About this Product


NUTRITION THERAPY AND PATHOPHYSIOLOGY, 2e provides a comprehensive focus on pathophysiology and medical treatment with a thorough review of the most current research and application of evidence-based nutritional care for students, clinicians and researchers. The Second Edition not only continues to provide an all-in-one resource for the study of nutrition therapy, but also more closely integrates the nutrition care process through a reorganization of chapters and its pedagogy. NUTRITION THERAPY AND PATHOPHYSIOLOGY strives to educate students about not only facts and theories that comprise current medical knowledge, but also the process of skill development that empowers students to grow in expertise within their field.

About The Author

Marcia Nahikian Nelms

Marcia Nahikian Nelms is currently a professor of clinical health and rehabilitation sciences and director of the dietetic internship in the Division of Medical Dietetics-College of Medicine at Ohio State University and a registered dietician. She has practiced as a dietician and public health nutritionist for over 25 years. Her clinical expertise centers on the development and practice of evidence-based nutrition therapy for a variety of conditions including diabetes, gastrointestinal diseases, and hematology-oncology for both pediatric and adult populations, as well as the development of alternative teaching environments for students receiving their clinical training. She is the lead author of Nutrition Therapy and Pathophysiology (2016) and Medical Nutrition Therapy: A Case Study Approach (2014), both published by Cengage Learning. In addition, she has contributed to the Academy of Nutrition and Dietetics Nutrition Care Manual sections on gastrointestinal disorders and is the author of numerous peer-reviewed journal articles and chapters for other texts. Dr. Nahikian Nelms has received the Governor's Award for Outstanding Teaching for the State of Missouri, the award for Outstanding Dietetic Educator in Missouri and Ohio, and the PRIDE award from Southeast Missouri State University in recognition of her teaching.

Kathryn P. Sucher

Dr. Sucher received her bachelor's and master's degrees from the University of California and her ScD from Boston University Medical Center in Nutritional Science. She 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. Dr. Sucher has published newsletters, numerous articles, and textbooks on this subject. She is also the coauthor of Nutrition Therapy and Pathophysiology, 3e (Cengage Learning 2016) and Food and Culture, 6e (Cengage Learning 2012).

Karen Lacey

Karen Lacey, MS, RD, CD is currently the director of the dietetics program at the University of Wisconsin-Green Bay. Karen has over 15 years of experience in dietetics’ education, having also previously directed the dietetic internship at UW-Green Bay. Her career in dietetics began as a clinical dietitian and her expertise focuses on the implementation of ADA’s Nutrition Care Process; having chaired the work group that first developed the Nutrition Care Process and Model in 2003. She is a coauthor of Medical Nutrition Therapy: A Case Study Approach, 3rd. Ms. Lacey has been and remains very active with the national, state and local dietetic associations. She has served on ADA’s Commission for Dietetic Education (CADE) and continues to be a program reviewer for CADE. Karen is also a member of ADA’s Association Position Committee and was recently elected as the Wisconsin Dietetic Association President-Elect. Ms. Lacey completed her Bachelor of Science Degree in Foods and Nutrition from Valparaiso University, and a Master’s of Science in Dietetics with emphases in Clinical Dietetics and Management from Mt. Mary College, in Milwaukee, Wisconsin. She completed a Dietetic Internship at the University of Michigan Hospitals in Ann Arbor, Michigan. Karen is the recipient of ADA’s Outstanding Dietetic Educator Award for both Didactic Programs and Dietetic Internships from Area 2 as well as Wisconsin Dietetic Association’s State Medallion Award.

Sara Long Roth

SARA LONG ROTH, PhD, RD, is Professor in the Department of Animal Science, Food and Nutrition and Director, Didactic Program in Dietetics at Southern Illinois University Carbondale. Prior to obtaining her PhD in health education, she practiced as a clinical dietitian for 11 years. Her specialty areas are medical nutrition therapy, nutrition education, and food and nutrition assessment. She is an active leader in national, state, and district dietetic association’s where she has served in numerous elected and appointed positions, including the Commission on Accreditation of Dietetics Education, and Commission on Dietetic Registration. Dr. Long is coauthor of Understanding Nutrition Therapy and Pathophysiology, Medical Nutrition Therapy: A Case Study Approach, Foundations and Clinical Applications of Nutrition: A Nursing Approach, and Essentials of Nutrition and Diet Therapy. Dr. Long has received various awards and honors for teaching, including Outstanding Dietetic Educator (ADA) and Outstanding Educator for the College of Agricultural Sciences.

