Veidlapa Nr. M-3 (8)
Study Course Description

Nutrition Therapy

Main Study Course Information

Course Code
SUUK_302
Branch of Science
Clinical medicine; Nutrition
ECTS
12.00
Target Audience
Medical Services; Rehabilitation
LQF
Level 6
Study Type And Form
Full-Time; Part-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Rehabilitation
Contacts

Riga, 3 Cigorinu Street, suuk@rsu.lv, +371 67611559

About Study Course

Objective

The objective of the study course is to introduce students to evidence-based nutrition therapy as an integral part of the therapeutical process. The tasks of the study course include developing students’ understanding of the impact of nutrition therapy on the course of acute and chronic diseases, complication rates, the recovery process and quality of life, as well as acquiring the knowledge to innovatively assess patient nutritional needs and develop personalised nutrition recommendations for different clinical situations.

Preliminary Knowledge

Knowledge of anatomy, normal and pathological physiology and biochemistry.

Learning Outcomes

Knowledge

1.Understand the assessment of energy and nutrient needs of patients in different clinical situations. Explain the impact of various acute and chronic diseases on human metabolic systems and nutritional needs. Understand the different types of nutritional therapies and their applications.

Skills

1.To carry out malnutrition screening. To perform detailed assessment of the patient’s nutritional status and nutritional needs. To formulate an appropriate nutrition therapy plan based on an understanding of the current disease process. To select the appropriate type of nutrition therapy for the clinical situation. To adapt nutritional recommendations according to the clinical situation of the individual patient. To establish nutritional recommendations and menu according to the patient’s diagnosis and clinical situation.

Competences

1.The student is able to perform malnutrition screening and nutritional assessment and to develop a nutrition therapy plan and menu for patients in different clinical situations.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
As part of their independent work, students prepare a clinical case study on the specified topics, assessing the nutritional needs of the patient, defining the goal of nutrition therapy and drawing up individualised recommendations and a menu. Independent work is presented and discussed during class. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
Test and Independent work - analysis of the clinical case: surgery
2.

Examination

-
-
Test and Independent work 3 - clinical case study on nephrology.
3.

Examination

-
-
Independent work 2 - clinical case study on cardiology and pulmonology 2 points - patient assessment; 4 points - preparing nutritional recommendations: 4 points - menu preparation
4.

Examination

-
-
Independent work 3 - clinical case study on gastroenterology. 2 points - patient assessment; 4 points - preparing nutritional recommendations: 4 points - menu preparation
5.

Examination

-
-
Independent work 1 - clinical case study on malnutrition screening and nutritional assessment. 2 points - screening; 8 points - assessment
6.

Examination

-
-
Compulsory attendance with active participation. Test and /or presentation about each topic - 50%. Examination: 3 theoretical questions, written answers to be presented orally - 50%. The assessment is made on a 10-point system.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases of the lungs. Bronchial asthma. COPD. Cystic fibrosis. Respiratory failure.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Enteral feeding, its components, initiation of feeding, methods of administration, most common complications.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Diseases of the digestive system II. Inflammatory bowel diseases. Malabsorption. Intestinal failure. Diseases of the liver, biliary tract and pancreas.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Cardiovascular diseases. Atherosclerosis, coronary heart disease, dyslipidemia, arterial hypertension, heart failure
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Type 2 diabetes. Thyroid diseases. PCOS. Diseases of the hypothalamus, pituitary gland. Adrenal diseases.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases of the digestive system II. Inflammatory bowel diseases. Malabsorption. Intestinal failure. Diseases of the liver, biliary tract and pancreas.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Type 1 diabetes. Diagnostic criteria. The course of the disease. Treatment. Nutrition therapy
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Rheumatic diseases and osteoporosis. Hyperuricemia, gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren's syndrome. Osteoporosis. Types of anemia, nutritional therapy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases of the digestive system I. Esophagus, stomach diseases, functional diseases of the gastrointestinal tract.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Rheumatic diseases and osteoporosis. Hyperuricemia, gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren's syndrome. Osteoporosis. Types of anemia, nutritional therapy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Parenteral nutrition, its components, routes of administration, the most common complications. Nutrition under conditions of metabolic stress. Sepsis. Trauma. Burns. Refeeding syndrome.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Diseases of the digestive system I. Esophagus, stomach diseases, functional diseases of the gastrointestinal tract.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Parenteral nutrition, its components, routes of administration, the most common complications. Nutrition under conditions of metabolic stress. Sepsis. Trauma. Burns. Refeeding syndrome.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Nutritionasl assesment. Malnutrition. Screening and diagnosis.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Cardiovascular diseases. Atherosclerosis, coronary heart disease, dyslipidemia, arterial hypertension, heart failure
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases of the digestive system II. Inflammatory bowel diseases. Malabsorption. Intestinal failure. Diseases of the liver, biliary tract and pancreas.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Diseases of the digestive system II. Inflammatory bowel diseases. Malabsorption. Intestinal failure. Diseases of the liver, biliary tract and pancreas.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Enteral feeding, its components, initiation of feeding, methods of administration, most common complications.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Type 2 diabetes. Thyroid diseases. PCOS. Diseases of the hypothalamus, pituitary gland. Adrenal diseases.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Type 1 diabetes. Diagnostic criteria. The course of the disease. Treatment. Nutrition therapy
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Rheumatic diseases and osteoporosis. Hyperuricemia, gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren's syndrome. Osteoporosis. Types of anemia, nutritional therapy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Type 2 diabetes. Thyroid diseases. PCOS. Diseases of the hypothalamus, pituitary gland. Adrenal diseases.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Diseases of the lungs. Bronchial asthma. COPD. Cystic fibrosis. Respiratory failure.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Parenteral nutrition, its components, routes of administration, the most common complications. Nutrition under conditions of metabolic stress. Sepsis. Trauma. Burns. Refeeding syndrome.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Diseases of the digestive system I. Esophagus, stomach diseases, functional diseases of the gastrointestinal tract.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases of the digestive system I. Esophagus, stomach diseases, functional diseases of the gastrointestinal tract.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Nutritionasl assesment. Malnutrition. Screening and diagnosis.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Type 1 diabetes. Diagnostic criteria. The course of the disease. Treatment. Nutrition therapy
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases of the lungs. Bronchial asthma. COPD. Cystic fibrosis. Respiratory failure.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Enteral feeding, its components, initiation of feeding, methods of administration, most common complications.
Total ECTS (Creditpoints):
8.00
Contact hours:
96 Academic Hours
Final Examination:
Test (Semester)
Part 2
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Food allergies and intolerances.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Obesity. Lifestyle correction, nutritional intervention, physical activity, behavioral therapy, medication, bariatric surgery.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Acute and chronic kidney diseases. Kidney stones.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Oncology. Nutrition for the prevention of oncological diseases. Nutritional problems and nutritional therapy while receiving different types of treatment in oncology. Nutrition for the prevention of oncological diseases. Nutrition for patients with palliative therapy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Surgery. Perioperative nutritional therapy. ERAS co-concept. Abdominal surgery. Consequences after gastrointestinal surgery. Short bowel syndrome.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Acute and chronic kidney diseases. Kidney stones.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Eating disorders. Autism. Addictions. Nutritional problems associated with the use of psychotropic medications.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Neurology. Acute circulatory disorders. Trauma. Dysphagia. Neurodegenerative diseases. Dementia.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Genetic metabolic diseases.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Genetic metabolic diseases.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Obesity. Lifestyle correction, nutritional intervention, physical activity, behavioral therapy, medication, bariatric surgery.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Eating disorders. Autism. Addictions. Nutritional problems associated with the use of psychotropic medications.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Food allergies and intolerances.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Neurology. Acute circulatory disorders. Trauma. Dysphagia. Neurodegenerative diseases. Dementia.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Oncology. Nutrition for the prevention of oncological diseases. Nutritional problems and nutritional therapy while receiving different types of treatment in oncology. Nutrition for the prevention of oncological diseases. Nutrition for patients with palliative therapy.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Surgery. Perioperative nutritional therapy. ERAS co-concept. Abdominal surgery. Consequences after gastrointestinal surgery. Short bowel syndrome.
Total ECTS (Creditpoints):
4.00
Contact hours:
48 Academic Hours
Final Examination:
Exam
PART-TIME
Part 1
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases of the digestive system II. Inflammatory bowel diseases. Malabsorption. Intestinal failure. Diseases of the liver, biliary tract and pancreas.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Diseases of the digestive system II. Inflammatory bowel diseases. Malabsorption. Intestinal failure. Diseases of the liver, biliary tract and pancreas.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Cardiovascular diseases. Atherosclerosis, coronary heart disease, dyslipidemia, arterial hypertension, heart failure
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Parenteral nutrition, its components, routes of administration, the most common complications. Nutrition under conditions of metabolic stress. Sepsis. Trauma. Burns. Refeeding syndrome.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Type 1 diabetes. Diagnostic criteria. The course of the disease. Treatment. Nutrition therapy
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Diseases of the digestive system I. Esophagus, stomach diseases, functional diseases of the gastrointestinal tract.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Type 2 diabetes. Thyroid diseases. PCOS. Diseases of the hypothalamus, pituitary gland. Adrenal diseases.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases of the lungs. Bronchial asthma. COPD. Cystic fibrosis. Respiratory failure.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Rheumatic diseases and osteoporosis. Hyperuricemia, gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren's syndrome. Osteoporosis. Types of anemia, nutritional therapy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases of the digestive system I. Esophagus, stomach diseases, functional diseases of the gastrointestinal tract.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Parenteral nutrition, its components, routes of administration, the most common complications. Nutrition under conditions of metabolic stress. Sepsis. Trauma. Burns. Refeeding syndrome.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Enteral feeding, its components, initiation of feeding, methods of administration, most common complications.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Nutritionasl assesment. Malnutrition. Screening and diagnosis.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Type 2 diabetes. Thyroid diseases. PCOS. Diseases of the hypothalamus, pituitary gland. Adrenal diseases.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Rheumatic diseases and osteoporosis. Hyperuricemia, gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren's syndrome. Osteoporosis. Types of anemia, nutritional therapy.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Diseases of the digestive system I. Esophagus, stomach diseases, functional diseases of the gastrointestinal tract.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Nutritionasl assesment. Malnutrition. Screening and diagnosis.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Rheumatic diseases and osteoporosis. Hyperuricemia, gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren's syndrome. Osteoporosis. Types of anemia, nutritional therapy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases of the digestive system II. Inflammatory bowel diseases. Malabsorption. Intestinal failure. Diseases of the liver, biliary tract and pancreas.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Cardiovascular diseases. Atherosclerosis, coronary heart disease, dyslipidemia, arterial hypertension, heart failure
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Enteral feeding, its components, initiation of feeding, methods of administration, most common complications.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Diseases of the lungs. Bronchial asthma. COPD. Cystic fibrosis. Respiratory failure.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Enteral feeding, its components, initiation of feeding, methods of administration, most common complications.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Diseases of the lungs. Bronchial asthma. COPD. Cystic fibrosis. Respiratory failure.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Type 1 diabetes. Diagnostic criteria. The course of the disease. Treatment. Nutrition therapy
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Parenteral nutrition, its components, routes of administration, the most common complications. Nutrition under conditions of metabolic stress. Sepsis. Trauma. Burns. Refeeding syndrome.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Diseases of the digestive system II. Inflammatory bowel diseases. Malabsorption. Intestinal failure. Diseases of the liver, biliary tract and pancreas.
Total ECTS (Creditpoints):
7.00
Contact hours:
84 Academic Hours
Final Examination:
Test (Semester)
Part 2
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Oncology. Nutrition for the prevention of oncological diseases. Nutritional problems and nutritional therapy while receiving different types of treatment in oncology. Nutrition for the prevention of oncological diseases. Nutrition for patients with palliative therapy.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Obesity. Lifestyle correction, nutritional intervention, physical activity, behavioral therapy, medication, bariatric surgery.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Genetic metabolic diseases.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Food allergies and intolerances.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Eating disorders. Autism. Addictions. Nutritional problems associated with the use of psychotropic medications.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Surgery. Perioperative nutritional therapy. ERAS co-concept. Abdominal surgery. Consequences after gastrointestinal surgery. Short bowel syndrome.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Acute and chronic kidney diseases. Kidney stones.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Genetic metabolic diseases.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Neurology. Acute circulatory disorders. Trauma. Dysphagia. Neurodegenerative diseases. Dementia.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Surgery. Perioperative nutritional therapy. ERAS co-concept. Abdominal surgery. Consequences after gastrointestinal surgery. Short bowel syndrome.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Acute and chronic kidney diseases. Kidney stones.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Food allergies and intolerances.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Obesity. Lifestyle correction, nutritional intervention, physical activity, behavioral therapy, medication, bariatric surgery.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Oncology. Nutrition for the prevention of oncological diseases. Nutritional problems and nutritional therapy while receiving different types of treatment in oncology. Nutrition for the prevention of oncological diseases. Nutrition for patients with palliative therapy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Eating disorders. Autism. Addictions. Nutritional problems associated with the use of psychotropic medications.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Neurology. Acute circulatory disorders. Trauma. Dysphagia. Neurodegenerative diseases. Dementia.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Surgery. Perioperative nutritional therapy. ERAS co-concept. Abdominal surgery. Consequences after gastrointestinal surgery. Short bowel syndrome.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Neurology. Acute circulatory disorders. Trauma. Dysphagia. Neurodegenerative diseases. Dementia.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Oncology. Nutrition for the prevention of oncological diseases. Nutritional problems and nutritional therapy while receiving different types of treatment in oncology. Nutrition for the prevention of oncological diseases. Nutrition for patients with palliative therapy.
Total ECTS (Creditpoints):
5.00
Contact hours:
60 Academic Hours
Final Examination:
Exam

Bibliography

Required Reading

1.

Sobotka, Luboš, and Alastair Forbes. Basics in clinical nutrition. Vol. 1. No. 5th. Galen, 2019.

2.

Webster-Gandy, Joan, Angela Madden, and Michelle Holdsworth, eds. Oxford Handbook of Nutrition and Dietetics 3e. Oxford University Press, 2020.

3.

Soldavini, Jessica. "Krause's food & the nutrition care process." Journal of Nutrition Education and Behavior 51.10 (2019): 1225.

4.

ESPEN vadlīnijas

5.

Datu bāze PEN

6.

Aptaukošanās

7.

European Society for Clinical Nutrition and Metabolism

8.

Eras Society

9.

NICE

Additional Reading

1.

Zigurds Zariņš, Lolita Neimane, Edgars Bodnieks. Uztura mācība. Rīga: LU Akadēmiskais apgāds, 2021.

2.

Pasaules Veselības organizācija

3.

Latvijas Republikas Veselības ministrija

4.

Kardioloģija

Other Information Sources

1.

Onkoloģija

2.

WCRF

3.

Cancer Research UK

4.

AACR