RENAL NUTRITION - 2021/2

Module Overview

This module is designed to give students exposure to the practical methods of dietary and nutritional status assessment in patients with renal disease where nutritional status has been impacted by the multiple forms of medical treatment which the patient undergoes. By the end of this module students will be able to critically evaluate the use and appropriateness of assessment methods in a variety of renal settings and be confident in developing care plans for patients at different stages of renal disease and undergoing different forms of renal replacement therapy (RRT). They will also understand when signposting or liaison with the MDT is needed.

Module provider

School of Biosciences and Medicine

Module Leader

ENGEL Barbara (Biosc & Med)

Number of Credits: 15

ECTS Credits: 7.5

Framework: FHEQ Level 7

Module cap (Maximum number of students): N/A

Module Availability

Semester 2

Prerequisites / Co-requisites

None

Module content

Introduction to the National Scene: Policies, Guidelines & Audit Measures
Dietetic outcomes in Chronic Kidney Disease
Medical management of predialysis nutrition v conservative CKD patients
Nutritional aspects of predialysis nutrition v conservative management workshop/case study session
Assessment of Nutritional Status Including Practical aspects of SGA, body composition measurements
Exercise in kidney disease.
Renal protein and energy requirements
Obesity, CKD, Bariatrics and rehabilitation,
Bone & mineral Metabolism
Medical management of patients on haemodialysis and peritoneal dialysis
Nutritional aspects of Peritoneal Dialysis and Haemodialysis and transplantation
Medical aspects of transplantation
Medical management of AKI
Nutritional management of AKI/critical care
Psychosocial aspects of adjustment and adherence in renal disease¿

Assessment pattern

Alternative Assessment

Not applicable

Assessment Strategy

The assessment strategy is designed to provide students with the opportunity to demonstrate:  a thorough understanding of the theoretical basis of nutritional status assessment in patients with kidney disease and the patho-physiology of the condition and the medical treatment ,  a practical understanding of how established techniques of research and enquiry are embedded into our current guidelines and standards of best practice , the ability to plan and implement the best nutritional care for the patient and undertake service evaluation and audit in order to continually improve the service provides.

Thus, the summative assessment for this module consists of:

1. An extended case study based on one of their patients using the attached proforma (appendix B)

2. 4 case studies on the following topics:

1. conservative management

2. haemodialysis 

3. AKI

4. Transplant 

One 15 minute patient information video/ blog on a topic chosen by the student

Formative assessment

Students will be working in groups on case studies throughout the course

Feedback

Students will receive immediate feedback on the formative case studies.  If student does not have access to a patient for Coursework 1; a case study will be supplied.

Module aims

• To appreciate the patho-physiological basis of renal disease (chronic disease and acute kidney injury) and understand the effects on nutritional status and patients biochemistry
• To appreciate the impact of exercise on pre-habilitation and re-habilitation of deconditioned patients and be aware of simple tools to assess functional status
• To appreciate the importance of working with the multi-disciplinary team including doctors, physiotherapists and psychologists to achieve the best outcomes for the patients
• To be confident in the use of a variety of techniques used to gauge nutritional status and monitor outcomes and to be aware of and be able to incorporate current guidelines describing best practice
• To increase awareness of the support community and resources available for renal patients and to be able to develop innovative teaching resources / videos for patients
• To be confident in the appropriate application of dietary advice at different stages of chronic disease and acute kidney injury and to be able to understand patient barriers and be able to set SMART goals and motivational interviewing to overcome these barriers

Learning outcomes

Methods of Teaching / Learning

The learning and teaching strategy is designed to:
The methods include Lectures, pre-reading and case studies workshops and are designed to increase confidence in applying knowledge of the condition to developing an appropriate plan of nutritional support, and appropriate signposting to other members of the MDT

Indicated Lecture Hours (which may also include seminars, tutorials, workshops and other contact time) are approximate and may include in-class tests where one or more of these are an assessment on the module. In-class tests are scheduled/organised separately to taught content and will be published on to student personal timetables, where they apply to taken modules, as soon as they are finalised by central administration. This will usually be after the initial publication of the teaching timetable for the relevant semester.

Reading list

https://readinglists.surrey.ac.uk
Upon accessing the reading list, please search for the module using the module code: BMSM030

Other information

Ideally the student should be working/ have access to renal patients

Programmes this module appears in

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 2021/2 academic year.