N&D 450 01: Medical Nutrition Therapy II

ND 450 - Medical Nutrition Therapy II

2023 Fall Syllabus, Section 01, CRN 7573

Course Information

You are responsible for knowing this material, so please read carefully. Any changes will be announced in a Blackboard Announcement. You will be responsible for any changes. Your continued enrollment in this course is your implicit agreement to abide by the requirements of this class.

This syllabus describes the requirements and procedures for N&D 450 Medical Nutrition Therapy II. You are responsible for knowing this material, so please read carefully. Any changes will be announced Blackboard Announcement. You will be responsible for any changes. Your continued enrollment in this course is your implicit agreement to abide by the requirements of this class.

Times and Location

MWF 9:05am-12:55pm in UND Nursing, Rm 204

Instructor Information

Danielle Villano, MS, RDN, LD

About the Professor

My name is Danielle Villano and I will be your instructor this semester for MNT II. I have worked as a dietitian in the clinical setting for 8 years in both pediatrics and adult healthcare facilities. In addition to teaching at UND, I also work for Altru as a Flex-time dietitian when I am available. I completed my Bachelor’s degree at Texas A&M University-Kingsville and completed my Master’s of Science in Nutrition and Dietetics and dietetic internship through the University of North Florida. I am a United States Navy Veteran who served for 8 years. My research interests are in simulation learning and I also have a strong interest in feeding practices of neonates. I live in Grand Forks with my husband, four-year-old twin daughters and two dogs. I am looking forward to sharing my knowledge and experiences with you as we review the course materials.  

Course Description

An advanced level of evidence-based study and application of the nutrition care process. This includes pathophysiology in disease and medical nutrition therapy for medical conditions and comorbidities.

An advanced level of evidence-based study and application of the nutrition care process. This includes pathophysiology in disease and medical nutrition therapy for medical conditions and comorbidities.

Prerequisites: N&D 441. Corerequisites: N&D 350

*Students majoring in Dietetics are required to successfully complete the course with a grade of “C” or better.

Learning Outcomes

This course meets specific accreditation knowledge requirements for the dietetics program, as follows:

Accreditation Council of Education in Nutrition & Dietetics (ACEND)

The learning activities in N&D 450 contribute to the following Knowledge for Registered Dietitian Nutritionists (KRDN’s): See tentative Schedule for Learning Activities. After completing this course, you should be able to:

KRDN 1.2 Select and use appropriate current information technologies to locate and apply evidence-based guidelines and protocols.

KRDN 3.1 Use the Nutrition Care Process and clinical workflow elements to assess nutritional parameters, diagnosis nutrition-related problems, determine appropriate nutrition interventions, and develop plans to monitor the effectiveness of these interventions.

KRDN 3.6 Develop nutritionally sound meals, menus, and meal plans that promote health and disease management and meet client’s/patient’s needs.

Course Materials

Required Text:

Nelms MN & Sucher K. Nutrition therapy and pathophysiology (4th ed.). Boston, MA: Cengage Learning, Inc; 2020. ISBN: 978-0-357-04171-0

Required Online Case Studies:

The Nutrition and Dietetics Program has purchased you access to MNT case studies through an online case-study program EHR-GO. Directions for getting started with this program, including the access code can be found in Blackboard in the Lesson 1.  The program can be accessed at: https://ehrgo.com/dietetics/

Recommended Supplementary Resources:

Pronsky, Z. M., Elbe, D., & Ayoob, K. (2018). Food medication interactions. Birchrunville (Penn.): Food-Medication Interactions. 19th edition. ISBN: 978-0-971-08967-9

Charney, P., & Malone, A. (2016). Academy of Nutrition and Dietetics pocket guide to nutrition assessment. Chicago, IL: Academy of Nutrition and Dietetics.

Technical Requirements/Assistance

Whether you’re taking courses in the classroom or online, it’s important to have the right technology and equipment.  Visit the UND Technical Requirements webpage for more information. Students are expected to use their official UND email in the course. For technical assistance, please contact UND Technical Support at 701.777.2222. Visit the University Information Technologies (UIT) website for their hours, help documents and other resources.

