Clinical Nutritionists and Dietitian
Careful diagnostics is the foundation on which the successful treatment of any diseases and pathological conditions is based, including those that dietitians struggle with. A professional diet or nutrition program is impossible without an accurate diagnosis. Therefore, specialists of the Center for Dietetics and Weight Loss of the Central Clinical Hospital of the Russian Academy of Sciences in Moscow use the widest range of methods in diagnosing diseases, ranging from classical laboratory tests to specific hormonal and immunological studies, bio impedancemetry and measuring the level of body metabolism using a metabolograph.
Eating Behavior Assessment
The Eating Behavior
Rating Scale is a questionnaire of several dozen items that serves as a
diagnostic tool for recognizing the symptoms of eating disorders - anorexia
nervosa, bulimia and others. Riverside Nephrology
Physicians provide the best kidney Transplant
Coordinator in USA.
Determination of body mass index
Determining BMI is
a way to diagnose obesity in a patient by the ratio of his height and weight,
calculated using a special formula for different age groups. BMI or, as it is
also called, the Quetelet index is recommended for assessing the composition of
the human body by WHO experts. It allows you to quite accurately determine the
amount of deviation of a person's weight from the accepted norm.
Nutritional Status Assessment
Assessment of
nutritional status is a comprehensive analysis of the provision of the body
with nutrients that affect the metabolic process. The examination includes an
assessment of height, weight, BMI, metabolism and the state of the main
systems. Based on the assessment of nutritional status, a dietitian can draw
conclusions about the presence or absence of nutritional inadequacy, its causes
and possible consequences.
Primary diagnosis of overweight
The primary diagnosis
of overweight is a comprehensive examination, the purpose of which is to
establish the prognosis of obesity, the risk of its complications and the
formation of an effective weight loss program. Diagnosis is based on the
determination of BMI and measurement of waist circumference, the results of an
anthropometric study of skin folds, analysis of the amount of adipose tissue
using magnetic resonance imaging, etc.
Diagnosis of disorders of the
pituitary gland
Diagnosis of
disorders of the pituitary gland function is a set of medical studies that
allow to identify violations in the work of the endocrine gland. Thus, the
syndrome of inappropriate secretion of antidiuretic hormone or
Itsenko-Cushing's disease may be accompanied by an increase in excess body
weight and body fat. For diagnosis in this case, laboratory biochemical blood
tests, MRI of the brain and X-ray of the bones of the skull are used.
Assessment of possible risks of
the disease
An adequate
assessment of the possible risks of the disease allows our nutritionists to
develop the optimal therapy regimen for each individual patient - whether it is
treatment in an outpatient clinic or a hospital.
The Medical Center
for Dietetics and Weight Loss - Riverside- offers a full range of services in its
field according to the highest standards of modern medicine. Our specialists
will definitely help you find your ideal healthy body for a long and fulfilling
life.
Dietology or how to eat right?
Dietetics is a
branch of medicine that helps to balance the nutrition of a person. This area
includes the study of the principles of proper nutrition, both for healthy
patients and for various existing diseases.
Some body disorders
are often associated with malnutrition, with an excess or deficiency of vitamins
and microelements. For the normal functioning of the body, all nutrients must
be in strict balance.
In chronic
diseases, a recommended therapeutic diet can reduce the risk of inflammatory
processes, and sometimes completely rid a person of the disease.
When developing
therapeutic diets, the principles of the chemical, physical and mechanical
effects of food on diseased organs are taken into account. Sparing diets
contribute to relief, both during people's illness and in the postoperative
period.
It is very
important to strictly follow all the doctor's recommendations and regular
consultations with a nutritionist.
Dietetics addresses
these issues by providing a preventative alternative to many diseases.
What are Clinical Nutritionists?
Clinical dietitians
are healthcare professionals who regularly counsel patients and healthcare
professionals about the nutritional foods needed for good health. These
recommendations are usually based on an analysis of vitamin or mineral
deficiencies associated with disease or weight management needs or goals.
