Nutrition Therapy and Pathophysiology Book Only,
4th Edition

Marcia Nelms, Kathryn P. Sucher

ISBN-13: 9780357041710
Copyright 2020 | Published
1008 pages | List Price: USD $250.95

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.


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.

  • Marcia Nelms

    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

    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.

  • 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.

  • Every chapter has new Learning Objectives to help students focus on what they are expected to learn.

  • 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.

  • 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).

  • 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.

  • End-of-chapter tables describing complementary and alternative therapies provide a valuable resource for the intern as well as practitioner.

  • Additional study tools--including chapter glossaries, informative tables, explanatory figures and web links with brief annotations--reinforce student learning.

  • 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.

  • Twenty-six Life Cycle Perspectives features provide coverage of nutrition therapy to meet the unique needs of pediatric and geriatric 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.

  • 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.

  • 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.

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