Minimum Technical Skills Needed

In order to succeed in this course, at a minimum, you should be able to:

Insert minimum requirements expected and needed. In the bulleted example list below

  • Navigate in and use basic Blackboard functions
  • Download and open electronic documents
  • Create, save, and upload/attach electronic documents
  • Send, receive, and manage email

Course Logistics

Access and Log in Information

This course was developed and will be facilitated utilizing Blackboard. To get started with the course, please go to: http://blackboard.UND.edu and log in with your NDUS.Identifier, Username and Password. If you do not know your NDUS Identifier or have forgotten your password, please visit Your NDUS Account page on the UIT website.

Course Overview

The course content is organized into 4 lessons. One lesson will be covered each week of the condensed fall semester. Each week contains a purpose, learning outcomes, and a variety of links to articles, video/audio files, and other instructional resources selected to enhance the learning experience and support the various topics. Discussions, blogs, wikis, surveys, quizzes, tests and assignments will be used to assess your comprehension and application of those materials.

What Should Students Do First?

Prior to the start of the first week you should have reviewed the syllabus and taken the Syllabus Quiz.

How Students Should Proceed Each Week for Class Activities

On the left side course menu in Blackboard there is a “Lessons” tab. Inside Lessons you will find all the required readings, videos, and assignments/activities for the week. An overview of each week can be found in Blackboard under the Schedule tab.


Many services are available to UND students such as writing assistance from the UND Writing Center, free online tutoring from Smarthinking, and more. Visit the Student Resources page for more information. Students also have access to the UND Student Resource Site via Blackboard. It is recommended that you become familiar with the tools and tutorials within the site to better equip you in navigating the course.

Course Requirements/Expectations

Insert the course requirements/expectations. An example is posted below.

  1. The student will review the syllabus and course schedule posted in Blackboard.
  2. The student will access and follow all course instructions found in the weekly area of the Blackboard course.
  3. The student will participate in any lecture or discussion sessions on campus or online as provided and as part of this course.
  4. The student will complete and submit assignments, exams, quizzes, etc. by the dated noted and in the manner described in Blackboard and on the course schedule. We will use Central Standard Time for due dates and times.
  5. The student will participate fully and in a timely manner to get the benefit of learning from instructor and/or peers.

Instructor Responsibilities and Feedback

Insert responsibilities students can expect the instructor to meet. Example provided below.

  • The instructor will provide feedback on all assignments and group activities by Thursday of the following week.
  • The instructor will be available during appointed Office Hours to answer questions, provide feedback, and offer advice.



Announcements will be posted in Blackboard on a regular basis. Be sure to check the class announcements regularly as they will contain important information about class assignments and other class matters.


You are encouraged to post your questions about the course in the FAQs discussion board forum in the Blackboard site or raise them in class if held synchronously or on campus. The Blackboard discussion board is an open forum in which you and your classmates are encouraged to answer each other’s questions. But, if you need to contact me directly, check the Faculty tab in Blackboard or the syllabus for my contact information. I will respond back to you within 48 hours during the week or weekend.

Discussion Forums

These tools are an excellent way for you to engage with the course material and with your peers. You are expected to read all assigned discussion boards and provide thoughtful contributions.

Course Etiquette

When participating in class (online or in person) it is important to interact with your peers in an appropriate manner. Always use professional language (no netspeak) in your postings and emails. Please be respectful of your classmates at all times even if you disagree with their ideas.


In this course your learning will be assessed in the following ways:

Discussion Board

Participation in discussion board assignments will be an integral part of your grade. Your posts should demonstrate that you have watched the lectures, read the assigned readings and have a clear understanding of the materials. You should provide evidence from the readings and/or other sources to support your arguments. You may also draw on your own personal experiences.

