SYLLABUS: HEA 466 Section 001
Introduction to Therapeutic Nutrition (3)
Dr. Darwin Dennison, Certified Nutrition Specialist, American College of Nutrition,
College of Health and Human Services, UNCW
Instructor: Dr. Darwin Dennison, Certified Nutrition Specialist, American College of Nutrition
College of Health and Human Services
Email: dennison@uncw.edu Please contact me via Blackboard email.
Phone: 910-962-7571. Cell Phone Number: Provided for Tests and Special Assignments
Office Hours: Monday, Wednesday, Friday 10 am -12 pm, 2039 McNeill Hall Click here
BlackBoard Logon: https://learn.uncw.edu/webapps/login or through SeaPort.
BlackBoard Help: https://learn.uncw.edu/bbcswebdav/institution/videos/bborientation/bborientation.htm
TAC Help Desk: tac@uncw.edu or 962-4357. When emailing TAC, provide the course number, section and description of your technical issue.
Examination of the relationship between diet and chronic disease in the United States. Also introduces basic concepts of medical nutrition therapy and how these are addressed in a health care setting.
Course Information
HEA 466 is an online course. There are no face to face class meetings, however, there will be synchronous activity including tests scheduled periodically throughout the course. These activities will be scheduled on Wednesdays late afternoon usually at 2 or 3 pm. All students must be available, complete tests or participate online during these synchronous meetings. Webex sessions will be used for student – student and student instructor communication during scheduled times. Online courses are intensive as reading and assignments are used in lieu of the classroom experience.
HEA 466 introduces students to the role of food and nutrition in diet therapy. The course will include a study of the basic principles of nutrition and the application of these principles for diet modification during wellness, illness and recovery from illness. Students will have the opportunity to analyze dietary habits and identify dietary deficiencies/excesses. A psychometric diet composite system DINE Systems is used for weekly assignments and projects.
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Course Objectives
As a result of completing this course, the student will be able to:
- navigate Blackboard including posting assignments, completing tests, interacting via Webex as well as identify and read essential information including syllabus, course policies and procedures, online textbook, and assignments.
- define the terminology, methods and procedures used in nutritional assessment in the United States and developed countries
- utilize correct and accurate food measurements to complete and modify food records, physical activity records, analyze the nutrient composition of diets and make recommendations for improvement.
- Global Awareness - describe food label information and explain the information required by the Food and Drug Administration, the U.S. Department of Agriculture, international fruit/vegetable import regulations and how this information can be used to improve national nutrition.
- define energy balance, hunger versus appetite, macro and micro nutrients, and demonstrate how to monitor food intake and energy output and evaluate energy balance.
- describe the appropriate methods for safe handling, storage, and food preparation methods to prevent food borne illnesses in the U.S. and internationally.
- define obesity and describe the risk factors that contribute to the development of obesity and treatment plans for weight loss.
- Service Learning - enter, track and analyze food record data for family or friends and make hypothetical recommendations for diet modifications and achievement of energy balance.
- describe major nutritional disorders in develop countries and world-wide and the underlying causes and contributing factors.
- identify the causes, risk factors, nutritional impact and symptoms of coronary heart disease and nutritional recommendations including NHLBI recommendations.
- name the types of diabetes, their causes and symptoms, nutrition-related issues and nutritional treatment plans
- identify causes of renal disease, risk factors, and how related therapeutic diets can be used for prevention, treatment and recovery.
- review general medical conditions related to therapeutic diets and how these conditions impact nutritional lifestyle and longevity.
- synthesize knowledge gained on nutrients, nutrient-related components, and disease conditions to form statements on the components of a therapeutic diet.
- describe the symptoms of diverticulosis and diverticulitis and explain how they are diagnosed and treated from a nutritional standpoint
- define gastroesophageal reflux disease (GERD) including symptoms, medications, and nutrition treatment plans
- refine a therapeutic diet plan by balancing micronutrients, calories, and energy expenditure and outline steps to maintain and control over-eating and physical activity behaviors, including special occasions
- develop a health management plan by establishing goals, tracking progress, and evaluating success with a prescribed hypothetical therapeutic diet
Introduction to Therapeutic Nutrition (ITN), an online text is available on the home page of the course. ITN is a pdf that you may download to your computer for class use. ITN provides information for online nutrition related activities including, but not limited to chapter assignments, Webex discussion, Excel analyses, PowerPoint reports, and other Internet-based assignments. ITN is a dynamic text, hence, new links will be provided throughout the course. HEA 466 satisfies the nutrition requirement for students entering health-related professions.
DINE Healthy: Diet Improvement Software is provided via TealWare, a UNCW web-based service. You may use this version if you have continuous access to the Internet. Go to TealWare and install the plug for Mac or PC on your computer. You must save your assignments on Timmy for uploading into Blackboard for credit.
