Veidlapa Nr. M-3 (8)
Study Course Description
Nutrition Therapy
Course Code
SUUK_205
Branch of Science
Clinical medicine; Nutrition
ECTS
7.50
Target Audience
Medical Services; Rehabilitation
LQF
Level 6
Study Type And Form
Full-Time; Part-Time
Study Course Implementer
Course Supervisor
Laila Meija
Structure Unit Manager
Liāna Deklava
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.
|
||
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 3 - clinical case study on gastroenterology.
2 points - patient assessment; 4 points - preparing nutritional recommendations: 4 points - menu preparation
|
||
|
4.
Examination |
-
|
-
|
|
Independent work 2 - clinical case study on cardiology and pulmonology
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
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations: atherosclerosis, coronary heart disease, dyslipidaemia, arterial hypertension, heart failure.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Surgery, oncology and neurology.
Perioperative nutrition therapy. ERAS concept. Nutrition therapy for oncology patients undergoing surgery, radiotherapy and chemotherapy. Nutrition therapy for palliative care patients. Nutrition therapy in neurology.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for perioperative and oncology patients.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Diabetes mellitus and obesity.
Diabetes mellitus. Ethiopathogenesis. Classification. Criteria of diagnosis. The course of the disease. Treatment. Nutrition therapy.
Obesity. Ethiopathogenesis. Obesity treatment for children and adults. Lifestyle correction, nutritional intervention, exercise, behavioural therapy, medication, bariatric surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for the treatment of obesity. Different types of nutrition therapies for treating obesity: lifestyle correction, nutritional intervention, exercise, behavioural therapy, medication, bariatric surgery.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Diseases of the digestive system. Rheumatological diseases.
Gastroduodenal diseases, gastroparesis, pancreatic diseases, coeliac disease, inflammatory bowel diseases, irritable bowel syndrome, liver and gallbladder diseases, cystic fibrosis. Malabsorption. Intestinal resection and failure.
Rheumatological diseases: gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren’s syndrome.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for patients after acute cerebrovascular disorders and for patients with neurodegenerative diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for people with diabetes mellitus.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations: gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren’s syndrome.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and development of nutritional recommendations: bronchial asthma, COPD, cystic fibrosis, respiratory failure.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Diseases of the cardiovascular system. Diseases of the respiratory organs.
Atherosclerosis, coronary heart disease, dyslipidaemia, arterial hypertension, heart failure.
Bronchial asthma. Chronic obstructive pulmonary disease (COPD). Cystic fibrosis. Respiratory failure.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations: Gastroduodenal diseases, gastroparesis, pancreatic diseases, coeliac disease, inflammatory bowel diseases, irritable bowel syndrome, liver and gallbladder diseases, cystic fibrosis. Malabsorption. Intestinal resection and failure.
|
Total ECTS (Creditpoints):
4.50
Contact hours:
40 Academic Hours
Final Examination:
Test (Semester)
Part 2
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Genetic metabolic diseases: practical issues in nutrition therapy and the development of nutritional recommendations.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for patients with chronic kidney disease.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Malnutrition and clinical nutrition.
Nutritional assessment. Malnutrition.
Types of nutrition therapy: Dietary correction, therapeutic complementary nutrition, enteral and parenteral nutrition.
Feeding in the intensive care unit (ICU).
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Acute and chronic kidney diseases. Kidney stones.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations: eating disorders and addictions.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Mental health.
Autism. Eating disorders. Addictions. Nutritional problems associated with psychotropic medication use. Dementia.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations: autism, dementia, nutritional problems associated with psychotropic medication use.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Food allergies and intolerances.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations in case of food allergies and intolerances.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues and skills: screening and diagnosis of malnutrition. Nutritional assessment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for patients with kidney stones.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues: dietary correction, therapeutic complementary nutrition, enteral and parenteral nutrition. Feeding in the intensive care unit (ICU).
|
Total ECTS (Creditpoints):
3.00
Contact hours:
40 Academic Hours
Final Examination:
Exam
PART-TIME
Part 1
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations: gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren’s syndrome.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and development of nutritional recommendations: bronchial asthma, COPD, cystic fibrosis, respiratory failure.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Diabetes mellitus and obesity.