Table of Contents

1. Chapter 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.
5. Methods of Nutrition Support.
6. Nutrition Monitoring and Evaluation: Documentation of the Nutrition Care Process.
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.
12. Energy Balance and Body Weight.
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 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. HIV and AIDS.
25. Diseases of the Musculoskeletal System.
26. Metabolic Disorders.


  • Ideal coverage for instructors who want a text focused on "clinical" or "diet therapy" topics without the basic nutrition chapters.
  • 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.
  • In-chapter boxes throughout the text focus students on topics related to clinical applications, research, brief historical developments in nutrition, and nutrition therapy for special populations.
  • "Practitioner Interviews" provide real-life perspectives on working with patients in different specializations as well as advice for dietetic interns.
  • "End-of-Chapter Questions" review key concepts in a discussion format; their answers located in the appendix provide quick and easy reference for students.
  • End-of-chapter tables describing complementary and alternative therapies provide a handy reference for the intern or practitioner.
  • Additional learning aids, including chapter glossaries, informative tables, explanatory figures, and Web links with brief annotations reinforce student learning.

New to this Edition

  • Reorganized chapters (especially in Part IV: Nutrition Therapy) more closely mirror the steps of the nutrition care process.
  • New! Chapter 4: Nutrition Intervention builds on the intervention teminology in Chapter 2 to explain the process of developing interventions, and includes coverage of both nutrition education and nutrition counseling with a focus on their use in acute care.
  • Chapter 9: Cellular and Physiological Response to Injury: The Role of the Immune System integrates basic concepts of cellular injury, the physiological response, and immunology by combining Chapters 10 and 12 from the first edition to illustrate how the immune response occurs alongside this physiological response to injury and disease.
  • Nutrition therapy within each systems chapter has been augmented with an emphasis on real-life application of the standards in patient care and has been updated with the latest evidence-based practice to prepare students to apply the nutrition therapy guidelines when interacting with patients and other health professionals.
  • Moved from the appendix into each chapter, specific diets and food recommendations present a clear picture of which foods are recommended for or excluded from therapeutic diets in order to achieve the desired energy and nutrient levels.
  • New "Life Cycle Perspectives" boxes focus on nutrition therapy for pediatric and pregnant clients to help students understand the ways nutrition therapy for certain conditions is individualized to meet the special needs of infants, children, and/or pregnant women.

Online Resources

Global Nutrition Watch Instant Access Code
ISBN-10: 1111473676 |  ISBN-13: 9781111473679
Bring currency to the classroom with GLOBAL NUTRITION WATCH from Cengage Learning! This user-friendly website provides convenient access to thousands of trusted sources, including academic journals, newspapers, videos, and podcasts, for you to use for research projects or classroom discussion. GLOBAL NUTRITION WATCH is updated daily to offer the most current news about topics related to Nutrition.

Web Site
ISBN-10: 0840045093 |  ISBN-13: 9780840045096
Use study tools on the companion website to review concepts, prepare for exams, and link to additional resources.

Best Buy Packages


Bundle: Nutrition Therapy and Pathophysiology, 2nd + Global Nutrition Watch Printed Access Card
ISBN-10: 1111977739 |  ISBN-13: 9781111977733

Bundle: Text + Dietary Guidelines Repromote
ISBN-10: 1111872759 |  ISBN-13: 9781111872755
NUTRITION THERAPY AND PATHOPHYSIOLOGY, 2e provides a comprehensive focus on pathophysiology and medical treatment with a thorough review of the most current research and application of evidence-based nutritional care for students, clinicians and researchers. It strives to educate students about not only facts and theories that comprise current medical knowledge, but also the process of skill development that empowers students to grow in expertise within their field.

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