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Medical nutrition therapy case study 16
Medical nutrition therapy case study 16
Use therapeutic relationships to enhance therapeutic process
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III. My Search for Dietitians
The Profession of Dietetics
The most common belief and practice of dietetics is that nutrition is the most important factor in order to live a full and happy life according to The Profession of Dietetics written by June Payne-Palacio and Deborah D. Canter. Nutrition is crucial for overall wellbeing and health. The profession of dietetics is a dietitian, dietitians study diets and nutrition. They find the most effective diet for an individual person and work with that person until they are at the healthy or desired lifestyle. Dietitians will work with several different categories of people. The most common is sports nutrition. Dietitians are predicted to be one of the fastest growing professions in America. Dietetics
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They normally work in hospitals, colleges, nursing homes, public schools, correctional facilities, airlines, and restaurants. They work with individuals who are looking to lose weight, gain weight, or improve their wellness. Some people get the help from a dietitian without even knowing it. As in school lunches. Usually, schools have a dietitian come and help them choose cheap and healthy school lunches that their students can buy during lunch time. Other times, dietitians will be hired for correctional facilities. They provide knowledge for the prisoners and help them understand what they will need to be consuming in order to maintain the health that they want and need. They often work with ex-drug and alcohol addicts, which will get them healthy after they have detoxed. This keeps them in shape and they have a lesser of a chance of relapsing. They either work with these patients in a hospital, jail, or prison, or a mental institution. Dietitians are trained to empathize with their patients and create a substantial learning environment. Although, there are dietitians who do not work with individual patients. Instead, they work in an office and provide expert nutrition information for food television shows, or even magazines and newspapers. This is necessary for …show more content…
The dietitian will use food and nutrition to try and cure the diseases. Often it will help a tremendous amount. The dietitian will work with alternative and herbal remedies to help prevent and treat different diseases. The dietitian’s goal is to cure different conditions with the use of food and herbal remedies, rather than prescription pills and harmful chemicals that could in the long run, harm the body even more. Dietitians that work with these patients have to be calm during their practices, “these specialties involve high-pressure work environments and long hours that demand leadership, assertiveness, and career commitment from the dietetic professional” (28). They will also create a personal relationship with their patient in order to make the patient more comfortable and open up to them because in most cases, the patient is coming to the dietitian for weight problems. If they are overweight or underweight, the dietitian will try to help them become comfortable in their own body before they make any drastic changes. It makes the process easier. It can also make the process easier by creating a relationship with their patients. If the patient thinks of the dietitian as their friend, they will most likely think of it as just conversing rather than confessing. In all honesty, it is hard to open up to people, especially if you have dealt with body image issues your whole
When a person is suffering from an eating disorder like Anorexia Nervosa cognitive psychologists try to change the irrational thoughts a person has in relation to how they perceive their body shape and by changing their thought patterns their eating disorder about their body being too fat may be cured. This process takes a long time and is usually done through counselling.
This can be done by teaching the individual on ways to modify their diet or preparation of their food. You can teach the individual on eating food that are low in fat and less in refined sugar. . After interviewing Ms. M.G., a physician assistance who lived in Kentucky near the Appalachian region, I was able to have a better understanding of this culture view of health care practice. Ms. M.G. reports “Taking care of an Appalachian patient can be very difficult sometimes, especially when you are trying to educate them on ways to modify their diet and making better food choices. The Appalachian’s do not trust strangers very easily and they may not be honest or open up to you about personal issues or tell you what they are really eating. This can sometimes create a barrier between the provider and the patient. You have to slowly work on building a repor with the patient” (M. Garcia, personal interview, November 8,
Some people include dietician, personal trainer, and models who have been through tough situations for being excessively thin. Models don’t have to starve themselves in order to maintain the weight they have or to lose weight. Dieticians can help create meals to fit a certain diet a model wants to have. A personal trainer can help models stay fit. Modeling agencies should have these resources available for the model so they can maintain their models fit and still have the body image that they want to see.
Food technologist are those who make sure food are produced legally and safely. They modify foods to make them fat-free and to make ready meals. They also work with newly discovered ingredients as well as existing ingredients to make new recipes.
The registered dietitian completes an assessment within 72 hours of admission and initiates appropriate intervention and goals based ion signs/symptoms of altered nutritional status to achieve desired outcomes. The RD interviews patients to obtain diet history, oral intake, food allergies, cultural/religious preference and other pertinent information needed.
