Nutrition Therapy and Pathophysiology Book Only,
4th Edition

Marcia Nahikian Nelms, Kathryn P. Sucher

ISBN-13: 9780357041710 | ISBN-10: 0357041712

Copyright 2020

| Published 2019

| 1008 pages

List Price USD $199.95


Reflecting the latest research and evidence-based practices, NUTRITION THERAPY AND PATHOPHYSIOLOGY, 4th Edition, provides comprehensive coverage of disease pathophysiology and treatment that emphasizes the best application of the nutrition care process. It clearly connects nutrition therapy practices and expected outcomes to underlying disease processes at every level--from cells to organ systems. Detailed illustrations enhance your understanding of disease progression, surgical procedures and treatment protocols, while Practitioner Interviews equip you with real-world insight on how to work with patients. The 4th Edition includes expanded coverage of nutrition therapy for pediatric and geriatric populations, medical treatment and the role of nutrition, malnutrition assessment, nutrition interventions, the monitoring and evaluation step of the nutrition care process and more.

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Meet the Authors

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Dr. Nahikian-Nelms is currently a professor of clinical health and rehabilitation sciences and the Director of Academic Affairs in the School of Health and Rehabilitation Sciences-College of Medicine at The Ohio State University. She has practiced as a dietitian and public health nutritionist for over 35 years. She is the lead author for several textbooks and is the author of peer-reviewed journal articles and chapters for other texts. Her clinical expertise focuses on development and practice of evidence based nutrition therapy for both pediatric and adult populations as well as the development of alternative teaching environments for students within their clinical training. Dr. Nahikian-Nelms serves as one of the leads for Interprofessional Education (IPE) and has contributed to the design of multiple simulations and IPE experiences within the seven health science colleges at Ohio State University. Dr. Nahikian-Nelms has received the Ohio State University Alumni Award for Distinguished Teaching, the Governor’s Award for Outstanding Teaching for the State of Missouri, Outstanding Dietetic Educator in Missouri and Ohio, Outstanding Teacher in Health and Rehabilitation Sciences, and received the PRIDE award from Southeast Missouri State University in recognition of her teaching.

Kathryn P. Sucher recently retired from San Jose State University, where she taught medical nutrition therapy and was the dietetic internship director for 20 years. In addition to her research interest in nutrition therapy, she is also a recognized authority on how diet, health and disease are affected by culture/ethnicity and religion, and she has published newsletters, numerous articles and textbooks on this subject. Dr. Sucher is co-author of Food and Culture, and Nutrition Therapy and Pathophysiology. She received her bachelor's and master's degrees from the University of California and her ScD in nutritional science from Boston University Medical Center.

  • Every chapter has new Learning Objectives to help students focus on what they are expected to learn.
  • The fourth edition provides a new emphasis on the inter-professional health care team and the role of the Registered Dietitian Nutritionist. There is improved integration of pediatrics throughout each chapter and enhanced calculations for nutrition support with incorporation of latest critical care guidelines. Guidance for nutrition focused physical examination and malnutrition diagnosis has also been added.
  • Completely up to date, the fourth edition provides revised PES (Problem, Etiology, and Signs/Symptoms) statements and increased use of ADIME (Assessment, Diagnosis, Intervention, and Monitoring/Evaluation) formats for case studies. There is expanded coverage of the use of evidence-based guidelines to guide appropriate nutrition interventions and the monitoring and evaluation step of the nutrition care process.
  • The Appendices are revised with the inclusion of the 2015-2020 US Dietary Guidelines eating patterns.
  • Nutrition Therapy and Pathophysiology, 4th Edition, delivers ideal coverage for instructors who want a text focused on "clinical" or "diet therapy" topics without the basic nutrition chapters.
  • Boxed features in every chapter help students connect text concepts to clinical applications, research, interesting historical developments in the field, nutrition therapy for special populations and more.
  • Giving students practical, on-the-job insight, Practitioner Interviews provide real-life perspectives on working with patients in different specializations as well as advice for dietetic interns.
  • Extremely reader friendly, detailed illustrations enhance student understanding of disease pathophysiology and progression (including congestive heart failure, irritable bowel syndrome, cell mitosis in cancer, metabolic blocks), surgical procedures (such as fundoplication and distal splenorenal shunt) and assessment/treatment protocols (including estimation of energy needs, diagnosis of malnutrition, weight management, hypertension and nutrition support during metabolic stress).
  • Twenty-six Life Cycle Perspectives features provide coverage of nutrition therapy to meet the unique needs of pediatric and geriatric populations.
  • End-of-chapter tables describing complementary and alternative therapies provide a valuable resource for the intern as well as practitioner.
  • Helping students maximize their study time, Chapter Review Questions recap key concepts in a discussion format. Answers are provided in the appendix, giving students a quick and easy reference.
  • Additional study tools--including chapter glossaries, informative tables, explanatory figures and web links with brief annotations--reinforce student learning.
  • An emphasis on pathophysiology clearly connects nutrition therapy practices and expected outcomes to underlying disease processes at each level of organization, from cells to organ systems.

Table of Contents

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1. Role of the Dietitian in the Health Care System.
2. The Nutrition Care Process.
3. Nutrition Assessment: Foundation of the Nutrition Care Process.
4. Nutrition Intervention and Nutrition Monitoring and Evaluation.
5. Enteral and Parenteral Nutrition Support.
6. Documentation of the Nutrition Care Process.
Part 3: Introduction to Pathophysiology.
7. Fluid and Electrolyte Balance.
8. Acid-Base Balance.
9. Cellular and Physiological Response to Injury: The Role of the Immune System.
10. Nutritional Genomics.
11. Pharmacology.
Part 4: Nutrition Therapy.
12. Diseases and Disorders of Energy Imbalance.
13. Diseases of the Cardiovascular System.
14. Diseases of the Upper Gastrointestinal Tract.
15. Diseases of the Lower Gastrointestinal Tract.
16. Diseases of the Liver, Gallbladder, and Exocrine Pancreas.
17. Diseases of the Endocrine System.
18. Diseases of the Renal System.
19. Diseases of the Hematological System.
20. Diseases and Disorders of the Neurological System.
21. Diseases of the Respiratory System.
22. Metabolic Stress and the Critically Ill.
23. Neoplastic Disease.
24. Diseases of the Musculoskeletal System.
25. Metabolic Disorders.

Cengage provides a range of supplements that are updated in coordination with the main title selection. For more information about these supplements, contact your Learning Consultant.

Online Instructor's Manual for Nelms/Sucher's Nutrition Therapy and Pathophysiology, 4th

Streamline and maximize the effectiveness of your course preparation using such resources as chapter outlines, learning objectives, answers to end-of-chapter questions and more.

PowerPoint Presentation Slides for Nelms/Sucher's Nutrition Therapy and Pathophysiology, 4th

Helping you make your lectures more engaging while effectively reaching your visually oriented students, these handy Microsoft PowerPoint slides outline the chapters of the main text in a classroom-ready presentation. The PowerPoint slides are updated to reflect the content and organization of the new edition of the text.

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Instructor Companion Website for Nelms/Sucher's Nutrition Therapy and Pathophysiology

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Pricing Options

Nutrition Therapy and Pathophysiology Book Only

  • ISBN-10: 0357041712
  • ISBN-13: 9780357041710

Price USD$ 199.95

eBook: Nutrition Therapy and Pathophysiology Book Only 12Months

  • ISBN-10: 8000027283
  • ISBN-13: 9788000027289

Price USD$ 71.49


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