Veidlapa Nr. M-3 (8)
Study Course Description
Clinical Placement III
Course Code
SUUK_303
Branch of Science
Clinical medicine; Nutrition
ECTS
26.00
Target Audience
Medical Services; Rehabilitation
LQF
Level 6
Study Type And Form
Full-Time; Part-Time
Study Course Implementer
Course Supervisor
Lolita Jakubāne
Structure Unit Manager
Liāna Deklava
Structural Unit
Department of Rehabilitation
Contacts
Riga, Cigoriņu Street 3, spk@rsu.lv, +371 67611559
About Study Course
Objective
To strengthen the student's knowledge, develop and improve practical skills and acquire competence in accordance with the profession standard of the nutrition specialist. During the Clinical Practice III, the student must observe, manage and analyze the specifics of the nutrition specialist.
Preliminary Knowledge
All courses previously tought in study program.
Learning Outcomes
Knowledge
1.Understands the structure of the anamnesis, knows the functioning of a person in normal and pathological conditions, follows ethical norms in communication with the patient. Understands the impact of nutrition therapy on health status and objectives, understands the indications and contraindications for the use of medical technology. Understands the bioenergetic processes in the human organism - the metabolism of carbohydrates, fats and proteins. Understands nutritional therapy for patients in the acute phase of inpatient, outpatient and within the multi-professional rehabilitation team.
Skills
1.Respects patient rights, confidentiality principles, data protection. Determines the patient's complaints and needs, identifies the patient's medical records and documents the patient's medical anamnesis. Bases objectives of nutrition therapy on the results of the evaluation and analysis of the patient's nutrition, eating habits, functional capacity and the daily nutrients and energy needed and the conclusion of a nutrition specialist. Informs the patient about the information obtained in the evaluation process and the conclusion, professionally documents the information obtained during the consultation, prepares the conclusion of a nutrition specialist on the patient's nutritional status.
Competences
1.Respects the patient's confidentiality and the protection of personal data, autonomy and rights in the professional activity of a nutrition specialist. Purposefully obtains information from the medical records of the patient and / or relatives, caregiver or legal representative for the provision of nutritional therapy, analyses and evaluates the results obtained during the consultation and identifies the problem. Completes the medical documentation in a comprehensible, professional manner, using professional terminology. Explains and justifies nutrition specialist consultation process and the conclusion and recommendations in a way that the patient and / or relative, caregiver, or legal representative can understand. Determines the patient's goals and the desired outcome of nutritional therapy and together with the patient sets significant, specific, achievable objectives, developing a treatment plan and correctly documenting it. Applies knowledge of nutrition therapy, diseases, food and cooking technologies. Purposefully, professionally and respectfully cooperates with other medical practitioners.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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The student must independently study the sources of the indicated literature, prepare a portfolio of clinical practice and a presentation of two clinical cases.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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Compulsory visit of Clinical Practice, passed the practice exam.
Cumulative assessment is based on Clinical Practice III grade and portfolio, which is equal to 60% of the total grade, detailed analysis of clinical cases – 20% and clinical case presentation, which is equal to 40% of the total grade.
The portfolio should include:
a) tracking of practice hours,
b) summary of daily work procedures and activities,
c) reflections about the gained experience, conclusions and self-assessment,
d) supervisor's assessment of the individual effort during clinical practice,
e) detailed analysis of two clinical cases (spring and autumn Clinical Practice III).
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Study Course Theme Plan
FULL-TIME
Part 1
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Lecture
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Modality
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Location
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Contact hours
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Off site
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E-Studies platform
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2
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Topics
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Introduction to clinical practice III
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
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E-Studies platform
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2
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Topics
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Introduction to clinical practice III
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
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E-Studies platform
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2
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Topics
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Introduction to clinical practice III
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
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E-Studies platform
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2
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Topics
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Introduction to clinical practice III
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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Students get acquainted with the principles of patients 'rights, information to be provided to patients, informed consent, protection of patients' data, rights and obligations of medical personnel. Get acquainted with the health care services provided by the hospital - inpatient, outpatient, hospital clinics and centers.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students learn the organization of the work of the feeding process, the types of hospital diets. Performs organoleptic examination of food in the hospital kitchen and at the patient; evaluate and describe the results.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students get acquainted with the oncology patient self-assessment questionnaire, perform oncology patient malnutrition screening, fill in the oncology patient self-assessment questionnaire (PG - SGA); processes and analyzes the obtained data. After screening, patients at risk are identified and nutritional assessments are performed.