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Using Food Labels
Food Labels Information
Food Label Claims
Serving Size and Servings per Container
Calories
Calories from Fat
Percent Daily Values
Total Fat
Saturated Fat and Trans Fat
Unsaturated Fat
Cholesterol
Sodium
Total Carbohydrate
Dietary Fiber
Sugars
Protein
Vitamin A and Vitamin C
Calcium and Iron
Label Listings for Avoiding Allergies
Using Food Labels for a Well-Balanced Diet
What Should You Eat?
First, Balance Energy
Next, Focus on Protein
Watch the Fats
Choose Foods Wisely…Ingredients, In Season, Mostly Plants and Leaves
Least Number of Ingredients
Types of Food Ingredients
Select Foods in Season
Portion Size
Serving Sizes
Eating Out or Traveling
Save Money
Remember
Foodborne Illnesses
What are Foodborne Illnesses?
What are the Causes of Foodborne Illnesses?
What are the symptoms of Foodborne Illnesses?
What are the risk factors of Foodborne Illnesses?
What are the Complications of Foodborne Illnesses?
How are Foodborne Ilnesses Diagnosed?
How are Foodborne Illnesses Treated?
What is Food Irradiation?
Links to Other Disorders Related to Foodborne Illnesses
Common Sources of Foodborne Illnesses
Points to Remember
Food Poisoning
Definition
Symptoms
When to Seek Medical Attention
Causes
Risk Factors
Complications
Preparing for your Appointment
Tests and Diagnosis
Treatments and Drugs
Lifestyle and Home Remedies
Prevention at Home
Prevention Fruits and Vegetables
Barbecue Grills
Necessary Items
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Obesity
What are Overweight and Obesity?
Overview
Outlook
Lack of Energy Balance
Other Causes
An Inactive Lifestyle
Environment
Genes and Family History
Health Conditions
Medicines
Emotional Factors
Smoking
Age
Pregnancy
Lack of Sleep
Overweight and Obesity-Related Health Problems in Adults
Coronary Heart Disease
High Blood Pressure
Stroke
Type 2 Diabetes
Abnormal Blood Fats
Metabolic Syndrome
Cancer
Osteoarthritis
Sleep Apnea
Reproductive Problems
Gallstones
Overweight and Obesity-Related Health Problems in Teens and Children
Adults
Children and Teens
Body Mass Index for Adults
What Does Body Mass Index Mean?
Body Mass Index for Children and Teens
What Does the BMI-for-Age Percentile Mean?
Lifestyle Changes
Health Eating Plan
Foods to Limit
Portion Size
Food Weight
Physical Activity
Behavioral Changes
Change Your Surroundings
Keep a Record
Seek Support
Reward Success
Weight-Loss Medicines
Weight-Loss Surgery
Weight-Loss Maintenance
NHLBI Resources
Non-NHLBI Resources
Weight Management
About Your Weight
About Weight Loss
About Nutrition and Physical Activity
About Treatment
What does the Weight-Loss Program Consist of?
What are the Staff Qualifications?
Does the Product or Program Carry any Risks?
How Much Does the Program Cost?
What Results do Participants Typically Have?
Keeping Weight Off
Nonclinical Program
Clinical Program
What a Safe and Effective Program Will Offer
Weight-Control Information Network
Eating Disorders
Bulimia Nervosa
Binge-Eating Disorder
How Are Eating Disorders Treated?
Treating Anorexia Nervosa
Treating Bulimia Nervosa
Treating Binge-Eating Disorder
FDA Warnings on Antidepressants
How Are Males Affected?
What is being done to Better Understand and Treat Eating Disorders?
What Causes Eating Disorders?
Biological Factors that Can Contribute to Eating Disorders
Treatment is Available. Recovery is Possible
Questions to Ask Your Treatment Provider
Coronary Heart Disease
Overview
Outlook
Other Names for Coronary Heart Disease
What Causes Coronary Heart Disease?
Who is at Risk for Coronary Heart Disease?
Major Risk Factors
Emerging Risk Factors
Other Risks Related to Coronary Heart Disease
What are the Signs and Symptoms of Coronary Heart Disease?
Signs and Symptoms of Heart Problems Related to Coronary Heart Disease
How is Coronary Heart Disease Diagnosed?
EKG (Electrocardiogram)
Stress Testing
Echocardiography
Chest X Ray
Blood Tests
Electron-Beam Computed Tomography
Coronary Angiography and Cardiac Catheterization
How is Coronary Heart Disease Treated?
Lifestyle Changes
Follow a Healthy Diet
Be Physically Active
Maintain a Healthy Weight
Quit Smoking
Manage Stress
Medicines
Procedures and Surgery
Cardiac Rehabilitation
How Can Coronary Heart Disease Be Prevented or Delayed?
