UNIVERSITY OF SOUTHERN INDIANA

COLLEGE OF NURSING AND HEALTH PROFESSIONS

NUTR 486.001: Medical Nutrition Therapy II

Semester: Spring 2019
Meeting Time and Location: MWF, 12-12:50 am
Course Syllabus

Instructor: Dr. Julie McCullough Office: HP 3048

Phone: 812-461-5213 Email: jmccullo@usi.edu
Fax: 812-465-7092
Office Hours: Wednesday 1:00 to 2:00 pm

Credits: 3 credit hours

Prerequisites: Nutr 376, Biol 122, and Nutr 485.

Course Description:
This course focuses on understanding the diseases that are modifiable by Medical Nutrition Therapy
(MNT). The Nutrition Care Process and MNT of liver, respiratory, gastrointestinal, cancer and other
metabolic diseases across the lifespan will be covered. The role genetics in nutrition will be covered.
The pathophysiology, dietary treatments, and the evidence supporting MNT will be discussed.

Course Learning Outcomes:

By the end of this course, student should be able to -

1. Describe medical conditions or diseases that would benefit from medical nutrition therapy.
2. Discuss other medical conditions or diseases that might benefit from medical nutrition therapy.
3. Describe the pathophysiology of selected disease conditions.
4. Describe the importance of genetics in the development of selected conditions/diseases.
5. Describe and apply established medical nutrition therapy protocols in selected diseases/conditions
with case study application.
6. Calculate enteral and parenteral feedings for selected diseases/conditions.
7. Evaluate the use of adaptive equipment in selected diseases/conditions.

Program Learning Outcomes:

1. Evaluate the role of nutrition in optimizing health throughout the lifecycle and respond to harmful
nutrition practices.
2. Demonstrate knowledge of nutrition as it applies to food service, dietetics and wellness.
3. Demonstrate the knowledge and ability to apply management principles to nutrition and food
service.
4. Assess the role that behavior, economics, and dietary supplements have on planning and eating
healthy diets.
5. Demonstrate problem-solving skills in food service, dietetics and wellness.

Knowledge and Learning Outcomes:

This course addresses the following Foundation Knowledge and Expected Learning Outcomes for the
Registered Dietitian of the Accreditation Council for Education in Nutrition and Dietetics:
K.R.D. 1.1.a. – Students must be able to demonstrate how to locate, interpret, evaluate and use
professional literature to make ethical evidence-based practice decisions.
 K.R.D. 1.1.b. – Students must be able to use current information technologies to locate and apply
evidence-based guidelines and protocols, such as the Academy’s Evidence Analysis Library and
Evidence-based Nutrition Practice Guidelines, the Cochrane Database of Systematic Reviews and
the U.S. Department of Health and Human Services, Agency for Healthcare Research and
Quality, National Guidelines Clearinghouse Web sites.
K.R.D. 2.3.a. - Students must be able to apply professional guidelines to a practice scenario.
K.R.D. 2.3.b. - Students must be able to identify and describe the roles of others with whom the
Registered Dietitian collaborates in the delivery of food and nutrition services.
K.R.D. 3.1.a. - Students must be able to use the nutrition care process to make decisions, to
identify nutrition-related problems and determine and evaluate nutrition interventions.
K.R.D. 3.2.a. - Students must be able to develop interventions to affect change and enhance
wellness in diverse individuals and groups.
K.R.D. 5.2 - The physical & biological science foundation of the dietetics profession must be
evident in the curriculum. Course content must include organic chemistry, biochemistry,
physiology, genetics, microbiology, pharmacology, statistics. Nutrient metabolism, and nutrition
across the lifespan.

Required Textbooks/Websites: (*Also on Reserve in LRC):

Nelms, M., Sucher, K., & Lacey, K. Nutrition Therapy and Pathophysiology. 3rd d ed, Wadsworth
Publishing, 2016. ISBN #: 978-1-30511-196-7. Available at the USI Campus Store.

Electronic version – Nutrition Care Process Terminology. Academy and Nutrition and Dietetics, 2015.
https://ncpt.webauthor.com/pub/sm.cfm - Individual plan purchase $25 student members, $50 not student
members.

