...Registered Dietitians and Liability Issues Liability Issues Affecting Registered Dietitians: Measures to Avoid and Prevent Negligence For this application paper, the allied health care professional I chose as the subject is a Registered Dietitian. According to the Academy of Nutrition and Dietetics, “a Registered Dietitian (RD) is a food and nutrition expert who has met the minimum academic and professional requirements to qualify for the credential RD” (Academy of Nutrition and Dietetics, 2015). The main responsibilities for an RD is to learn about the patient’s health, history, diet, and how often they exercise. Once they know all of this information, they are able to help individuals create and establish goals. The patient then has to make sure they visit their RD to monitor their progress. Patients could visit his or her RD at a hospital, private practice, health care organization or facility. Most of the Registered Dietitian’s have a graduate degree and are certified in fields such as renal, pediatrics, food allergy, or sports (Ansel, 2014). Since they have gone through highly specialized training, they are expected to undertake new challenges by diving into practice areas they are unfamiliar with. One of these challenges is to try and avoid being held liable for professional negligence. A myriad of cases that involve RD is when he or she fails to act in a reasonable manner. In order to prove that negligence it is essential to know the main reason behind...
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...An Informatics Solution for Inpatient Malnutrition Informatics can be very beneficial in providing safe, quality care when usability is considered (Middleton et al., 2013). Informatics promotes patient-centered care and serves to educate health professionals (Rouleau, Gagnon, & Côté, 2015). The aim of this paper is to detail how the process of malnutrition screening may be improved using an informatics solution. This process will be outlined from scope of the problem through implementation to evaluation. Formulation and Scope of Problem Over the past four decades, researchers have identified malnutrition as being highly prevalent in acute care hospitals (Barker, Gout & Crowe, 2011). More recently, Canadian literature shows that 45% of hospitalized...
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... Abstract Research Question: How does the supplementation of conjugated linoleic acid (CLA) affect human body composition? Literature Review: Conjugated linoleic acid (CLA) refers to a family of geometrical and positional isomers of linoleic acid. The predominant sources of CLA are from ruminant animal fats (cow, dairy, sheep, goat, and deer). Over the past 20 years, CLA supplementation has produced positive effects in animal studies, such as significant body fat reduction, anticarcinogenisis, antiatherogenesis, immune modulation and improved bone health. Conversely, human studies have not produced all of the aforementioned results. Nonetheless, there have been many human studies supporting a minimal but significant body fat reduction. These results have been mainly attained with a 50:50 mixture of cis-9, trans-11 and trans-10, cis-12 of purified CLA isomers at various doses. There is evidence indicating that a dose of 3.0g CLA/day may lead to fat loss, whereas the average Canadian consumes between 0.1-1.5 g CLA/day. Therefore, a supplement may be warranted in the future, once further research has been completed on the efficacy and safety of CLA supplementation. Implications to dietetic practice: Clinical dietitians involved in research should experiment with various doses and isomers, but they should particularly investigate the long-term implications of such supplementation. Community dietitians should teach community members how to select...
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...|Ethics Case Studies—Learning Application of the 2009 ADA/CDR Code of |[pic] | |Ethics for the Profession of Dietetics | | |Case Study #1: A registered dietitian (RD) is newly employed as part of a treatment team in an ambulatory care setting. After several | |counseling sessions, one of the clients he is counseling for obesity discloses that she is being physically abused by her spouse and is | |experiencing depression. The RD continues to have the client come in for nutrition counseling sessions in an attempt to better understand | |the relationships among her current domestic situation, psychological state and weight issues. During a treatment team meeting, the RD | |reports on the client and is questioned by one of the team members about why he did not refer the client to the mental health professional. | |What should be done in this situation? | |Questions for Discussion | |Is the situation described an ethical issue? Or, is it a business dispute? It is an ethical issue. | |What principle(s) of the Code of Ethics does it...
