dietetics education in supervised inpatient and outpatient settings. (V)
12. Participate in multidisciplinary team conferences to discuss patient/client treatment and discharge planning. (V)
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MCCCD Official Course Outline:
 
FON245   20004-20045 Practicum II: Medical Nutrition Therapy
    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
        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
              3. Documentation
                a. Assessment
                b. Minimum Data Set (MDS)
                c. Resident Assessment Protocol (RAP)
                d. Care plan
            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. Supervised Practice Applications
                  A. Patient care
                    1. Conduct general health assessments
                    2. Conduct and document nutritional screening, assessment, and evaluation for common medical conditions
                    3. Assist with nutritional screening, assessment, and evaluation of patients with complex medical conditions
                    4. Participate in the nutritional care for individuals of diverse ages, cultural, and religious backgrounds
                    5. Implement and design nutrition care plans
                    6. Initiate client/patient referrals when appropriate
                    7. Monitor and evaluate nutrient intake and progress
                    8. Complete required documentation for long term care patients;
                      e. . assessment, MDS, RAP, and care plan
                    9. Develop, measure, and document outcomes for nutrition services and practice
                    10. Supervise translation of nutrition into foods/menus for target populations
                  B. Nutrition support
                    1. Implement routine and transitional feeding plans
                    2. Participate in selection, monitoring, and evaluation enteral regimens
                    3. Participate in selection, monitoring, and evaluation of parenteral regimens
                  C. Education
                    1. Educate patients in disease prevention and health promotion
                    2. Conduct an educational session for a target group with a common medical condition
                    3. Provide dietetic education/counseling in an inpatient clinical setting
                    4. Provide dietetic education/counseling in an outpatient setting
                    5. Revise or develop educational materials
                  D. Professional development and growth
                    1. Perform ethically in accordance with the values of the American Dietetic Association (ADA)
                    2. Participate in performance review and self-evaluation
                    3. Participate in multidisciplinary team conferences to discuss patient/client treatment and discharge planning
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