Pronsky, Z. Food-Medication Interactions. 18th ed. Food Medication Interactions. – (PINK).

http://www.foodmedinteractions.com/. ISBN#: 0971089663 or 978-0-97108-966-2. $39.

*Leonberg, B. AND Pocket Guide to Pediatric Nutrition Assessment. 2 nd ed. Academy of Nutrition and
Dietetics, 2013. ISBN#: 978-0-88091-479-8. $25.50 student members, $33 not student members.

*Charney, P., & Malone, A. AND Pocket Guide to Nutrition Assessment. 3 rd ed. Academy of Nutrition
and Dietetics, 2016. ISBN#: 978-0-88091-489-0. $25.50 student members, $33 not student members.

Choose Your Foods: Food Lists for Diabetes, Academy of Nutrition and Dietetics. ISBN#: 978-0-88091-
387-4. $2.99 student members, $3.89 not student members

AND Evidence Analysis Library. https://www.andeal.org/

Strongly Recommended Textbooks:

AMA Manual of Style. 10th ed. 2007. Oxford University Press. ISBN#: 9780195176339
https://ams.oup.com/user/newacct.cgi?title=amams or https://global.oup.com/academic/product/ama-
manual-of-style-9780195176339?q=ama%20manual%20of%20style&lang=en&cc=us

Publication Manual of the American Psychological Association, 6th ed. 2009. American Psychological
Association. ISBN#: 9781433805592,
http://www.apastyle.org/manual/index.aspx

Recommended Textbooks:
Krause’s Food and the Nutrition Care Process. 14th ed. 2016. Saunders Elsevier. ISBN#: 978-0323340755.

Lysen, L. Quick Reference to Clinical Dietetics. 2nd ed. 2006. Jones and Bartlett Publishers. ISBN#: 978-
0-7637-3198-4.

Mobile PDR http://www.pdr.net/resources/mobilePDR/

Physicians Desk Reference (PDR). 71st ed. 2017. http://www.PDRbooks.com. ISBN#: 9781563638381.

Physician Desk Reference (PDR) for Herbal Medications. 4th ed. 2007. http://www.PDRbooks.com.
ISBN: 9781563636783.

Physicians Desk Reference (PDR) for Non Prescription Drugs. 35 th ed. 2014. http://www.PDRbooks.com.
Thomsons Healthcare. ISBN#: 9781563638275

Physicians Desk Reference (PDR) for Nutritional Supplements. 2 nd ed. 2008. Thomsons Healthcare.
ISBN#: 9781563637100

Ross, A.C., Calallero, B., Cousins, R., Tucker, K., & Ziegler, T. Modern Nutrition in Health and Disease.
11th ed. 2012. Lippincott Williams and Wilkins. ISBN-10: 1605474614, ISBN-13: 978-1605474618

Stedman’s Medical Dictionary for the Health Professions and Nursing. 7 th ed. 2011. Lippincott, Williams
and Wilkins. ISBN-10: 1608316920, ISBN-13: 978-1608316922.
Fischback, F. Stedman’s A Manual of Laboratory and Diagnostic Tests 9 th ed. 2014. Lippincott, Williams
and Wilkins. ISBN-10: 1451190891, ISBN-13: 978-1451190892.
Taber's cyclopedic medical dictionary [electronic resource].
Pagana, K. Mosby’s Laboratory and Diagnostic Test Reference. 5 th Edition. 2013. Mosby. ISBN-10:
0323089496, ISBN-13: 978-0323089494.
Free Online Tools:
Medical Dictionaries
http://www.online-medical-dictionary.org/

http://www.nlm.nih.gov/medlineplus/mplusdictionary.html

http://medical-dictionary.thefreedictionary.com/

Laboratory help:
http://www.labtestsonline.org/

http://www.nlm.nih.gov/medlineplus/laboratorytests.html

Medications and Supplements

http://www.nlm.nih.gov/medlineplus/druginformation.html

Required Readings:

Required Readings can be found in your Blackboard course under Course Documents.
ADDITIONAL READINGS AS ASSIGNED.

Disability Resources:
Disability resources are offered through the Office of Disability Resources (ODR) to help students
overcome or compensate for obstacles related to a physical, emotional, or learning disability. Some of the
resources available to students include: accessible textbooks, test accommodations, referral to the
Academic Skills Center/peer tutoring labs, sign language interpreter services, note-taker supplies,
resource literature, and referral to community agencies. Staff assist faculty by distributing information
through group educational presentations and individual consultations, and by coordinating with other
offices to ensure provision of reasonable and appropriate accommodations to student with disabilities.

