Syllabus | Basic Dietetics | Advanced Dietetics | Third Year

BND 3rd Year
Advanced Dietetics
Theory: – 100 hrs Practical:-100 hr

S. No	Topic	Domain	Hours
Module 1	Introduction to Dietetics:- Definition •Growth•source of dietetics • importance • relationship with health •Definition of Nutrition Care Process • Steps of Nutrition Care Process Introduction to Diet Therapy:- Definition of Diet therapy • objectives of diet therapy• Concepts of diet therapy Introduction to Therapeutic Nutrition Definition of therapeutic nutrition • objectives of therapeutic diet •principles of therapeutic diets• therapeutic nutrition for changing needs Therapeutic Adaptation of Normal Diet: Definition of therapeutic diet •therapeutic adaption:- change in consistency change in energy intake change in nutrient• change in fiber • change in frequency of feeding• change in mode of feeding •change in elimination of food –	Must Know Definition of dietician Definition of nutrition care process Definition of diet therapy Definition of diet therapy Definition of therapeutic diet Therapeutic nutrition for changing needs Desirable to know Objectives of diet therapy Concept of diet therapy Nice to know Sources of dietetics Area of work	3 hrs
Module 2	Introduction to term Dietician Definition of Dietician • Educational Qualification of Dietician • Difference between registered dietician & Nutritionist • tools used by dietician • Area of work Role of dietician in hospital work area of hospital dietician • role of hospital dietician Interpersonal relationship with patient: – Definition of dietetics & counselling • factors affecting counseling•planning•implementing dietary care•Team approach to nutritional care	Must Know Role of dietician in hospital Role of dietician in community Desirable to know Educational qualification of dietician Tools used by dietician Difference between dietician and nutritionist	4 hrs
Module 3	Therapeutic Diets:- Routine Hospital Diet:- clear liquid diet• liquid diet• semi-solid diet• soft diet• normal diet• tube feed• PEG feed• JJ feed• bland diet• high & low calorie diet• high & low protein diet• high & low fiber diet • low cholesterol diet Basic concepts and methods of – Oral feeding:- definition • factors affecting oral feeding• precautions • dietary modification Tube feeding :- definition • types • administration • conditions • precautions • dietary modification Parental nutrition :- definition • types • administration • conditions • precautions • dietary modification Intravenous feeding:- definition • types • administration • conditions • precautions • dietary modification	Must Know introduction to therapeutic diet Definition of therapeutic diet Therapeutic adaption of normal diet Modification of normal diet Introduction to routine hospital diet Desirable to know Importance of therapeutic diet Concepts of various feeding methods	6hrs
Module 4	Diet in Burn, Surgery and Cancer:- Diet in Burn: – Introduction• types of burns • degree of burn • precautions • nutritional management. Diet in surgery:-Introduction• types of surgery:- general surgery, emergency surgery, gastrointestinal surgery• factors affecting surgery• pre-operative nutrition• post- operative nutrition• goals of dietary management• dietary management Diet in Cancer Introduction• origin• causes• diagnosis• relation of nutrition & cancer• effect of cancer on nutritional status• objectives of nutrition therapy• nutritional management.	Must Know Definition of burn Degree of burn causes of burn Nutritional management Introduction to surgery Nutritional management of pre-operative & post-operative surgery patient Introduction to disease cancer Types of cancer Signs & symptoms, causes of disease Effect of cancer therapy on nutritional status of patient Nutritional management Desirable to know Origin of cancer Risk factor Prevalence of disease Types of cancer therapies Modifiable & non modifiable risk factor	6hrs
Module 5	Diet for Weight Management Diet for obesity: – introduction• assessment of obesity• risk factor• causes • hazards of Obesity• complications• dietary modifications Diet for Underweight: – introduction•nutritional assessment• risk factor• causes • hazards of leanness• complications• dietary modifications	Must Know Definition of obesity Classification of obesity Assessment of obesity Nutritional management of obesity Definition of underweight Classification of underweight Assessment of underweight Nutritional management of underweight Desirable to know Health hazards of obesity Health problems related to underweight	5 hrs