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...Competency Between ADN and BSN Nurses Katie Rha Grand Canyon University August 5, 2011 The debate over minimum education requirements for nurses has been going on for decades and there still seems to be no general agreement. As health care shifts from hospital-centered, inpatient care to more primary and preventive care throughout the community. The health system requires registered nurses who not only can practice both within and beyond hospitals but can function with more independence in direct bedside care, clinical community environment, case management, supervision of unlicensed other support personnel, and educating patients on treatment. The focus will be on the differences in competency between ADN and BSN nurses in this paper. Associate Degree Nurse The associate degree level of nursing was developed out of a need to produce nurses in response to a shortage during and following World War II. It was proposed as a temporary solution to a shortage but was not intended to replace the professional level of nursing education. It was proposed that graduates from associate degree nursing programs would work a“technical” nurses, assisting and working under the supervision of professional nurses. The associate degree level of nursing education became popular and has come to be viewed as an attractive career path for those who desire a shortened, less expensive route to becoming a registered nurse 1. Nursing Program Associate degree programs, located in community...
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...Before, During, and After Cancer Treatment national institutes of Health About this Book Eating Hints is written for you—someone who is about to get, or is now getting, cancer treatment. Your family, friends, and others close to you may also want to read this book. You can use this book before, during, and after cancer treatment. It has hints about common types of eating problems, along with ways to manage them. This book covers: u What you should know about cancer treatment, eating well, and eating problems u How feelings can affect appetite u Hints to manage eating problems u How to eat well after cancer treatment ends u Foods and drinks to help with certain eating problems u Ways to learn more Talk with your doctor, nurse, or dietitian about any eating problems that might affect you during cancer treatment. He or she may suggest that you read certain sections or follow some of the tips. Rather than read this book from beginning to end, look at just those sections you need now. Later, you can always read more. Table of Contents What You Should Know About Cancer Treatment, Eating Well, and Eating Problems .........................................................................1 Feelings Can Affect Your Appetite During Cancer Treatment .....................................................................................................8 Eating Problems At-A-Glance ............................................................................. 11 Eating Problems...
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...Bulimia Nervosa Psychology 101 Abstract This research paper will deliver information about bulimia. It will provide and support people who have bulimia. It will analyze the causes and effects of this disorder. There will be a verification of treatments for bulimic disorder. This research will pinpoint anyone who shows symptoms of bulimia. It will clarify how it is essential for family members and friends to provide assistance when needed to restrain bulimia. The study will give guidance on the available treatments offered to the public. It will provide the symptoms a person might encounter that have bulimia. It will consist of the danger that could accelerate the chances of developing bulimia. The data given will help the researchers to pass it on a clinical psychologist that will decide if the person shows up positive with bulimia. Bulimia Nervosa Bulimia nervosa can be defined as an eating disorder described by constant binge eating and consuming a lot of calories immediately followed by vomiting or purging. People with bulimia are difficult to be recognized because the eating and purging is done in private. Also, they can maintain a normal healthy weight, so it is not noticeable at first glance. A bulimic can take in an excessive amounts of food within a short period of time. The person loses control and it is estimated that about 3,400 calories was consumed roughly over an hour and to make matters worse about 20,000 calories can be eaten by in eight hours. (Psychology...
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...always been aware of pressure ulcers, and how to try to avoid them but never really knew the complete details of What, How or When of them. I have been on many different courses for H.C.A’s through the years, but they have all really skimmed over the subject of pressure ulcers. I now work on a vascular ward of the hospital where many of the patients are bed or wheelchair bound due to lower limb amputations, caused by complication from diabetes mellitus to circulatory problems. So I thought that by widening my knowledge on pressure ulcers and skin viability, I can and will improve services to the patients I come into contact with. When trying to conduct my research for adequate literature I decided to contact the hospital Tissue Viability Nurses Specialist. When I explained to her why I was seeking her advice on research material and guidance she was glad to help, and give me a multitude of...