If you have a disability for which you may require academic accommodations for this class, please
register with Disability Resources (DR) as soon as possible. Students who have an accommodation letter
from DR are encouraged to meet privately with course faculty to discuss the provisions of those
accommodations as early in the semester as possible. To qualify for accommodation assistance, students
must first register to use the disability resources in DR, Science Center Rm. 2206, 812-464-1961,
http://www.usi.edu/disabilities.

To help ensure that accommodations will be available when needed, students are encouraged to meet with
course faculty at least 7 days prior to the actual need for the accommodation. However, if you will be in
an internship, field, clinical, student teaching, or other off-campus setting this semester please note that
approved academic accommodations may not apply. Please contact Disability Resources as soon as
possible to discuss accommodations needed for access while in this setting.

Title IX – Sexual Misconduct:

USI does not tolerate acts of sexual misconduct, including sexual harassment and all forms of sexual
violence. If you have experienced sexual misconduct, or know someone who has, the University can
help. It is important to know that federal regulations and University policy require faculty to promptly
report incidences of potential sexual misconduct known to them to the Title IX Coordinator to ensure that
appropriate measures are taken and resources are made available. The University will work with you to
protect your privacy by sharing information with only those who need to know to ensure we can respond
and assist. If you are seeking help and would like to speak to someone confidentially, you can make an
appointment with a counselor in the University Counseling Center. Find more information about sexual
violence, including campus and community resources at www.usi.edu/stopsexualassault.

Inclement Weather:
The University of Southern Indiana has instituted a text message alert system called RAVE. Get
emergency messages delivered to your cell phone. Go to http://www.usi.edu/Emergency/alerts.asp more
information. If class is not meeting due to weather, the instructor will do their best to post an
announcement on your Blackboard page for this class at least 1 hour before class time. The best way to
receive University closing information is via the RAVE system. If school is cancelled, you are required to
complete that week and the next week’s assignments for the next class session.

Cell phones, Computer, and Calculators:

Please turn off all cell phones prior to class starting. Laptops and cell phones, etc…will not be allowed to
be used in the classroom and use is at the discretion of the instructor. Use of this type of equipment may
impede another student’s work. Please provide your instructor with the medical or USI Counseling
Center documentation if this type of equipment is necessary. Calculators will be provided to you at
exam/quiz times. You will not need your own calculator during exam/quiz times.
Computer access, use, and requirements:
This course requires access to and use of a computer. For those students without access to a home
computer, the Learning Resource Center (LRC) on the second floor of the Nursing and Health Professions
building (room HP 2028), on-campus computer labs, and local libraries have computers available. Call
812-465-1153 for the Learning Resource Center hours.

If this course requires viewing audio/video streams, you will need both Macromedia Flash Player and
Windows Media Player software loaded onto your computer. Newer computers have Flash Player
already downloaded. If you do not have this software, please go to the following website
http://www.macromedia.com/, scroll to Download Players and download Flash Player. For documents
that require adobe acrobat reader, you can obtain the software at http://www.macromedia.com as well.
For optimal viewing of video streams, we recommend using a cable modem, DSL (Digital Subscriber
Line), ADSL, or satellite: all are considered high speed access.

For students using a personal computer, the following minimum software is recommended:

PC (IBM Compatible):

 Operating System: XP, Vista or Windows 7

(recommended)
 Free disk space: minimum of 100MB recommended
 Internet connection: Broadband (3G Network is not
recommended)
 Browser:
o Internet Explorer 7, 8, 9
o Firefox 4.0x through 7.0 (recommended)
o Chrome
 Audio: Sound Card and Speakers (to listen to audio embedded into PowerPoint or Flash files)
 Input Device: CD-ROM (CD/DVD recommended)

The suite of Microsoft Office tools, or some alternative, will be needed. We recommend the free
alternative available from http://www.openoffice.org/.