Living With Coronary Heart Disease
Ongoing Care
Heart Attack Warning Signs
Emotional Issues and Support
Clinical Trials
Diabetes
Causes
Symptoms
Exams and Tests
Treatment
Support Groups
Outlook (Prognosis)
Possible Complications
Prevention
Diabetes Diet – Type 2
Function
Recommendations
References
Diabetes Diet – Type 1
Function
Recommendations
References
Counting Carbohydrates
Types of Carbohydrates
Counting your Carbohydrates
Adding up you Carbohydrates
References
Renal Disease
What do the Kidneys Do?
What is Renal Function?
Diabetic Kidney Disease
High Blood Pressure
Glomerular Diseases
Inherited and Congenital Kidney Diseases
Other Causes of Kidney Disease
How Do Kidneys Fail?
Acute Kidney Injury
Chronic Kidney Disease
End-Stage Renal Disease
What are the Signs of Chronic Kidney Disease (CKD)?
What Medical Tests Detect Kidney Disease?
Blood Pressure Measurement
Microalbuminuria and Proteinuria
Glomerular Filtration Rate (GFR) Based on Creatinine Measurement
Blood Urea Nitrogen (BUN)
Additional Tests for Kidney Disease
What are Stages of CKD?
What can be done about CKD?
Controlling Blood Pressure
Changing the Diet
Protein
Cholesterol
Sodium
Potassium
What Happens if the Kidneys Fail Completely?
Dialysis
Transplantation
Points to Remember
Hope through Research
Diverticulosis
What are diverticulosis and diverticulitis?
What are the symptoms of diverticulosis and diverticulitis?
What are the complications of Diverticulitis?
How is Diverticular Disease Diagnoses?
How is Diverticular Disease Treated?
Diverticulosis
Diverticulitis
What Foods have Fiber?
When is surgery necessary for diverticulitis?
Points to Remember
Hope through Research
Why Should I Eat More Fiber?
How can I Get More Fiber in my Diet?
Eat Beans each Week
For More Information
Gastroesophageal Reflux Disease (GERD)
What is GERD?
What are the symptoms of GERD?
What Causes GERD?
What is GERD in Children?
How is GERD Treated?
Lifestyle Changes
Medications
What if GERD Symptoms Persist?
Surgery
What are the Long-Term Complications of GERD?
Hope through Research
National Digestive Diseases Information Clearinghouse
Colorectal Cancer
The Colon and Rectum
Understanding Cancer
Risk Factors
Screening
Symptoms
Diagnosis
Staging
Surgery
Chemotherapy
Biological Therapy
Radiation Therapy
Nutrition and Physical Activity
Prevention
Eat a High Fiber Diet Every Day
Additional Links
NHLBI Resources
References
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Assignments Outline and Test Dates
Week |
Topic |
Test Points |
Assignment Points |
Date Due(Wednesdays) |
1 |
Chapter 1 Resume and Organization |
|
4 |
Week 1 |
2 |
Chapter 2 Assn: DH Database & Lab 1 |
|
10 |
Week 2 |
3 |
Chapter 3 Assn: Nutrient Analysis |
|
10 |
Week 3 |
4 |
Chapter 4 Test 1 (Ch.1-4) plus Assn. |
100 |
|
Week 4 |
5 |
Chapter 5 Assn: Special Topics Paper 1 |
|
10 |
Week 5 |
6 |
Chapter 6 Assn: DH Therapeutic 1 |
|
10 |
Week 6 |
7 |
Chapter 7 Assn: Special Topics Paper 2 |
|
10 |
Week 7 |
8 |
Chapter 8 Assn: DH Therapeutic 2 |
|
10 |
Week 8 |
9 |
Test 2 (Ch 5-8) plus Assn. |
100 |
|
Week 9 |
10 |
Chapter 9 Assn: Special Topics Paper 2 |
|
10 |
Week 10 |
11 |
Chapter 10 Assn: DH Explorer |
|
10 |
Week 11 |
12 |
Chapter 11 Assn: Therapeutic Review |
|
10 |
Week 12 |
13 |
Chapter 12 Assn: Dash Diet |
|
10 |
Week 13 |
14 |
Test 3 (Ch 1-12) |
100 |
Week 14 |
|
15 |
SPOTs and Artifacts Due |
|
|
Week 15 |
|
Total Assignment Points |
|
104 |
|
|
Total Test Points |
300 |
|
|
Course Policies and
Agreement
During the first two days of class you must
respond via Blackboard email to attest that you have read the Course Policies
and Agreement. You must send an email in Blackboard, using a simple ‘OK’ that
you agree to the following seven mandatory conditions of this class:
HARDWARE AND SKILLS
You must have daily access to a computer, Pentium 3 or higher with DSL or cable Internet connections. When you first log on to Blackboard, determine if your browser is ready for online use. If it is not ready, you must make it ready by completing the checklist on your screen. If you have difficulty please consult with tac@uncw.edu. You must allow pop-ups on your browser to successfully complete the course. You should also have JAVA installed on your computer... go to www.sun.com to download the free version... you must use version 6 or higher. If you have difficulties during the course contact tac@uncw.edu, phone 962-HELP (962-4357). Please indicate to the TAC consultant that you are taking a Blackboard course... provide the consultant with the course number and instructor.