On assigned weeks you will need to make your first post to the discussion by Wednesday, 11:59 pm. Then contribute two additional posts, responding to different classmates, by Sunday, 11:59 pm. View the grading rubric in Blackboard for details on how posts will be evaluated. The discussion board is graded under Worksheets, Assignments, and Activities that will make up 20% of your grade.

Final Exam

Your final comprehensive exam will take place in class October 13, 2023.  The exam will be proctored through ProctorU. To prepare for the exam make sure to have read all of the assigned readings, watched the recorded lectures, and reviewed the provided study guide. The exam is worth 40% of your final grade.


The course includes several Blackboard quizzes that will make up 10% of your final grade. Quizzes include:

  • Weekly Chapter Quizzes will be taken Fridays in class

Case study

Students will be required to complete three (3) EHR-Go Case-studies during this semester. The purpose of this assignment is to provide simulation and application experience. you will find the link and directions to access EHR-Go in Blackboard. The case study template can be located in Blackboard in a folder labeled "Case Study". Case studies will make up 30% of your final grade.


You will be required to participate in two simulation activities. The purpose of the simulation is to prepare the learner for clinical rotation practice. The learner will practice introductions, proper hand hygiene, complete a nutrition assessment, nutrition focused physical exam, and practice interview skills.

Assessment Summary

Assignment                                               Final Grade

  1. Quizzes (4 @ 25 pts each)                                     100 Points
  2. Discussion Boards (2 @ 5 pts each)                      10 Points
  3. GI Condition Education Handout                          10 Points
  4. Case Studies (3 @ 25 points)                                 75 Points
  5. Calculations Worksheet                                         10 Points
  6. Renal 3-Day Meal Plan & Analysis                         25 Points
  7. Final Exam                                                                  75 Points
  8. Active Participation                                                100 Points

                  Total: 405 Points

Final Grade Scale

> 89.5% A

79.5-89.4% B

69.5-79.5% C

59.5-69.4% D

< 59.4% F

Schedule of Topics and Assignments

Week of Reading(s): Agenda/Topic: Due:
9/18 Chapter 14 & 15 Upper & Lower Gastrointestinal Tract GI Simulation at Med School 9:15-11:15 Case study 1: Due 9.24 by 11:59 pm GI Condition Education Handout due 9.22 by 11:59 pm *Share brief GI Condition Education presentation with class using handout on 9.22
9/25 Chapter 5 & 23 Neoplastic Disease & Nutrition Support Oncology & NFPE Simulation at Med School Sim-Lab Oncology Discussion Board Original Post due 9.27, Response to two classmates due 10.1 by 11:59 pm Oncology quiz due 9.29 (in class) Calculations Worksheet due 10.1 by 11:59 pm Case study 2: Due 10.1 by 11:59 pm
10/2 Chapter 18 Diseases of the Renal System IDDSI
FNCE 10/7-10/10/2023
TBD: SLP Guest speakers Nicole Paschke & Jessica Foley ROBOTS simulations 1:00 pm – 5:00 (TBD) Renal quiz due 10.6; 3-Day Renal Meal Plan due 10.8 by 11:59 pm
If you plan to attend FNCE please let the instructor know
10/9 Chapter 22 Metabolic Stress & the Critically Ill & Cellular & Physiological Response to Injury Case study 3: Due 10.13 by 11:59 pm Final Exam completed in class 10.13 using Lockdown Browser ABM Final Paper Due

Course Policies

Assignment Policy

Due dates for each assignment or activity will be posted in Blackboard.

Late Work

Insert your late work policy here. An example is provided below.

If you find that you’re having trouble keeping up in this class, please let me know as soon as possible so we can do what we can to help. Due dates are important insofar as they help you spread out your workload and help us keep the behind-the-scenes aspects of the course as organized as possible. The acceptance of late assignments is at the discretion of the instructor, provided that you contact the instructor before the due date and ask for an extension. All requirements for this course must be completed during the course dates.