Macintosh:
 Operating system: Mac OS X (up to 10.6.8)
 Free disk space: minimum of 100MB recommended
 Internet connection: Broadband (3G or 4G Network is not recommended)
 Browser: Firefox 4.0 through 7 (recommended)
 Safari 4.0 through 5.1

Plug-ins Needed:
 Adobe Acrobat Reader 10.0 http://get.adobe.com/reader/
 Flash http://get.adobe.com/flashplayer/
 Shockwave http://get.adobe.com/shockwave/
 JAVA http://www.java.com/en/download/index.jsp
 VLC Player: http://www.videolan.org/
 Windows Media Player http://windows.microsoft.com/en-US/windows/download-windows-
media-player
 Microsoft Silverlight http://www.microsoft.com/silverlight/
Contact the USI Bookstore 812-464-1717 or http://usibook.usi.edu/Contact.aspx for purchase information
on the Microsoft Office Suite for students or your local software retailer.

To view online lectures, a cable modem, DSL (Digital Subscriber Line), ADSL, satellite or WWAN
connection to the Internet is recommended. These services may be purchased from a local telephone
company, cable company, satellite TV service, or cell phone company.

Students with computers that are more than 5 years old should consider purchasing a new computer.
Please contact Mike Fetscher at mwfetscher@usi.edu or 812-461-5222 or Rich Wire at rwire@usi.edu for
suggestions.

Plagiarism:
The University considers plagiarism a form of academic dishonesty, and proof of plagiarism may
subject a student to disciplinary action as outlined in the University of Southern Indiana Student
Rights and Responsibilities. A student must not intentionally adopt or reproduce ideas, words, or
statements of another person without acknowledgment. A student must give due credit to the
originality of others and properly reference the following:
1. Quoting another person’s actual words;
2. Using another person’s ideas, opinion, or theory;
3. Borrowing facts, statistics, or other illustrative material, unless the information is
common knowledge.

You will be expected to abide by these standards. It is your responsibility to know them
completely. If you have questions about how to avoid plagiarism, the following services,
tutorials and quizzes can assist you.

Information and Assistance for Avoiding Plagiarism:

Safe Assign Software in Blackboard

Any assignment at any time may be checked for plagiarism. Faculty can review these reports at
any time. Assignment submission areas labeled as “DRAFT” will allow the student to see a
plagiarism report. “DRAFT” submission areas are intended to help students with assessing ways
to avoid plagiarism. “DRAFT” submission will only be allowed ONE time.

NOTE: SafeAssign accepts files in Microsoft Word/ TXT /PPT /PPTX /ODT /RTF / HTML /
PDF formats only. Please DO NOT upload files in any other formats, including ZIP.
After submitting in the DRAFT area, you can follow these steps to view the submission and Safe
Assign plagiarism report.
1. Click on the Assignments toolbar and the Assignment
2. Your submission will appear.
3. Click on the arrow down button next to the word Safe Assign.
4. Click on View Originality Report.
SA Report: SafeAssign reports provide detailed information about the matches found between a
submitted paper and existing sources. The SafeAssign report identifies all matching blocks of
text. It is the responsibility of the student to investigate whether the matching text is properly
referenced or not. Detailing every match prevents detection errors due to differences in citing
standards.
SafeAssign reports are divided into two sections:
• Top right: This section lists data about the paper, such as the author, percent Matching, and
when it was submitted. This section also includes options for printing the report version.
• Manuscript Text: This section shows the submitted paper. All matching blocks of text are
identified in highlights. Clicking a matching block of text will display information about the
original source and the probability that the block or sentence was copied from the source. ©
NOTE: Correct references/citations and items in quotes and cited will still show as plagiarism so
these items may be ignored.

Tutorials and Quizzes on How to Prevent Plagiarism and Properly Cite References

University of Southern Indiana

http://usi.libguides.com/plagiarism

Simon Frazier University

http://www.lib.sfu.ca/help/tutorials/plagiarism-tutorial

Fairfield University
http://www.fairfield.edu/library/lib_plagiarismcourtquiz.html

Purdue University
http://owl.english.purdue.edu/owl/resource/589/01/

If you still have questions about plagiarism, please contact the instructor for this course, or the
Writing lab on the USI campus http://www.usi.edu/acadskil/tutoring-writersroom.asp.

