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Nutrition Therapy
Study Course Description
Course Description Statuss:Approved
Course Description Version:7.00
Study Course Accepted:11.03.2024 14:55:56
| Study Course Information | |||||||||
| Course Code: | SUUK_205 | LQF level: | Level 6 | ||||||
| Credit Points: | 5.00 | ECTS: | 7.50 | ||||||
| Branch of Science: | Clinical Medicine; Nutrition Science | Target Audience: | Rehabilitation; Medical Services | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Laila Meija | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Sports and Nutrition | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 3 Cigorinu Street, suuk rsu[pnkts]lv, +371 67611559 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 8 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 32 | ||||
| Total Contact Hours | 40 | ||||||||
| Full-Time - Semester No.2 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 8 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 32 | ||||
| Total Contact Hours | 40 | ||||||||
| Part-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 8 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 32 | ||||
| Total Contact Hours | 40 | ||||||||
| Part-Time - Semester No.2 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 8 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 32 | ||||
| Total Contact Hours | 40 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Knowledge of anatomy, normal and pathological physiology and biochemistry. | ||||||||
| Objective: | The objective of the study course is to introduce students to evidence-based nutrition therapy as an integral part of the therapeutical process. The tasks of the study course include developing students’ understanding of the impact of nutrition therapy on the course of acute and chronic diseases, complication rates, the recovery process and quality of life, as well as acquiring the knowledge to innovatively assess patient nutritional needs and develop personalised nutrition recommendations for different clinical situations. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Diseases of the cardiovascular system. Diseases of the respiratory organs. Atherosclerosis, coronary heart disease, dyslipidaemia, arterial hypertension, heart failure. Bronchial asthma. Chronic obstructive pulmonary disease (COPD). Cystic fibrosis. Respiratory failure. | Lectures | 1.00 | E-Studies platform | |||||
| 2 | Practical issues in nutrition therapy and the development of nutritional recommendations: atherosclerosis, coronary heart disease, dyslipidaemia, arterial hypertension, heart failure. | Classes | 1.00 | auditorium | |||||
| 3 | Practical issues in nutrition therapy and development of nutritional recommendations: bronchial asthma, COPD, cystic fibrosis, respiratory failure. | Classes | 1.00 | auditorium | |||||
| 4 | Diseases of the digestive system. Rheumatological diseases. Gastroduodenal diseases, gastroparesis, pancreatic diseases, coeliac disease, inflammatory bowel diseases, irritable bowel syndrome, liver and gallbladder diseases, cystic fibrosis. Malabsorption. Intestinal resection and failure. Rheumatological diseases: gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren’s syndrome. | Lectures | 1.00 | E-Studies platform | |||||
| 5 | Practical issues in nutrition therapy and the development of nutritional recommendations: Gastroduodenal diseases, gastroparesis, pancreatic diseases, coeliac disease, inflammatory bowel diseases, irritable bowel syndrome, liver and gallbladder diseases, cystic fibrosis. Malabsorption. Intestinal resection and failure. | Classes | 1.00 | auditorium | |||||
| 6 | Practical issues in nutrition therapy and the development of nutritional recommendations: gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren’s syndrome. | Classes | 1.00 | auditorium | |||||
| 7 | Diabetes mellitus and obesity. Diabetes mellitus. Ethiopathogenesis. Classification. Criteria of diagnosis. The course of the disease. Treatment. Nutrition therapy. Obesity. Ethiopathogenesis. Obesity treatment for children and adults. Lifestyle correction, nutritional intervention, exercise, behavioural therapy, medication, bariatric surgery. | Lectures | 1.00 | E-Studies platform | |||||
| 8 | Practical issues in nutrition therapy and the development of nutritional recommendations for people with diabetes mellitus. | Classes | 1.00 | auditorium | |||||
| 9 | Practical issues in nutrition therapy and the development of nutritional recommendations for the treatment of obesity. Different types of nutrition therapies for treating obesity: lifestyle correction, nutritional intervention, exercise, behavioural therapy, medication, bariatric surgery. | Classes | 1.00 | auditorium | |||||
| 10 | Surgery, oncology and neurology. Perioperative nutrition therapy. ERAS concept. Nutrition therapy for oncology patients undergoing surgery, radiotherapy and chemotherapy. Nutrition therapy for palliative care patients. Nutrition therapy in neurology. | Lectures | 1.00 | E-Studies platform | |||||
| 11 | Practical issues in nutrition therapy and the development of nutritional recommendations for perioperative and oncology patients. | Classes | 1.00 | auditorium | |||||
| 12 | Practical issues in nutrition therapy and the development of nutritional recommendations for patients after acute cerebrovascular disorders and for patients with neurodegenerative diseases. | Classes | 1.00 | auditorium | |||||