Please note: You do not need to disclose or perform trauma when asking for an extension; you just need to let us know (very broadly) that you need help, and we will do what we can to get you back on track in the course.

Class Participation

Students are required to attend scheduled class times and activities.

Students are required to login regularly to the online class site.

Students are also required to participate in all class activities such as simulation, casestudies, diet order writing activities, discussion boards, nutrition education development, and interprofessional workshops


It is expected that students will complete all requirements for a course during the time frame of the course. For reasons beyond a student’s control, and upon request by the student or on behalf of the student, an incomplete grade may be assigned by the instructor when there is reasonable certainty the student will successfully complete the course without retaking it. The mark “I,” Incomplete, will be assigned only to the student who has been in attendance and has done satisfactory work up to a time within four weeks of the close of the semester, including the examination period, and whose work is incomplete for reasons satisfactory to his or her instructor. More information regarding UND’s Incomplete policy can be found on The Grading System webpage.

Resolution of Problems

Should a problem occur, you should speak to your instructor first. If the problem is not resolved, meet with Desiree Tande. If the problem continues to be unresolved, go to the department chair, and next to the college dean. Should the problem persist, you have the right to go to the provost next, and then to the president.


When participating in class (online or in person) it is important to interact with your peers in an appropriate manner. Netiquette is a set of rules for behaving properly online. Here are a few basic points to remember when communicating in this course:

Be scholarly. Use proper language, grammar, and spelling. Explain your thoughts, justify opinions, and credit the ideas of others by citing scholarly resources. Avoid misinforming others when you are unsure of the answer.  When discussing something and supplying a guess, clearly state that.

Be respectful. Respect the privacy of others. Do not share personal or professional information about others unless permission has been granted. Respect diversity and opinions that differ from their own. Be tactful when you communicate.

Be professional. Everyone should strive to give their best impression online. Truthfulness, accuracy, and running a final spell check are appropriate expectations for university students. Writing in a legible font and limiting the use of emoticons is considered professional behavior. Profanity and participation in hostile interactions, known as flaming, is unprofessional as well as disruptive.

Be polite. Students should address professors and instructors by the appropriate title or requested name. Students should interact online politely, just as they would be expected to do in a physical environment. Sarcasm, rudeness, and writing in all capital letters (shouting) should be avoided.


Everyone has the right to be addressed by the name and personal pronouns that correspond to their gender identity, including non-binary pronouns, for example: they/them/theirs, ze/zir/zirs, etc.

I recognize that preferred names and pronouns may change during the quarter, if at any point during the quarter you would like to be addressed differently, please let me know.

As part of our commitment to inclusion in this course, it is important that all students in this class respect the preferred names and pronouns of their peers. Mistakes in addressing one another may happen. If you make a mistake or are corrected, please briefly apologize and correct yourself.

Technology Statement

In this class we will have a technology policy that is designed to support your attention to one another and to the course material.  We will spend the majority of our time engaged in activities that depend upon you being present and attentive to one another, and course content we will study. We are all challenged these days by the ways in which our digital devices—including laptops, tablets, phones, and watches—can steal our attention away from our immediate surroundings. Technology should be used for educational purposes only during scheduled class times.

Collaboration and Recording (For Online, Hybrid, Hyflex courses)

Sharing personal experiences and opinions is an important part of the learning process. In the (hybrid, hyflex, synchronous, etc.) environment of this course, all of our interactions are recorded (via Zoom, Blackboard Collaborate Ultra, Yuja, etc) and made available to students in the course. The purpose of these recordings is to enhance learning for all students. If your peers make personal statements in this course, consider those comments in the context of our learning goals and do not share them with people outside the course. If you have questions or concerns about any recordings, please contact me.

Copyright Notice

Insert copyright information here if needed.

University of North Dakota Policies & Resources

Academic Integrity

Academic integrity is a serious matter, and any deviations from appropriate behavior will be dealt with strongly. At the discretion of the professor, situations of concern may be dealt with as a scholastic matter or a disciplinary matter.

