Program Overview

Course Plan for Assess and Prevent the Risk of Malnutrition Among Older Adults in Primary Health Care

Introduction

The course plan for "Assess and Prevent the Risk of Malnutrition Among Older Adults in Primary Health Care" is designed to provide students with in-depth knowledge and skills in person-centered nutrition care. The course aims to equip students with the ability to assess and prevent malnutrition among older adults in primary health care settings.

Course Details

• Course Code: 2QA355
• Course Name: Bedöm och förebygg risk för undernäring bland äldre personer i primärvården (Assess and Prevent the Risk of Malnutrition Among Older Adults in Primary Health Care)
• Credits: 7.5
• Education Form: Higher education, according to the 2007 study order
• Main Field of Study: Other subjects
• Level: Advanced level, with no specific classification for course depth
• Grading Scale: Fail (U) or Pass (G)
• Responsible Institution: Department of Neurobiology, Care Sciences and Society
• Decision-Making Body: Education Committee NVS
• Date of Establishment:
• Revised By: Education Committee NVS
• Course Plan Applies From: Autumn semester 2024

Special Eligibility

• Specialist nursing or medical degree
• Additionally, requires Swedish B/Swedish 3 and English A/English 6 with a minimum passing grade

Objectives

The overall objective of the course is for students to gain in-depth knowledge and skills in person-centered nutrition care and demonstrate insight into the importance of collaborative assessment and prevention of malnutrition among older adults in primary health care.

Upon completion of the course, students should be able to:

• Identify and assess the risk of malnutrition and nutrition-related symptoms in older adults
• Plan, implement, and follow up on nutrition care for individual needs of food and nutrition, and prescribe dietary supplements
• Distinguish between patients' needs for nutrition care in early and late palliative disease stages
• Demonstrate insight into the importance of interdisciplinary collaboration to assess and prevent malnutrition among older adults in primary health care
• Demonstrate knowledge of and apply a person-centered approach to gather information about the patient's experiences related to eating and nutrition situation
• Demonstrate the ability to prescribe dietary supplements with the support of current advice and rules, with responsibility for how and when the prescription process can be used

Content

• Nutrition care process as support for preventing and treating malnutrition in individuals
• Review of current recommendations and advice related to clinical work
• Knowledge support with science and proven experience for person-centered care, nursing, and medical treatment
• Approach related to the person's experience of nutrition-related symptoms and complaints
• Responsibility, teamwork, and collaboration between caregivers to prevent, investigate, and treat malnutrition
• Nutrition care with a holistic view of the person with their own wishes and needs for food and nutrition in relation to the disease stage
• Knowledge support to master the prescription of dietary supplements according to recommendations for malnutrition and risk of malnutrition

Teaching Methods

The teaching methods used provide the opportunity for students to take active responsibility for their learning. These methods include e-learning, self-study, practical exercises with presentations, interactive lectures, seminars, group discussions, and final reflections.

Examination

The course's learning objectives are examined through:

• Active participation in seminars
• Group presentation with reflective discussion
• Self-correcting web training with interactive knowledge questions
• Individual theoretical-practical examination where the student demonstrates competence in integrating theory with practical tasks, considering the nutrition care process

The examiner determines if and how absence from compulsory educational components can be made up. Before the student has participated in the compulsory educational components or made up for absence in accordance with the examiner's instructions, the study results cannot be finalized. Absence from a compulsory educational component may mean that the student cannot make up for the missed opportunity until the next time the course is given.

Students who are not approved after the regular examination opportunity have the right to participate in up to five additional examination opportunities. This does not apply if the course has been discontinued or undergone significant changes. If a student has completed six failed exams, no further examination opportunities are given. As an examination opportunity, the times the student has participated in the same exam are counted. Submitting a blank exam is counted as an examination opportunity.

Late-submitted examination assignments are not considered. Students who have not submitted on time are referred to the re-examination opportunity. In the event of a failed grade on a practical part, the student has the right to undergo an examination of that part once more.

