tag:blogger.com,1999:blog-70355304657747323512024-03-18T09:16:58.833-04:00University of Maryland Dietetic InternshipUMD Dietetic Internshttp://www.blogger.com/profile/08053311149753740964noreply@blogger.comBlogger302125tag:blogger.com,1999:blog-7035530465774732351.post-22326701763779674512017-10-13T13:32:00.000-04:002017-10-13T13:32:12.157-04:00We've Moved!<div style="text-align: center;">
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Our interns are starting a new webpage with a blog to share their experiences throughout the internship. Visit our new website at: <a href="https://umcpdieteticinternship.wordpress.com/">https://umcpdieteticinternship.wordpress.com/</a>. We hope you will visit our new site soon!Laryessahttp://www.blogger.com/profile/02456635523778403255noreply@blogger.com1tag:blogger.com,1999:blog-7035530465774732351.post-68966365014719701642017-06-19T08:32:00.000-04:002017-06-19T08:33:15.269-04:003 Life Skills I’ve Learned Throughout my Dietetic Internship<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">As the internship comes to a close (I graduate on Friday – yay!), I’ve found myself reflecting on all the things I have learned throughout this past year. Of course, I have learned more about nutrition than I could ever put down on paper: the ability to assess nutrition risk, educate and counsel patients, calculate EN/PPN/TPN formulas, and to write educational materials geared towards numerous different populations, to name a few. When I began the internship, I expected to strengthen my knowledge in the field of dietetics, but I did not anticipate gaining so many life skills throughout the process. </span></div>
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<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Teamwork</span></div>
<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
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<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">If I had to choose one skill where I have seen the most personal growth throughout the year, I would say teamwork. Although I have always considered myself a “team player,” I previously felt most comfortable working on projects individually. I quickly learned that I would have to step outside of my comfort zone to be successful throughout the internship. At the beginning of the internship, each intern was assigned a partner. My partner, Ben, is extremely creative and clever, and I am organized and systematic. We quickly learned each other’s strengths and used them to our advantage. Together, we were stronger as a team than we would have been as individuals. </span></div>
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<a href="https://4.bp.blogspot.com/-fZJmuIZJato/WUfD1saVE2I/AAAAAAAAERI/HmWljpIXpCA_BG206hyl3T_RQUsNhpX0ACLcBGAs/s1600/IMG_6956.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://4.bp.blogspot.com/-fZJmuIZJato/WUfD1saVE2I/AAAAAAAAERI/HmWljpIXpCA_BG206hyl3T_RQUsNhpX0ACLcBGAs/s320/IMG_6956.jpg" width="320" /></a></div>
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<span style="font-size: xx-small;">Me and my partner, Ben. </span></div>
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<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">As a dietitian, this skill is essential in all workplaces, especially a clinical environment. I witnessed this firsthand during my pediatric oncology rotation. My preceptor and I attended rounds each day with the entire oncology team. Each team member was valued as an integral part of the team. My preceptor was in constant communication with the doctors, nurses, and social workers to determine the best nutritional care for the patient. For example, the nurse reported the intake and output and weight of their patients, which my preceptor used to determine the appropriate tube feeding for the individual. </span></div>
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<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Flexibility</span></div>
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<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">This one is huge. I have rotated through 14 different facilities this year. You know that awkward, nervous feeling you have when you start a new job? I had that feeling 14 times over the past 10 months! Each rotation and workplace is very different. Flexibility is key to making a good impression with the preceptors. During my rotation at the International Food and Information Council (IFIC), I was asked to switch between tasks often. On one occasion, my preceptor asked me to compile a list of universities that offer graduate degrees in nutrition. At the time I was in the middle of creating a blog post, but, after assessing the priorities of my projects, I was able to switch tasks quickly to assist with the more pressing project. </span></div>
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<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Flexibility is a skill I know I will use in my career as a dietitian. I found this skill particularly useful at my long-term care rotation. My preceptor had various tasks to do each day. She had to attend numerous care plan meetings, screen and visit patients, and chart on them, including filling out the Long Term Care Minimum Data Set. The meetings were intermittent throughout the day, so my preceptor had to be able to make the best of her time between meetings to fulfill her other duties. Seeing this skill in practice opened my eyes to the importance of flexibility as a Registered Dietitian in all types of workplaces. </span></div>
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<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Communication</span></div>