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Placement
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Modality
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Location
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0
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Topics
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During the internship, students get acquainted with the types of radiation therapy in the treatment of oncological diseases, possible side effects of radiation therapy, toxicity classification (RTOG).
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Placement
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Modality
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Location
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Contact hours
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Placement location
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0
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Topics
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During the internship, students get acquainted with the malnutrition screening questionnaire for geriatric patients, perform a Mini Nutritional Assessment (MNA) screening, process and analyze the obtained data.
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Placement
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Modality
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Location
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Contact hours
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On site
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Placement location
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0
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Topics
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During the internship, students get acquainted with dietary recommendations for chylothorax. Discuss a clinical case - a patient with lymph accumulation in the pleural space; understands the guidelines for dietary recommendations. Create a menu for a patient with high protein and low fat content.
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Placement
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Modality
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On site
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Placement location
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0
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Topics
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During the internship, students discuss the patients' diet during the perioperative period; ascertain the principles of feeding patients in the hospital in the postoperative period after various types of surgical operations. Works with ERAS protocols.
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Placement
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Modality
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Location
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Contact hours
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On site
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Placement location
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0
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Topics
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During the internship, students discuss the types of stoma; visits patients with ileo - or colonostomy, collects medical history using developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
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Placement
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Modality
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Location
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Contact hours
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On site
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Placement location
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0
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Topics
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During the internship, students discuss the types of gastrectomy; visits patients after gastrectomy, collects medical history using developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
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Placement
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Modality
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Location
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Contact hours
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Placement location
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0
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Topics
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During the internship, students visit patients after kidney transplantation, collect a history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
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Placement
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Modality
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Location
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Contact hours
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On site
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Placement location
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0
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Topics
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During the internship, students discuss dietary recommendations for breast cancer patients after surgery; form nutrition negotiation cycles with breast cancer patients.
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Placement
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Modality
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Location
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Contact hours
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On site
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Placement location
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0
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Topics
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During the internship, students perform patient malnutrition screening in NRS 2002, process and analyze the obtained data, identify patients at risk. Use GLIM criteria for malnutrition. Students visit patients with diseases of the gastrointestinal tract (GERD, IBS, Crohn's disease, ulcerative colitis, acute and chronic pancreatitis, liver, gallbladder diseases), collect a history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
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Placement
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Modality
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Location
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Contact hours
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On site
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Placement location
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0
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Topics
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During the internship, students visit patients after facial jaw surgery, collect a history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home. Familiarizes with enteral feeding mixes, provides recommendations. Students visit the patient after surgery (facial cleft in children), in consultation with the parent, a medical history is collected using the developed protocols.