| 14 | Malnutrition and clinical nutrition. Nutritional assessment. Malnutrition. Types of nutrition therapy: Dietary correction, therapeutic complementary nutrition, enteral and parenteral nutrition. Feeding in the intensive care unit (ICU). | Lectures | 1.00 | E-Studies platform | |||||
| 15 | Practical issues and skills: screening and diagnosis of malnutrition. Nutritional assessment. | Classes | 1.00 | auditorium | |||||
| 16 | Practical issues: dietary correction, therapeutic complementary nutrition, enteral and parenteral nutrition. Feeding in the intensive care unit (ICU). | Classes | 1.00 | auditorium | |||||
| 17 | Acute and chronic kidney diseases. Kidney stones. | Lectures | 1.00 | E-Studies platform | |||||
| 18 | Practical issues in nutrition therapy and the development of nutritional recommendations for patients with chronic kidney disease. | Classes | 1.00 | auditorium | |||||
| 19 | Practical issues in nutrition therapy and the development of nutritional recommendations for patients with kidney stones. | Classes | 1.00 | auditorium | |||||
| 20 | Mental health. Autism. Eating disorders. Addictions. Nutritional problems associated with psychotropic medication use. Dementia. | Lectures | 1.00 | E-Studies platform | |||||
| 21 | Practical issues in nutrition therapy and the development of nutritional recommendations: eating disorders and addictions. | Classes | 1.00 | auditorium | |||||
| 22 | Practical issues in nutrition therapy and the development of nutritional recommendations: autism, dementia, nutritional problems associated with psychotropic medication use. | Classes | 1.00 | auditorium | |||||
| 23 | Food allergies and intolerances. | Lectures | 1.00 | E-Studies platform | |||||
| 24 | Practical issues in nutrition therapy and the development of nutritional recommendations in case of food allergies and intolerances. | Classes | 1.00 | auditorium | |||||
| 25 | Genetic metabolic diseases: practical issues in nutrition therapy and the development of nutritional recommendations. | Classes | 1.00 | auditorium | |||||
| Topic Layout (Part-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Diseases of the cardiovascular system. Diseases of the respiratory organs. Atherosclerosis, coronary heart disease, dyslipidaemia, arterial hypertension, heart failure. Bronchial asthma. Chronic obstructive pulmonary disease (COPD). Cystic fibrosis. Respiratory failure. | Lectures | 1.00 | auditorium | |||||
| 2 | Practical issues in nutrition therapy and the development of nutritional recommendations: atherosclerosis, coronary heart disease, dyslipidaemia, arterial hypertension, heart failure. | Classes | 1.00 | auditorium | |||||
| 3 | Practical issues in nutrition therapy and development of nutritional recommendations: bronchial asthma, COPD, cystic fibrosis, respiratory failure. | Classes | 1.00 | auditorium | |||||
| 4 | Diseases of the digestive system. Rheumatological diseases. Gastroduodenal diseases, gastroparesis, pancreatic diseases, coeliac disease, inflammatory bowel diseases, irritable bowel syndrome, liver and gallbladder diseases, cystic fibrosis. Malabsorption. Intestinal resection and failure. Rheumatological diseases: gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren’s syndrome. | Lectures | 1.00 | auditorium | |||||
| 5 | Practical issues in nutrition therapy and the development of nutritional recommendations: Gastroduodenal diseases, gastroparesis, pancreatic diseases, coeliac disease, inflammatory bowel diseases, irritable bowel syndrome, liver and gallbladder diseases, cystic fibrosis. Malabsorption. Intestinal resection and failure. | Classes | 1.00 | auditorium | |||||
| 6 | Practical issues in nutrition therapy and the development of nutritional recommendations: gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren’s syndrome. | Classes | 1.00 | auditorium | |||||
| 7 | Diabetes mellitus and obesity. Diabetes mellitus. Ethiopathogenesis. Classification. Criteria of diagnosis. The course of the disease. Treatment. Nutrition therapy. Obesity. Ethiopathogenesis. Obesity treatment for children and adults. Lifestyle correction, nutritional intervention, exercise, behavioural therapy, medication, bariatric surgery. | Lectures | 1.00 | auditorium | |||||
| 8 | Practical issues in nutrition therapy and the development of nutritional recommendations for people with diabetes mellitus. | Classes | 1.00 | auditorium | |||||
| 9 | Practical issues in nutrition therapy and the development of nutritional recommendations for the treatment of obesity. Different types of nutrition therapies for treating obesity: lifestyle correction, nutritional intervention, exercise, behavioural therapy, medication, bariatric surgery. | Classes | 1.00 | auditorium | |||||
| 10 | Surgery, oncology and neurology. Perioperative nutrition therapy. ERAS concept. Nutrition therapy for oncology patients undergoing surgery, radiotherapy and chemotherapy. Nutrition therapy for palliative care patients. Nutrition therapy in neurology. | Lectures | 1.00 | auditorium | |||||
| 11 | Practical issues in nutrition therapy and the development of nutritional recommendations for perioperative and oncology patients. | Classes | 1.00 | auditorium | |||||