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<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">You know what they say: “communication is key.” I have definitely found this to be true over the past year. Email has become my best friend. I now know how useful it is to have things in writing that I can refer back to. This helps ensure everyone is on the same page. Plus, email seems to be the communication method that most people prefer. I use email to clarify expectations for projects with my mentors, prepare for new rotations, and network with dietitians I’ve met at conferences and during rotations. </span></div>
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<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Communication is extremely important when speaking to patients. I’ll be honest, I was pretty nervous when I initially started speaking to patients on my own. My interviewing skills were a little bit rocky at first. With time and practice, I learned the importance of tailoring my discussions with each patient to their specific needs. For example, some older patients were hard of hearing. I would make an effort to speak especially loudly and clearly to these patients. At my pediatric rotation, I used fun metaphors to explain nutrition so it was easy for the children to understand. Communicating with patients in a way they can understand enables them to comprehend their condition and dietary goals, a necessary first step to positive dietary changes. </span></div>
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<a href="https://4.bp.blogspot.com/-yFV-Ol9Og1o/WUfCetGkk4I/AAAAAAAAEQ8/kN6KAZY88f0tsWE30CCm9XsGuquGQHjYgCLcBGAs/s1600/IMG_2041%2B%25282%2529.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://4.bp.blogspot.com/-yFV-Ol9Og1o/WUfCetGkk4I/AAAAAAAAEQ8/kN6KAZY88f0tsWE30CCm9XsGuquGQHjYgCLcBGAs/s320/IMG_2041%2B%25282%2529.JPG" width="320" /></a></div>
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<span style="font-size: xx-small;">Me and my fellow interns on our last class day of the internship</span><span style="font-size: x-small;">. </span></div>
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<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Although, I like to think I have always been pretty good at these skills, I definitely have the internship to thank for helping me fine-tune them and apply them to a work environment. These skills will be invaluable as I start my career. Between the nutrition knowledge and life skills I have gained through the internship, I am confident in my ability to succeed in any workplace. </span></div>
Tuesday Brookshttp://www.blogger.com/profile/02665755917486094790noreply@blogger.com1tag:blogger.com,1999:blog-7035530465774732351.post-45522312091520883172017-06-15T09:47:00.004-04:002017-06-15T09:50:07.702-04:00Shadowing a Wound Nurse<div dir="ltr" style="line-height: 1.3800000000000001; margin-bottom: 0pt; margin-top: 0pt; text-indent: 36pt;">
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Nutrition plays a key role in healing wounds, and during my long term care rotation at Villa Rosa Nursing and Rehabilitation Center, I spent a morning peeking over a wound nurse’s shoulder as she assessed patients’ wounds. Although my time shadowing the nurse was short, I was able to watch her change the dressing of three different wounds: a sacral pressure injury, a heel pressure injury, and a scrape. It was my first time seeing a pressure injury in real life! We reviewed medications pertinent to wound healing such as “calcium alginate” dressings, which create moist healing environments for wounds, and “santyl” ointment which works to remove dead skin surrounding a wound. I also learned that wounds heal best at normal body temperature. Of course, we didn’t forget to talk about the importance of good nutrition to promote wound healing!</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><span class="Apple-tab-span" style="white-space: pre;"> </span></span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Here are a couple of nutritional components that I learned which aid wound healing: </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Increased Protein needs </span></div>
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<div dir="ltr" style="line-height: 1.3800000000000001; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">It is recommended that healthy adults get 0.8-1.0 grams of protein/kg/day, while the elderly get 1.0-1.2 grams of protein/kg/day. However, in patients who have wounds or </span><span style="font-family: arial; font-size: 11pt; white-space: pre-wrap;">pressure injuries, or are at risk for acquiring them, protein recommendations can go up to 1.5-2.0 grams/kg/day in order to make up for any protein lost in wound exudate and to help synthesize new skin tissue. In the long term care facility where I rotated, protein supplements were often ordered for patients who had inadequate nutrient intake, in order for them to reach their increased protein needs. This need for increased protein can also be accomplished through eating foods high in protein, such as meat or eggs. </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Vitamins and Minerals</span></div>
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<div dir="ltr" style="line-height: 1.3800000000000001; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Getting enough vitamins and minerals can usually be accomplished through a balanced diet, however, a healing wound can often benefit from supplementation of certain vitamins and minerals. Specific nutrients that my preceptor at the long term care facility often recommended in patients with wounds were Zinc and Vitamin C. Zinc helps wounds because it plays a role in collagen and protein synthesis, cell proliferation, and immune function. It is important to note that Zinc supplementation should be recommended with caution because too much zinc can interrupt iron and copper absorption. Vitamin C is beneficial for collagen formation and its antioxidant functions. </span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; list-style-type: decimal; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.3800000000000001; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Blood Sugar Control </span></div>