Module 6	Modification of Diet:- Infection :- Nutrient & immune response during infection• Metabolic changes during infection• Nutritional management in infection Fever:-classification of fever • acute fever • chronic fever • Metabolic changes during fever Acute fever:- Typhoid:- introduction • prevalence• mode of transmission • signs & symptoms • stages of fever • complications• dietary modification Chronic fever:- Tuberculosis:- introduction • prevalence• mode of transmission • signs & symptoms • stages of fever • complications• dietary modification Influenza:- introduction • prevalence• mode of transmission •signs & symptoms • stages of fever • complications• dietary modification Recurrent Malaria:- introduction • prevalence• mode of transmission •signs & symptoms • stages of fever • complications• dietary modification	Must Know Definition of infection Classification of fever Introduction to tuberculosis Introduction to typhoid Signs & symptoms of disease Nutritional management of the disease Introduction to influenza Signs & symptoms of disease Nutritional management of the disease Introduction to recurrent malaria Signs & symptoms of disease Nutritional management of the disease Desirable to know Relationship between nutrition and infection Metabolic changes during fever	7 hrs
Module 7	Diet in Gastritis Peptic Ulcers: – introduction • types of peptic ulcers• signs & symptoms•clinical findings complications • dietary modification •amount of food•intervals of feeding• Chemically & mechanically irrigating foods•four stage diet:- Liquid, soft, convalescent, liberalized diet	Must Know Introduction to gastro intestinal disease Classification of disease Introduction to peptic ulcer Types of peptic ulcer Signs & symptoms of disease Nutritional management of peptic ulcer Desirable to know Functions of gastrointestinal tract Diagnostic test for peptic ulcer	8hrs
Module 8	Diet in disturbances of Small Intestine:- Diarrhea:- introduction • types of diarrhea• signs & symptoms • dietary modification :- fiber • fluids Constipation:- introduction • types of constipation• signs & symptoms •dietary modification Flatulence:- introduction • types• causes• signs & symptoms • dietary modification Diverticular Disease:- introduction • prevalence• causes• signs & symptoms • dietary modification Inflammatory Bowel Disease:- introduction • Categories of IBS:- crohn’s disease & ulcerative colitis • Prevalence of Crohn’s disease and ulcerative colitis • signs & symptoms • dietary modification Celiac Disease:- introduction • manifestation of disease• role of gluten • signs & symptoms • complications • dietary modification Lactose Intolerance:- introduction • manifestation of disease• role of lactase enzyme • signs & symptoms • complications • dietary modification	Must Know Introduction to diseases of small intestine Signs & symptoms of disease Nutritional management of the diseases of small intestine Desirable to know Functions of small intestine Diagnostic test	8hrs
Module 9	Diet in diseases of the Liver, Gall Bladder and Pancreas:- Introduction•function• classification Diseases of the Liver:- Introduction • function • classification • pathophysiology of liver Jaundice :- Etiology• causes •symptoms •dietary treatment:- nutritional requirement • dietary modification • foods avoided• foods given Hepatitis:- Etiology• causes •symptoms •dietary treatment:- nutritional requirement • dietary modification • foods avoided• foods given Cirrhosis:- Etiology• causes •symptoms •dietary treatment:- nutritional requirement • dietary modification • foods avoided• foods given Hepatic Coma:- Etiology• causes •symptoms •dietary treatment:- nutritional requirement • dietary modification • foods avoided• foods given Role of alcohol in liver diseases. Diseases of the Gall Bladder:- Introduction • function • classification •pathophysiology of gallbladder Cholecystitis :- Etiology• causes •symptoms •dietary treatment:- nutritional requirement • dietary modification • foods avoided• foods given Cholelithiasis:-Etiology• causes •symptoms •dietary treatment:- nutritional requirement • dietary modification • foods avoided• foods given Diseases of the Pancreas:- Introduction • function • classification • pathophysiology of pancreas Pancreatitis:- :- Etiology• types • risk factor •causes •symptoms •complications •dietary treatment:- nutritional requirement • dietary modification • foods avoided• foods given	Must Know Introduction to diseases of liver Types of liver disease Signs & symptoms of disease Nutritional management of the diseases of liver disease Introduction to diseases of gall bladderdisease Types of gall bladder disease Signs & symptoms of disease Nutritional management of the diseases of gall bladder disease Introduction to diseases of pancreas Signs & symptoms of disease Nutritional management of the diseases of pancreas Desirable to know Functions of liver Diagnostic test for liver disease Causes Risk factor of diseases Prevalence of diseases of pancreas, gall bladder and liver	7hrs
Module 10	Diet in Gout:- Introduction •nature •occurrence of uric acid •causes •symptoms • diagnosis• nutritional management • dietary modification • foods avoided• foods given	Must Know Introduction to gout Role of uric acid Signs & symptoms of disease Nutritional management Dietary modifications Desirable to know Diagnostic test for peptic ulcer	2hrs