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Placement
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Modality
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Location
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Contact hours
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On site
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Placement location
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0
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Topics
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During the internship, students discuss the types of kidney disease (acute and chronic kidney disease), the catabolic processes caused by the disease and the risk of malnutrition, dietary recommendations. Perform a malnutrition screening. During the internship, students find out how the patient is preparing for hemodialysis and peritoneal dialysis and how it is done. Visits dialysis patients, collects a history using the developed protocols.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students find out how the patient training process is organized in the diabetes office. Learn how to calculate your insulin dose and the number of bread units when creating a one-day menu. A medical history is collected using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students visit patients with rheumatological diseases, collect a history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students discuss a clinical case (with glucocorticoid effects). Understands the effects of medications and dietary guidelines. Create a one-day menu for a patient with rheumatic disease.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students visit a patient with PCO, iron deformity anemia or myoma, collect a history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students visit patients after a stroke, collect a medical history using the developed protocols. Discusses swallowing problems after a stroke. Recommends nutrition in the hospital and develops dietary recommendations at home. Students get acquainted with enteral feeding mixtures, give recommendations.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students visit patients with cardiac cachexia, heart failure, hypertension, fibrillation, infarction. Collect the history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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Students get acquainted with the specifics of nutritional therapy in oncology and hematology, incl. more common diet-related side effects during treatment. Adds knowledge to NRS 2002 + GLIM.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students go to the Department of Chemotherapy and Radiation Therapy, where patients are screened for malnutrition (NRS + GLIM), as well as have a detailed history - specific attention is paid to diet-related side effects (diarrhea, nausea, vomiting, changes in appetite / taste, weight changes, etc.), make recommendations to the hospital and develop dietary recommendations for patients going home.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students are given to patients in the department of hematology - peculiarities of nutrition in patients with neutropenia, evaluation of signs of anemia, collection of medical history, development of dietary recommendations for the hospital period and at home.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students perform malnutrition screening for patients with abdominal oncology, evaluate patients before the operation period - make dietary recommendations for the patient before / after the operation period.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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Students get acquainted with possible solutions for nutritional therapy in cases of dysphagia. Nutritional thickening (Nutilis application).
During the internship, students visit the department of neurology, collect a history of patients, pay special attention to dysphagia, ask the patient about the consistency of nutrition, evaluate the audiologist's conclusion about dysphagia, find out if the swallowing reflex - or rehabilitation to restore swallowing, develop dietary recommendations for home.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students go to the surgery department, visit a patient after gastrectomy, with small bowel syndrome, ileostomy or other type of bowel resection, students evaluate the part and volume of the excised intestine, analyze changes in nutrient absorption, develop nutritional recommendations for the hospital period and home
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students go to the NNAT clinic, visit a patient with nephrotic syndrome, ANM; students collect a history and evaluate edema, make dietary recommendations for the hospital period and home. Renal replacement therapy - HD and PD; collect a medical history, determine the patient's weight, and weight gain between dialysis days, develop dietary recommendations for the home.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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Students supplement their knowledge of ENT nutrition, NG / NJ / PEG / PEJ care. During the internship, students collect a history of a patient who has developed a PEG / PEJ to start feeding, evaluate a formula and how much to administer to the patient at home. Students evaluate a patient with PEG / PEJ skin around the stoma. Make an appropriate enteral feeding plan for your home.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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Students supplement their knowledge of PNT feeding + refeeding syndrome. During the internship, students evaluate the risk of refeeding syndrome, perform a malnutrition screening, collect a medical history, analyze electrolyte levels in blood tests, develop dietary recommendations for patients with refeeding syndrome.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students evaluate the nutritional capacity of patients in intensive care - may / may not be fed, orally, enterally, parenterally, combined, calculate the amount of calories and nutrients needed by the patient, draw up a diet plan in the hospital.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students collect the patient's medical history during pregnancy and / or postpartum, using protocols for nutritionists. Students develop nutritional recommendations for the patient in accordance with the set conclusion and the necessary nutritional therapy.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students consult patients after surgical operations (including bariatrics, aesthetic surgery, etc.). Students provide the patient with dietary recommendations according to the proposed conclusion and the necessary nutritional therapy.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students get acquainted with the specifics and planning of work in a closed catering establishment, catering programs, principles of compiling menus, special diets, organization of purchases. Students compile a menu using a catering program (products, technology cards, menus).