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...Editions: Nutrition 01/02. Guilford, CT: McGraw Hill/Dushkin. Lowenberg, Miriam Elizabeth; Todhunter, Elizabeth Neige; Wilson, E. D.; Savage, J. R.; and Lubawski, J. L. (1979). Food and People. New York: Wiley. Schlosser, Eric (2001). Fast Food Nation: The Darker Side of the All American Meal. New York: Houghton Mifflin. The overall pattern of food that a person eats is more important to a healthy diet than focusing on single foods or individual nutrients, according to the Academy of Nutrition and Dietetics in its newly updated position paper "Total Diet Approach to Healthy Eating." According to the position paper: "In contrast to the total diet approach, classification of specific foods as 'good' or 'bad' is overly simplistic and may foster unhealthy eating behaviors." The Academy's position paper stresses that moderation, portion size and exercise are the key concepts for balancing food and beverage intakes. The position paper has been published in the February Journal of the Academy of Nutrition and Dietetics and can be found on the Academy's website. It states: It is the position of the Academy of Nutrition and Dietetics that the total diet or overall pattern of food eaten is the most important focus of healthy eating. All foods can fit within this pattern, if consumed in moderation with appropriate portion size and combined with physical activity. The Academy strives to communicate healthy eating messages that emphasize a balance of food and beverages within energy...
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...The Effects of Self-Management on the Progression of Chronic Kidney Disease Keywords: Chronic kidney disease, self-management, patient education, end-stage renal disease The Effects of Self-Management on the Progression of Chronic Kidney Disease Kidney disease is one of the leading causes of death in the United States and was the 8th leading cause in 2010 (Arialdi M. Miniño, 2012). Approximately 20 million U.S. adults who are over 20 years of age have chronic kidney disease (CKD), and most of them are unaware of their condition ("CDC, National chronic kidney disease "). This number continues to grow every year due to an increase in the incidence of hypertension, diabetes, obesity, and the aging population. CKD can develop into end-stage renal disease (ESRD) rapidly without intervention, and the only treatment currently available is renal replacement therapy or kidney transplant. The cost of treating those in the United States with ESRD in 2009 was approximately $40 billion dollars, and this cost continues to grow each year ("National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) "). Moreover, patients who develop kidney disease pay an even higher price with their life. Studies have shown that CKD is associated with a higher rate of cardiovascular disease as well as all other related mortalities (Kurth, de Jong, Cook, Buring, & Ridker, 2009). An adult with CKD is 16-40 times more likely to die before reaching ESRD than an...
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...Family Values Paper Cynthia Dulaney Rucker NUR/542 Version 2 April 2, 2012 Melinda Church Family Values Paper Family Values Family is a term that is defined by each family member in different ways, it is based on someone’s personal belief, expectation, and experiences. The family role in the health care setting can vary based on the patient’s condition. In the dialsysis unit the families play a large role especially, for those individuals whom lose his or her ability to provide self-care and make self-care decisions. As a health care provider it is important to understand and remember that even though every day realities of families such as emotions, attitudes, perceptions, and beliefs are essential in the study of family and current family theory. Family System/Concept of Family For a family system to have a positive role in a dialysis facility, the family must serve as a system in support of the individual family member. The family often plays a role in assisting in the plan of care, as the individual suffering from kidney disease will have the support system needed in caring for themselves and will not have to serve as the sole provider of self- care. In some cases the ill individual cannot play a role in self-care. The family can play a role in the individual’s recovery by coming together as one to support healing, or simply identifying, and achieving individual health goals. All individuals in the dialysis unit develop a plan...
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...Health promotion in Nursing Care Grand Canyon University NRS 429v April 29th 2012 Health promotion in Nursing Care Health is a condition of a sound mind, body and spirit. It is a state of physical, emotional and social well being, not just absence of disease (April 26th 2012). In this paper, the subject of health promotion will be defined , the purpose of health promotion, the nurses role in the responsibility and implementation of health promotion, and the 3 levels of preventive care which include, primary, secondary and tertiary. Health is not just without disease, but is the prevention, intervention and rehabilitation to live a quality life. Health promotion is a process of enabling people to have more control over their health by changing their life style to move toward optimal health (Edelman, Mandle, 2010). It not only focuses on the person as an individual and their behaviors, but also on the persons social and environmental determinates. Promotion of health is educating people so that they can change their lifestyle in order to have and maintain optimal health. It also includes enhancement of the person’s private and public support, of health practices. Heath promotion is not only about prevention of disease, but being proactive with being healthy (Edelman, Mandle, 2010). The nursing profession has a large role...
