Cookbook Dietetics

-
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

Comments

Post a Comment

Popular posts from this blog

Do you struggle with pre and post exercise nutrition?

-
Image
What should i eat before and after a workout? First things first…carbohydrates, proteins and fats are important for the body before  and after exercise. Exercising muscle preferentially uses carbohydrates from stored glycogen, but fats are also an important fuel source for energy production during exercise. Fats and carbohydrates are the two major fuel sources during exercise. Fats must be translocated and broken down from their storage form before they are used. Typically there is enough carbohydrate stored as muscle glycogen for exercise but as muscle glycogen stores decline, the skeletal muscle will then use some amino acids (basic components of all protein). More specifically, the amino acid leucine is used for energy.              It is important to consume an adequate amount of carbohydrates exercise to delay fatigue and minimize gastrointestinal distress. It is also important to consume enough fluids to prev...
Read more

Child Malnutrition

-
New approach to childhood malnutrition may reduce relapses, deaths http://www.sciencedaily.com/releases/2015/02/150211124024.htm               Moderate acute malnutrition is experienced by 35 million children worldwide. A new study led by researchers from Washington University School of Medicine in St. Louis has suggested that feeding children until they have met target measures of arm circumference and weight may be more important than a set 12 week feeding time. However, researchers have found that the current targets, set by the World Health Organization (WHO) may not be sufficient and raising these targets slightly could significantly reduce the risk of relapse in malnourished children; a condition that has a 37% relapse rate. The study took place in rural Malawi and was comprised of 2,349 moderately malnourished children aged 6 months to 5 years old. Children were evaluated 12 months after treatment; 1,967 rec...
Read more

Harvest of the Month

-
Image
Harvest of the Month  August – Corn Good source of  fiber Carbohydrate source for energy Antioxidants Contains vitamins and minerals ½ cup or 1 ear = 80 calories   http://www.whfoods.com/genpage.php?tname=foodspice&dbid=90 September – Watermelon High in vitamin A and vitamin C Antioxidants and anti-inflammatory support 1 cup cubed = 46 calories http://www.whfoods.com/genpage.php?tname=foodspice&dbid=31 October – Apples High in fiber Vitamin C Abundant amount of antioxidants 1 medium = 95 calories  http://www.whfoods.com/genpage.php?tname=foodspice&dbid=15 November – Squash and Pumpkin High in vitamin A, vitamin C, vitamin K, vitamin B2, B3 & B6 Many minerals  High in fiber Multiple antioxidant properties  1 cup = 76 calories  http://www.whfoods.com/genpage.php?tname=foodspice&dbid=63 Decembe...
Read more