Case Study Presentation using the Nutrition Care Process

Purpose: The oral case study presentation allows the student to develop and in-depth
understanding of the relationship between the disease process and nutrition
status, and apply the nutrition care process and to gain additional experience in organizing
and delivering a presentation to a group of peers and experts.

K.R. 2.1.a Students are able to demonstrate effective and professional oral and written
communication and documentation and use of current use current information
technologies when communicating with individuals, groups and the public.

K.R. 3.1.a Students are able to use the nutrition care process to make decisions, to identify
nutrition-related problems and determine and evaluate nutrition interventions,
including medical nutrition therapy, disease prevention and health promotion.

K.R. 3.1.b Students are able to apply knowledge of the role of the environment, food and lifestyle
choices to develop interventions to affect change and enhance wellness in diverse
individuals and groups.

Objective: Apply the nutrition care process as an oral presentation.

The student is expected to be well-versed on the subject of the case study and be able to field questions
from the audience.

The cases that have been chosen do have a specific nutritional implication.

Required Items

______Review the simulated electronic medical record for one case study patient.

______The presentation will be given using PowerPoint software (visual aids as needed but not
required) using third person.

______Power point (in final form) will be given to instructor on day of presentation as 3 slides per page.

______PowerPoint will include current references.

______Medical terminology spelled and pronounced correctly.

______Be prepared to explain any abbreviations or terminology used in slides.

______Dress professionally.

______Start promptly. Have the power point downloaded before class so class can begin immediately.

______Professional presentation standing up.

Required PowerPoint Items
Title
Primary medical diagnosis and nutritional problem and/or intervention.
Evaluation: Title should be narrow and as specific as possible

Introduction
Discuss primary diagnosis including etiology, pathophysiology and current medical and
nutritional treatment modalities.

Presentation of case
Assessment – See evaluation rubric for what to include.
Diagnosis – See evaluation rubric for what to include. Discuss in detail one primary nutritional
problem.
Intervention/Care Plan – See evaluation rubric for what to include.
Research Review - Include current literature for appropriate nutrition
intervention and includes slides on current recommendations and guidelines.
Provide slides with 1-2 studies that discuss the most recent research or
guidelines related to the nutrition intervention recommendation how they are or
are not related to your case. In depth literature review expected. Understand the
rationale or theory behind the medical and nutrition current treatments.
Monitoring and Evaluation - See evaluation rubric for what to include.
Prognosis - See evaluation rubric for what to include.
Summary
Indicate what you learned from the case study and reaction to the experience.
References on slide in APA format

Conclusion of Presentation
Question and answer period

Evaluation:
Written evaluation forms will be completed by all in the audience and summarized by the instructor. See
attached evaluation form.

If presentation does not meet standards, you may be asked to provide a written report addressing
outstanding issues due one week after presentation.
Evaluation of Oral Presentation of Case Study

Exemplary Acceptable Needs Improvement Unacceptable

Assessment -
Comprehensive assessment of
and thorough review of medical
record:
Demographics 2
- Age
- Sex
- Ethnicity/religious
considerations
- Marital status
Physical Exam 2
- Pertinent info
Client history 2
- Admitting signs and
symptoms/circumstances
- Previous history with
disease or condition and
pertinent to nutrition
- Psycho/Socio/economic
- Pertinent family history
Disease/condition information 10
- Primary diagnosis Understands
- Diagnostic tests results diagnosis and
and rationale for use rationale for
- Etiology treatment.
- Pathophysiology
- Current medical txt
- Current nutrition txt
- Patient’s understanding
Biochemical data 5
- Relevant
- Indicate if abnormal
- Units shown
- Changes
- How they relate to
condition
Anthropometric data 2
- Height
- Weight
- Other
Medications 5
- Current and amounts
- Purpose/Usage
- Pertinent drug/nutrient
interactions
Food and nutrition hx including 5
any previous MNT
- i.e. shopping,
preparation, meals away
from home, cooking,
resources.
- Evaluation of intake
- Analysis
- Summarize
Diet order 5
- Current
- Proposed changes and
explain rationale for
change (i.e. current
literature indicates, or
patient labs indicate need
for, etc…)
- If on tube feeding or
parenteral nutrition
indicate if meeting
patients needs.
Estimated kcalorie needs 1 – Accurate
- Show work
Estimated protein needs 1 – Accurate
- Show work
Estimated fluid needs 1 – Accurate
- Show work
Ideal body weight 1 – Accurate
- Show work/reference
% Ideal body weight 1 – Accurate
- Show work
Usual body weight 1 – Accurate
% Usual body weight 1 – Accurate
- Show work
Body mass index 1 - Accurate
- Show work
- If pediatric patient plot
height/weight on all
appropriate growth
charts
Adjusted weight (if applicable) 1 - Accurate
- Show work
Overall assessment 10
- Able to analyze and
interpret data and apply
to current situation
- Use of ADA evidence-
based guidelines or other
appropriate guidelines
- Addresses any ethical
issues
Nutrition Diagnosis – 5
- Key nutrition problems Review of literature
(s) contained in the based on solid
assessment parameters scientific evidence.
are discussed and strictly
adheres to the problem,
etiology and signs and
symptoms format using
the standardized NCP
language.
- One problem focused on!
Nutrition Intervention 5 – Able to deliver
- Appropriate for the appropriate
nutrition diagnosis and nutrition therapy.
presented using
standardized NCP
 language
- Education
- If counseling involved,
make suggestion on what
written materials are to
be used.
- Coordination of care
Nutrition Monitoring and 5
Evaluation
- Monitoring and
Evaluation strategies are
appropriate for the
nutrition diagnosis and
presented using the NCP
language.
- Intake, Clinical,
Behavioral/Environment
Prognosis 2
- What do you to see
happen with this pts’.
prognosis
Summary 5
- Indicate what you
learned from the case
study and reaction to the
experience.
Professionalism 4
- Dress
- Terminology in PP
- Terminology
pronunciation
- Started on time
- Stood for presentation
Power Point 4
- Title narrowed and
specific to case
- Current references used
- References in APA format
- Spelling
- No plagiarism
Ability to Answer Questions 4
Style/Delivery of Information 4
- Logical flow, organized
- Correct grammar
- Suitable pace
- Suitable volume
- Kept audience interest
- Did not read the
presentation off
PowerPoint (too much
info on slides)
- Additional documents
(i.e. graphs, tables,
and/or pictures) were
used
appropriately/relevant
Content/Thoroughness/Factual 5
Total Possible (100 pts) 100