Nutritionists regularly work in nursing facilities, correctional facilities,
clinics and hospitals.
Once
recommendations are made, clinical dietitians usually follow up and review the
results. Patients with diseases such as diabetes or kidney disease are often
the specialty of some nutritionists, as their diet greatly affects their
condition. Diets designed to correct critical deficiencies in a particular
vitamin or mineral are usually of particular interest to clinical nutritionists
and are often carefully followed.
Planning diets and
overseeing food preparation in various types of establishments are common
responsibilities of clinical dietitians. Following the guidance of physicians
and other healthcare professionals, nutritionists design and implement menus
based on dietary restrictions such as low salt or low fat, or to increase or
decrease the patient's body weight. Sensitivity or allergy to certain
substances are important considerations for clinical nutritionists when
creating menus.
Dietitians'
resourcefulness is often questioned, as they usually have to work with on-site
products to develop limited menus and recipes that are acceptable and visually
appealing. Other considerations in menu design are the age of the patient and
the level of appetite stimulation required. Cultural food preferences and
dietary restrictions associated with religious dogma are also common concerns.
As patients prepare for discharge, clinical
dietitians traditionally consult with them and their families about adherence
to the prescribed diet at home. Nutritionists regularly prepare lists of
preferred foods, recommendations for best cooking practices, and sample menus
for reference and guidance. As a rule, they provide an opportunity to answer
questions after the release of patients.
In addition to
regular communication with patients, families, and medical staff, clinical
dietitians typically supervise food service workers and food service and food
preparation staff. They may also conduct research on food and nutrition. Some
clinical nutritionists participate in formal education programs for hospital
staff and medical students.
Depending on the
seniority of clinical dietitians, clinical dietitians may require monthly performance
reviews on a regular basis. Assistance in planning dietary interns and clinical
nutritionists can be a regular part of their job. They can also be expected to
assist the department director in reviewing and updating policies and
procedures.
The position of
Clinical Dietitian requires a bachelor's degree in Dietetics, Human Nutrition,
Dietetics, Nutrition and Nutrition, or a related field. Licensing requirements
vary by region and institution. The years of work experience required depend on
the employer.
What should a
specialist have, and what do you have the right to demand?
If you value your
health, then do not hesitate to ask a specialist for confirmation of his
competence. Especially if you are not familiar with him, you came to the clinic
for the first time, etc.
You can ask about
education, a diploma that confirms it. Find out about the availability of a
certificate, license. Ask about previous practice, work experience.
A doctor who has
nothing to hide will easily answer your questions. He understands that you
trust him with the most valuable thing - your health. So there is no room for
embarrassment here. Ask questions, get answers, be sure of your own safety.
How will the specialist act?
You will see
through the amateur at the very beginning if you know how a real nutritionist
works. Usually, the doctor resorts to such actions: taking anamnesis,
determining concomitant diseases; laboratory clinical minimum; instrumental
examinations; teamwork with the participation of related specialists (if necessary);
and only after the above is the appointment of treatment and the development of
a nutrition program. All appointments, recommendations and prescriptions take
into account the general state of health and the individual characteristics of
the body.
Doctors are responsible for those
treated
When collecting
anamnesis, the doctor can only prescribe a preliminary nutrition plan. Further
actions are carried out in the process of additional examination. The decisions
of a nutritionist are always justified by medical indicators, they take into
account all the circumstances and the state of your body.
The doctor is
responsible for his actions and recommendations. A specialized specialist is
available during working hours and it is his duty to monitor your condition
during treatment. But there are no guarantees that a food expert will write to
you in direct when your body begins to suffer from an ill-conceived diet, and
cannot be.
Treating our health
and diet wisely is the least we can do for our bodies. Choose a reliable
specialist, minimize the risks and go for preventive examinations to a
nutritionist every six months.
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