Cookbook Dietetics

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This article on RD 411 is a great example of all the resources available on the site, and a good reminder on how to avoid practicing "Cookbook Dietetics" in community, clinical, counseling and all areas of dietetics, even in the face of increased time demands, client quotas, etc..

The article emphasizes patient centered care, and reminds us to take into account each patient's individual circumstances. Here are some of the most helpful tips:

  • Nutrition Prescription - when making this, don't forget to take the patient's level of understanding, and compliance.  There may be many areas to work on, however you don't want to overwhelm the patient.  Remember, by setting small goals, the patient is more likely to be successful and incorporate those positive changes into their lifestyle!

  • Use the Nutrition Care Process!

  • Make sure handouts and educational tools are up to date, and make these specific to the client's needs!

  • If you use EMR's or computerized charting, make sure to be as specific as possible in the blank spaces - which labs will you monitor, how many days will you follow up, etc..

  • Change any calculations as needed to adapt to the client or patient's specific needs!

  • Approach each nutritional condition by:
    1. Identifying the condition
    2. Identifying the proposed solution
    3. Identify how this was determined
    4. How you will implement the plan of action
    5. How you will measure the outcome

  • Include all pertinent information, and only the pertinent information!

  • Always use the PES statement format when writing the assessment...
    [Nutritional problem] "related to" [cause / etiology of nutritional problem] as evidenced by [signs and symptoms of nutritional problem].
This article cites one source and recommendation for further reading:
Lacey K, Pritchett E. Nutrition Care Process and Model: ADA adopts road map to quality care and outcomes management. J Am Diet Assoc. 2003;103:1061-1072.

Enjoy!

CR

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