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<div dir="ltr" style="line-height: 1.3800000000000001; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Sometimes patients have non-healing wounds due to elevated blood sugar, which is a concern in patients with uncontrolled diabetes. High blood sugar causes small blood vessels to become rigid, resulting in poor blood circulation. This prevents wounds from receiving the oxygen, nutrients and immune cells they need for skin repair. The healing process can take months due to this and can even lead to dangerous infections, which sometimes require amputations. Controlling blood sugar is an especially important task for anyone with diabetes and a wound.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">As a dietetic intern, it was a great opportunity to see several wounds first hand! I now have a better understanding how good nutrition promotes wound healing. </span></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-24918506100239498472017-06-05T09:14:00.004-04:002017-06-05T09:14:32.007-04:00Let the Hunt Begin<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="font-family: Arial; font-size: 11pt; white-space: pre-wrap;">With three weeks left of the dietetic internship you would think the stress levels have come down to an all-time low, right? WRONG. My next task is to take the CDR exam and secure my first job. I would be lying if I said that taking the first steps into the “real world” is not a bit scary. Luckily, I came across several resources that make finding and applying to jobs a little less stressful.</span></div>
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<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Employment Websites</span></div>
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<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Employment websites such as Indeed, LinkedIn, and Monster have become tremendously popular in the past few years. The concept is simple: businesses and organizations with openings post their listing to the websites; from there all it takes is a keyword search to find the perfect job. Employment sites are great because it allows anyone to easily see which companies are hiring. One of my favorite features is that you can create a list of jobs that you can access at any time, allowing you to apply immediately or at a later time. Since the listings are posted by the hiring business they are updated or taken down instantly and contain links leading to more information about the position and organization. I have taken advantage of an option which sends me email notifications about new openings related to my recent searches. I uploaded my resume to some of these sites where it will be reviewed by recruiters who may reach out with an opportunity. Employment sites are beginning to transition to phone apps, allowing the job search to continue from virtually anywhere. I personally take advantage of those few minutes before getting out of bed to scroll through job apps and see if there are any new postings.</span></div>
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<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="web.jpg" height="233" src="https://lh6.googleusercontent.com/LPj595TuIocSFQ-25e-TN3jsLmhHiSQGXzE7-lPWAtGWijndjJj-KHkHl8uDFFQwpf4Nu3DPr4LTSVXHFUAmDpYxCGbP31igI-TL5f9J9X1zLPRllmEI6WJMDNTbC0Ak_1GapjuA" style="-webkit-transform: rotate(0.00rad); border: none; transform: rotate(0.00rad);" width="290" /></span></div>
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<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Personal Network</span></div>
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<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">One of the mantras given to us at the beginning of this internship was “think of this as a 10.5 month job interview.” This set the tone for networking during rotations and inspired me to create my own personal connections. What many do not realize is how connected practicing dietitians are to other dietitians in the field. Assuming some connections have been maintained from their DPD and dietetic internship, a dietitian typically has is a minimum of 10-15 contacts. I have been fortunate enough to establish and maintain a connection with a dietitian I shadowed for some time during my undergrad career. She has not only been immensely helpful as a mentor, but has offered to aide me in my job search by contacting clinical nutrition managers in her network. Whether it’s serving as a preceptor for dietetic interns or reaching out to a contact about a potential job opportunity, dietitians are more than willing to lend a helping hand. Luckily for us, establishing these connections can be easy as we are introduced to many of them through the course of our rotations.</span></div>
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<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="everything-you-ever-wanted-to-know-about-networking.jpg" height="200" src="https://lh4.googleusercontent.com/BZIbVwSrkmf79-1caGFsClp7055RyKYWBrI_MxH7mWyY21ajChr5ApEzvx1a-CU0BJnKHU6HAppAGDZnO3QmoY42uI1C1aWtCeRH_FR0yVLvf8WS_kApt2sJjGNiGBWHcJVDFVP1" style="border: none; transform: rotate(0rad);" width="400" /></span></div>
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<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Professional Organizations</span></div>