As a scholastic matter, the professor has the discretion to determine appropriate penalties for the student’s workload or grade, but the situation may be resolved without involving many individuals. An alternative is to treat the situation as a disciplinary matter, which can result in suspension from the University, or have lesser penalties. Be aware that I view this as a very serious matter and will have little tolerance and/or sympathy for questionable practices. A student who attempts to obtain credit for work that is not their own (whether that be on a paper, quiz, homework assignment, exam, etc.) will likely receive a failing grade for that item of work, and at the professor’s discretion, may also receive a failing grade in the course. For more information read the Code of Student Life.

Access and Opportunity, Disability Support, & Medical Services

The University of North Dakota is committed to providing equal access to students with documented disabilities. To ensure access to this class and your program, please contact Disability Services for Students (DSS) to engage in a confidential discussion about accommodations for the classroom and clinical settings. Accommodations are not provided retroactively. Students are encouraged to register with DSS at the start of their program. More information can be obtained by email UND.dss@UND.edu or by phone at 701.777.2664.


UND is committed to maintaining a safe learning environment while providing quality learning experiences for our students. COVID-19’s continued presence within our UND community may necessitate changes in classroom management as the academic year progresses. As such, UND asks students and instructors to be flexible when necessary to promote a safe environment for learning. Please do not attend an in-person class or lab if you are feeling ill, particularly if you are experiencing symptoms of COVID-19, or if you have been directed by health professionals to quarantine or isolate. If you are not able to attend class or lab, please notify your instructor as soon as possible and discuss options for making up any missed work in order to ensure your ability to succeed in the course. If you will have an extended absence due to serious illness or other uncontrollable circumstances, you may request an absence notification through the Office of Student Rights and Responsibilities. Similarly, if your instructor is ill they may need to cancel class or temporarily move your course to online delivery to ensure that you are able to complete the course successfully.  Instructors may require students to wear masks in the classroom or in the laboratory as a preventative measure designed to facilitate uninterrupted classroom engagement and to facilitate health and safety in the classroom.   If your instructor does require masks in class or in a laboratory, you are expected to comply with that request.

UND also strongly encourages all members of the University community, including students, to get vaccinated, seek out testing when needed, and model positive behavior both on- and off-campus to foster a healthy and safe learning environment for all students. Individuals who would like to discuss disability accommodations regarding masks should contact the Disability Services for Students (DSS) office at 701.777.2664 or UND.dss@UND.edu. Individuals who are unable to wear a mask due to a sincerely held religious belief should contact the UND Equal Opportunity and Title IX Office at 701.777.4171 or UND.EO.TitleIX@UND.edu.

Religious Accommodations

UND offers religious accommodations, which are reasonable changes in the academic environment that enable a student to practice or observe a sincerely held religious belief without undue hardship on the University. Examples include time for prayer or the ability to attend religious events or observe a religious holiday. To request an accommodation, complete the student religious accommodation request form. If you have any questions, you may contact the Equal Opportunity & Title IX Office.

Pregnancy Accommodations

Students who need assistance with academic adjustments related to pregnancy or childbirth may contact the Equal Opportunity & Title IX Office or Academic Affairs to learn about your options. Additional information and services may be found at Pregnancy Resources.

Notice of Nondiscrimination

It is the policy of the University of North Dakota that no person shall be discriminated against because of race, religion, age, color, gender, disability, national origin, creed, sexual orientation, gender identity, genetic information, marital status, veteran’s status, or political belief or affiliation and the equal opportunity and access to facilities shall be available to all. Concerns regarding Title IX, Title VI, Title VII, ADA, and Section 504 may be addressed to Donna Smith, Assistant Vice President for Equal Opportunity & Title IX and Title IX/ADA Coordinator, 102 Twamley Hall, 701.777.4171, UND.EO.TitleIX@UND.edu or the Office for Civil Rights, U.S. Dept. of Education, 230 S. Dearborn St., 37th Floor, Chicago, IL 60604 or any other federal agency.