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Placement
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Modality
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Location
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Contact hours
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On site
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Placement location
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0
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Topics
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During the internship, students are introduced to the course of the children's weight correction program, supplemented with theoretical knowledge about the goals of weight correction for children and adolescents. During the internship, students collect a medical history, determine the goals of nutritional therapy and prepare recommendations for patients and their families according to the patient's state of health.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students are introduced to the organization of work in the inpatient and outpatient clinics of the eating disorder clinic; complements practical knowledge of nutritional therapy for eating disorders (anorexia nervosa, bulimia nervosa, compulsive eating disorders, AST). During the internship, students collect a medical history, determine the goals of nutritional therapy and prepare recommendations for patients and their families according to the patient's state of health.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students get acquainted with work in the department of allergology, pulmonology and dermatology. Supplements theoretical knowledge about the possibilities of nutritional therapy in cases of food allergies. Students consult patients in the ward, collect a medical history, determine the goals of nutritional therapy and prepare recommendations for patients and their families according to the patient's state of health.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students get acquainted with the recommendations for infant feeding based on the EPSGHAN guidelines, get acquainted with the types of infant formulas and indications for use. Students consult patients in the ward, collect a medical history, determine the goals of nutritional therapy and prepare recommendations for patients and their families according to the patient's state of health.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students supplement their theoretical knowledge of enteral feeding guidelines for children. In the children's rehabilitation department, students make calculations of the amount and type of nutrition required
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students get acquainted with the organization of work in the department of surgery, supplement their theoretical and practical skills in pre- and post-operative nutrition therapy for children.
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Placement
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Modality
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Location
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Contact hours
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On site
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Placement location
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0
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Topics
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Within the internship, students will get acquainted with the work of the Rare Diseases Coordination Center, care of rare disease patients in Latvia. Adds theoretical and practical knowledge of nutritional therapy for congenital metabolic diseases (FKU, HCU, LCHADD, galactosemia), chromosomal diseases (Down syndrome, Prader-Willi syndrome, Terner syndrome), cystic fibrosis, tuberous sclerosis, etc. During the internship, students collect a medical history, set goals for nutritional therapy.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship in the Department of Child Rehabilitation, students supplement both theoretical and practical knowledge about the goals of nutritional therapy for patients with AST, BCT, after injuries. During the internship, students consult patients in the ward, collect a medical history, determine the goals of nutrition therapy and prepare recommendations for patients and their families according to the patient's health condition.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students acquire knowledge about the organization of the feeding process in BKUS, about hospital diets (gentle, diabetic, nephrological, upon individual request). Students, in consultation with the patients in the ward, collect a medical history, determine the goals of nutritional therapy and prepare recommendations for patients and their families according to the patient's state of health.
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Total ECTS (Creditpoints):
17.00
Contact hours:
4 Academic Hours
Final Examination:
Report (Placement)
Part 2
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students collect a history of outpatients using protocols for nutritionists. Students develop and provide the patient with nutritional recommendations in accordance with the proposed conclusion and the necessary nutritional therapy.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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Students are introduced to the possibilities of remote consultation using video communication tools, the specifics of the work and the necessary preparation process. During the internship, students remotely collect the patient's medical history using protocols for nutritionists. Students provide the patient with dietary recommendations according to the proposed conclusion and the necessary nutritional therapy.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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Students are introduced to the practice of counseling for patients with mental health disorders, the duties of a nutritionist in a medical institution and specific nutritional therapy in the case of psychiatric illnesses. Students collect a patient's medical history, evaluate eating habits, and evaluate tests or examinations
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students are introduced to the specifics of the work of the rehabilitation center, health care services - day hospital program, outpatient rehabilitation, home care, structural unit "Seniors' House". Evaluates the importance of an effective team in the implementation of rehabilitation services and the role of a nutritionist in it.
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Placement location
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0
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Topics
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During the internship, students get acquainted with the specifics of rehabilitation for patients with predictable disabilities. Students assess disability according to the International Classification of Functioning. The student uses: - Cabinet Regulation No. 805 and Cabinet Regulation No. 279
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students collect a history of patients using protocols for nutritionists. (In addition, standardized assessment tools are used to assess the patient, as well as a questionnaire to assess the person's daily activities and the environment, a rehabilitation problem-solving form, a WHO disability assessment list). Students develop and provide the patient with nutritional recommendations in accordance with the proposed conclusion and the necessary nutritional therapy.
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Placement
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Modality
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Contact hours
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Placement location
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0
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Topics
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During the internship, students get acquainted with neurological rehabilitation of patients after a stroke. Students collect a patient's medical history using protocols for nutritionists (in addition, standardized assessment tools are used to assess the patient); perform dysphagia screening (water ingestion test, swallowing test); determine the risk of malnutrition in patients after a stroke.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students get acquainted with the principles of rehabilitation and care in geriatrics, as well as the principles of rehabilitation for patients with rheumatological diseases, patients with cognitive disorders, patients with diabetes, patients with cardiovascular diseases. Students perform anthropometric measurements and malnutrition screening (Mini nutritional assessment) for seniors, evaluate the obtained data.
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Placement location
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0
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Topics
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During the internship, students get acquainted with rehabilitation opportunities for patients with skeletal, muscular and connective tissue diseases. During the internship, students collect a patient's medical history using protocols for nutritionists. Students provide the patient with dietary recommendations in accordance with the proposed conclusion and the necessary nutritional therapy, justify the need for nutritional correction. Students fill out a rehabilitation problem solving form.
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Placement
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
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Topics
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During the internship, students get acquainted with the rehabilitation of oncology patients, collect the patient's medical history using protocols for nutritionists. Taking into account the condition and needs of oncology patients, students develop nutritional recommendations for the patient in accordance with the set conclusion and the necessary nutritional therapy.
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Placement
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Contact hours
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|---|---|---|
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On site
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Placement location
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0
|
Topics
|
During the internship, students consult rehabilitation patients with a CD. Students collect the patient's medical history using protocols for nutritionists, paying special attention to the types of insulins, their storage, glucose control methods, and glucometers. Understands the effects of medications and dietary guidelines. Students develop dietary recommendations for patients in accordance with the set conclusion and the necessary nutritional therapy.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students consult patients in the rehabilitation center, taking into account the interaction of everyday medicines. Students collect a patient's medical history, focusing on medication (glucocorticosteroids, methotrexate, metformin, diuretics, omeprazole, iron, thyroxine, allopurinol, probiotics), side effects, and possible nutritional deficiencies. Taking into account the patients' health condition and needs, students develop dietary recommendations for the patient
|
Total ECTS (Creditpoints):
9.00
Contact hours:
4 Academic Hours
Final Examination:
Defence (Placement)
PART-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Introduction to clinical practice III
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Introduction to clinical practice III
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Introduction to clinical practice III
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Introduction to clinical practice III
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
Students get acquainted with the principles of patients 'rights, information to be provided to patients, informed consent, protection of patients' data, rights and obligations of medical personnel. Get acquainted with the health care services provided by the hospital - inpatient, outpatient, hospital clinics and centers.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students learn the organization of the work of the feeding process, the types of hospital diets. Performs organoleptic examination of food in the hospital kitchen and at the patient; evaluate and describe the results.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with the oncology patient self-assessment questionnaire, perform oncology patient malnutrition screening, fill in the oncology patient self-assessment questionnaire (PG - SGA); processes and analyzes the obtained data. After screening, patients at risk are identified and nutritional assessments are performed.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with the types of radiation therapy in the treatment of oncological diseases, possible side effects of radiation therapy, toxicity classification (RTOG).
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with the malnutrition screening questionnaire for geriatric patients, perform a Mini Nutritional Assessment (MNA) screening, process and analyze the obtained data.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with dietary recommendations for chylothorax. Discuss a clinical case - a patient with lymph accumulation in the pleural space; understands the guidelines for dietary recommendations. Create a menu for a patient with high protein and low fat content.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students discuss the patients' diet during the perioperative period; ascertain the principles of feeding patients in the hospital in the postoperative period after various types of surgical operations. Works with ERAS protocols.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students discuss the types of stoma; visits patients with ileo - or colonostomy, collects medical history using developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students discuss the types of gastrectomy; visits patients after gastrectomy, collects medical history using developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students visit patients after kidney transplantation, collect a history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students discuss dietary recommendations for breast cancer patients after surgery; form nutrition negotiation cycles with breast cancer patients.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students perform patient malnutrition screening in NRS 2002, process and analyze the obtained data, identify patients at risk. Use GLIM criteria for malnutrition. Students visit patients with diseases of the gastrointestinal tract (GERD, IBS, Crohn's disease, ulcerative colitis, acute and chronic pancreatitis, liver, gallbladder diseases), collect a history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students visit patients after facial jaw surgery, collect a history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home. Familiarizes with enteral feeding mixes, provides recommendations. Students visit the patient after surgery (facial cleft in children), in consultation with the parent, a medical history is collected using the developed protocols.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students discuss the types of kidney disease (acute and chronic kidney disease), the catabolic processes caused by the disease and the risk of malnutrition, dietary recommendations. Perform a malnutrition screening. During the internship, students find out how the patient is preparing for hemodialysis and peritoneal dialysis and how it is done. Visits dialysis patients, collects a history using the developed protocols.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students find out how the patient training process is organized in the diabetes office. Learn how to calculate your insulin dose and the number of bread units when creating a one-day menu. A medical history is collected using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students visit patients with rheumatological diseases, collect a history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students discuss a clinical case (with glucocorticoid effects). Understands the effects of medications and dietary guidelines. Create a one-day menu for a patient with rheumatic disease.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students visit a patient with PCO, iron deformity anemia or myoma, collect a history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students visit patients after a stroke, collect a medical history using the developed protocols. Discusses swallowing problems after a stroke. Recommends nutrition in the hospital and develops dietary recommendations at home. Students get acquainted with enteral feeding mixtures, give recommendations.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students visit patients with cardiac cachexia, heart failure, hypertension, fibrillation, infarction. Collect the history using the developed protocols. Recommends nutrition in the hospital and develops dietary recommendations at home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
Students get acquainted with the specifics of nutritional therapy in oncology and hematology, incl. more common diet-related side effects during treatment. Adds knowledge to NRS 2002 + GLIM.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students go to the Department of Chemotherapy and Radiation Therapy, where patients are screened for malnutrition (NRS + GLIM), as well as have a detailed history - specific attention is paid to diet-related side effects (diarrhea, nausea, vomiting, changes in appetite / taste, weight changes, etc.), make recommendations to the hospital and develop dietary recommendations for patients going home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students are given to patients in the department of hematology - peculiarities of nutrition in patients with neutropenia, evaluation of signs of anemia, collection of medical history, development of dietary recommendations for the hospital period and at home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students perform malnutrition screening for patients with abdominal oncology, evaluate patients before the operation period - make dietary recommendations for the patient before / after the operation period.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
Students get acquainted with possible solutions for nutritional therapy in cases of dysphagia. Nutritional thickening (Nutilis application).
During the internship, students visit the department of neurology, collect a history of patients, pay special attention to dysphagia, ask the patient about the consistency of nutrition, evaluate the audiologist's conclusion about dysphagia, find out if the swallowing reflex - or rehabilitation to restore swallowing, develop dietary recommendations for home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students go to the surgery department, visit a patient after gastrectomy, with small bowel syndrome, ileostomy or other type of bowel resection, students evaluate the part and volume of the excised intestine, analyze changes in nutrient absorption, develop nutritional recommendations for the hospital period and home
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students go to the NNAT clinic, visit a patient with nephrotic syndrome, ANM; students collect a history and evaluate edema, make dietary recommendations for the hospital period and home. Renal replacement therapy - HD and PD; collect a medical history, determine the patient's weight, and weight gain between dialysis days, develop dietary recommendations for the home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
Students supplement their knowledge of ENT nutrition, NG / NJ / PEG / PEJ care. During the internship, students collect a history of a patient who has developed a PEG / PEJ to start feeding, evaluate a formula and how much to administer to the patient at home. Students evaluate a patient with PEG / PEJ skin around the stoma. Make an appropriate enteral feeding plan for your home.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
Students supplement their knowledge of PNT feeding + refeeding syndrome. During the internship, students evaluate the risk of refeeding syndrome, perform a malnutrition screening, collect a medical history, analyze electrolyte levels in blood tests, develop dietary recommendations for patients with refeeding syndrome.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students evaluate the nutritional capacity of patients in intensive care - may / may not be fed, orally, enterally, parenterally, combined, calculate the amount of calories and nutrients needed by the patient, draw up a diet plan in the hospital.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students collect the patient's medical history during pregnancy and / or postpartum, using protocols for nutritionists. Students develop nutritional recommendations for the patient in accordance with the set conclusion and the necessary nutritional therapy.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students consult patients after surgical operations (including bariatrics, aesthetic surgery, etc.). Students provide the patient with dietary recommendations according to the proposed conclusion and the necessary nutritional therapy.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with the specifics and planning of work in a closed catering establishment, catering programs, principles of compiling menus, special diets, organization of purchases. Students compile a menu using a catering program (products, technology cards, menus).
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students are introduced to the course of the children's weight correction program, supplemented with theoretical knowledge about the goals of weight correction for children and adolescents. During the internship, students collect a medical history, determine the goals of nutritional therapy and prepare recommendations for patients and their families according to the patient's state of health.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students are introduced to the organization of work in the inpatient and outpatient clinics of the eating disorder clinic; complements practical knowledge of nutritional therapy for eating disorders (anorexia nervosa, bulimia nervosa, compulsive eating disorders, AST). During the internship, students collect a medical history, determine the goals of nutritional therapy and prepare recommendations for patients and their families according to the patient's state of health.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with work in the department of allergology, pulmonology and dermatology. Supplements theoretical knowledge about the possibilities of nutritional therapy in cases of food allergies. Students consult patients in the ward, collect a medical history, determine the goals of nutritional therapy and prepare recommendations for patients and their families according to the patient's state of health.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with the recommendations for infant feeding based on the EPSGHAN guidelines, get acquainted with the types of infant formulas and indications for use. Students consult patients in the ward, collect a medical history, determine the goals of nutritional therapy and prepare recommendations for patients and their families according to the patient's state of health.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students supplement their theoretical knowledge of enteral feeding guidelines for children. In the children's rehabilitation department, students make calculations of the amount and type of nutrition required
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with the organization of work in the department of surgery, supplement their theoretical and practical skills in pre- and post-operative nutrition therapy for children.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
Within the internship, students will get acquainted with the work of the Rare Diseases Coordination Center, care of rare disease patients in Latvia. Adds theoretical and practical knowledge of nutritional therapy for congenital metabolic diseases (FKU, HCU, LCHADD, galactosemia), chromosomal diseases (Down syndrome, Prader-Willi syndrome, Terner syndrome), cystic fibrosis, tuberous sclerosis, etc. During the internship, students collect a medical history, set goals for nutritional therapy.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship in the Department of Child Rehabilitation, students supplement both theoretical and practical knowledge about the goals of nutritional therapy for patients with AST, BCT, after injuries. During the internship, students consult patients in the ward, collect a medical history, determine the goals of nutrition therapy and prepare recommendations for patients and their families according to the patient's health condition.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students acquire knowledge about the organization of the feeding process in BKUS, about hospital diets (gentle, diabetic, nephrological, upon individual request). Students, in consultation with the patients in the ward, collect a medical history, determine the goals of nutritional therapy and prepare recommendations for patients and their families according to the patient's state of health.
|
Total ECTS (Creditpoints):
18.00
Contact hours:
4 Academic Hours
Final Examination:
Report (Placement)
Part 2
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students collect a history of outpatients using protocols for nutritionists. Students develop and provide the patient with nutritional recommendations in accordance with the proposed conclusion and the necessary nutritional therapy.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
Students are introduced to the possibilities of remote consultation using video communication tools, the specifics of the work and the necessary preparation process. During the internship, students remotely collect the patient's medical history using protocols for nutritionists. Students provide the patient with dietary recommendations according to the proposed conclusion and the necessary nutritional therapy.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
Students are introduced to the practice of counseling for patients with mental health disorders, the duties of a nutritionist in a medical institution and specific nutritional therapy in the case of psychiatric illnesses. Students collect a patient's medical history, evaluate eating habits, and evaluate tests or examinations
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students are introduced to the specifics of the work of the rehabilitation center, health care services - day hospital program, outpatient rehabilitation, home care, structural unit "Seniors' House". Evaluates the importance of an effective team in the implementation of rehabilitation services and the role of a nutritionist in it.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with the specifics of rehabilitation for patients with predictable disabilities. Students assess disability according to the International Classification of Functioning. The student uses: - Cabinet Regulation No. 805 and Cabinet Regulation No. 279
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students collect a history of patients using protocols for nutritionists. (In addition, standardized assessment tools are used to assess the patient, as well as a questionnaire to assess the person's daily activities and the environment, a rehabilitation problem-solving form, a WHO disability assessment list). Students develop and provide the patient with nutritional recommendations in accordance with the proposed conclusion and the necessary nutritional therapy.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with neurological rehabilitation of patients after a stroke. Students collect a patient's medical history using protocols for nutritionists (in addition, standardized assessment tools are used to assess the patient); perform dysphagia screening (water ingestion test, swallowing test); determine the risk of malnutrition in patients after a stroke.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with the principles of rehabilitation and care in geriatrics, as well as the principles of rehabilitation for patients with rheumatological diseases, patients with cognitive disorders, patients with diabetes, patients with cardiovascular diseases. Students perform anthropometric measurements and malnutrition screening (Mini nutritional assessment) for seniors, evaluate the obtained data.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with rehabilitation opportunities for patients with skeletal, muscular and connective tissue diseases. During the internship, students collect a patient's medical history using protocols for nutritionists. Students provide the patient with dietary recommendations in accordance with the proposed conclusion and the necessary nutritional therapy, justify the need for nutritional correction. Students fill out a rehabilitation problem solving form.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students get acquainted with the rehabilitation of oncology patients, collect the patient's medical history using protocols for nutritionists. Taking into account the condition and needs of oncology patients, students develop nutritional recommendations for the patient in accordance with the set conclusion and the necessary nutritional therapy.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students consult rehabilitation patients with a CD. Students collect the patient's medical history using protocols for nutritionists, paying special attention to the types of insulins, their storage, glucose control methods, and glucometers. Understands the effects of medications and dietary guidelines. Students develop dietary recommendations for patients in accordance with the set conclusion and the necessary nutritional therapy.
|
-
Placement
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Placement location
|
0
|
Topics
|
During the internship, students consult patients in the rehabilitation center, taking into account the interaction of everyday medicines. Students collect a patient's medical history, focusing on medication (glucocorticosteroids, methotrexate, metformin, diuretics, omeprazole, iron, thyroxine, allopurinol, probiotics), side effects, and possible nutritional deficiencies. Taking into account the patients' health condition and needs, students develop dietary recommendations for the patient
|
Total ECTS (Creditpoints):
8.00
Contact hours:
4 Academic Hours
Final Examination:
Defence (Placement)
Bibliography
Required Reading
1.
Uztura mācība / Zigurds Zariņš, Lolita Neimane, Edgars Bodnieks. 7., pārstrād. un papild. izd. Rīga: LU Akadēmiskais apgāds, 2018 432 lpp.
2.
Handbook of nutrition and food / edited by Carolyn D. Berdanier, Johanna T. Dwyer, David Heber. 3rd edition. 2014. xxi, 1113 pages.
3.
Kasper, Heinrich Ernährungsmedizin und Diätetik / Heinrich Kasper; unter Mitarbeit von Walter Burghardt. 12., überarb. Aufl. München: Elsevier/Urban & Fischer, 2014. XVI, 652 lpp.
4.
Raymond, J. L., In Raymond, J. L., In Morrow, K., & Mahan, L. K. Krause's and Mahan's food & the nutrition care process. 2021
5.
Krause’s food & nutrition therapy / edited by L. Kathleen Mahan and Sylvia Escott-Stump. 12th edition. St.Louis: Elsevier Saunders, 2008. xxiv, 1352 lpp.
Additional Reading
1.
Cardiovascular diseases: nutritional and therapeutic interventions / edited by Nilanjana Maulik. Boca Raton, FL: CRC Press/Taylor & Francis, 2013. xxviii, 586 lpp.
2.
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