The 13th edition of this classic text supports the Nutrition Care Process as the standard for dietetics. Students and practitioners will embrace the standardized language for their own settings, whether for individuals, families, groups, or communities, and all readers are encouraged to use the most recent edition of the International Nutrition and Diagnostic Terminology in their practice.
Scientific knowledge and clinical information is presented in a form that is useful to students in dietetics, nursing, and other allied health professions in an interdisciplinary setting. It is valuable as a reference for other disciplines such as medicine, dentistry, child development, health education, and lifestyle counseling. Nutrient and assessment appendixes, tables, illustrations, and clinical insight boxes provide practical hands-on procedures and clinical tools for students and practitioners alike.
This textbook accompanies the graduating student into clinical practice as a treasured shelf reference. The popular features remain: having basic information on nutrients all the way through to protocols for clinical nutrition practice in one place, clinical management algorithms, focus boxes that give “nice to know” detailed insight, sample nutrition diagnoses for clinical scenarios, useful websites, and extensive appendices for patient education. All material reflects current evidence-based practice as contributed by authors, experts in their fields. This text is the first choice in the field of dietetics for students, educators, and clinicians.
This edition follows the Conceptual Framework for Steps of the Nutrition Care Process. All nutritional care process components are addressed to enhance or improve the nutritional well-being of individuals, their families, or populations. New to this edition is a flow of chapters according to the steps of assessment, nutrition diagnosis, intervention, monitoring, and evaluation. Also new is the separation of the pediatric medical nutrition therapy (MNT) chapters into their own section to assist with that specialty practice.
Part 1, Nutrition Assessment, organizes content for effective assessment. Chapters here provide an overview of the digestive system as well as calculation of energy requirements and expenditure, macronutrient and micronutrient needs, nutritional genomics, and food intake. A thorough review of biochemical tests, acid-base balance issues, and medications promote the necessary insight for provision of excellent care. A new approach for this edition is a chapter titled “Clinical: Inflammation, Physical, and Functional Assessments,” which addresses the latest knowledge about inflammation as a cause of chronic disease and the necessity of assessing for it. The final chapter in this section addresses the behavioral aspects of an individual’s food choices within the community, a safe food supply, and available resources for sufficiency in food accessibility.
Part 2, Nutrition Diagnosis and Intervention, describes the critical thinking process from assessment to selection of relevant, timely, and measurable nutrition diagnoses. These nutrition diagnoses can be resolved by the registered dietitian or trained health professional. The process is generally used for individuals, but can be applied when helping families, teaching groups, or when evaluating the nutritional needs of a community or a population. A nutrition diagnosis requires an intervention and interventions relate to food and nutrient delivery (including nutrition support), use of bioactive substances and integrative medical nutrition, education, counseling, and referral when needed.
Part 3, Nutrition in the Life Cycle, presents in-depth information on the nutrition for life stages from nutrition in the womb during lactation and through infancy and childhood. There is a chapter on nutrition in adolescence and another that deals with the nutrition issues and chronic disease that usually start appearing in adulthood. Finally, nutrition and the aging adult is discussed in detail because much of the employment of nutrition professionals in the future is going to be in providing nutrition services to this growing population.
Part 4, Nutrition for Health and Fitness, provides nutrition concepts for the achievement and maintenance of health and fitness, as well as the prevention of many disease states. Weight management, problems with eating disorders, dental health, bone health, and sports nutrition focus on the role of nutrition in promoting long-term health.
Part 5, Medical Nutrition Therapy, reflects evidence-based knowledge and current trends in nutrition therapies. All of the chapters are written and reviewed by specialists in their fields who present nutritional aspects of conditions such as cardiovascular disorders; diabetes; liver disease; renal disease; pulmonary disease; infectious disease; endocrine disorders, especially thyroid disease; and rheumatologic, neurologic, and psychiatric disorders.
Part 6, Pediatric Specialties, describes the role of nutrition therapies in childhood disorders. Chapters provide details for low-birthweight, neonatal intensive care conditions, genetic metabolic disorders, and developmental disabilities.
• New Title: The new title reflects the profession’s move to the “nutrition care process” while providing current, cutting-edge information upon which instructors and students alike have come to rely.
• Newest Recommendations: The dietary reference intakes are provided, with the new recommended dietary allowances for calcium and vitamin D that were published in 2010. The new MyPlate from the USDA in 2011, is also included.
• Nutrition Care Process Tools: The chapters are organized by the steps in the nutrition care process. In streamlined appendixes, the reader will find the essential clinical references and tools.
• Medical Nutrition Therapy: A new chapter is added to the Medical Nutrition Therapy section: “Medical Nutrition Therapy for Thyroid and Related Disorders.” In addition, the three cardiovascular chapters on hypertension, atherosclerosis and congestive heart failure from past editions have been merged into one chapter for easier care understanding of the chronic disease and MNT planning.
• UNIQUE Pathophysiology and Care Management Algorithms: Pathophysiology related to nutrition care continues to be a basic highlight of the text. Newly edited algorithms illustrate pathophysiology and relevant medical and nutritional management. These algorithms equip the reader with an understanding of the illness as background for providing optimal nutritional care.
• Focus On Boxes: Focus On boxes provide thought-provoking information on key concepts for well-rounded study and to promote further discussion within the classroom.
• New Directions Boxes: New Directions boxes suggest areas for further research by spotlighting emerging areas of interest within the field.
• Clinical Insight Boxes: Clinical Insight boxes present information for better understanding that enriches the student’s interaction with the patient around his or her nutritional care.
• Key Terms: Terms are colored and defined within the text.
• Useful Websites: A list of websites in each chapter direct the reader to online resources that relate to the chapter topics.
• Chapter References: References are current and extensive, with the purpose of giving the student and instructor lots of opportunity for further reading and understanding.
Accompanying this edition is the Evolve website which includes updated and invaluable resources for instructors and students. These materials can be accessed by going to http://evolve.elsevier.com/Mahan/nutrition/.
• Power Point presentations: More than 900 slides to help guide classroom lectures.
• Image Collection: Approximately 200 images from the text are included in the PowerPoint presentations, as well as more illustrations that can be downloaded and used to develop other teaching resources.
• Audience Response System Questions (for use with iClicker and other systems): Three to five questions per chapter help aid incorporation of this new technology into the classroom.
• Test Bank: Each chapter includes NCLEX-formatted questions with page references specific to that chapter’s content to provide more than 900 multiple-choice questions.
• Animations: Approximately 50 animations have been developed to visually complement the text and the processes described.
• Nutrition Care Process Tools: Consisting of assessment and monitoring tools and intervention tools, this information can be used by the new student and practitioner in teaching and guiding the client in his or her specific nutritional care.
Study Exercises with Answers: With more than 20 questions per chapter, these exercises give instant feedback on questions related to the chapter’s content.
We hope that instructors and students find this text as intriguing to study from as we find it in updating and keeping it current and relevant.