Content (Syllabus outline)
The subject is aligned with the global clinical nutrition curriculum within the LLL system and enables the acquisition of internationally recognized CME credits
1. Introduction to clinical nutrition and basic concepts of clinical nutrition
- The energy and protein balance
- Body Composition
- The definition of malnutrition-related medical conditions: screening, treatment, diagnosis
- The impact of malnutrition on the functioning of the body
- The impact of malnutrition on the development of cachexia in chronic diseases
- Definition and assesment of over-nutrition: functional and clinical consequences
- The prevalence of malnutrition in vulnerable populations and different diseases
1. Physiology and Biochemistry in clinical nutrition
- Appetite and appetite control in disease states
- Digestion and absorption of nutrients in intestinal failure
- Clinical assesment of energy metabolism
- Metabolic changes in injury
and sepsis
- Metabolic aspects of chronic inflammatory diseases
- The clinical consequences of carbohydrate metabolism in stress metabolism
- The clinical consequences of proteins and amino acidsmetabolism in stress metabolism
- Water and electrolytes in health and disease states
- The impact of micronutrient deficiencies in the physiological function in various disease states
- The role of specific nutrients: antioxidants, dietary fiber
- Simple and stress starvation
- The effect of genotype on inflammation and metabolism
- The metabolic aspects of neurological diseases
3. Clinical sports nutrition
4.Nutritional support in different clinical settings
- Nutritional support in severe malnutrition
- Perioperative nutrition
- Nutritional support in critically ill and septic patients
- Nutritional support in trauma
- Nutritional support in IBD
- Nutritional support in liver diseases
- Nutritional support in kidney diseases
- Nutritional support in lung and cardiovascular diseases
- Nutritional support in acute and chronic pakreatitisu
- Nutritional support in intestinal failure
- Parenteral nutrition at home
- Nutritional implications of bariatric surgery
- Nutritional support in burns
- Nutritional support for cancer patients
- Pregnancy nutrition
- Nutritional support of neonatal patients
- Nutritional support for children and adolescents
- Eating disorders
- Nutrition and wound healing
- Nutrition and diabetes
- Nutriton and oral health
Learning and teaching methods
lectures;
seminars.
Intended learning outcomes - knowledge and understanding
• Of basic parameters of the nutritional and metabolic status of different population groups (elderly, women, etc.) and of neurology patients in the frame of medical evaluation.
• Of basic planning of nutritional therapy according to the metabolic and nutritional diagnosis.
• Of planning patient nutrition support in health organizations.
• Of nutritional therapy monitoring and appropriate adaptation of nutritonal strategies in physical activity of various population groups and patients.
Intended learning outcomes - transferable/key skills and other attributes
Determination of the nutritional and metabolic status of the individual population groups (elderly, women) in the frame of medical evaluation
- Planning nutritional therapy according to the metabolic and nutritional diagnosis
- Monitoring of nutritional therapy and appropriate adaptation of nutritonal strategies in physical activity of various population groups and patients
Readings
Obvezna/Mandatory
KOŠNIK, Mitja (ur.), et al. Interna medicina. 6. izd. Ljubljana: Medicinska fakulteta: Buča, 2022. (poglavja nosilske izr.pof. dr. Nade Rotovnik Kozjek)
Priporočena/Recommended
BERLEC, Karla, ROTOVNIK-KOZJEK, Nada, BENEDIK, Jernej. Prehranska podpora. V: EBERT MOLTARA, Maja (ur.), BERNOT, Marjana (ur.). Paliativna oskrba odraslih bolnikov z rakom v Sloveniji : temeljni pojmi in priporočila. Ljubljana: Onkološki inštitut, 2023. Str. 164-175. ISBN 978-961-7029-60-4. DiRROS - Digitalni repozitorij raziskovalnih organizacij Slovenije, Digitalna knjižnica Slovenije - dLib.si.
LLL- KURIKULUM KLINIČNE PREHRANE (www.espen.org)
Prerequisits
Fundamental content knowledge from the courses’ field
