I’m a fairly new dietitian. I’ve been practicing in clinical a little over a year. I initially started my career in community and wanted a change. My facility is overdue for a state survey and I’m anxious and nervous about the process because it is my first. I have tried my best to document and intervene as best as I know. Sometime I am very nervous and the job is
I want to hear your opinions about transitioning residents to bolus feeding. Is your facility encouraging you to do bolus feeding for most residents? If so, what type of bolus are you doing? (gravity, syringe, feeding pump (Kangaroo)). I currently work at a facility (vent and trach dependent) where the administration are encouraging us to transition to bolus feeding to give residents breaks and s
Any ATI dietitians here? Would like to know how the work is for a possible career move. I’m currently a clinical RD, but ATI keeps popping up around where I’m and just curious if it would be a good move for me (type of work, workload, management, stress level, benefits, pay, cold calls, etc).
I have a resident with ESRD on HD. He has an unstableable ulcer on his heel as well as an open wound on one of his toes. The toe now has necrotic tissue with bone probing. He is getting liquid prot shops twice a day. Also super cereal and double portion eggs at breakfast. He typically eats 100%. Just got his dialysis labs back and his alb is low (3.4) however it has steadily improv
My daughter was recently given a copy of a diet to follow and I have many questions about it. It is a type of elimination diet to alleviate symptoms. I would like to speak with someone who has used this in real life.
Are we required to write a note or fill out an assessment in addition to completing the quarterly MDS? I've heard from one RD that it is not necessary for the quarterlies but I would like confirmation.
Hello, I have a pt who has CKD, no stage specified in MD notes. Cr now 1.18, receiving hydration. Unknown baseline. Hx prostate CA, now noted to have gastric CA. Alb 2.8, requesting a prealb level. What would you suggest for protein estimation? I want to provide ^protein (1.2-1.4g/kg actual wt), however Im unsure if a high protein load will worsen the renal function. Normally I am not too worried
I currently am working with a 26yr old female who has been recently diagnosed with multiple allergies to include wheat/tree nuts and egg whites. Only symptoms up to this point has been excessive wt. gain over past 3 years with explanation of inflammation from endocrinologist. Has anyone heard of developing these allergies later in life without any other symptoms? She was also told she had insulin
I am speaking to a group of 300 high school students in Biology class tomorrow and my computer crashed. I prepared a 30 minute slide show on nutrition, the dietetics profession and some key metabolic pathways. Anyone have a 20-30 slide show I can edit? I am happy to share with the group so someone else could edit as needed!
I am transitioning from working at a nursing home for the past 3 years to starting my own business doing nutrition counseling out of a gym. I was contacted by an assisted living facility for consulting but I am not sure what to charge per hr. I know that I should charge more than I was making at the nursing home to cover self-employment taxes, health insurance, liability insurance, etc. but I'm n
I want to know how to become Medicare and Medicaid Service provider /or able to give consultation to clients having Medicaid /mass health. Is there any RD who is giving consultation for Medicaid pt.outside the Hospital/SNFs Do we have any blog or helpline which can walk through or help in this process? TIA.
Hi everyone, so as a clinical RD I have a certain amount of patients to see per day and it can be a struggle to chart effectively but also to have enough time to do whatever else is scheduled for the day. Anyone have any good time-saving tips??
Working with a patient who is 1 year 2 months post bariatric sx and wanting advice on protein recommendations for body building. I specialize in bariatrics but the world of body building is extremely new to me. Any information would help.
I was told by one of my preceptors during my dietetic internship that for the first year out of school supervisors keep a close eye on new dietitians. I recently accepted a PRN dietitian at an acute care hospital with a census count of approximately 80 patients. I will be be working Saturdays alone in about 3 weeks and am concerned about being able to complete the number of assessments (15) and
Hi I'm relatively new here. I hold a bachelor degree in Food Science and Technology but currently I'm working outside of this field, as a market researcher for food & nutrition industry.
However, since my precollege day I have been wanting to be working in the nutrition field, and was thinking of becoming an RD. But my local uni did not offer any nutrition degree apart from food science
Hi, I have a bachelor's in speech-language pathology and have been considering a career change to RD for quite some time now. However, I'd like to know what I'm getting myself into. I've never taken college chemistry classes. I always hear stories about people struggling in them. I took chemistry in high school and failed. I'm not that great at math (I had terrible teachers and lacked confidence)
I work in a LTC/rehab facility, and have a resident who admitted NPO with continuous TF. She has been working with speech and has been upgraded back to a regular diet, and I have changed her to nocturnal feedings only. Although she has a regular diet now, she has very little interest in eating and eats less than 50% for most meals and refuses to drink any oral supplements. The resident and her da
Hello all, I am researching body composition analysis options for my private practice. Does anyone have a recommendation for a scale they use? I am considering a Tanita scale, but cannot decide how important segmental analysis is. Also looking at multi-frequency. I am seeing adults for weight management. Any advice would be much appreciated! Jamie
One of our physicians recently put a resident on a low potassium diet (although he did not give a measurement of how low) because he was titrating her lisinopril up. No hx of hyperkalemia but does have CHF and is on K+ sparing diuretic (HCTZ). Has anyone else heard of restricting K+ in this case? If so, is it a permanent change or just until the goal dose of lisinopril is reached. Thanks so m
Do any of you guys have a brand list of protein supplements patients can buy OTC? I know whey protein powder is readily available, but what about liquids?
Reason I'm asking is I rec'd high protein/high kcal diet for an underweight COPD'er with recent severe weight loss. I mentioned can use whey protein powder but suggested she try a liquid supplement instead because more palatable/easier to
I am currently working as a clinical RD. I have worked in community nutrition and acute and long term care and am interested in moving into/finding out more about RDs work in Regulatory Affairs. Any tips? Any RDs who work in Regulatory Affairs willing to share their pathways or informational interview. Really want to learn more about this. I've met 2 dietitians who work in this area in th
Hey all - This is a question for outpatient dietitians. Do you require a doctor to co-sign your notes? This would be either for hospital outpatient department or ambulatory/clinic. Appreciate any input!
Case " 69 year old of 5 feet 9 inches and 54 kg is admitted with diagnosis of End stage liver disease and Porta caval shunt. His appetite is poor. I have planned for 3 meals with 3 small snacks and + Nutrihep formula powder. Please assit me with how many scoops to be added in initial stage. I planned to provide him 2 drinks of nutrihep powder formula in between as 1 snack + 1 at b
I am newer to this forum but have read post from this site over the past few years. I was wondering why I haven't seen anymore posting regarding Dietitian Salary? I feel dietitians have stopped talking/worrying about this issue. Is this because more dietitians feel satisfied with their pay or if the base pay has increased?
I work in the Seattle area, currently getting paid $59,3
What does everyone think regarding eating disorders in the nutrition profession?
I have read there is a higher prevalence of EDs in nutrition majors but it just seems like a very taboo subject that isn't getting much attention and I am not aware of any programs to help those students with EDs.
I can't get the full text but the abstract is available: