ALLAMA IQBAL OPEN UNIVERSITY, ISLAMABAD
(Department of Environmental Design, Health and Nutritional Sciences)
NUTRITIONAL ASSESSMENT-II (3648)
M.Sc. PUBLIC NUTRITION
Supplementary Material
Spring, 2021
The course will provide hands-on experience in measuring dietary needs of
hospitalized patients; role of nutritional status in disease prevention and use of
biochemical & clinical techniques used for measuring the nutritional status of
individuals and populations. Laboratory exercises include the measurement of
body composition, use of food composition tables, and classification of nutritional
status.
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ALLAMA IQBAL OPEN UNIVERSITY, ISLAMABAD
(Department of Environmental Design, Health and Nutritional Sciences)
Course: Nutritional Assessment-II (3648) Semester: Spring, 2021
Level: M.Sc. Credit Hours: 4(3+1)
CONTENT LIST
This study pack includes the following items:
1. Course Book
2. Course Outline Units (1-9)
3. Tutor Guide
4. Student Guide
5. Assignments (1&2)
6. Assignment forms (6 forms)
7. Schedule for lectures, workshops and submitting the assignment
If any of the above mentioned material is missing from your pack, please
contact at the following address:
Mailing Officer
Services & Operations Block No.28
Allama Iqbal Open University H-8 Islamabad
Phone No. 051-9057611-12
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COURSE OUTLINE
NUTRITIONAL ASSESSMENT- II
Level: M.Sc. Credit Hours: 4(3+1)
UNIT 1: ASSESSMENT OF THE HOSPITALIZED PATIENT
1.1 Introduction
1.2 Assessing Nutritional Status
1.3 Measurements of anthropometrics
1.4 Dietary history
UNIT 2: ASSESSMENT OF ENERGY REQUIREMENTS
2.1 Measuring Energy Expenditure
2.2 Estimating Energy Needs
2.3 Energy Expenditure in Disease and Injury
2.4 Determining Protein Requirements
UNIT 3: NUTRITIONAL ASSESSMENT IN CORONARY HEART
DISEASE
3.1 Introduction
3.2 Dietary Treatment in Coronary Heart Disease
3.3 Issues in Measuring Lipid and Lipoprotein Levels
3.4 Hypertension
UNIT 4: NUTRITIONAL ASSESSMENT IN DIABETES MELLITUS
4.1 Introduction
4.2 Types of diabetes
4.3 Diagnosis of diabetes
4.4 Medical Nutrition Therapy for diabetes
UNIT 5: BIOCHEMICAL ASSESSMENT OF MINERALS
5.1 Use of Biochemical Measures
5.2 Iron Status Calcium Status
5.3 Zinc Status
5.4 Iodine Status
UNIT 6: BIOCHEMICAL ASSESSMENT OF VITAMNS
6.1 Vitamin A and D Status
6.2 Vitamin B6 Status
6.3 Vitamin B12 Status
6.4 Vitamin C Status
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UNIT 7: BIOCHEMICAL ASSESSMENT OF PROTEIN AND BLOOD
CHEMISTRY
7.1 Introduction
7.2 Protein status
7.3 Blood Chemistry Tests
UNIT 8: CLINICAL ASSESSMENT
8.1 Subjective Global Assessment
8.2 Protein-Energy Malnutrition
8.3 HIV Infection
8.4 Eating Disorders
UNIT 9: COUNSELING THEORY AND TECHNIQUES
9.1 Introduction
9.2 Communication
9.3 Interviewing
9.4 Counseling Theories
9.5 Initiating and Maintaining Dietary Change: A Practical Plan
Recommended Books:
1. Robert Lee David Nieman (2013), Nutritional Assessment (6th Edition),
McGraw-Hill Education.
Rosalind S. Gibson (2005), Principles of Nutritional Assessment (2 nd Ed), Oxford
University Press, New-York
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STUDENT GUIDE
Dear student!
We welcome you to the M.Sc. Public Nutrition course entitled “Nutritional
Assessment-II”. This course is the part of the second semester of your M.Sc.
program. For introduction to the course please go through the guidelines provided
here for successful completion.
In order to understand the course content, it is vital to know about its objectives
properly.
Let’s go through its objectives first.
Course Objectives
The objectives of this course are:
1. To acquaint the student with current knowledge in nutritional status for
measuring dietary needs of hospitalized patients & role of nutritional status
in disease prevention of disease.
2. To know about the dietary guidelines for standard nutrient intake and use of
biochemical & clinical techniques used for assessing the nutritional status.
Part Time Tutors
Students have been allocated a part time tutor. The name and address of the tutor
will be provided to you. The tutor will help and guide you in studying the books
and conducting activities related to study units. You are expected to take full
advantage of the tutor’s knowledge and experience. These tutors are also
responsible for marking your assignments.
Make all efforts to complete your written assignments according to the prescribed
schedule and try your level best to attend all the study sessions according to the
timetable provided to you.
Assignments
The course includes two assignments, which are compulsory for successful
completion of the whole course. Each assignment is of 100 marks and students
obtaining 40 percent marks will be declared pass.
Assignment No. 1 is theory based and must reach your assigned tutor before the
due date. The schedule of submitting the assignment is provided separately. The
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tutor will send the marked assignment back to the students within 15 days, if you
do not receive the marked assignment after 15 days please contact your tutor or
your regional office of the Allama Iqbal Open University.
Assignment No. 2 is based on skill development to assess the nutritional status of
patients by using different tools. You will interpret the data to compile a
comprehensive report and it will be submitted to concerned tutor. Please go
through the detailed instructions enclosed with the assignment.
Note: Do not forget to attach the prescribed forms for evaluation along with
each completed assignment.
Method of Study
Study period of 16 weeks has been allocated for studying this course through
allocated tutor’s guidance whereas 17th and 18th weeks are kept for general
assessment and final examination.
Units Assignments Study period
1-2 4 weeks
3-6 4 weeks
7 Assignment 1 2 weeks
8-9 2 weeks
Revision Assignment 2 4 weeks
Preparation for examination 2 weeks
You are expected to spend four weeks on studying first two units, this will help to
improve your reading speed and get familiar with the contents of the units. The
next three units 3 to 6 will become easier for you and you will be able to study
them in comparatively less time. You can spend four weeks on studying these
four units, during the ninth week you can study the unit 7 and during the tenth
week you must complete your first assignment and dispatch it to your tutor.
Unit 8 to 9 can be studied during 11th and 12th week respectively and you can
complete your second assignment along with the revision of your book during the
weeks 13-16. The last two weeks will be kept for examination and its preparation.
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Course workshop
Workshop will be arranged for three days for each course. Schedule of the
workshop and venue will be sent to the students during the study period.
Workshop will cover some of the lectures of the specialist on important topics.
The tutor will provide guidance for the workshop. Attendance in workshop is
compulsory for the students.
Final Examination
At the end of the semester there will be a final examination, all the students will
be expected to take this examination in the examination halls especially
established for this purpose.
For any queries, you can write to the program/course coordinator. Suggestions for
improvement will also be welcomed.
We wish you all the best.
Dr. Mahpara Safdar
Assistant Professor
Program/Course Coordinator
Department of Environmental Design,
Health and Nutritional Sciences,
Allama Iqbal Open University,
H-8, Islamabad
Phone No. 051-9057748
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TUTOR GUIDE
Dear tutor!
Students enrolled in M.Sc. Public Nutrition, offered through the blended learning
system, belong to a number of professions and have a variety of educational
backgrounds and experience.
These students have very limited contact with their course mates and the part time
tutors. It is therefore important to keep in mind that some of the students have had
no link with education during the past few years after completing their formal
education therefore they might lack confidence. Secondly these students are
involved in studying during their spare time, probably after office hours. You are
therefore requested to guide and help the students while keeping these issues in
mind. Some students may need help in developing professional attitudes as well
as understanding the practical implications of the knowledge of nutritional
assessments.
Study Center
The main purpose of establishing the study center for blended learning students is
to provide help and guidance for the difficulties faced by the students while
studying at home. The study centers have been established in local institutions
(AIOU Regional Campus Karachi, Multan, Faisalabad, Peshawar, Lahore, and
Main Campus Islamabad). During the tutorials it is required to provide guidance
to the students to sort out their problems.
Assignments
In the blended learning system, studying the course units has its own importance
but assignments and workshops are the major source of link between tutor and the
student. Therefore, it is important to offer your comments through these
assignments. Express your views in such a way that the student is not discouraged
or feels depressed after going through your comments.
You are also expected to guide on issues like methods of solving assignments,
effective methods of studying and methods to improve study habits and working
hard.
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It is anticipated that the student will submit their assignments in time according to
the prescribed schedule.
You are therefore requested to mark the assignments within 15 days and return
to the student with detailed comments within the scheduled dates.
Marking guides are provided to you. You are expected to follow the instructions
and make full use of these guides while marking the assignments. The students
are expected to avoid giving unnecessary details and try to be brief and
comprehensive. While marking the assignments the tutor has to assess whether
the students have followed the instructions provided to them or not.
The students are given another assignment which is based on skill development to
assess the nutritional status of patients by using different tools. The students will
compile a comprehensive report as per detailed instructions enclosed with the
assignment. After compiling a report, the students will be representing their work
report in the workshop held by the end of semester. The students are required to
submit this assignment to you in the workshop and will be marked by you.
Workshop
A three days workshop will be arranged for the students for each course in their
respective study center. You will be intimated before time, as your presence in the
workshop is necessary.
During the workshop, the experts will be delivering lectures to the students in
the main areas of the subject.
Secondly, the students would be submitting and presenting their second
assignment and you are required to mark the assignments.
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ALLAMA IQBAL OPEN UNIVERSITY, ISLAMABAD
(Department of Environmental Design, Health and Nutritional Sciences)
WARNING
1. PLAGIARISM OR HIRING OF GHOST WRITER(S) FOR SOLVING THE
ASSIGNMENT(S) WILL DEBAR THE STUDENT FROM AWARD OF
DEGREE/CERTIFICATE, IF FOUND AT ANY STAGE.
2. SUBMITTING ASSIGNMENT(S) BORROWED OR STOLEN FROM
OTHER(S) AS ONE'S OWN, WILL BE PENALIZED AS DEFINED IN ‘‘AIOU
PLAGIARISM POLICY’’.
Course: Nutritional Assessment-II (3648) Semester: Spring, 2021
Level: Postgraduate/M.Sc. Total Marks: 100
Credit Hours: 4(3+1) Pass Marks: 40
ASSIGNMENT No. 1
Q. 1 Discuss the biochemical tests for assessing visceral and somatic protein
status and highlight advantages and disadvantages of using serum proteins
for assessing nutritional status. (20)
.
Q. 2 Explain the strengths and weaknesses of the models used for assessing iron
status. Explain how vitamin D status is assessed? (20)
Q. 3 How dietary and other lifestyle factors influence serum levels of total
cholesterol, low density lipoprotein cholesterol and high density lipoprotein
cholesterol? Explain. (20)
Q. 4 Elaborate on different eating disorders prevailing in adolescents and provide
American Psychiatric Association’s diagnostic criteria for anorexia nervosa
and bulimia. (20)
Q. 5 Describe the communication model. Discuss the key concepts of the major
counseling theories in detail. (20)
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ASSIGNMENT No. 2
Total Marks: 100
Pass Marks: 40
This assignment has been designed to develop your skills to assess the nutritional
status of patients by using Mini Nutritional Assessment and Subjective Global
Assessment tools. It is also intended to train you to analyze and interpret assessed
data. These tools can be downloaded from websites mentioned against each as
below;
Mini Nutritional https://www.mna-elderly.com/forms/MNA_english.pdf
Assessment Tool
Subjective Global http://nutritioncareincanada.ca/sites/default/uploads/file
Assessment Tool s/SGA%20Tool%20EN%20BKWT_2017.pdf
Guidelines for Completion of the 2nd Assignment
1. Gather data of 10 individuals by using one tool for 5 individuals each.
2. You will have to compile 10 case studies.
3. These data forms will be attached in the final report of this assignment.
4. You are supposed to present and discuss this assignment in the presence of
tutor concerned and the course mates in the workshop, therefore power point
presentations, posters or any other illustrative material for effective
presentation will be encouraged.
5. Major findings of the report will be presented by each student during
workshop. The two components of the report i.e. written and oral will be
evaluated by the tutor and accumulative marks will be awarded out of 100.
6. Make and submit three copies, one for tutor, one for department record and
one for your own reference.
Note: Don’t forget to attach three evaluation forms at the time of submission of
the report to your tutor concerned.
7. For any further guidance, you may contact your tutor or the department of
Environmental Design, Health and Nutritional Sciences AIOU, Islamabad.
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MARKING GUIDE
It is anticipated that the tutors mark the assignments carefully and follow the
similar marking standard for all the students.
Assignment One
For the theory based assignments you are requested to follow the marks division
for each question as indicated on the assignment, making a total of 100 marks.
Assignment Two
For the second assignment i.e. applied in nature, the total 100 marks are
distributed in two types as under:
Report based applied assignment (part 1) ...................... 70 Marks
Presentation/ discussion/ Q/A (part 2) ............................ 30 Marks
You are expected to stick to the guidelines provided to maintain the
standardization and uniformity.
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