Module 11	Diet in Allergy Introduction• types• manifestation • prevalence •stages of disease progression• common food allergens •relation of nutrition & allergy• impact of allergy on nutritional status • causes • signs & symptoms• risk factor• diagnosis • nutritional management	Must Know Introduction to allergy Types of food allergy Nutritional management of allergy Desirable to know Diagnostic test for food allergy Risk factor Prevalence of disease	4hrs
Module 12	Diet for Diabetes Mellitus: – introduction• role of pancreas in insulin production • classification:- IDDM, NIDDM, Gestational Diabetes Mellitus• etiology• prevalence •causes • risk factor• signs & symptoms • diagnosis •hypoglycaemic agent•insulin & its types•Complication•nutritional management	Must Know Definition of diabetes mellitus Classification of diabetes Signs & symptoms, causes of disease Nutritional management of diabetes Desirable to know Diagnostic test for diabetes Risk factor Prevalence of disease	6hrs
Module 13	Introduction to Renal Disease:- Introduction • function of kidney • pathophysiology • types Acute Glomerulonephritis&Chronic Glomerulonephritis:- introduction • manifestation of disease• causes• signs & symptoms • complications • dietary modification Nephritis :- introduction • manifestation of disease• causes• signs & symptoms • complications • dietary modification Nephrotic Syndrome :- introduction • manifestation of disease • prevalence of disease• causes • signs & symptoms • complications • dietary modification Acute Renal Disease :- introduction • manifestation of disease • prevalence of disease• causes • signs & symptoms • complications • dietary modification Chronic Renal Disease :- introduction • manifestation of disease • prevalence of disease• causes • signs & symptoms • complications • dietary modification End Stage Renal Disease :- introduction • manifestation of disease • prevalence of disease• causes • signs & symptoms • complications • dietary modification Dialysis:- introduction• types of dialysis• nutritional management Urinary Calculi– introduction •causes • treatment •acid, alkali producing ,neutral foods• dietary modification	Must Know Introduction to renal disease Introduction to nephritis Signs & symptoms of disease Nutritional management of the nephritis Introduction to nephrotic syndrome Signs & symptoms of various nephrotic syndrome Introduction to acute renal disease Classification of acute renal disease Signs & symptoms of various acute renal disease Nutritional management Introduction to chronic renal disease Stages of chronic renal disease Signs & symptoms of various chronic renal disease Nutritional management of chronic renal disease Introduction to dialysis Types of dialysis Nutritional management of patient on dialysis Desirable to know Functions of kidney Importance of Nephrons Diagnostic test for renal function	7hrs
Module 14	Diet for cardiovascular disease introduction•Role of nutrition in cardiac efficiency •types Atherosclerosis:- introduction•incidence of atherosclerosis•stages of development• etiology• causes • risk factor• diagnosis • complications • nutritional management Hyperlipidenmia Hypertension: – introduction • prevalence • causes • relationship between HTN & cardiovascular disease • complications •dietary treatment: – Sodium restricted diet•level of sodium restriction• sources of sodium•danger of severe sodium restriction.	Must Know Introduction to cardiovascular disease Stages of disease Signs & symptoms, causes, risk factor of disease Nutritional management of cardiovascular disease Desirable to know Diagnostic test Risk factor Prevalence of disease	7hrs

PRACTICAL
1. Planning, preparations and calculations of diets with modified-
(a) Consistency
(b) Fibre and residue
(c) Diet for Diarrhoea and constipation (d) Diet for peptic ulcer. (e) Diet tor liver disease.
2. Planning, preparation and calculation of diets in fever and infections.
3. Planning, preparation and calculation of diets for insulin dependent Diabetes mellitus,
Planning, snacks. Desserts and beverages for diabetes.
4. Planning. Preparation and calculation of diet in cardiovascular diseases.
5. Planning, preparations and calculation of diet in Kidney failure, Kidney transplant, Renal
Complication & Kidney stones.
6. Planning, preparations and calculation of diet in Cancer, Trauma (burns) & Surgery

REFERENCE BOOKS:

Textbook of Human Nutrition by Agrawal , Udipi
Textbook of Nutrition & Dietetics by Kumud Khanna
Basics of Clinical Nutrition by Y.K.Joshi
Krause’s Food & the Nutrition Care Process (Krause’s Food & Nutrition Therapy) by Krause & Mahan
Clinical Dietetics and Nutrition by F P Antia

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Syllabus | Basic Dietetics | Advanced Dietetics | Third Year