Cheating:
Your participation in this class assumes that you will follow the Honor Code and the Campus Code that
will govern the performance of your behavior (refer to the student handbook). If a faculty member
suspects a student is cheating, the faculty member will inform the student and any other students
involved. Penalty appeals can be made to the department chair. Additional guidelines are provided at the
Dean of Students Website. The following provides some examples of cheating:

1. A student must not intentionally use or attempt to use unauthorized materials, information, or
study aids in any academic exercise.
2. A student must not use external assistance during any examination unless the instructor has
specifically authorized such assistance. This prohibition includes but is not limited to the use of
tutors, books, calculators, notes, formula lists, cues on a computer, photographs, and symbolic
representations. Prohibition also includes transmission of information on any recording or
communication device, such as cellular telephone, Internet appliance, digital camera, audio
recorder, or personal digital assistant.
3. A student must not copy from another student’s work, including but not limited to a test paper,
project, product, performance, or electronic document or file.
 4. A student must not take a test for someone else or permit someone else to take a test for him or
her. A student must not knowingly allow another student to copy one’s work in a test.
5. A student must not submit during the same semester substantial portions of the same academic
work for credit or honors more than once without permission from all of the instructors who may
be involved. In the event a student seeks to submit in a current course a substantial portion of the
same academic work submitted in a previous course, only the current instructor need approve.
6. A student must not allow others to conduct research or to prepare any work for him or her without
advance authorization from the instructor. This prohibition includes but is not limited to
submitting another’s work as one’s own, or using commercial term-paper companies or files of
past papers maintained in a residence hall or apartment.
7. Several people must not collaborate on a single project and turn in multiple copies, all
represented implicitly or explicitly as individual work.

Fabrication:
A student must not intentionally falsify or invent any information or citation in an academic exercise.

Interference:
A student must not steal, change, destroy, or impede another student’s work. Impeding another student’s
work includes but is not limited to theft, defacement, or mutilation of common resources so as to deprive
others of the information they contain.

Facilitating Academic Dishonesty:

A student must not intentionally or knowingly help or attempt to help another to commit an act of
academic dishonesty.

Course Syllabus and Calendar Changes:

The syllabus and calendar/schedule are subject to change at the discretion of the instructor with
reasonable advanced notice when changes best suit the learning objectives or are necessitated by
unforeseen circumstances.

Attendance:
You will be allowed 1 absence without penalty. For each absence after the first absence, 10 points will be
deducted from your final grade. In case of inclement weather where the University remains open,
attendance will be taken.

Attendance will be recorded and is expected for the full time the class meets. It is the student’s
responsibility to ensure she/he has “signed in” each class session. Attendance at each session ensures the
maximum opportunity to learn. Signing in for another fellow student who is not present will be
considered an act of cheating for both students involved.

The University requires that the professor take attendance to identify if anyone is not attending regularly
and has a grade of D or F at midterm. A letter is sent to the student from the University offering
assistance to these students.

University of Southern Indiana Administrative Withdrawal for Non-Attendance: Students who are absent
one-half or more of the class meetings of a full semester length class without excuse during weeks two
through four may be notified by letter to their mailing address of the possibility of their being
administratively withdrawn from their class. The students so notified will be given until the end of the
seventh week (mid-term) to meet with their instructors to resolve the situation. The instructor of the class
may complete the process of an administrative withdrawal of the student (at mid-term) if the situation is
not resolved.
If you cannot take a quiz/exam or submit an assignment on the scheduled date, you must talk to me in
advance. Assignments are due at the beginning of class on the specified date.

Late assignments:
Late assignments will not be accepted.
Resubmissions or Regrading:
Considerations on resubmission and regrading will occur at the discretion of the instructor

Turning in assignments:
Unless otherwise specified, assignments will be submitted in Blackboard.

Instructional format and student learning experiences:

Class material will be presented by the instructor in lecture format, guest speakers, textbook, guided class
discussion of issues, computer software/tutorials/internet, and small group discussions.

Students will not be allowed to take notes, capture and/or share test/exams via electronic media or devices
during test reviews. Transmission of test material to other students or to the instructor on any recording or
communication device, such as cellular telephone, Internet appliance, digital camera, audio recorder, or
personal digital assistant will be considered as cheating.

