CLINICAL NUTRITION AND NUTRITION SUPPORT - 2017/8
Module code: MHUM008
School of Biosciences and Medicine
ENGEL B Dr (Biosc & Med)
Number of Credits
FHEQ Level 7
Module cap (Maximum number of students)
Overall student workload
Independent Study Hours: 118
Lecture Hours: 70
|Assessment type||Unit of assessment||Weighting|
|Coursework||CRITICAL REVIEW OF IMMUNO-NUTRITION||50%|
|Examination||OPEN BOOK EXAM: CARE PLAN FOR 2 UNSEEN CASE STUDIES||50%|
Prerequisites / Co-requisites
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.
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
|A comprehensive understanding of how clinical and functional metabolic states influence nutritional needs;||KCT|
|A full appreciation of how neuroendocrine and cytokine mediated metabolic changes likely to limit nutrient utilisation in hospital patients||KCT|
|Complete appreciation for the methods of assessment of clinical and functional metabolic state and be able to identify different presentations of malnutrition;||KCPT|
|A comprehensive understanding the causes of malnutrition and their consequences for nutritional needs;||KCPT|
|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|
|A full understanding of the ethical issues of different dietary management strategies||KCT|
C - Cognitive/analytical
K - Subject knowledge
T - Transferable skills
P - Professional/Practical skills
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
Evidence based practice ; using Critical appraisal of nutrition related research in order to inform practice.
Evidence based practice ; guidelines
Energy and protein requirements: Metabolic stress: anorexia and starvation, injury; infection, burns, surgery
Micronutrient requirements and immuno-nutrition; Metabolic stress: anorexia and starvation, trauma, infection, burns, surgery
Timing of nutrients: Pre and post op feeding, Re-feeding syndrome
The GI tract and inflammation: Pro, pre and symbiotics
The Gut : food intolerance; treatment of IBS ,
Management of patients with chronic conditions e.g.renal disease, HIV; practical issues and new research in micronutrients and anabolic agents
Cancer –management of symptoms and treatment effects. also prevention, secondary prevention
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
Open book Exam
Methods of Teaching / Learning
Lectures, tutorials, and interactive seminars.
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
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 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 for CLINICAL NUTRITION AND NUTRITION SUPPORT : http://aspire.surrey.ac.uk/modules/mhum008
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.