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<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">One of the lesser known benefits of being a member of the largest professional organizations for dietitians, the Academy of Nutrition and Dietetics, is having access to their career resources. These resources include job boards similar to the employment websites, expert referral services aimed at those looking to start their own business, and a career development guide for those interested in creating a 10-20 year plan. When you become a member of the Academy, you are required to select a state affiliation. Most state affiliations have their own websites with a job board and will host an annual meeting, which is the perfect place to network. In addition to helping me search for jobs, the Academy offers resume templates and online marketing tips to its members which I have used to the fullest extent. Finally, a good reason to pay a yearly recurring fee!</span></div>
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<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="eatrightPRO Main.png" height="74" src="https://lh4.googleusercontent.com/nzJoXIZHcF5kXZwdXCYVPXvHvOhmfKlq1LWBZMNhCUhS3kVRUiplSgjwhHvZDW8W_vpIcRx06vLf4ydESYFnJqDoj5wd1OIleNmQV0sKzakJsn4XVbIoU5IljUtMIxb_kzm2hyro" style="border: none; transform: rotate(0rad);" width="400" /></span></div>
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<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">These are just a few of the resources and methods I have been using to find jobs. Now if only I could get a call back from one of them…</span></div>
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Anonymoushttp://www.blogger.com/profile/02393794843843076626noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-41262546072617895482017-05-30T10:55:00.001-04:002017-05-30T10:57:14.211-04:00Is Veganism Right For You? Our Visit to the Vegetarian Resource Group<div dir="ltr" style="line-height: 2.4; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: white; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">According to the Vegetarian Resource Group (VRG), approximately </span><a href="http://www.vrg.org/nutshell/Polls/2016_adults_veg.htm" style="text-decoration: none;"><span style="background-color: white; color: #4a86e8; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">8 million Americans</span></a><span style="background-color: white; color: blue; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> </span><span style="background-color: white; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">eat a vegetarian diet! A well planned vegetarian diet provides health benefits that may help with the prevention and treatment of diseases such as heart disease, diabetes, high blood pressure, and some cancers. </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">On May 15, 2017, the University of Maryland Dietetic Interns visited VRG to learn about vegan and vegetarian diets and resources. VRG states that it “is a non-profit organization dedicated to educating the public on vegetarianism and veganism and the interrelated issues of health, nutrition, ecology, ethics, and world hunger. In addition to publishing the </span><a href="http://www.vrg.org/journal/" style="text-decoration: none;"><span style="background-color: transparent; color: #4a86e8; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Vegetarian Journal</span></a><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">, VRG produces and sells </span><a href="http://www.vrg.org/catalog/" style="text-decoration: none;"><span style="background-color: transparent; color: #4a86e8; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">cookbooks</span></a><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">, other books,</span><span style="background-color: transparent; color: blue; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> </span><a href="http://www.vrg.org/nutshell/" style="text-decoration: none;"><span style="background-color: transparent; color: #4a86e8; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">pamphlets</span></a><span style="background-color: transparent; color: #4a86e8; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">,</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> and article reprints.”</span></div>
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<div dir="ltr" style="line-height: 2.4; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: white; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">A lot of people believe it’s impossible to meet their nutrient needs without consuming animal foods; while at VRG we discussed rich vegan and vegetarian sources of calcium, iron, B12, and protein. Did you know that dark green leafy vegetables, tofu made with calcium sulfate, calcium-fortified soy milk and orange juice are all rich sources of calcium? Or that dried beans and dark green leafy vegetables are good sources of iron, especially if you pair them with vitamin C, such as tomatoes or citrus foods? Check out these </span><a href="http://www.vrg.org/nutrition/" style="text-decoration: none;"><span style="background-color: white; color: #1155cc; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">resources</span></a><span style="background-color: white; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> if you’re curious about nutrients in a vegan or vegetarian diets. As long as you are diligent about your nutrient consumption, it is possible to receive enough nutrients from vegan or vegetarian foods.</span></div>
