Transcript Document
Welcome to NS 335 Special Populations Erin Hetrick, MS, RD, LDN Seminar 1 - Outline 1. Get to know each other 2. Briefly go over syllabus 3. Answer your questions 4. Discuss this Seminar’s topic A little about me… Please call me Erin I have been married to my wonderful husband Mark for 8 years I have a 3 year old daughter, Hannah and 1 year old son, Nathan I have a Siberian Husky-Cassie, Lab-Boxer Mutt –Emmie I live in Zebulon, North Carolina, 15 minutes from Raleigh, North Carolina I am a Registered Dietitian and work full-time in hemodialysis. My Family Now – your turn Get your typing fingers ready…. Tell us an interesting fact about yourself! Questions? I will try to put in questions? Slides throughout the seminar power point. I can answer questions at any time. To get my attention – type just a ??? As soon as I finish my thought, I will answer your question. If you are still unclear – send me an email and I will get to it right after seminar. QUESTIONS ??? Moving forward Let’s look at the syllabus First, the basics Here is my contact info: • Kaplan Email Address: [email protected] • AIM Instant Messenger Name: erinhetrickRD • Seminar Days: EST: Thursdays at 9pm and Tuesdays at 7pm Remember – I’m always just an IM or email away. Moving on! Has everyone accessed their eText? The files are in Doc Sharing. If not or having problems, please email me([email protected]) after seminar. Course Description • Studies in this course emphasize the nutrition and dietetic considerations for individuals with special needs. The coursework includes dietary and clinical assessment, designing appropriate protocols for clients with chronic progressive degenerative diseases as well as for special needs infants, children and elderly. The course addresses the underlying principles of total parenteral nutrition and nasogastric tube feeding. • This is a very structured course, and the work you do in the textbook is essential to your understanding, so be sure to cover it thoroughly. The foundation that you build by learning the principles in this course will be incredibly helpful to you as you continue in your studies and as you begin your professional career. Course Outcomes Upon successfully completing this course, you will be able to: 1. Design appropriate nutrition care plans for special populations. 2. Develop dietetic and nutritional protocols for clients with chronic progressive degenerative diseases. 3. Design appropriate diets for infants and children with special needs. 4. Develop appropriate protocols for surgical and burn patients 5. Summarize diet planning principles for clients with metabolic disorders. 6. Explain principles governing diet and nutrition protocols for patients receiving total parenteral nutrition (TPN) or nasogastric tube feedings (TF). Why do I need to know this? Having read the course outcomes, how will NS335 Special Populations, be important to your career? QUESTIONS ??? Grading Distribution 9 Weekly Seminars 9 Discussion Threads Weekly (40 points each) 8 Quizzes (40 points each) 0 360 320 320 TOTAL: 1000 points 3 Projects (2-100 points each, 1-120 points) Discussion Grading Discussion Board Participation Rubric Students are expected to post: A Minimum of three posts per unit discussion thread. One post in response to the instructor’s initial question by EOD Saturday Two posts in response to two classmates or instructor by EOD Tuesday, end of unit When will I get my grades? All course projects submitted on time will be graded within five days of their due date (the Sunday of the following unit) Late work will be graded within five days of the submission date Discussion board grades will be updated each week no later than Sunday of the week following the Unit’s completion. My dog ate my homework… Course Policies - Late Work Policy Extenuating Circumstances: Late work will not be accepted unless there are clear and compelling extenuating circumstances. If you have extenuating circumstances that prevent you from completing course assignments/exams you must contact your instructor immediately—prior to the assignment/exam/quiz due-date unless prevented from doing so by emergency circumstances. Examples of extenuating circumstances are serious personal and/or family illness/hospitalization, death in the family, weather-related evacuation/emergencies, work emergencies, and issues related to active military assignment. Personal computer/software/internet connectivity issues and course blocks are not considered extenuating circumstances. Granting of late-work submission due to extenuating circumstances is at the discretion of the instructor and will require documentation for verification of extenuating circumstances. If late work submission is granted, the instructor will establish new due-dates and requirements without loss of course points. Projects • You have 3 Projects • A description of all projects & reports to be completed can be found under each of the units in the course – Units 3,6,9 Projects are due Tuesday 11:59 pm ET of their assigned Unit. All Projects must be submitted in APA format with appropriate citations in text with reference page. If you have any questions about this please refer to Kaplan’s Writing Center or contact me. ALL PROJECTS MUST BE SUBMITTED VIA THE DROP BOX TO ENSURE CREDIT QUESTIONS??? Referencing in the Discussions When you are posting to the discussion boards, please remember to reference your material! If it is not a thought that comes straight from your head, you must reference the source of your material Points will be deducted if material is not referenced We must give credit where credit is due Plagiarism – Don’t do it! • Plagiarism - Using another person’s words, ideas, or results without giving proper credit to that person; giving the impression that it is the student’s own work • Please read the syllabus regarding the specifics of plagarism • Kaplan University subscribes to a third-party plagiarism detection service, and reserves the right to check all student work to verify that it meets the guidelines of this policy • Penalties for Plagiarism: • 1st offense: Failure of the assignment in which the action occurred. • 2nd offense: Failure of the class in which the action occurred. • 3rd offense: Expulsion or permanent dismissal from the University. QUESTIONS??? DIET THERAPY Diet Therapy is the use of any diet for restoring or maintaining optimal nutritional status and body homeostasis This is accomplished by modifying one or more of the following aspects of the diet: 1) Basic nutrient (s) 2) Caloric contribution 3) Texture or consistency 4) Seasonings What can affect how a patient eats??? Routine Hospital Diets I will give you a description a typical hospital diet “Buzz in” by typing a # into the chat box. Wait until I call on you to type in your response. The first person to correctly identify the type of assessment wins that question. Name that Diet This diet permits tea, coffee or coffee substitute, fat-free broth, fruit juice, ginger ale, fruit juice, flavored gelatin, fruit ices, and water gruels (strained and liquefied cooked cereals are sometimes given) Clear liquid diet Name that Diet This diet changes the texture of foods. It is used for clients who have difficulty swallowing. Example, those with partial paralysis of the throat following a stroke (CVA) or patients undergoing radiation treatment for neck and throat cancers. Dysphagia diet Name that Diet This diet is limited to soft foods for those who have difficulty chewing food because of missing teeth or poorly fitting dentures Mechanically Altered Diet So give yourself a hand! Alternative Feeding Tube Feeding Parenteral Feeding via Peripheral Vein Parenteral Feeding by Central Vein Tube Feeding •Known as Enteral Feeding. •Used for patients who have enough functioning GI tract to digest and absorb food Tubes of Tube Feeding Routes NG -Tube G-Tube J-Tube Peripheral Parenteral Nutrition -Can be known as PPN -Nutrient fluids entering a peripheral vein can be saline with 5-10% dextrose, amino acids, electrolytes, vitamins, and medications -Appropriate when enteral feedings are contraindicated Total Parenteral Nutrition Total Parenteral Nutrition Used when a patient is severely depleted nutritionally or if the GI tract cannot be used. Via a catheter (usually the subclavian to the superior vena cava) Is a sterile mixture of glucose, amino acids, and micronutrients QUESTIONS??? Seminar 1 is Done!