Medical Nutrition Therapy Reference Pages

1. look at the rubric that I uploaded, and I already gave you the sample for the reference page, but different diseases should have different format.2. NCM website link in the document, if you can not open it, let me know.
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Medical Nutrition Therapy Reference Pages ? Professor LaRose
Advanced MNT ? DIET4630
Your portfolio project is intended to be a useful resource for you to take from JWU into your
internship and/or future work experiences. Part of designing a helpful resource is organizing a
lot of the MNT we cover into reference pages.
In your portfolio, you will be required to include MNT Reference Pages and additional resources
(as listed) for each of the conditions listed below:
• Refeeding Syndrome
o See the blank sample Reference Page provided
o Including NCM? Conditions? Critical Illness? Refeeding Syndrome? Copy and
paste into a new document, be sure to include the proper citation for the NCM
• ESRD (3 MNT Reference Pages)
o Chronic Kidney Disease (CKD)
o Hemodialysis (HD)
o Peritoneal Dialysis (PD)
o Including NCM? Client Ed? Renal? CKD Stage 5 Nutrition Therapy? Download
Client Ed? Check Tips, Food List, NCM Standard Menu? Download PDF
• Bariatric Surgery
o Restrictive/Malabsorptive procedures can all be included on one MNT Reference
Page
o Including Sample Meal Plan Handout and Sample Portion Size Handout (I will do
this)
o NCM? Client Ed? Weight Management?Bariatric Surgery Vitamin/Mineral
Supplements? Download PDF
o TOS Clinical Guidelines for the Bariatric Patient (in Ulearn) (I will do this)
• Eating Disorders (2 MNT Reference Pages)
o Anorexia Nervosa
o Bulimia Nervosa
o Including Sample AN Meal Plan Handout and Sample Oral Supplement Exchange
Table (I will do this)
• Cancer (2 MNT Reference Pages)
o Cancer
o Bone Marrow/Stem Cell Transplant (including GVHD)
o Including the completed Cancer Chapter Worksheets (I will do this)
o Seattle Cancer Care Alliance Diet Guidelines for BMT/PBSCT patients (appropriately
formatted to ease of use)
• Pressure Ulcers and Wounds
o Medical Nutrition Therapy for Prevention and Treatment of Pressure Ulcers and
Wounds
o Including the completed SLM worksheets (I will do this)
o A copy of the Braden Scale (I will do this)
o NCM? Client Ed? Wounds? Pressure Ulcers Nutrition Therapy? Download Client
Ed? Check Tips, Food List, NCM Standard Menu? Download PDF
• Neurology
o Rather than have a bunch of MNT Reference Pages, you are only required to have
the completed Neurological Disorders Handouts (from the Neurology SLM) (I will do
this)
• HIV & AIDS
LaRose, DIET4630
NOTE: Details for the final portfolio submission are included in the Portfolio Instructions.
LaRose, DIET4630
Important!!!!!
BUILDING MNT REFERENCE PAGES:
• I have given you a sample MNT Reference Page on the following page to get you started.
Different disease states will have different requirements so the MNT Reference Pages
should be adjusted as needed to ensure that the MNT goals are all present. Again,
these are for your reference- though there are minimum criteria (as below).
MNT REFERENCE PAGE MINIMUM REQUIREMENTS:
• On EACH MNT Reference Page, you must have the following (unless otherwise
specified):
o A brief definition or disease state overview
o Any appropriate factors for estimating needs for kcals, protein, and fluid (there
may be multiple that prove useful here)
o Supplementation needs/considerations (vitamins, minerals, etc.)
o Monitoring criteria (labs, weight, etc. including frequency of monitoring)
ADDITIONAL CONSIDERATIONS:
• These are intended to be useful for you so you should include what you think is
meaningful while staying focused on the MNT needed. Things to include could be those
in the list above could include:
o Common diet order(s)
o Diet restrictions
o Common side effects of the condition(s) or treatment(s) with management
suggestions for side effects
o Patient/Family education needs/considerations
o And more!
REFERENCES:
You may use your class notes, text, or other professional references to gather information for
your MNT Reference Pages. I would recommend consulting the AND Nutrition Care Manual
(available online) and the ASPEN Adult Nutrition Support Core (on reserve under my name in the
library) at the very least.
• If you find conflicting information, you should come and talk to me about it.
Alternatively, you also may consider putting multiple viewpoints into your MNT
Reference Pages since it may help you to make decisions later on.
o Take a look at how I’ve organized your supplementation guidelines for the
Pressure Ulcers and Wounds SLM. In this example, you’ll notice that ASPEN is far
more specific (which is often more helpful as a clinician).
• You may find it to be helpful to have citations for where your information is obtained (in
case someone in your professional life asks you down the road). You’ll probably need
something beyond ‘AMNT class notes’ to be really helpful. Citations are recommended,
but it is optional for now so the format is up to you.
LaRose, DIET4630
GRADING:
• MNT Reference Pages will be graded as part of your final portfolio though they may be
checked periodically during the term and counted as part of your class participation
grade.
o The MNT Reference Page for each condition is ‘due’ the class period after we
cover the disease state. DO NOT fall behind with these.
o You do not have to type them to have in class, but they will have to be typed
prior to inclusion in your portfolio.
• Keep in mind that you will be using the MNT Reference Pages as part of your Portfolio
Test at the end of the term. It will be to your advantage to have complete worksheets
submitted in your portfolio in advance of that assignment.
All MNT Reference Pages are individual assignments. Plagiarism, sharing work with another
student, and other forms of cheating are serious offenses and will be handled as such.
Sample MNT Reference Page
Refeeding Syndrome
Definition: can be defined as the potentially fatal shifts in fluids and electrolytes that
may occur in malnourished patients receiving artificial refeeding
Macronutrient
Distribution
Calories
Protein
50%CHO
20-30%PRO
15-25%FAT
Initial
Advancement
Goal
Start at 20% basal
energy needs
No more than 50% of
estimated energy
needs
75% of nutrient
needs
Protein needs are calculated based on the nutrition assessment
data related to disease, injury, or clinical/ nutrition status and
range between 15% to 20% of total energy intake
Fluid
Supplementation
Needs
LaRose, DIET4630
Monitoring
Criteria
Monitored closely for electrolyte fluctuation and fluid overload. A
review of baseline laboratory values, including glucose,
magnesium, potassium, and phosphorus should be completed and
any abnormalities corrected before initiating nutrition support,
particularly PN.
OTHER NOTES:
References:
NCM link: https://www-nutritioncaremanualorg.jwupvdz.idm.oclc.org/welcome?_lid=D5BC1866-FE3D-6427-48731CE03B6BB81F
http://pvd.library.jwu.edu/medicalnutritiontherapy
LaRose, DIET4630

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