Professionalism and Courtesy:

Netiquette: This refers to the social expectations and behavior norms for interactions and
communications. All class communications with other students and the professor should be conducted
with respectful, professional and courteous manner.
General Netiquette Rules
 Be friendly and civil with each other
 Be forgiving of other people’s mistakes
 Avoid abbreviation
 Avoid “text messaging” language (examples; LOL, NP, TY, emoji’s, etc…)
 Avoid “ALL CAPS” (IT’S LIKE YELLING)
 Respect others’ privacy and your own (be careful of personal or confidential information)
 Stay on topic, and write clearly and concisely
 Run a spelling and grammar check before posting anything publicly
 METHODS OF STUDENT EVALUATIONS AND GRADING

Five quizzes:
Five quizzes will be given during the semester.

Case Study:
Five case studies will be completed during the semester.

Case Study Presentation:

One case study will be presented orally.

EPortfolio Assignment:
Demonstration of completion submitted in Blackboard.

Point Value of Assignments/Exams:

Quiz #1 25 points
Quiz #2 25 points
Quiz #3 25 points
Quiz #4 25 points
Quiz #5 25 points
Case Study #1 50 points
Case Study #2 50 points
Case Study #3 50 points
Case Study #4 50 points
Case Study #5 with Presentation 100 points
EBP Presentation 25 points
EPortfolio Assignment 10 points
Total points: 460 points

Other Activities:
Homelessness conference – Feb25th 7:30-12:30 Monday

Grading Scale:

A (90%-100%)
B+ (87%-89%)
B (83%-86%)
C+ (80%-82%)
C (75%-79%)
D (69%-74%)
F (68% and below)

Rubrics:

See Assignments toolbar for oral case study presentation rubric.

 SCHEDULE
Nutr 486.001 Spring 2019

January 7 Introduction to course, syllabus, review of schedule, review of cases

January 9 Chapter 18

January 11 Chapter 18

January 14 Chapter 18

January 16 Chapter 18

January 18 Chapter 18

January 21 Martin Luther King Day, No classes

January 23 Chapter 9, Watch Panopto Video on Wound Healing in Blackboard

Review: http://www.npuap.org/wp-content/uploads/2014/08/Updated-10-16-14-Quick-
Reference-Guide-DIGITAL-NPUAP-EPUAP-PPPIA-16Oct2014.pdf
http://journals.lww.com/aswcjournal/Fulltext/2015/04000/The_Role_of_Nutrition_for_Pr
essure_Ulcer.7.aspx

January 25 Chapter 9, Case Study #1 due - Renal

January 28 Chapter 9

January 30 Chapter 9, Quiz #1 (over ch 9)

February 1 Chapter 22

February 4 Chapter 22

February 6 Chapter 22

February 7 SWIAND meeting EBP presentations – 2:30 – 4:30 pm

February 8 Chapter 22

February 11 Chapter 22

February 13 Chapter 22

February 15 Chapter 22, Quiz 2 (over ch 22)

February 18 Chapter 14,

February 20 Chapter 14

February 22 Chapter 14, Case Study #2 due – Metabolic Stress

February 25 Chapter 14, Homelessness Symposium

February 27 Chapter 14, Quiz #3 (over ch 14)

March 1 Chapter 15

March 4 Spring Break, No classes

March 6 Spring Break, No classes

March 8 Spring Break, No classes

March 11 Chapter 15

March 13 Chapter 15

March 15 Quiz #4 (over ch 15),

No class – NDEP meeting,

MARCH 15th last day to drop without an evaluation.

March 18 Chapter 21, Case Study #3 due – Celiac

March 20 Chapter 21, 9 am to 1 pm activity with Respiratory Therapy students – lunch

provided

March 22 Chapter 21

March 25 Chapter 21

March 27 Chapter 21

March 29 Chapter 21

April 1 Chapter 21, Quiz #5 (over ch 21)

April 3 Chapter 23

April 5 Chapter 23

April 8 MDS 3.0 Case Presentation, Quality Improvement

April 10 Class

April 12 No class, IAND, Case Study #4 due - COPD

April 15 Case Study #5 Presentations

April 17 Case Study #5 Presentations

April 19 No class, USI closed

April 22 Case Study #5 Presentations

April 24 No class, Study Day

May 1 FINAL - noon to 2 pm

*Note March 15th is the last day to drop this course without a grade.