Case Study Of Registered Dietitian A

Erica Lindsay, PharmD, MBA, JD, is a health care attorney practicing in the greater Chicagoland area. She has worked in pharmacy management and compliance for more than 15 years. Dr. Lindsay consults clients through complex pharmacy regulations and guidelines, including 340B, Medicare and Medicaid billing, and HIPAA compliance. She is on faculty of PharmCon providing instruction on pharmacy legal and regulatory issues. Dr. Lindsay is active in various organizations including the American Bar Association where she is Vice of the Nursing and Allied Healthcare Professionals Task Force and members of the Health Care Compliance Association, Cook County Bar Association, and the Chicago Bar Association. She is a graduate of Florida A&M University

Case history: This patient is concerned about her risk for colon cancer. Her father had colon cancer and she is consulting you to design a diet that would reduce her risk for this disease.

1) The background information on a possible referral by a physician to a Registered Dietitian might give us an insight on the stage of behavioral modification stage of the patient. If the patient was referred to a Registered Dietitian (RD) by a physician, and did not seek the RD on their own free will, this might indicate that the patient was either given no choice to visit the RD or is willing to follow the physician's recommendations. A study conducted on clinician referrals services shows that the referral services had a modest impact on the progress of the patient.1,2

It was a pleasure speaking with you on the phone this evening. Thank you for taking time away from your family and personal life to do so. I loved hearing about the position you have open in your practice. I am excited to hear more about it as it seems like a great fit for me.

These health care teams often are made up of many different types of professionals including doctors, physician assistants, nurses, pharmacists, dentists, therapists, registered dietitians (RD), and many other different types of technologists and technicians. Although all of these members of the team are essential, the role registered dietitian’s play and the knowledge they contribute is vital to many different specialties in health care. According to a study by Kelly Adams, Karen Lindell, Martin Kolhmeier, and Steven Zeisel, only 30% of medical schools require an actual separate course in nutrition. Although their curriculum may include nutrition throughout the many different courses a physician has to take, this is an inadequate amount of time being spent on nutrition to be considered and expert in this field, which results in the vitality of having and maintaining a RD on their team. Nutrition can prevent and help treat many different problems that arise in clinical care and the different specialties that it entails.

Adults who live unhealthy, life styles are at high risk for developing metabolic syndrome. Moreover, metabolic syndrome is a group of characteristics that increase someone’s chances for developing heart diseases and other health issues, which means that obese and physically inactive people are at higher risk for developing metabolic syndrome, as well as other conditions. Risk factors associated with diabetes are also linked to metabolic syndrome factors. Further, metabolic syndrome makes one feel uncomfortable in their own body (What is Metabolic Syndrome, 2015). If metabolic syndrome is not managed well, it may be fatal. Additionally, there is a case study with a man named Dan, who is diagnosed with metabolic syndrome.

Before choosing the current population based problem of creating an electronic worksheet for monitoring metabolic syndrome, the SN identified another problem in the community, the rising cost of medication. The SNs hoped to deal with this issue by introducing the practice of tablet splitting, where patients may benefit from titrating their medications and saving on drug cost by dividing the higher strength medication in "equal" desired dose. The SNs also intended to educate the patient in which type of medicines, tablet, or pill, can be safely split into two, and the technique or recommended tools available in cutting that tablet or pill. However, upon further review, the SNs found that most of the CER patients are covered by Medicaid and

Only 33.2% of patients instructed (only by nurses) on how to use their medications with respect to meal. Surprisingly, patients who instructed by nurses were also at high risk for potential food-drug interactions. Despite recommendations all these patients had consumed their medications at the not appropriate time with respect to meal. Due to lack of dispersion, patient instruction was excluded from the further analysis.

Please read the following case studies and answer the questions which follow them. The questions may have several right answers; I am looking to see if you have put some thought into the assignment and that you give accurate information in your responses. Please email your answers to me by June 24. If you have any questions about this assignment, please email me before June 24.

A clinical dietitians manager in the state of Colorado earns $64,000-$75,000 per year which is not a huge pay increase from a clinical RD or RDN in a non manager position. After speaking with colleagues at the University of Coloradio Hospital this depends on the organization of employment as Children's hospital had a slightly higher pay scale for RD's in this position. Keep in mind that this information is by word of mouth and after comparing salaries by state the wage did seem to level out for the manger positions for those with at least one year of manager experience. For managers in nursing, the average salary in the Denver area is $82,558. In food and nutrition services the lead nutrition assistant manages the nutrition assistants and works

Christensen, K. (2011, Spring). Difficult conversations: How to address what matters most. Rotman Magazine, 22–27.

Citation: Chasan-Taber, L., Willett, W. C., Seddon, J. M., Stampfer, M. J., Rosner, B., Colditz, G. A., Speizer, F., Hankinson S. E., (1999). A Prospective Study of Vitamin Supplement Intake and Cataract Extraction among U.S. Women. The American Journal for Clinical Nutrition, 70(4), 509-516. http://ajcn.nutrition.org/content/70/4/509.full

Ever since I can remember, I have always wanted to do something special in life. I was born in a small village in Mexico where public health and education were very limited. In 1996, my family and I got the opportunity to move to the United States. This move brought me closer than I had ever thought possible to accomplishing my dream of becoming a registered dietitian and working in public health nutrition. I have always valued my education because where I am from it was really difficult to study beyond middle school. Here, in the United States, I have gotten the chance to further my education beyond high school.

Morbid obesity, which is also called extreme obesity or class III, is defined as an individual having a BMI of 40 kg/m2 or greater. This classification is made based on increased risk for comorbidities, including hypertension, cardiovascular disease, sleep apnea, gallbladder disease, metabolic syndrome, type II diabetes mellitus, hyperlipidemia, osteoarthritis, nonalcoholic fatty liver disease, hormonal cancers, and depression, among others.1

Imagine being admitted to the hospital and being denied your right to have food and water. While it is known that adequate fluid and nutrition is needed for survival, many health professionals are currently going through an ethical dilemma of whether or not to provide artificial tube feeding for patients with terminal diseases. This ethical decision that affects health professionals must take into consideration the recent research that opposes ANH for this population. These studies have demonstrated that artificial nutrition provides higher risk of medical complications, increased pain, and false hope of health recovery to these patients. Professionals have to be mentally and physically prepared to explain to families the pros and cons of artificial nutrition so that together they can arrive to the best ethical decision for each patient (Brody, Hermer, Scott, Grumbles, Kutac, & McCammon, 2011). For Family and consumer science professionals such as dietetic students provide support to solve this problem when an ethical educational background is incorporated into their major (Hira,1996).