Reporting of Discrimination, Harassment, or Sexual Misconduct

If you or a friend has experienced sexual misconduct, such as sexual harassment, sexual assault, domestic violence, dating violence, or stalking, please contact the Equal Opportunity & Title IX Office or UND’s Title IX Coordinator, Donna Smith, for assistance: 701.777.4171; donna.smith@UND.edu; or visit the Title IX webpage. You may also contact the Equal Opportunity & Title IX office if you or a friend has experienced discrimination or harassment based on a protected class, such as race, color, national origin, religion, sex, age, disability, sexual orientation, gender identity, genetic information, pregnancy, marital or parental status, veteran's status, or political belief or affiliation.

Faculty Reporting Obligations Regarding Discrimination, Harassment, or Sexual Misconduct

It is important for students to understand that faculty are required to share with UND’s Title IX Coordinator any incidents of sexual misconduct or of discrimination or harassment based on a protected class that they become aware of, even if those incidents occurred in the past or are disclosed as part of a class assignment. This does not mean an investigation will occur if the student does not want that, but it does allow UND to provide resources to help the student continue to be successful at UND. If you have been impacted by discrimination, harassment, or sexual misconduct, you can find information about confidential support services on the Equal Opportunity & Title IX webpage..

UND Cares Program

How to Seek Help When in Distress

We know that while college is a wonderful time for most students, however, some students may struggle or have issues that arise. You may experience students in distress on campus, in your classroom, in your home, and within residence halls. Distressed students may initially seek assistance from faculty, staff members, their parents, and other students. In addition to the support we can provide to each other, there are also professional support services available to students through the Dean of Students and University Counseling Center. Both staffs are available to consult with you about getting help or providing a friend with the help that he or she may need. For more additional information, please visit the UND Cares Program Webpage.

How to Recognize When a Student is in Distress

The term “distressed” can mean any of the following:

  • Student has significant changes in eating, sleeping, grooming, spending, or other daily activities.
  • Student has cut off or minimized contact with family or friends.
  • Student has significant changes in performance or involvement in academics, sports, extracurricular, or social activities.
  • Student describes problems (missing class, not remembering, destructive behavior) that result from experiences with drinking or drugs.
  • Student is acting withdrawn, volatile, tearful, etc.
  • Student is acting out of character or different than usual.
  • Student is talking explicitly about hopelessness or suicide.
  • Student has difficulty concentrating or difficulty carrying on a normal conversation.
  • Student has excessive dependence on others for company or support.
  • Student reports feeling out of control of one’s emotions, thoughts, or behaviors.

Land Acknowledgement Statement

Today, the University of North Dakota rests on the ancestral lands of the Pembina and Red Lake Bands of Ojibwe and the Dakota Oyate - presently existing as composite parts of the Red Lake, Turtle Mountain, White Earth Bands, and the Dakota Tribes of Minnesota and North Dakota. We acknowledge the people who resided here for generations and recognize that the spirit of the Ojibwe and Oyate people permeate this land. As a university community, we will continue to build upon our relations with the First Nations of the State of North Dakota - the Mandan, Hidatsa, and Arikara Nation, Sisseton-Wahpeton Oyate Nation, Spirit Lake Nation, Standing Rock Sioux Tribe, and Turtle Mountain Band of Chippewa Indians.

Additional Resources

It is my goal to foster an environment of mutual respect in which everyone feels comfortable voicing their opinions, sharing their stories, and learning about potentially heavy or personally relevant material. If, at any point, you feel like the information covered in this class elicits thoughts, feelings, or concerns that you would like to discuss further, don’t hesitate to reach out to me, or the UND Counseling Center (701-777-2127).

Further, if you experience extenuating circumstances, sexual violence, identity-based harm, or any other personal crisis during the semester, don’t hesitate to reach out to me so we can provide academic assistance and help you in this course, and put you in contact with the appropriate resources and services (if needed).