TESTS
You understand that there will be multiple online tests... plus quizzes. All tests are timed, that is, you must complete the test in a designated number of minutes from the time you logon. Each test is scheduled on one day usually on Wednesdays, no exceptions. You can take the test any time within the scheduled period usually 1 to 3 hours. The tests are electronic. Tests that are past due cannot be made up. In general, tests include data from the text, the labs, outside readings and assignments.
Tests must be taken as an individual effort.
Electronic surveillance methods are used to identify cheating and plagiarism
through computer IP addresses, file resource numbers, and specialized software.
You must take all tests and complete all assignments individually, unless the
assignment is posted for group participation. Tests will not be able to be
reviewed online. To review your test, email for an appointment during office
hours.
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ASSIGNMENTS
All assignment files must be electronically uploaded into Blackboard, using the correct file format, for full credit. Assignments sent via email in Blackboard or campus email do not receive credit. Late assignments do not receive credit. You understand that it is your responsibility to learn to download your assignments to your desktop, complete the assignment and then upload your completed assignments into Blackboard, on time and complete, for full credit. There are no exceptions. Posting your assignments correctly with complete and accurate information on time is a determinant of your grade. All assignments are due as posted on Wednesdays. New assignments are posted Thursdays. When the time period is closed... it is done. If you wait until the last day to complete your assignments, over time you will have crashes, the site will be down, and/or other issues may cause you to submit your assignments late and you will not receive credit or lose points. Submitting early is to your advantage.
DINE HEALTHY SOFTWARE
DINE Healthy software, a psychometric diet
composite system, is used as the basis for diet and activity analysis in this
class (HEA 207). You will need this software for weekly assignments.
- Use the TealWare version. Click to open TealWare (https://tealware.uncw.edu). First download the plug for your computer. Then click on the DINE Healthy icon. When using the TealWare version, you must save your assignment data on Timmy. Timmy is a file management system for students. To use Timmy go to http://www.uncw.edu/ITSD/learning/TimmyFileStorage.html. After you install Timmy, you can save your assignments for uploading into Blackboard. You must be connected to the Internet to use TealWare and Timmy.
- The text Eating and Fitness Excellence and other resource materials are available online.
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SERVER DOWN/DRIVE CRASHED
You understand that there are information technology issues that you must personally deal with and resolve to successfully complete the course including but not limited to server being down, or viruses / crashes destroying your work before it is uploaded into Blackboard. It is your responsibility to resolve any computer related issues so that your assignments and tests are submitted on time. You are advised not to wait until the deadline to submit your assignments, quizzes, or tests. If you wish to be safe from a technology standpoint, back up your data and use UNCW microcomputer lab computers. Although your professor is knowledgeable in technology, please keep in mind that professor expertise is nutrition and you must use UNCW information technology support (TAC) to answer navigation, browser, file management, and server related issues.
PARTICIPATION
You understand that the course professor can view your participation statistics, that is, how much time you spent online. You understand that if you have an issue that prevents you from being online for more than 3 days, you must provide rationale or risk being dropped from the class. Each week there are assignments due and/or tests. Each week there are WebEx sessions that are either required or optional.. These tasks must be electronically submitted on or before the due date for credit. Electronic assignments that are past due cannot be made up. Webex sessions are scheduled on Wednesdays for class and group discussion.
EMAIL
The assignments and procedures in this online class are designed to be clear
and precise. If you need to ask a question, you must use the Blackboard email
system. In Blackboard, go to Course Tools, click on Send Email, Instructor
Users, complete message and Submit.
Please Note: All emails
must use complete sentences, correct grammar, and spelling or the
emails will not be answered. You understand that replies may come at any time
within 24 hours except weekends. Please read all related course material before
sending your email. If the answer to your question is stated anywhere in the
course material, you will be advised to re-read the information. Please contact
TAC@uncw.edu or 962-4357 if your question is regarding file management or
navigating Blackboard.
Email Agreement
If you agree with these conditions,
simply send me an email in Blackboard with an "OK" within 48 hours of the
beginning date of the class OR within 48 hours of registering for the class.
This is synonymous to answering a roll call in a face-to-face class. You will be
dropped from the class if I do not receive your Blackboard OK email. And, I
reserve the right to drop you from the class if you do not agree with or do not
follow any of these conditions.
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