Nutrition Therapy and Pathophysiology,
3rd Edition

Marcia Nahikian Nelms, Kathryn P. Sucher

ISBN-13: 9781305111967 | ISBN-10: 1305111966

Copyright 2016

| Published 2015

| 1008 pages

List Price USD $199.95


NUTRITION THERAPY AND PATHOPHYSIOLOGY, 3E provides a comprehensive review of disease pathophysiology and treatment with a focus on current research into and application of evidence-based nutritional care for students, clinicians, and researchers. It strives to prepare students for success in clinical practice and foster growth in expertise in their field.

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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.

  • Twenty-six new Life Cycle Perspectives features have been added to provide greater coverage of nutrition therapy to meet the unique needs of pediatric and geriatric populations.
  • Chapters in Parts 1 and 2 have been revised to reflect the current scope and standards of dietetics practice, with a focus on the appropriate application of the nutrition care process, including standardized documentation of care using International Dietetics and Nutritional Terminology.
  • New illustrations enhance understanding of disease pathophysiology and progression (e.g., congestive heart failure, irritable bowel syndrome, cell mitosis in cancer, and metabolic blocks), surgical procedures (e.g., fundoplication and distal splenorenal shunt), and assessment/treatment protocols (e.g., estimation of energy needs, diagnosis of malnutrition, weight management, hypertension, and nutrition support during metabolic stress).
  • The third edition provides new or expanded coverage of the assessment of malnutrition, the use of evidence-based guidelines to guide appropriate nutrition interventions, and the monitoring and evaluation step of the nutrition care process. The third edition builds on its previous foundation of pathophysiology with additional integration of the aspects of inflammation and genomics that may affect nutrition goals and intervention decisions.
  • All chapters in Part 4 have been updated with reviews of the latest research into pathophysiology, medical treatment, and the role of nutrition and explanations of current evidence-based practice guidelines; several chapters have been streamlined to focus more on the concepts and practical advice most useful to students.
  • In-chapter boxes throughout the text focus students on topics related to clinical applications, research, brief historical developments in nutrition, and nutrition therapy for special populations.
  • 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.
  • Additional learning aids, including chapter glossaries, informative tables, explanatory figures, and web links with brief annotations reinforce student learning.
  • NUTRITION THERAPY AND PATHOPHYSIOLOGY, 3E provides ideal coverage for instructors who want a text focused on "clinical" or "diet therapy" topics without the basic nutrition chapters.
  • Practitioner Interviews provide real-life perspectives on working with patients in different specializations as well as advice for dietetic interns.
  • Chapter Review Questions review key concepts in a discussion format; their answers located in the appendix provide students with a quick and easy reference.
  • End-of-chapter tables describing complementary and alternative therapies provide a handy reference for the intern or practitioner.

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.
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.
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. HIV and AIDS.
25. Diseases of the Musculoskeletal System.
26. Metabolic Disorders.
Appendix A: Answers to Chapter Review Questions.
Appendix B: Answers to Application of the NCP Questions.
Appendix C1: Nutrition Assessment and Monitoring and Evaluation Terminology.
Appendix C2: Nutrition Diagnosis Terminology.
Appendix C3: Nutrition Intervention Terminology.
Appendix D1: Triceps Skinfold Thickness, Arm Muscle Area (AMA), and Mid-Upper Arm Fat Area (AFA): Procedures, Computations, Interpretations, and Percentiles.
Appendix D2: Nomogram for Calculations of Arm Muscle Circumference and Area.
Appendix E: Routine Laboratory Tests with Nutritional Implications.
Appendix F: Normal Values for Physical Examination.
Appendix G: Nutritional Deficiencies Revealed by Physical Examination.
Appendix H: Evidence-Based Analysis Process.
Appendix I: Enteral Formulas.
Appendix J: Parenteral Formulas.
Appendix K1: Choose Your Foods: Exchange Lists for Diabetes.
Appendix K2: Exchange Calculation Form.
Appendix L1: Saturated Fat, Total Fat, Cholesterol, and Omega-3 Content of Meat, Fish, and Poultry (3 oz Portions).
Appendix L2: Heme and Nonheme Iron Content of Selected Foods.
Appendix L3: Dietary and Supplemental Calcium Guide.
Appendix L4: Resistant Starch Guide.
Appendix M: Common Medical Abbreviations.

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Nutrition Therapy and Pathophysiology

  • ISBN-10: 1305111966
  • ISBN-13: 9781305111967

Price USD$ 199.95


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