PAED4406 Nutrition, Lactation and Gastrointestinal Disease

Credit
6 points
Offering
(see Timetable)
AvailabilityLocationMode
Semester 1OnlineOnline
Content
This unit provides an overview of neonatal nutrition, lactation and gastrointestinal disease which increasingly are emerging as key foci of global study that impact the short and long-term growth, neurodevelopmental and metabolic outcomes of the neonate.

This unit explores a range of topics including (1) developmental physiology of the gastrointestinal tract; (2) developmental physiology of lactation; (3) nutritional physiology and biochemistry; (4) growth references and growth standards, growth monitoring and neonatal body composition; (5) enteral nutrition—minimal enteral feeding, aggressive enteral nutrition and milk additives/formulas; (6) parenteral nutrition—parenteral solutions, parenteral delivery and aggressive parenteral nutrition; (7) specific neonatal conditions—necrotising enterocolitis, intrauterine growth restriction, gastro-oesophageal reflux and chronic lung disease; (8) surgical neonatal conditions and associated failure to thrive—small bowel syndrome, abdominal wall disorders, cardiac heart disease; (9) lactation, breastfeeding and donor milk banking; and (10) post-discharge nutrition.
Outcomes
Students are able to (1) demonstrate an understanding of fundamental principles of gastrointestinal development and functionality, update basic knowledge of energy and protein metabolism and revisit basic principles of digestion; (2) demonstrate an understanding of the anatomy of the human breast in the context of its role in the physiology of lactation and breastfeeding, as well as the process and role of donor human milk banking in providing optimal nutrition for preterm infants; (3) demonstrate an understanding of the preterm growth reference, including nutrient accretion rates and body composition and understand the limitations and uses of growth monitoring tools; (4) demonstrate an understanding of the latest advances in parenteral and enteral nutrition and be able to demonstrate how to optimise feeding prescriptions to promote nitrogen balance and minimise extrauterine growth restriction; (5) demonstrate an understanding of the aetiology and pathogenesis of common neonatal conditions and illnesses, and describe and demonstrate appropriate nutritional management; and (6) demonstrate an understanding of the differences between the preterm and term phenotype at discharge and appreciate the relevance of managing discharge nutrition appropriately in order to optimise long-term metabolic and developmental outcomes.
Assessment
Indicative assessments in this unit are as follows: (1) a literature review on a field of interest (10 choices from unit content); (2) journal presentation in which students are allocated a topic from the unit content, they identify a key researcher in the assigned topic and present one of the researcher's papers to a student tutorial for student discussion and feedback; and (3) an end of semester two-hour examination from topics covered in lectures, workshops and tutorials (five short essays). Further information is available in the unit outline.

Supplementary assessment is not available in this unit.
Unit Coordinator(s)
Professor Karen Simmer and Dr Gemma McLeod
Unit Outline
Semester 1_2019_ONLINE [SEM-1_2019_ONLINE]
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