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Course Detail

Course Name Clinical Nutrition and Dietetics – II
Course Code 25FSN212
Program B.Sc. (Hons) Food Science and Nutrition (4 Year)
Semester 4
Credits 4
Campus Coimbatore

Syllabus

Unit I

Introduction to Therapeutic and Special Diets 9 hrs.

Types of therapeutic diets, routine hospital diet-customized diet plan- Regular Diets, Mechanically Altered or Fiber- Restricted Diets, Liquid Diets, Diet for Dysphagia, Diet Modifications for Therapeutic Care – Modifying Basic Nutrients, Modifying Energy Value, Modifying Texture or Consistency, Modifying Seasonings, Special feeding methods-enteral nutrition, parenteral nutrition, tube feeding, malnutrition in hospitalized patients-the cycle of malnutrition and infection

Types of special diet- vegan diet, gluten-free diet, Ketogenic diet, Atkins diet, Mediterranean diet, Diabetic diet, Renal diet, DASH diet, low fat diet, Paleolithic diet, FAD diet, current trends in personalized nutrition.

Unit II

Dietary Management of Metabolic Syndrome Disorders 15 hrs.

Diabetes mellitus – types, etiology, symptoms and diagnosis, aims of dietary treatments, special dietary consideration for type I and II diabetics, complications of diabetes, Food exchange list, Glycemic Index, glycemic load, CHO counting, Sweeteners and Sugar Substitutes, significance of physical activity

Diseases of the heart and blood vessels- etiology, symptoms and diagnosis; atherosclerosis, lipids and other dietary factors and coronary heart diseases (CHD). Diet in CHD, hypertension, congestive heart failure and hyperlipidemia.

Unit III

Dietary Management of Gastrointestinal Disease 12hrs.

Pathophysiology of GI Tract Diseases – Anatomic, Physiologic and Functional Changes, Impact on Nutritional Status, Diseases of Esophagus and Stomach-Nutritional requirement and dietary modification in Esophagitis, Dyspepsia, GERD, Peptic Ulcer, Gastritis, Gastrectomy -Dumping Syndrome, Intestinal Diseases, Flatulence, Diarrhoea, Constipation, Hemorrhoids, Diverticular disease, Inflammatory Bowel Disease- Crohn’s disease Ulcerative Colitis, Irritable bowel syndrome, Malabsorption Syndrome.

Unit IV

Dietary Management in Liver and Kidney Diseases 12 hrs.

Diseases of the liver – functions of liver, clinical assessment of liver function. Pathogenesis, signs and symptoms of hepatitis, acute liver failure, cirrhosis and encephalopathy. Nutritional management in liver diseases.

Dietary management in gallbladder diseases.

Diseases of the kidney – functions of kidney, clinical assessment of kidney function. Pathogenesis, signs and symptoms of acute and chronic renal failure, nephrotic syndrome and renal calculi. Nutritional management in kidney diseases and during renal replacement therapy

Unit V

Dietary Management in Neoplastic and Specific Diseases 12hrs.

Cancer- Types, stages and markers, Nutrition in the etiology of cancer, Nutritional effects of cancer and cancer therapy, nutritional care of cancer patient, Guidelines on Quality of Life improvement, food supplementary.

Gout- Role of protein & purine, Etiology, Symptoms & complication, dietary Management. Inborn Errors of Metabolism- PKU, MSUD, Tyrosinemia, Homocystinuria, Glycogen storage Disorder, Galactosemia, Glutaricaciduria, Other Types.

Objectives and Outcomes

Pre-requisite: Medical Nutrition Therapy & Diseases

Course Objective:

  1. To give better understanding on the role of nutrition for managing disease
  2. To create better knowledge on different therapeutic diets and their
  3. To acquire relevant skills to develop as a

Course Outcomes:

CO1: Understand the types of therapeutic and requirements of special diets.

CO2: Gain core knowledge on the dietary management of metabolic syndrome and associated disorders CO3: Gain experience on the dietary management of gastrointestinal tract disorders

CO4: Gain knowledge on the dietary planning for liver and kidney diseases

CO5: Understand the dietary management involved in neoplastic and specific diseases

Skills:

  • Develop skills and techniques in the planning and preparation of diets for various disease conditions
  • Applying principles of diet therapy in planning, preparation and nutrient calculation of hospital diets, therapeutic diets for various diseases

CO-PO Mappings

PO1 PO2 PO3 PO4 PO5 PO6 PO7 PSO1 PSO2 PSO3 PSO4
CO1 3 1 2 2 2 3 2 2 1
CO2 3 1 2 2 2 3 2 2 1
CO3 3 1 2 2 2 3 2 2 1
CO4 3 1 2 2 2 3 2 2 1
CO5 3 1 2 2 2 3 2 2 1

Evaluation Pattern

Evaluation Pattern:

Assessment Internal External
Periodical 1 & Periodical 2 / Midterm 30
*Continuous Assessment (CA) 20
End Semester 50

*CA – Can be Quizzes, Assignment, Projects, and Reports, and Seminar

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