Lauren Stierstorfer ARAMARK Dietetic Intern.  To gain a greater understanding of the role, responsibilities and impact of the clinical dietitian in an.

Slides:



Advertisements
Similar presentations
Christine Baldwin Department of Medicine & Therapeutics
Advertisements

WOUND CARE AND NUTRITION
Developing evidence based strategies and tools for the use of oral nutritional support in the community Vera Todorovic Consultant Dietitian in Clinical.
NUTRITION CONSIDERATIONS FOR PULMONARY DISEASES
+ Understanding Kidney Disease and Renal Dialysis Brooke Grussing Concordia College.
Nutrition 101: When, What, How to Feed A Case-based Approach to Gastroenterology Kimberly Carter, MS, PA-C Division of Gastroenterology University of Pennsylvania.
Registered Charity No: Registered Charity No: Nutrition screening: why bother Adapted presentation originally.
The New (Proposed) Texas Rules for ESRD Facilities What They Mean for the Renal Dietitian.
OverviewOverview – Preparation – Day in the Life – Earnings – Employment – Career Path Forecast – ResourcesPreparationDay in the LifeEarningsEmploymentCareer.
© 2007 Thomson - Wadsworth Chapter 13 Nutrition Care and Assessment.
Health Care Careers Education Aspects. Copyright © 2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED.2 Accrediting Agencies Purpose: to establish standards.
New Frontiers: Nutrition and Esophageal Cancer Kacie Merchand MS,RD,LD Oncology Dietitian.
10 Points to Remember for the Management of Overweight and Obesity in Adults Management of Overweight and Obesity in Adults Summary Prepared by Elizabeth.
© 2007 Thomson - Wadsworth Chapter 16 Nutrition in Metabolic & Respiratory Stress.
Students Orientation Nutrition and Health Department.
Mosby items and derived items © 2006 by Mosby, Inc. Slide 1 Chapter 1 Food, Nutrition, and Health AHMAD ADEEB.
Mosby items and derived items © 2006 by Mosby, Inc. Slide 1 Chapter 17 Nutritional Care.
1.03 Healthcare Trends.
Rehabilitation Role in Bedside Rounding Christina Pedini, MSPT, GCS Director of Rehabilitation, University of Maryland Upper Chesapeake Health.
 The University of Akron College of Health Professions.
Nutrient Delivery  Chapter 14  J Pistack MS/Ed.
Minimising undernutrition in older adults with dementia Jennie Jackson, Jayne Brown, Yvonne Robb, Kay Currie and Cheryl Graham Glasgow Caledonian University.
Life Cycle Nutrition: Adulthood and the Later Years
Copyright © 2011 American College of Sports Medicine Exercise and Sport Nutrition Chapter 6.
Registered Dietitian Vicky Ming Mari Lisa.
Complications After Bariatric Surgery: Survey Evaluating Impact on the Practice of Specialized Nutrition Support Nutrition in Clinical Practice 22: ,
Chapter 10: Special Topics in Adults & Chronic Diseases: Nutrition and Public Health Judith Sharlin, PhD, RD.
Aging and Obesity Claire Zizza Tenth Annual Diabetes and Obesity Conference April 19, 2011.
SCI Nutrition Angela DiTucci, R.D.. Gastrointestinal Genitourinary Respiratory Neuromuscular NUTRITION Skeletal Cardiovascular Integumentary Metabolic.
Careers Dietetics Information Provided By:
Making a Meal of Health Samantha Cushen, BSc, M.I.N.D.I Research Dietitian, School of Food and Nutritional Sciences, University College Cork.
1.03 Healthcare Trends Understand healthcare agencies, finances, and trends Healthcare Trends Technology Epidemiology Geriatric Care Wellness Cost.
Paid Feeding Assistants Guidance Training CFR §483.35(h), F373.
Basma Y. Kentab MSc.. 1. Define ambulatory care 2. Describe the value of ambulatory care practices 3. Explore pharmacy services in some ambulatory care.
Optimizing Nutrition Therapy
Home Based Care. Presentation Objectives Explain the role of home based care for PLWHAs; Explain the 4 components of home based care; Describe the psychological.
VA/DoD 2006 Clinical Practice Guideline For Screening and Management of Overweight and Obesity Guideline Summary: Key Elements.
NUTRITION THERAPY FOR PHYSIOLOGICAL STRESS & ACUTE DISEASES (CHS 268) FIRST SEMESTER Dr Iman Bindayel.
Description: Using a variety of treatments to help patients who are injured ; physically or mentally disabled; or emotionally disturbed. Treatment directed.
Malnutrition Universal Screening Tool (MUST) Gill Cuffaro Senior Lecturer - Dietetics University of Hertfordshire What is nutritional screening Why screen.
Emeritus Professor of Clinical Nutrition, Barts and the London. Digesting OFNOSH Jeremy Powell-Tuck.
What Participating Providers Must Tell Consumers.
1 The Health Team HST 2 2 Introduction Care of the sick, the prevention of illness and the promotion of health and general welfare requires a combination.
© 2007 Thomson - Wadsworth Role of the Dietitian in the Health Care System Chapter 2.
Plan For Change By Group 5. Identified problem: Obesity Ineffective Health Maintenance The people of Grand Traverse County have a lack of familiarity.
Commissioning a Malnutrition Service in Greenwich Rachel Oostra Dietetic Advisor NHS Greenwich CCG
Basic principles of nutritional science Department of Applied Science King Saud University/ Community College By: Murad Sawalha.
Objectives  Name the four types of degrees and the approximate number of years for completion  Differentiate between the following and give one career.
Careers in Health Care INTRODUCTION TO HEALTH CAREERS.
Nutritional Support in Surgical Patients Nuha Al Masoud Noura Al-Shatiry Asma Al-Mandeel.
“No Pressure…But I Need My Nutrition Please!” Come Visit the Clinical Nutrition Booth at The Carnival on Friday October 12 th, 2012 in the cafeteria Topic:
West Virginia University Human Nutrition & Foods.
SO Nutrition, LLC Nutritionist Stephanie Leipprandt Ouellette, MBA, RD, LD Stephanie has been working in the field of nutrition and dietetics since 1995.
Nutritional Analysis and Assessment
Registered DietitianDietetic Technician Registered “Food and nutrition expert” Treatment and prevention of disease – Delivery of MNT – Hospitals, private.
Chapter 7: Epidemiology of Chronic Diseases. “The Change You Like to See….” (1 of 3) Chronic diseases result from prolongation of acute illness. – With.
Registered Dietitian/Nutritionist Career Introduction For this presentation I will be using RD or RDN to stand for Registered Dietitians/Nutritionists.
Careers in Dietetics Becoming A Registered Dietitian From the Academy of Nutrition and Dietetics.
 The University of Akron College of Health Professions.
Nutrition & Stroke 15/2/10 This is not an Agored Cymru publication. It has been developed by colleagues from Cwm Taf University Health Board and is currently.
PPT by Naman Sood ( X-G ). INDEX Nutrition Dietician As a career option – Job opportunities Renowned Colleges Criterion of selection / Prerequisites Famous.
Frontier Lifeline Hospital , Chennai , India Peri-operative Nutrition Supplementation in Congenital Heart Surgery- A clinical audit and plan for Quality.
© Copyright Cengage Learning 2015 Chapter 11 Miscellaneous Rates.
Insert Objective 1 Insert Objective 2 Insert Objective 3.
Insert Objective 1 Insert Objective 2 Insert Objective 3.
Diabetes Self-Management Education and Support: Component of Standard Diabetes Care 1, 2 “… Ongoing patient self-management education and support are.
Nutritional Issues in Stroke Patients
Nutritional Management of Pressure Ulcers
Nutrition Care and Assessment
A Dietitian’s Perspective on Malnutrition Sara Ingersoll, MS, RD, LD
Presentation transcript:

