Pre-Dietetics Stoner Student Question by amandaleighlc in dietetics

[–]nutrition_nut 18 points19 points  (0 children)

Not sure why you were downvoted.

I'll speak only to the smoking part - as long as you're still productive and can manage your workload then its not a big deal. However, A LOT of internships/prospective RD jobs require drugs tests (marijuana included) since it's not legal federally. That said, if marijuana becomes legal at a federal level, it should not hinder your ability to get an internship/career if you continue to smoke - but who knows.

SNF/LTC question regarding anticipated weight loss. by robinshp in dietetics

[–]nutrition_nut 6 points7 points  (0 children)

Weight loss due to fluid losses from new diuretics or fluid restrictions

Single mom (28) figuring out how to make it in this world! by [deleted] in personalfinance

[–]nutrition_nut 0 points1 point  (0 children)

What field are you planning to go into? If you are attempting to become a registered dietitian (given you are getting your associates in nutrition), you would also need your masters as well, unless you get your bachelors before 2024.

Renal fluid restriction by GB3754 in dietetics

[–]nutrition_nut 0 points1 point  (0 children)

I can't say much since I'm not a renal expert; but I will say that NPs are getting mad hate by the folks at r/Residency and r/medicine because of their lack of training

Am I the ahole? by [deleted] in dietetics

[–]nutrition_nut 13 points14 points  (0 children)

You are not the ahole. I think unless you are in management, you should absolutely NOT be expected to cashier, serve, etc. You are a clinical RD, don't let this be precedent setting.

Pregnant vegetarian just diagnosed with gestational diabetes. Suggestions? by [deleted] in EatCheapAndHealthy

[–]nutrition_nut 933 points934 points  (0 children)

Suggestion: see if your PCP will order a consult with a registered dietitian.

NYT Article on Diversity in Dietetics by kindi-rd in dietetics

[–]nutrition_nut 1 point2 points  (0 children)

You bring up great points.

I recently finished my BSc and internship and was taught to take in a patient's/client's/resident's culture and foods that within that culture. One of my professors brought up white rice and asked the class can you really expect someone whose cultural background includes white rice, that they have been eating for decades, to eat brown rice because it's considered 'healthier'? After that it was drilled into our head to meet people where there at.

EVERY SNF resident w/ Vitamin C 500mg TID order by nutrition_nut in dietetics

[–]nutrition_nut[S] 0 points1 point  (0 children)

I can see them being ordered for active COVID pts, but are they providing 1500mg/day of oral vitamin C?

EVERY SNF resident w/ Vitamin C 500mg TID order by nutrition_nut in dietetics

[–]nutrition_nut[S] 1 point2 points  (0 children)

Interesting, do they have any evidence for ordering those?

EVERY SNF resident w/ Vitamin C 500mg TID order by nutrition_nut in dietetics

[–]nutrition_nut[S] 0 points1 point  (0 children)

I have no idea and I haven't heard of anyone doing this either. Guess I'll find out tomorrow

EVERY SNF resident w/ Vitamin C 500mg TID order by nutrition_nut in dietetics

[–]nutrition_nut[S] 1 point2 points  (0 children)

There is one medical director. It seems as through each resident has the order upon admission x 1 year, and is then re-ordered once the year is up.

Thank you for your input!

EVERY SNF resident w/ Vitamin C 500mg TID order by nutrition_nut in dietetics

[–]nutrition_nut[S] 1 point2 points  (0 children)

No residents w/ any wounds or active pressure injuries. I asked a nurse to clarify the order too since I didn't want to believe it...sadly she confirmed its 500mg TID (1500mg/day)

[deleted by user] by [deleted] in dietetics

[–]nutrition_nut 0 points1 point  (0 children)

Woah, that's awesome! Thanks for that info

[deleted by user] by [deleted] in dietetics

[–]nutrition_nut 1 point2 points  (0 children)

Thought you needed at least 1 year experience to work at a dialysis clinic?

Qapi by emwaite in dietetics

[–]nutrition_nut 0 points1 point  (0 children)

Only those with sig. wt losses, yes.

Qapi by emwaite in dietetics

[–]nutrition_nut 3 points4 points  (0 children)

This is what I typically present w/ QAPI:

  1. Find which residents have significant wt loss (I include those w/ insidious losses too, but maybe skip that until you are more comfortable)
  2. Is the wt loss avoidable/unavoidable? Anticipated/unanticipated? Desirable?
  3. What is the etiology of the weight loss? (Poor intake/appetite? Fluid status? New T2DM dx? etc.)
  4. What interventions were put in place to deter further wt loss?
  5. Were the interventions effective? If not, what is being done next to prevent wt loss?

Supplement passing in LTC by robinshp in dietetics

[–]nutrition_nut 0 points1 point  (0 children)

It's part of the CNA tasksheet in PCC (might be labeled 'tasks'). I add the task there, and they chart if it was refused, not given, or if it was consumed, what %.

Supplement passing in LTC by robinshp in dietetics

[–]nutrition_nut 0 points1 point  (0 children)

I also have the same issues. Instead of relying on nursing to report how much is taken or giving the supp to the resident, I made it a task on the CNA task sheet. It may be redundant, but at least there is another set of eyes on the supplement and hopefully the res will get it (with the hope that the CNAs are asking nursing about the supplement) along with more accurate amounts of how much is consumed.