The examiner assesses if a student has special reasons for delay. The examiner has the opportunity to decide on complementing the examination material to achieve a passing result. A student who lacks a passing result after three completed examination opportunities may be offered to retake parts of or the entire course once more. This applies as long as there is space available.

If there are special reasons or a need for adaptation for a student with a disability, the examiner may decide to deviate from the course plan's provisions regarding the form of examination, the number of examination opportunities, the possibility of complementing, or exemption from compulsory educational components, etc. The content and learning objectives, as well as the level of expected skills, knowledge, and abilities, may not be changed, removed, or lowered.

Transition Provisions

For courses that have been discontinued or undergone significant changes, at least three additional examination opportunities (in addition to the regular one) shall be provided on the previous content for a period of at least one year from the time the change occurred.

Other Provisions

• Teaching is in Swedish.
• Course evaluation according to Karolinska Institutet's guidelines, established by the Committee for Education at the basic and advanced levels.
• The course may not be credited in an examination simultaneously with a completed and approved course whose content wholly or partly coincides with the content of the course.

Literature and Other Teaching Materials

Recommended Literature

• Preventing and Treating Malnutrition. National Knowledge Support in Health and Medical Care and Social Services, National Board of Health and Welfare, 2023
• National Board of Health and Welfare Terminology Bank, National Board of Health and Welfare
• Person-Centered Care in Health Care: From Philosophy to Practice, Ekman, Inger, Second Edition: Stockholm: Liber, [2020] - 362 pages ISBN: , LIBRIS-ID: 9mwr79087mfv7g5h
• GLIM Criteria for the Diagnosis of Malnutrition - A Consensus Report from the Global Clinical Nutrition Community, Cederholm, Tommy; Jensen, G. L.; Correia, M. I. T. D.; Gonzalez, M. C.; Fukushima, R.; Higashiguchi, T.; Baptista, G.; Barazzoni, R.; Blaauw, R.; Coats, A. J. S.; Crivelli, A. N.; Evans, D. C.; Gramlich, L.; Fuchs-Tarlovsky, V.; Keller, H.; Llido, L.; Malone, A.; Mogensen, K. M.; Morley, J. E.; Muscaritoli, M.; Nyulasi, I.; Pirlich, M.; Pisprasert, V.; de van der Schueren, M. A. E.; Siltharm, S.; Singer, P.; Tappenden, K.; Velasco, N.; Waitzberg, D.; Yamwong, P.; Yu, J.; Van Gossum, A.; Compher, C., WILEY, 2019 LIBRIS-ID: jtkf4lf7g07d5kpd, 10:1, 207-217
• Prevalence of Risk for Pressure Ulcers, Malnutrition, Poor Oral Health, and Falls: A Register Study Among Older Persons Receiving Municipal Health Care in Southern Sweden, Neziraj, Merita; Hellman, Peter; Kumlien, Christine; Andersson, Magdalena; Axelsson, Malin, BioMed Central, 2021 LIBRIS-ID: bqcrln3s80vgf1jb, 21:1
• Dent, E; Wright, O. R. L; Woo, J, Malnutrition in Older Adults, Hoogendijk, E. O., 2023 In: The Lancet : North American Edition, 1966- ISSN: , LIBRIS-ID: , 401 (2023) : (10380), pp. 951-966
• ESPEN Practical Guideline: Clinical Nutrition and Hydration in Geriatrics, Volkert, D; Beck, A M; Cederholm, T; Cruz-Jentoft, A; Hooper, L; Kiesswetter, E ...; Bischoff, S C, 2022 In: Gibney, Michael J., Clinical Nutrition, Oxford ; Blackwell Science, 2005: Blackwell Science, 2005 - xvi, 480 pages. ISBN: -6, LIBRIS-ID: , 41 (2022) : (4), pp. 958-989

In addition to the recommended literature, further scientific publications may be added.