CLINICAL NUTRITION AND NUTRITION SUPPORT - 2017/8

Module code: MHUM008

Module provider

School of Biosciences and Medicine

Module Leader

ENGEL B Dr (Biosc & Med)

Number of Credits

15

ECTS Credits

7.5

Framework

FHEQ Level 7

JACs code

B400

Module cap (Maximum number of students)

N/A

Module Availability

Semester 2

Overall student workload

Independent Study Hours: 100

Lecture Hours: 50

Assessment pattern

Assessment type Unit of assessment Weighting
Coursework CRITICAL REVIEW OF IMMUNO-NUTRITION 50
School-timetabled exam/test OPEN BOOK EXAM: CARE PLAN FOR 2 UNSEEN CASE STUDIES 50

Alternative Assessment

None.

Prerequisites / Co-requisites

None

Module overview

This module focuses on the application of nutrition understanding to a clinical setting.  Students will appreciate how nutritional assessment can be applied in a clinical context and how pathophysiology and metabolic demands dictate nutritional requirements and form guidelines for the nutritional management of disease.      Through the use of taught examples, formative and summative assessment, students will learn how to formulate evidence based care plans and learn how to critically appraise new and emerging research in clinical nutrition.

Module aims

To gain an understanding of the way malnutrition and disease influence body composition, metabolism and function (especially of the gut), and nutritional demands.

To review critically, the methods of nutrient delivery in a clinical setting, their effectiveness and limitations, the role of conditionally essential nutrients, the opportunities for utilisation of functional foods and the organisation of nutritional support.

To understand and debate the ethical implications of providing nutritional support

Learning outcomes

Attributes Developed
001 A comprehensive understanding of how clinical and functional metabolic states influence nutritional needs; KCT
002 A full appreciation of how neuroendocrine and cytokine mediated metabolic changes likely to limit nutrient utilisation in hospital patients KCT
003 Complete appreciation for the methods of assessment of clinical and functional metabolic state and be able to identify different presentations of malnutrition; KCPT
004 A comprehensive understanding the causes of malnutrition and their consequences for nutritional needs; KCPT
005 Critically appraised the current evidence base for nutritional support strategies in a clinical setting, the range of feeds and feeding methods available, including novel substrates, and their effectiveness. KCT
006 A full understanding of the ethical issues of different dietary management strategies KCT

Attributes Developed

C - Cognitive/analytical

K - Subject knowledge

T - Transferable skills

P - Professional/Practical skills

Module content





Duration (h)


Topic




4


Introduction to Module and coursework. Setting of assignment

Nutritional assessment in the clinical setting.  Assessment of clinical and functional metabolic state; Anthropometry, Biochemistry, Clinical, Dietary intake, Exercise/activity




2


Evidence based practice; using Critical appraisal of nutrition related research in order to inform practice and use of guidelines




4


Energy and protein requirements: Metabolic stress: anorexia and starvation, injury; infection, burns, surgery




2


Micronutrient requirements and immuno-nutrition; Metabolic stress: anorexia and starvation, trauma, infection, burns, surgery




2


Timing of nutrients: Pre and post op feeding, Re-feeding syndrome




2


The GI tract and inflammation: Pro, pre and symbiotics




2


The Gut : food intolerance; treatment of IBS  ,




14


Management of patients with chronic conditions e.g.renal disease, allergy, metabolic conditions, epilepsy, diseases of the gastrointestinal tract ; bariatric surgery  practical issues and new research in micronutrients and anabolic agents




4


General principles of nutritional support: routes of support; enteral (including food, sip feeding, tube feeding); appropriate use of parenteral;  complications of feeding techniques; Ethics of Nutrition Support: Making the right decision




2


Rehabilitation




9


Appraising the literature; tutorials




4


Revision tutorials




2.5


Open book Exam




Methods of Teaching / Learning

The learning and teaching strategy is designed to:

enable  students to appreciate how nutritional assessment can be applied in a clinical context and how pathophysiology and metabolic demands dictate nutritional requirements and form guidelines for the nutritional management of disease.      Through the use of taught examples, formative and summative assessment, students will learn how to formulate evidence based care plans and learn how to critically appraise new and emerging research in clinical nutrition.

The learning and teaching methods include:


lectures, tutorials and interactive seminars.    


 

Assessment Strategy

The assessment strategy is designed to provide students with the opportunity to demonstrate

Their ability to critically appraise and summarise the literature in a topic relevant to clinical nutrition ;  the use of immuno-nutrients in clinical conditions.

Their ability to assess the nutritional status of an individual and formulate a nutritional care plan which is evidence based and takes into consideration the metabolic effects of the clinical condition

Thus, the summative assessment for this module consists of:


a critical appraisal
open book exam completing two case studies


Formative assessment

Interactive tutorials with the module organiser and the expert guest lecturer involving pre-reading and appraisal of relevant papers as well as working through case studies in two exam tutorials

Feedback

Feedback occurs during the interactive tutorials and during lectures as students work through examples eg calculating requirements, planning daily meal plans for specific conditions eg renal (low potassium and phosphate), allergy (FODMAP, milk free diets), metabolic disorders (PKU), epilepsy (ketogenic diet). Summative feedback occurs once the coursework & exams have been marked.

Reading list

Reading list for CLINICAL NUTRITION AND NUTRITION SUPPORT : http://aspire.surrey.ac.uk/modules/mhum008

Programmes this module appears in

Programme Semester Classification Qualifying conditions
Human Nutrition MSc 2 Compulsory A weighted aggregate mark of 50% is required to pass the module

Please note that the information detailed within this record is accurate at the time of publishing and may be subject to change. This record contains information for the most up to date version of the programme / module for the 2017/8 academic year.