Nutrition Therapy

Study Course Description

Course Description Statuss:Approved

Course Description Version:2.00

Study Course Accepted:26.08.2024 15:58:49

Study Course Information
Course Code:		SUUK_302		LQF level:		Level 6
Credit Points:		8.00		ECTS:		12.00
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 Rehabilitation
The Head of Structural Unit:
Contacts:		Riga, 3 Cigorinu Street, suukrsu[pnkts]lv, +371 67611559
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		12	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		24
Classes (count)		18	Class Length (academic hours)		4	Total Contact Hours of Classes		72
Total Contact Hours								96
Full-Time - Semester No.2
Lectures (count)		8	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		16
Classes (count)		8	Class Length (academic hours)		4	Total Contact Hours of Classes		32
Total Contact Hours								48
Part-Time - Semester No.1
Lectures (count)		12	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		24
Classes (count)		15	Class Length (academic hours)		4	Total Contact Hours of Classes		60
Total Contact Hours								84
Part-Time - Semester No.2
Lectures (count)		8	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		16
Classes (count)		11	Class Length (academic hours)		4	Total Contact Hours of Classes		44
Total Contact Hours								60
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	Nutritionasl assesment. Malnutrition. Screening and diagnosis.			Lectures		1.00	E-Studies platform
				Classes		1.00	clinical base
2	Enteral feeding, its components, initiation of feeding, methods of administration, most common complications.			Lectures		1.00	E-Studies platform
				Classes		2.00	clinical base
3	Parenteral nutrition, its components, routes of administration, the most common complications. Nutrition under conditions of metabolic stress. Sepsis. Trauma. Burns. Refeeding syndrome.			Lectures		1.00	E-Studies platform
				Classes		2.00	clinical base
4	Cardiovascular diseases. Atherosclerosis, coronary heart disease, dyslipidemia, arterial hypertension, heart failure			Lectures		1.00	E-Studies platform
				Classes		1.00	clinical base
5	Diseases of the lungs. Bronchial asthma. COPD. Cystic fibrosis. Respiratory failure.			Lectures		1.00	E-Studies platform
				Classes		2.00	clinical base
6	Diseases of the digestive system I. Esophagus, stomach diseases, functional diseases of the gastrointestinal tract.			Lectures		2.00	E-Studies platform
				Classes		2.00	clinical base
7	Diseases of the digestive system II. Inflammatory bowel diseases. Malabsorption. Intestinal failure. Diseases of the liver, biliary tract and pancreas.			Lectures		2.00	E-Studies platform
				Classes		2.00	clinical base
8	Rheumatic diseases and osteoporosis. Hyperuricemia, gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren's syndrome. Osteoporosis. Types of anemia, nutritional therapy.			Lectures		1.00	E-Studies platform
				Classes		2.00	clinical base
9	Type 2 diabetes. Thyroid diseases. PCOS. Diseases of the hypothalamus, pituitary gland. Adrenal diseases.			Lectures		1.00	E-Studies platform
				Classes		2.00	clinical base
10	Type 1 diabetes. Diagnostic criteria. The course of the disease. Treatment. Nutrition therapy			Lectures		1.00	E-Studies platform
				Classes		2.00	clinical base
12	Obesity. Lifestyle correction, nutritional intervention, physical activity, behavioral therapy, medication, bariatric surgery.			Lectures		1.00	E-Studies platform
				Classes		1.00	auditorium
13	Surgery. Perioperative nutritional therapy. ERAS co-concept. Abdominal surgery. Consequences after gastrointestinal surgery. Short bowel syndrome.			Lectures		1.00	E-Studies platform
				Classes		1.00	clinical base
14	Oncology. Nutrition for the prevention of oncological diseases. Nutritional problems and nutritional therapy while receiving different types of treatment in oncology. Nutrition for the prevention of oncological diseases. Nutrition for patients with palliative therapy.			Lectures		1.00	E-Studies platform
				Classes		1.00	clinical base
15	Neurology. Acute circulatory disorders. Trauma. Dysphagia. Neurodegenerative diseases. Dementia.			Lectures		1.00	E-Studies platform
				Classes		1.00	clinical base
16	Acute and chronic kidney diseases. Kidney stones.			Lectures		1.00	E-Studies platform