Lauren Stierstorfer ARAMARK Dietetic Intern

 To gain a greater understanding of the role, responsibilities and impact of the clinical dietitian in an acute care setting

 Academic Path to Becoming a Clinical Dietitian  Responsibilities of the Clinical Dietitian in a Hospital Setting  How Does Nutrition Influence Patient Status?  Impact on Patient Outcomes  Expertise of the Clinical Dietitian on Performing Nutritional Calculations  Malnutrition  Clinical Order Writing Privileges

 Minimum of a bachelor's degree at a U.S. regionally accredited university or college ◦ course work approved by the Accreditation Council for Education in Nutrition & Dietetics (ACEND) of the Academy of Nutrition & Dietetics (AND)  Complete ACEND supervised practice program at a healthcare facility, community agency, or a foodservice corporation, or combined with undergraduate or graduate studies ◦ ~1400 hours of supervised hours  Pass national examination administered by the Commission on Dietetic Registration (CDR).  Complete continuing professional educational requirements in order to maintain registration and licensure (75 CEU’s for RD every 5 years; 30 CEU’s for LDN every 2 years)  “The Commission on Dietetic Registration (CDR) in 2013 advised in their Entry-Level Registration Eligibility Requirements Update that by 2024, any student intending to become Registered Dietitian/Nutritionist will be required to complete a Master’s degree. This will apply to incoming freshman in 2017.” Registered Dietitian: Educational and Professional Requirements. Eat Right. Academy of Nutrition and Dietetics Didactic Program in Dietetics. Youngstown State University

 Conduct Medical Nutrition Therapy for all patients screened at nutritional risk by either MD, RN or RD  Participates in interdisciplinary patient rounds for trauma/critical care/medical/surgical patients  Participates in committees (Project RED, Wellness, Dermal Defense, Infection Control, Diabetes Advisory)  Maintains open communication with other disciplinary team members including medical staff, RN, PT/OT, pharmacy, respiratory therapy, speech therapy, case management, and social work to determine appropriate plan of care for each patient.

