CMSN(C)® case studies
CMSN(C)® · Put your knowledge to work in context.
The CMSN(C)® is a professional certification in medical-surgical nutrition for dietitians and nutrition clinicians who work with hospitalized adults and complex outpatient cases. It signals that a practitioner can move from nutritional science fundamentals through assessment, diagnosis, intervention, and monitoring without losing sight of the whole patient. The CMSN(C)® case studies are 5 cases and about 2,465 words.
1Postoperative Ileus in a Patient with Type 2 Diabetes
A 58-year-old man (weight 92 kg, BMI 31) underwent an open partial colectomy 3 days ago. He has type 2 diabetes (baseline A1c 8.4%) and a history of aspiration pneumonia 2 years ago.
599 words, about 3 min2Newly Diagnosed Celiac Disease with Iron Deficiency
A 34-year-old woman is referred after a diagnosis of celiac disease confirmed by duodenal biopsy and positive tissue transglutaminase IgA. She reports 6 months of diarrhea, bloating, fatigue, and a 7 kg weight loss (current weight 52 kg, height 165 cm).
553 words, about 3 min3Hyperglycemia During Continuous Enteral Feeding
A 71-year-old woman with a history of type 2 diabetes and a recent ischemic stroke is receiving continuous nasogastric enteral nutrition at 70 mL/h of a standard 1.0 kcal/mL formula (about 1680 kcal/day). She is bedbound and has a stage 2 sacral pressure injury.
470 words, about 2 min4Food Safety and Staffing in a Hospital Kitchen
A 220-bed hospital's foodservice department has 18 full-time employees. Two cooks called in sick, leaving 16 staff for a day that includes a scheduled special-event dinner for 120 guests plus routine patient meal service.
446 words, about 2 min5Weight Stigma in a Counseling Session
A 45-year-old woman with obesity (BMI 36) and prediabetes is referred for nutrition counseling. She has tried multiple diets, reports feeling judged by previous providers, and says, 'I just need to be told what to do - I always fail.' She works two jobs and has limited time to cook.
397 words, about 2 min