				Classes		1.00	clinical base
17	Eating disorders. Autism. Addictions. Nutritional problems associated with the use of psychotropic medications.			Lectures		1.00	E-Studies platform
				Classes		1.00	auditorium
18	Food allergies and intolerances.			Lectures		1.00	E-Studies platform
				Classes		1.00	auditorium
19	Genetic metabolic diseases.			Lectures		1.00	E-Studies platform
				Classes		1.00	auditorium
Topic Layout (Part-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Nutritionasl assesment. Malnutrition. Screening and diagnosis.			Lectures		1.00	E-Studies platform
				Classes		1.00	clinical base
2	Enteral feeding, its components, initiation of feeding, methods of administration, most common complications.			Lectures		1.00	E-Studies platform
				Classes		2.00	clinical base
3	Parenteral nutrition, its components, routes of administration, the most common complications. Nutrition under conditions of metabolic stress. Sepsis. Trauma. Burns. Refeeding syndrome.			Lectures		1.00	E-Studies platform
				Classes		2.00	clinical base
4	Cardiovascular diseases. Atherosclerosis, coronary heart disease, dyslipidemia, arterial hypertension, heart failure			Lectures		1.00	E-Studies platform
				Classes		1.00	clinical base
5	Diseases of the lungs. Bronchial asthma. COPD. Cystic fibrosis. Respiratory failure.			Lectures		1.00	E-Studies platform
				Classes		2.00	clinical base
6	Diseases of the digestive system I. Esophagus, stomach diseases, functional diseases of the gastrointestinal tract.			Lectures		2.00	E-Studies platform
				Classes		1.00	clinical base
7	Diseases of the digestive system II. Inflammatory bowel diseases. Malabsorption. Intestinal failure. Diseases of the liver, biliary tract and pancreas.			Lectures		2.00	E-Studies platform
				Classes		2.00	clinical base
8	Rheumatic diseases and osteoporosis. Hyperuricemia, gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren's syndrome. Osteoporosis. Types of anemia, nutritional therapy.			Lectures		1.00	E-Studies platform
				Classes		2.00	clinical base
9	Type 2 diabetes. Thyroid diseases. PCOS. Diseases of the hypothalamus, pituitary gland. Adrenal diseases.			Lectures		1.00	E-Studies platform
				Classes		1.00	auditorium
10	Type 1 diabetes. Diagnostic criteria. The course of the disease. Treatment. Nutrition therapy			Lectures		1.00	E-Studies platform
				Classes		1.00	clinical base
12	Obesity. Lifestyle correction, nutritional intervention, physical activity, behavioral therapy, medication, bariatric surgery.			Lectures		1.00	E-Studies platform
				Classes		1.00	auditorium
13	Surgery. Perioperative nutritional therapy. ERAS co-concept. Abdominal surgery. Consequences after gastrointestinal surgery. Short bowel syndrome.			Lectures		1.00	E-Studies platform
				Classes		2.00	clinical base
14	Oncology. Nutrition for the prevention of oncological diseases. Nutritional problems and nutritional therapy while receiving different types of treatment in oncology. Nutrition for the prevention of oncological diseases. Nutrition for patients with palliative therapy.			Lectures		1.00	E-Studies platform
				Classes		2.00	auditorium
15	Neurology. Acute circulatory disorders. Trauma. Dysphagia. Neurodegenerative diseases. Dementia.			Lectures		1.00	E-Studies platform
				Classes		2.00	auditorium
16	Acute and chronic kidney diseases. Kidney stones.			Lectures		1.00	E-Studies platform
				Classes		1.00	clinical base
17	Eating disorders. Autism. Addictions. Nutritional problems associated with the use of psychotropic medications.			Lectures		1.00	E-Studies platform
				Classes		1.00	auditorium
18	Food allergies and intolerances.			Lectures		1.00	E-Studies platform
				Classes		1.00	auditorium
19	Genetic metabolic diseases.			Lectures		1.00	E-Studies platform
				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. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
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
5	Datu bāze PEN
6	Aptaukošanās
7	European Society for Clinical Nutrition and Metabolism
8	Eras Society
9	NICE
Additional Reading
1	Zigurds Zariņš, Lolita Neimane, Edgars Bodnieks. Uztura mācība. Rīga: LU Akadēmiskais apgāds, 2021.
2	Pasaules Veselības organizācija
3	Latvijas Republikas Veselības ministrija
4	Kardioloģija
Other Information Sources
1	Onkoloģija
2	WCRF
3	Cancer Research UK
4	AACR