Diabetes mellitus. Ethiopathogenesis. Classification. Criteria of diagnosis. The course of the disease. Treatment. Nutrition therapy.
Obesity. Ethiopathogenesis. Obesity treatment for children and adults. Lifestyle correction, nutritional intervention, exercise, behavioural therapy, medication, bariatric surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations: atherosclerosis, coronary heart disease, dyslipidaemia, arterial hypertension, heart failure.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for patients after acute cerebrovascular disorders and for patients with neurodegenerative diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for perioperative and oncology patients.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for people with diabetes mellitus.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Diseases of the cardiovascular system. Diseases of the respiratory organs.
Atherosclerosis, coronary heart disease, dyslipidaemia, arterial hypertension, heart failure.
Bronchial asthma. Chronic obstructive pulmonary disease (COPD). Cystic fibrosis. Respiratory failure.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Diseases of the digestive system. Rheumatological diseases.
Gastroduodenal diseases, gastroparesis, pancreatic diseases, coeliac disease, inflammatory bowel diseases, irritable bowel syndrome, liver and gallbladder diseases, cystic fibrosis. Malabsorption. Intestinal resection and failure.
Rheumatological diseases: gout, osteoarthritis, rheumatoid arthritis, lupus erythematosus, Sjögren’s syndrome.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations: Gastroduodenal diseases, gastroparesis, pancreatic diseases, coeliac disease, inflammatory bowel diseases, irritable bowel syndrome, liver and gallbladder diseases, cystic fibrosis. Malabsorption. Intestinal resection and failure.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Surgery, oncology and neurology.
Perioperative nutrition therapy. ERAS concept. Nutrition therapy for oncology patients undergoing surgery, radiotherapy and chemotherapy. Nutrition therapy for palliative care patients. Nutrition therapy in neurology.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for the treatment of obesity. Different types of nutrition therapies for treating obesity: lifestyle correction, nutritional intervention, exercise, behavioural therapy, medication, bariatric surgery.
|
Total ECTS (Creditpoints):
1.50
Contact hours:
40 Academic Hours
Final Examination:
Test (Semester)
Part 2
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues and skills: screening and diagnosis of malnutrition. Nutritional assessment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for patients with chronic kidney disease.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Genetic metabolic diseases: practical issues in nutrition therapy and the development of nutritional recommendations.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations for patients with kidney stones.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations: eating disorders and addictions.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations in case of food allergies and intolerances.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Malnutrition and clinical nutrition.
Nutritional assessment. Malnutrition.
Types of nutrition therapy: Dietary correction, therapeutic complementary nutrition, enteral and parenteral nutrition.
Feeding in the intensive care unit (ICU).
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues in nutrition therapy and the development of nutritional recommendations: autism, dementia, nutritional problems associated with psychotropic medication use.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Mental health.
Autism. Eating disorders. Addictions. Nutritional problems associated with psychotropic medication use. Dementia.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Practical issues: dietary correction, therapeutic complementary nutrition, enteral and parenteral nutrition. Feeding in the intensive care unit (ICU).
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Acute and chronic kidney diseases. Kidney stones.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Food allergies and intolerances.
|
Total ECTS (Creditpoints):
6.00
Contact hours:
40 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: https://www.espen.org/guidelines-home/espen-guidelines
5.
Datu bāze PEN: http://www.pennutrition.com.db.rsu.lv/Home.aspx
7.
European Society for Clinical Nutrition and Metabolism: http://www.espen.org/
9.
www.nice.org.uk
Additional Reading
1.
Uztura mācība / Zigurds Zariņš, Lolita Neimane, Edgars Bodnieks. 2021; Rīga : LU Akadēmiskais apgāds
2.
Pasaules Veselības organizācija: http://www.who.int/en/
3.
Latvijas Republikas Veselības ministrija: www.vm.gov.lv
4.
Kardioloģija
5.
Onkoloģija https://www.aicr.org/ · https://www.wcrf.org/dietandcancer/cancer-prevention-recommendations · https://www.cancerresearchuk.org/ · https://www.aacr.org/