...feels and responds to specific questions, to find out the main cause of where the disorder started and what is feeding the disorder to stay active. For an anorexic it is very important for a therapist to understand that someone who is anorexic believes that it is impossible to feel confident with the way they look, be safe or feel respected if they are not thin. This is a very serious condition and the therapist must be empathetic and firm with the person to explain the importance and seriousness of change that must be done to their eating habits. Speaking with the patient’s family is also taken into great consideration to better understand how behavior has changed, asking when, why and how. Family life is also an area that a therapist will pay greater attention to, considering there are many different cultural lifestyles that may affect a person’s eating habits.
Before treatment can begin, anorexic clients must undergo assessments that ensure they are physically capable of outpatient treatment. If these individuals are not ready for outpatient treatment, they must undergo hospitalization to stabilize their condition. For those clients who pass medical examinations, and are good candidates for outpatient care, it remains necessary for a physician and dietitian to be involved with treatment (Bowers, 2002). This ensures the client is cared for in a holistic manner by addressing “nutritional rehabilitation, possibly medical stabilization, and psychological interventions” (Bowers, 2002, p. 249). This multidimensional approach ensures the client’s physical wellbeing is addressed, in addition to the psychological aspects of the disorder.
There are countless health problems that an eating disorder can lead to. However; if caught in time, professional assistance can help a person to overcome a disorder. I personally feel invested in this topic because my best friend developed an eating disorder. It was hard for me to see how much she hated the way she looked. I watched her weight drop to an unhealthy size in a matter of months. Thankfully, with the help of therapy, she has since moved past it. Learning the signs and characteristics of an eating disorder can aid in identifying individuals at risk. If you are suspicious that someone you know could have an eating disorder, it is important you talk to them about it. The results of eating disorders being caught early on could be the difference between life and death.
Shame is one of the biggest feelings that individuals with eating disorders have. They place shame on themselves and their bodies. When others are to make this worse, the result is very difficult to handle. Take for example an individual with Bulimia Nervosa who is disgusted with their own body. It is hard for this person to accept that they need help. Eventually, the individual decides to admit themselves to the hospital. When the individual returns to school, others are placing shaming for the way they look and how much smaller they are. How is this individual supposed to react to this? They were already ashamed with themselves and then someone had to point out what they were thinking. Mary Duffy and Kristen Henkel, members of the department of psychology at University of Saint Joseph, “reductions in shame have been associated with better outcomes in eating disorder treatment” (162) When individuals with eating disorders are treated to reduce the shame that they are feeling, it will be easier for them to change their
Dietitian meeting the needs if the patients’ needs as ordered from a nutritional point of view.
An eating disorder is a serious health condition involving extremely unhealthy dietary habits. There are a number of accepted eating disorder treatments that depend on the symptoms and severity of the illness. The most effective treatments involve both psychological as well as physical issues with the ultimate goal being a healthy dietary lifestyle. The team approach to treatment involves professionals with experience in eating disorders that usually includes a medical provider, mental health workers, registered dieticians and case managers. These individuals work together in hopes of avoiding a life threatening situation.
Although the treatment process was often frustrating and challenging, I actually came to enjoy my appointments with the nutritionist in her tiny, cozy office, cluttered with food models and recipes. She taught me the basics of nutrition and helped me form a healthier relationship with food. It took time and quite a few tearful sessions, but I slowly started to view food in terms of the nutrients and benefits it could offer me instead of thinking of food as the enemy. During my recovery, I experienced the powerful impact that proper nutrition could have on overall health. I gained back all the weight I had lost, and my hair stopped falling out. However, the biggest changes were the ones most people could not see just by looking at me; they were the emotional and mental changes that came from properly nourishing my body again. I could concentrate on schoolwork instead of planning out my next meal, and I ...
I am inspired to explore the field of dietetics which is very broad and dietitians perform a variety of functions in their jobs. As a dietitian, I can work in a wide variety of positions such as a foodservice manager in commercial or institutional, a community nutritionist, such as the WIC and Headstart, a consultant to major food corporations such as Kelloggs and Kraft or go into sales. I am very interested in working in a position where I can help people develop habits to improve their health. I may eventually go on to graduate school to advance my knowledge of dietetics.
That was a wake-up call for me. I realized, the choices we make each time we put food in our mouths impact our daily quality of life and have a profound effect on our long-term health. I wanted to be part of the solution, and thus my journey in dietetics and nutrition began. By understanding good nutrition principles, we hold the keys to heal, improve well-being, prevent disease and enhance physical and mental strength. I want to advance my education with the opportunity to explore and apply nutritional research and health benefits.
Public health dieticians/nutritionists utilize prevention, promotion and management strategies to encourage communities to make healthy food and lifestyle choices. It is this broad role of public dieticians/nutritionists that allow them to take an integrated approach to their work and to contribute to an integrated health system.