Medical Nutrition Therapy

Components of a Successful Malnutrition Program 

TPN 101 

Procedures, Drips and Medications in the ICU 

A Case Study Approach to Understanding Nutrition Support 

This  free module has collated the latest science and research on the most important topics relating to infant and childhood nutrition. It aims to support and give practical guidance to all healthcare professionals working in this area. The Program can be completed to enhance the quality of feeding for healthy infants and children as well as improve the standards of nutritional care for sick children. 

Complete 6 of the 9 courses and write a brief reflection of 1-2 paragraphs per course  in a single document. Link this reflection on the MNT home page of your Google site 

Nestle Pediatric Nutrition in Practice Module 

Required Simulation Activities Checklist

Review these resources for help in navigating around EHR Go

EHRGo Student Guide 

Submitting Your EHRGo Work 

EHRGo Help Guides 

Complete the following activities first before beginning the patient cases and upload to your personal MNT submission page. Once you have completed these assignments please email Robin for review before moving on to the patient cases.  

EHRGo Introduction 

EHR Documentation Standards 

Writing PES Statements 

Introduction to Evaluation 

Chart Auditing for Deficiencies 

For  Cholecystectomy patient Tanya Washington complete the following:

1. Patient Activity

2. Comprehensive Nutrition Assessment

3. Diet Instruction note addressing Chronic Obesity on Discharge Summary note

4. ADIME note

For Post Gastrectomy for Cancer patient Alejandro Gomez complete the following:

1. Patient Activity

2. Diet instruction note addressing pernicious anemia diagnosis 

3.  Nutrition ADIME note describing nutritional plan of care based on information from Nursing admission, including resources for home meals

For Post Partial Gastrectomy patient Ann Campbell complete the following:

1. Comprehensive Nutrition Assessment 

2. Clinical Nutrition documentation

3. Diet Instruction documentation

4. Comprehensive ADIME note

For End Stage Liver disease patient Minh Douangmala complete the following: 

1. Patient Activity

2. Comprehensive Nutrition Assessment 

3. Clinical Nutrition documentation

4. Diet Instruction documentation based on physician's consult request in orders

5. Comprehensive ADIME note

For Bariatric patient Malcom Roberts complete the following:

1. Patient activity

2. Write two additional PES statements  that an RD might hypothetically develop based on anticipated follow up scenarios and describe appropriate interventions. 

3. 20 Questions 

For Clinic Patient Gordon Land  Complete the nutrition consult in the physician orders with:

1. Nutrition ADIME note

2. Diet Instruction Note for weight loss incorporating interventions for hypertension

TYPE 1 DM MODULE

For  Adolescent Type 1 DM patient Willow Davis  complete the following:

1. Patient Activity

2. Comprehensive Nutrition Assessment incorporating the information from the 24 hour recall note

3. Diabetic Diet Instruction note

4. Comprehensive ADIME note

For  Type 1 DM patient Ben Johnson complete the following:

1. Comprehensive Nutrition Assessment note, including 24 hour recall information

2. Diabeteic Diet Instruction note

3. Comprehensive ADIME note

TYPE 2 DM MODULE

For  Type 2 DM patient Amara Basu   at Central clinic

1. Patient activity

2. Diet Instruction documentation

3. 20 Questions

For ESRD patient Youssef Ahmadi complete the following:

1. Clinical Nutrition Documentation note

2. 24 hour Diet Recall from medical record

3. Diet Instruction Documentation

4. 20 Questions

PULMONARY MODULE

For COPD patient Beatrice Graham complete the following:

1. Patient Activity

2. Clinical Nutrition documentation

3. Abbreviated ADIME note

For Cystic Fibrosis patient Anabelle Aamodt complete the following:

1. Initial Nutrition Assessment note

2. Nutrition ADIME note

3. Diet Instruction Documentation for pediatric weight gain

4. Complete 20 Questions for Any Patient

For Smoke Inhalation   patient Mark Bard complete the following

1. Initial Nutrition Assessment

2. 2. Nutrition ADIME note

3. Enteral nutrition recommendations including formula type and rationale, rate and calculations used to determine total volume and free water

4. Complete 20 Questions for any Patient

For  CVA  patient William Overton  complete the following:

1. complete an initial assessment note

2. develop a diet plan and brief instruction note

3. complete nutrition ADIME note

For  CVA patient Terrence Clarkson  complete the following:

1. Patient Activity

2. Initial Assessment note

3. Diet Instruction note based on Speech Therapy Assessment note

4. ADIME note

For Cancer patient Louis Lutz, complete the following: 

1. Comprehensive Nutrition Assessment 

2. Clinical Nutrition documentation

3. Diet Instruction documentation for discharge diet order appropriate for this cancer patient

4. Comprehensive ADIME note

For Cancer patient Margaret Nakamura, complete the following:

1. Comprehensive Nutrition Assessment 

2. Clinical Nutrition documentation

3. Diet Instruction documentation taking into account information from 24 hour recall

4. Comprehensive ADIME note

5. 20 Questions for any Patient

For Closed Head Injury patient Albert Anderson, there are three scenes. 

1.  For Scene 1  complete Initial Nutrition Assessment and determine his protein, energy and fluid needs 

2. For Scene 2 complete Nutrition ADIME Note

3. For Scene 3 complete Clinical Nutrition Documentation including recommendation for potential enteral nutrition and  ADIME 

4. 20 Questions for any Patient

For Cardiogenic Shock patient Alexis Kuznetsov, complete the following:

1. Comprehensive Nutrition Assessment 

2. Clinical Nutrition documentation

3. Comprehensive ADIME note

4. 20 Questions for any Patient

For Burn Injury patient Mark Bard complete the following: 

1. Comprehensive Nutrition Assessment 

2. Clinical Nutrition documentation

3. Comprehensive ADIME note

4. 20 Questions for any Patient

For Pregnant PCOS patient Amrita Fincan, complete the following for the physician ordered dietetic consult:

1. Initial Nutrition Assessment note

2. Nutrition ADIME note

3. Diet Instruction Documentation 

4. 20 Questions for any Patient