CHS - 369

Course description CHS - 369

This is a practical course where student will learn how to integrate previous knowledge and acquire skills necessary for hospital work as dietitian .The course focuses on nutritional assessment, planning intervention and follow-up patients for variety of medical conditions including; Obesity, Diabetes Mellitus, renal diseases, liver diseases, gastrointestinal conditions.

Course syllabus

week	Date	Day	Topic	Location	Remarks
1	26/1	Sat	1st meeting	Collage
	29/1	Tue	Introduction	Collage
2	2/2	Sat	Obesity /weight management Hospital visit (1)	KKUH
	5/2	Tue	Obesity Reading	Collage
3	9/2	Sat	DM – Hospital visit (2)	KKUH	Assig.(1) is due
	12/2	Tue	Cases discussion	Collage
4	16/2	Sat	DM – Hospital visit (3)	KKUH	Assig.(2) is due
	19/2	Tue	Cases discussion	Collage
5	23/2	Sat	Liver – Hospital visit (4)	KKUH	Assig.(3) is due
	26/2	Tue	Cases discussion	Collage
6	2/3	Sat	Liver – Hospital visit (5)	KKUH	Assig.(4) is due
	5/3	Tue	Cases discussion	Collage
7	9/3	Sat	GI – Hospital visit (6)	KKUH	Assig.(5) is due
	12/3	Tue	Cases discussion	Collage
8	16/3	Sat	GI – Hospital visit (7)	KKUH	Assig.(6) is due
	19/3	Tue	1st Exam	Collage
9	23/3	Sat	Break!!J
	26/3	Tue	Break!!J
10	30/3	Sat			Assig.(7) is due
	2/4	Tue	Cases discussion	Collage
11	6/4	Sat	Renal – Hospital visit (8)	KKUH
	9/4	Tue	Cases discussion	Collage
12	13/4	Sat	Renal – Hospital visit (9)	KKUH	Assig.(8) is due
	16/4	Tue	Cases discussion	Collage
13	20/4	Sat	Reading	Collage	Assig.(9) is due
	23/4	Tue	Cases discussion	Collage
14	27/4	Sat	Reading	Collage
	30/4	Tue	2nd Exam	Collage
15	4/5	Sat	Final project	KKUH
	7/5	Tue	Final project	Collage
16	11/5		Final project	Collage
	14/5		Final project /quiz	Collage

References

• Food nutrition & diet therapy ( l. Kathleen Mahan, Sylvia Escott-Stump 11^th edition 2004
• Manual of Clinical Dietetics by American Dietetic Association.

Assignment example

Case Study

Mohammed 40 years old, weighing 55 Kg, Ht 170 cm. a known case of liver cirrhosis, presented with neuromuscular manifestations, dementia, ascites, jaundice, severe loss of appetite, nausea and steatorrhea . Past medical history of GERD due to frequent episodes of vomiting which further interferes with his dietary intake. Pt admitted to the hospital for further investigations.

He was admitted to the hospital on 3 Decmber 2012; at 11 am in ward 22 A, Room 2-Bed 2 with medical number 23-66-89

His nurse informs the doctor about his last Temp (39.5 C˚) and BP (110/70 mmHg) which was at 12 am, on 3 Decembr.

Abnormal laboratory values include:

Elevated liver enzymes (↑ ALT = 85 U/L, ↑ AST = 100 U/L), total Billirubin (↑ 5 mg/dl) and Ammonia (↑NH3= 70 mmol/L).

Reduced Albumin level (↓2.5 g/dl), hemoglobin (↓HGB = 10.9 g/dl) and blood urea nitrogen

(↓ BUN = 5 mg/dl).

∆ Hepatic encephalopathy – stage 1, liver cirrhosis.

• Based on the available data, what nutritional therapy would you prescribe ? (showing it through SOAP note)