Pathology and Dietotherapy II

Code:

CN41001

Acronym:

PATDI2

Keywords
Classification	Keyword
OFICIAL	Social Science

Instance: 2012/2013 - 1S

Active?	Yes
Course/CS Responsible:	Nutrition Sciences

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
CNUP	110	Plano oficial	4	-	8,5	91	229,5

Teaching language

Portuguese

Program

BLOOD
Physiopathology of blood diseases
Diet therapy and nutritional care in haematological
OSTEOPOROSIS
Metabolic and nutritional balance and mobility, related with bone mass losses
Risks factors to osteoporosis
Primary osteoporosis type 1 and 2
Modified and not modified factors
Secondary osteoporosis
Nutritional care
HIPERURICEMIA AND GOUT
Definition
Nutritional care, pharmacologic therapy
KIDNEY DISEASES
Physiopathology
Causes, symptoms, nutritional care and diet therapy of:
Acute Glomerulonephritis
Chronic Glomerulonephritis
Nephrotic syndrome (classic treatment, vegetarian diets)
Acute renal failure
Chronic renal failure
KIDNEY STONES
Common kidney stones
Incidence and prophylactic treatment
Nutritional care and diet therapy
SUBSTITUTIVE TREATMENT IN RENAL FUNCTION
Haemodialysis:
Nutritional problems
Diet guidelines
Peritoneal Dialysis:
Nutritional problems
Diet guidelines
TRANSPLANT
Nutritional assessment
Pharmacological therapy
Nutritional care in:
renal transplant
pancreas and kidney transplant
liver transplant
thoracic transplant
bone marrow transplant
NEUROLOGICAL DISEASES
Physiopathology, nutritional care and diet therapy in:
- Alzheimer’s disease
- Parkinson´s disease
- Epilepsy
- Multiple sclerosis
CYSTIC FIBROSIS
Definition
Clinical manifestations
Energetic imbalance– responsible factors
Nutritional care and diet therapy
NUTRITIONAL SUPPORT
Nutritional support indications
Metabolic stress patient necessities calculations (Basal Metabolism Energetic expenditure, nitrogen and water balance)
Interdisciplinary and multidisciplinary teams – importance and goals
ENTERAL FEEDING
General principles
Enteral feeding devices
Hospital liquid diets characteristics
Commercial liquid diets characteristics
Enteral access’s and administration methods
Complications
PARENTERAL NUTRITION
General principles
Parenteral nutrition devices
Parenteral access’s and administration methods
Product’s characteristics and classification
Complications
NUTRITIONAL SUPPORT IN CRITICAL PATIENTS
Stress physiological and metabolic response
Nutritional assessment
Nutritional guidelines
Physiological changes and necessities calculations in the catabolic patients

Mandatory literature

Mitch William E. 340; Nutrition and the kidney. ISBN: 0-316-57500-3
Worthington Patricia H.; Practical aspects of nutritional support. ISBN: 0-7216-6964-6
Mahan L. kathleen; Krause.s food, nutrition, & diet therapy. ISBN: 0-7216-9784-4
Shils Maurice E. 340; Modern nutrition in health and disease. ISBN: 0-8121-1485-X
Heimburger Douglas C.; Handbook of clinical nutrition. ISBN: 0-8151-9274-6
Waitzberg Dan Linetzky; Nutrição oral, enteral e parenteral na prática clínica. ISBN: 85-7379-255-8

Teaching methods and learning activities

a. Expositive method (theory class) – to organize in a hierarchic way, ideas of each discussion theme and to explore critic courage in clinical nutrition and diet therapy.

b. Demonstration and questioning method (theory-practical class) - discussion and presentation of clinical cases, to merge knowledge with an active participation of the student. These classes could be used to presentation of short seminaries in the discipline scope.
c. Active and question method (laboratorial classes) – to teach: how to evaluate nutritional state and food intake in patients, methods to calculate nutritional individual therapy, its implementation, monitoring and evaluation.

Evaluation Type

Evaluation with final exam

Calculation formula of final grade

- Evaluation will be made by final exam
- Final exam will be written, with a theory part (50%) and a practice part (50%). Final classification will be rounded to units.
- Theory could be comprise with multiple choose questions, or by true or false statements, and could only be included development questions.
- Practice exam will be a clinical case to be solve with a rightly food plan.
- The student will be approved equal or up to 9,5values.
- workers students will have the same evaluation method.