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...Abstract This paper is about the socialization of nursing, which includes the internalization of the attitudes and values of the role. The importance of role modeling the applied behaviors and skills through preceptor experiences to aid the new nurse is discussed. The importance of the socialization process and its impact on staff recruitment and retention is touched on. The author also shares her experience upon entry to the nursing profession and how it helped her socialization. According to Creasia and Friberg, socialization is the process of becoming- acquiring knowledge and skills and internalizing attitudes and values specific to a given social group. (Creasia & Friberg, 2011) The term socialization used here refers to the process through which novice practitioners are merged into the profession to become professional practitioners (Mooney, 2007). Socialization into nursing is recognized as more than just acquiring the skills and knowledge necessary to performs a role, but as also including understanding the values and norms that are fundamental to the essence of the profession. (Price, 2009) The process of socialization into nursing should occur through role modeling and reinforcement of applied behaviors and skills. Research shows that in order to progress successfully into a professional nurse the early parts of socialization to that role is significant. The socialization into nursing can be a very intense stressful experience. Upon reviewing the reports...
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...THERAPY PLAN COGNITIVE BEHAVIORAL THERAPY Baron Jones Southern New Hampshire University, Online This paper will focus on the theoretical part of this case study that is how we can help the 23yrear old girl overcome the disorder that she is suffering from. Additionally the paper will incorporate the counseling knowledge gained in this course for example ways of dealing with patients in terms of being patient with the victim since the recovery process does not happen over a day it is a step by step process as the patient gains the ability to overcome the feeling and thought that make her regurgitating food and deal with the fear she has of being overweight and her friends calling her fat as the mother and friends explained. We will apply the cognitive theory of depression to help her since experts have confirmed that the techniques that the theory proposes are actually effective especially in dealing with eating disorders. This is just a recap of what we are going to discuss in this paper so let being our detailed discussion. THE COGNITIVE BEHAVIOR THEORY To being our discussion we are going to talk about the cognitive behavior theory, and as we mentioned earlier cognitive behavior has been proven to be the best method of dealing with psychotherapeutic disorders and for our case we are going to use it to develop a therapy plan to help the 23year old girl overcome her eating disorder. Additionally, cognitive behavior therapy has its advantage and disadvantage and as we have mentioned...
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...Hepatitis B is a global health problem, it is a liver infection that can cause serious complications and is potentially life threatening arising from the Hepatitis B virus (HBV). This paper will provide an overview of hepatitis B, including demographic information, determinants of health, the epidemiological triangle, the role of the community health nurse and a national organization that addresses the communicable disease. Hepatitis B is an infection of the liver caused by HBV; the infection can be classified as acute or chronic (Daniel, 2014). An individual with acute hepatitis infection may not exhibit symptoms and are unaware they may be carrying the HBV. During this time, individuals infected with the virus may pass the virus on to others, symptoms do not persist longer than two to three weeks, it is considered short term. Normal liver function returns in four to six months. Symptoms include loss of appetite, nausea and vomiting, low-grade fever, tenderness to right upper quadrant, jaundice, fatigue, muscle and joint aches and pain (Daniel, 2014). Tests performed will be positive for the hepatitis B virus, which are HBsAg+, HBc-IgM and HBe-antigen. The HBV is transmitted when the virus enters the bloodstream through breaks in the skin, the mouth and genitalia areas. Examples include unprotected sex, exposure to needle sticks, skin punctures (skin piercing, tattoos, acupuncture) and sharing personal items that are contaminated (www.cdc.gov). Healthy adults with...
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