| 12 | Practical issues in nutrition therapy and the development of nutritional recommendations for patients after acute cerebrovascular disorders and for patients with neurodegenerative diseases. | Classes | 1.00 | auditorium | |||||
| 14 | Malnutrition and clinical nutrition. Nutritional assessment. Malnutrition. Types of nutrition therapy: Dietary correction, therapeutic complementary nutrition, enteral and parenteral nutrition. Feeding in the intensive care unit (ICU). | Lectures | 1.00 | E-Studies platform | |||||
| 15 | Practical issues and skills: screening and diagnosis of malnutrition. Nutritional assessment. | Classes | 1.00 | auditorium | |||||
| 16 | Practical issues: dietary correction, therapeutic complementary nutrition, enteral and parenteral nutrition. Feeding in the intensive care unit (ICU). | Classes | 1.00 | auditorium | |||||
| 17 | Acute and chronic kidney diseases. Kidney stones. | Lectures | 1.00 | E-Studies platform | |||||
| 18 | Practical issues in nutrition therapy and the development of nutritional recommendations for patients with chronic kidney disease. | Classes | 1.00 | auditorium | |||||
| 19 | Practical issues in nutrition therapy and the development of nutritional recommendations for patients with kidney stones. | Classes | 1.00 | auditorium | |||||
| 20 | Mental health. Autism. Eating disorders. Addictions. Nutritional problems associated with psychotropic medication use. Dementia. | Lectures | 1.00 | E-Studies platform | |||||
| 21 | Practical issues in nutrition therapy and the development of nutritional recommendations: eating disorders and addictions. | Classes | 1.00 | auditorium | |||||
| 22 | Practical issues in nutrition therapy and the development of nutritional recommendations: autism, dementia, nutritional problems associated with psychotropic medication use. | Classes | 1.00 | auditorium | |||||
| 23 | Food allergies and intolerances. | Lectures | 1.00 | E-Studies platform | |||||
| 24 | Practical issues in nutrition therapy and the development of nutritional recommendations in case of food allergies and intolerances. | Classes | 1.00 | auditorium | |||||
| 25 | Genetic metabolic diseases: practical issues in nutrition therapy and the development of nutritional recommendations. | Classes | 1.00 | auditorium | |||||
| Assessment | |||||||||
| Unaided Work: | As part of their independent work, students prepare a clinical case study on the specified topics, assessing the nutritional needs of the patient, defining the goal of nutrition therapy and drawing up individualised recommendations and a menu. Independent work is presented and discussed during class. | ||||||||
| Assessment Criteria: | Compulsory attendance with active participation. Test and /or presentation about each topic - 50%. Examination: 3 theoretical questions, written answers to be presented orally - 50%. The assessment is made on a 10-point system. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | Exam | ||||||||
| Learning Outcomes | |||||||||
| Knowledge: | Understand the assessment of energy and nutrient needs of patients in different clinical situations. Explain the impact of various acute and chronic diseases on human metabolic systems and nutritional needs. Understand the different types of nutritional therapies and their applications. | ||||||||
| Skills: | To carry out malnutrition screening. To perform detailed assessment of the patient’s nutritional status and nutritional needs. To formulate an appropriate nutrition therapy plan based on an understanding of the current disease process. To select the appropriate type of nutrition therapy for the clinical situation. To adapt nutritional recommendations according to the clinical situation of the individual patient. To establish nutritional recommendations and menu according to the patient’s diagnosis and clinical situation. | ||||||||
| Competencies: | The student is able to perform malnutrition screening and nutritional assessment and to develop a nutrition therapy plan and menu for patients in different clinical situations. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Sobotka, Luboš, and Alastair Forbes. Basics in clinical nutrition. Vol. 1. No. 5th. Galen, 2019. | ||||||||
| 2 | Webster-Gandy, Joan, Angela Madden, and Michelle Holdsworth, eds. Oxford Handbook of Nutrition and Dietetics 3e. Oxford University Press, 2020. | ||||||||
| 3 | Soldavini, Jessica. "Krause's food & the nutrition care process." Journal of Nutrition Education and Behavior 51.10 (2019): 1225. | ||||||||
| 4 | ESPEN vadlīnijas: https://www.espen.org/guidelines-home/espen-guidelines | ||||||||
| 5 | Datu bāze PEN: http://www.pennutrition.com.db.rsu.lv/Home.aspx | ||||||||
| 6 | Aptaukošanās: http://www.obesity.org/obesity/resources/facts-about-obesit… | ||||||||
| 7 | European Society for Clinical Nutrition and Metabolism: http://www.espen.org/ | ||||||||
| 8 | https://erassociety.org/guidelines/list-of-guidelines/ | ||||||||
| 9 | www.nice.org.uk | ||||||||
| Additional Reading | |||||||||
| 1 | Uztura mācība / Zigurds Zariņš, Lolita Neimane, Edgars Bodnieks. 2021; Rīga : LU Akadēmiskais apgāds | ||||||||
| 2 | Pasaules Veselības organizācija: http://www.who.int/en/ | ||||||||
| 3 | Latvijas Republikas Veselības ministrija: www.vm.gov.lv | ||||||||
| 4 | Kardioloģija | ||||||||
| 5 | Onkoloģija https://www.aicr.org/· https://www.wcrf.org/dietandcancer/cancer-prevention-recomm…· https://www.cancerresearchuk.org/· https://www.aacr.org/ | ||||||||