 Recommends care plan based on changes in patients’ nutritional status and/or needs  Acts as a liaison between nutrition department and other hospital staff members  Act as a preceptor for dietetic internship programs

 Optimal health of patients rely on good nutrition from all aspects. Nutrition plays a key role in the care of the critically ill, those with inadequate gut function, eating disorders, patients with food intolerances, the obese, and a vast range of other clinical problems.  Majority of illnesses are linked to nutrition either with nutrition being a potential causal factor, or in assisting the treatment

 Increase wound healing  Decrease number of days on a ventilator  Reduce length of stay  Aid in discharge planning  Reduce readmission rates  Decrease prevalence of malnutrition  Decrease rate of hospital-acquired infections

 Clinical Dietitians are educated on how to perform nutritional calculations including: ◦ Caloric needs ◦ Protein, carbohydrate, and fat needs ◦ Fluid needs ◦ Tube feeding/TPN requirements ◦ BMI/% weight changes  These calculations help determine the nutritional needs of patients and steer the clinical dietitian to efficiently make recommendations for PO diet advancement, supplement use, enteral and parenteral nutrition.

 What is malnutrition? ◦ “Malnutrition begins with inadequate intake of protein and/or energy over prolonged periods of time which results in loss of fat stores and/or muscle stores. Malnutrition occurs in the presence of absence of inflammation and can be related to:  Starvation  Chronic illness  Acute disease or illness ◦ Malnutrition causes adverse effects on body function and clinical outcomes and can occur at any BMI.” 1 1. The facts on malnutriton. Alliance to Advance Patient Nutrition. (2014). prod/malnutrition.com/img/Alliance_Malnutrition_Fact-Sheet_2014_v1.pdf.

 If patient has at least two of the following six criteria, they are diagnosed with malnutrition. 1.Insufficient food intake compared to nutrition requirements 2.Weight loss over time 3.Decrease in muscle mass 4.Decrease in fat mass 5.Fluid accumulation 6.Measurably decreased grip strength 1. The facts on malnutriton. Alliance to Advance Patient Nutrition. (2014). prod/malnutrition.com/img/Alliance_Malnutrition_Fact-Sheet_2014_v1.pdf.

 Complications of malnutrition can cause increased risk for: ◦ Pressure ulcers ◦ Falls ◦ Hospital-acquired infections ◦ Surgical site infections postoperative pneumonia ◦ Morbidity and mortality ◦ Anemia ◦ Decreased cognition ◦ Edema ◦ Hip fractures ◦ Immune dysfunction ◦ Muscle loss ◦ Osteoporosis Rosenthal M. Malnutrition ‘skeleton’ still rattling in hospital closets. Gastroenterology and Endoscopic News. November Volume 65:11.

 Effective Treatment of Malnutrition can: ◦ Reduce incidences of pressure ulcers ◦ Reduce incidences of hospital-acquired infections ◦ Reduce incidences of surgical site infections ◦ Decrease readmission rates ◦ Reduce length of hospital stay ◦ Reduce risk of falls, hip fractures, and osteoporosis ◦ Decrease morbidity and mortality rates

 Currently, at MLHS, Registered Dietitians do not have clinical order writing privileges  A dietitian may make recommendations, and the MD may or may not consider them  MLHS dietitians are currently working to gain order writing privileges ◦ This will include:  Changing diet orders/restrictions  Ordering supplements/protein  Ordering tube feedings  Ordering labs

 “Registered dietitians can play an important role in a multi- disciplinary team at the bedside to apply evidence-based nutritional intervention that can improve patient outcomes,” said Sylvia Escott- Stump, President of the American Dietetic Association (ADA) 1  “MNT by RDs is an essential component of comprehensive healthcare that prevents or alters the course of diseases including diabetes, obesity, hypertension, disorders of lipid metabolism, heart failure, osteoporosis, celiac disease, and chronic kidney disease,” said the ADA’s Escott-Stump 1 1. The Impact of Clinical Dietitians on New Healthcare Delivery Modes. Aramark Healthcare. com/ docs/default-source/position-papers/the-impact-of-clinical-dietitians-on-new-healthcare-delivery- models.pdf?sfvrsn=4.