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<span style="background-color: white; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><span id="docs-internal-guid-95770627-59d7-69f7-30bd-0016c3e89e22"><span style="background-color: transparent; font-size: 12pt; vertical-align: baseline;"><img alt="Macintosh HD:Users:saloncristianna:Desktop:IMG_1682.jpg" height="300" src="https://lh4.googleusercontent.com/pVEd8VhtP7GBVPUBlU7EEzHflBHst2eCoMBa5lL8oOW4jR05YXI3U5F_-VZx1-_6HLci6HCE8yYLTzNqf1eQSluhqpbySWAcGAlQiQmp0BqasnS4Z79fWOWmbC8CMZ56d4FVuqiPRv-i94G_yg" style="border: none; transform: rotate(0rad);" width="400" /></span></span></span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">While at VRG we were able to hear a few VRG interns share their personal stories about their decision to choose a vegan lifestyle. They mentioned that while it was difficult at first to adjust to such a different lifestyle, they have since overcome the challenges (such as peer pressure or inconvenience) and have maintained a vegan diet for years. Overall, we learned that there are five main reasons a person may choose a vegan diet: </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">1] Compassion for animals</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">2] Ecological</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">3] Health benefits</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">4] Religious</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">5] Belief in nonviolence</span></div>
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<div dir="ltr" style="line-height: 2.4; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">To finish the afternoon, we all shared vegan dishes that were both colorful and delicious. A couple of interns made tabbouleh, while others made vegetarian salads and entrees. We finished the potluck with a large fresh fruit salad and carrots and tortilla chips with hummus and guacamole. It was extremely tasty!</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="Macintosh HD:Users:saloncristianna:Desktop:IMG_1678.jpg" height="301" src="https://lh5.googleusercontent.com/MFxD4T_aT5cPJFQr4iFFi8gcS8XQn9mpnUqD9J6SO7AwirT62mwsWtwXriEtLQjp5axCYNmLs0vs-wrBkER_J5Klq1HNgmXhxd_YqiQw8kHVFQ9o_15v6RI4RLnBbLruwheHQjC9Jl21phqmJQ" style="border: none; transform: rotate(0rad);" width="400" /></span></div>
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<span id="docs-internal-guid-0761ce45-59d7-2aa6-1e76-2ce9788ed64d"></span><br />
<div dir="ltr" style="line-height: 2.4; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">While a vegan lifestyle may not be for everyone, it is a good option for some. And even if you don’t want to eat vegetarian or vegan all the time, it’s great to switch up your diet to include more fruits, vegetables, legumes, and nuts. As a future Registered Dietitian, I may counsel clients who want to adopt a vegan diet or who are vegetarian or vegan and need dietary advice for a health condition. I look forward to working with them to tailor a diet to their needs. Both eye-opening and insightful, this visit to VRG showed me a different perspective, and I am grateful for the experience!</span></div>
Anonymoushttp://www.blogger.com/profile/08621615092716037986noreply@blogger.com3tag:blogger.com,1999:blog-7035530465774732351.post-1234979717726202722017-05-21T21:46:00.002-04:002017-05-22T15:49:57.467-04:00The Role of Theme Meals in Dietetics<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">What does planning and organizing a theme meal have to do with dietetics? That was the question I asked myself at the beginning of a 6 week food service rotation</span><span style="font-size: 12pt; vertical-align: baseline; white-space: pre-wrap;">. </span><span style="font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">But as my partner and I started the planning, I realized that I was using a lot of information I learned during undergrad classes--like recipe conversions and calculating staffing needs. I also realized that I was gaining a lot of information that will help me as a future dietitian.</span></div>
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<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Dietitians can play vital roles in food service operations, even as a clinical or community dietitian.</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: italic; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">I learned a lot about patience, compromise, and trial-and-error from planning our theme meal. Those are valuable life lessons that I’m sure I’ll use throughout my career, even though they’re not specific to the field of dietetics. However, there are components of planning a theme meal that directly relate to being a Registered Dietitian (RD).</span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img height="337" src="https://lh3.googleusercontent.com/Rnk3v2ShDINXBI9L8jCC6SREYslP4Hy-6KjxU1Kjp5sM7baQbkfqtNen8irzivFacbCEVueIUPkS4U3skZFO_CctSVt6CXz7-YWwffg5ksKhU2KsyV4PpeV0Mzb6P-8R6UXTuzfizjtxXUee1Q" style="-webkit-transform: rotate(0.00rad); border: none; transform: rotate(0.00rad);" width="337" /></span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br class="kix-line-break" /></span><span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Salmon that my partner and I cured for a recipe</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Menu Building</span></div>
<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The first step in planning our theme meal was building the menu. We had a basic menu pattern for our meal: two salads, three sides, three entrees, and two desserts. Next we needed to apply our Hawaiian theme and select items that were suitable for our patrons. This was easier said than done. After spending hours upon hours researching authentic Hawaiian recipes, we chose a few selections that we felt would both be nutritionally sound and appeal to the seniors who would eat the meal. Only half of those recipes ended up on our final menu, though. We eliminated one selection because that certain type of fish was difficult to prepare for mass production; another one was ruled out because a key ingredient would completely blow our budget. This process reminded me of an experience I had working with a patient who was just diagnosed with renal disease; I suggested a number of foods that fit for his health condition, but each was shot down for various reasons, most often a dislike of the food. The patient and I worked together to craft a meal plan that worked for him, just like my partner and I crafted a menu that fit for our theme meal. I was happy to get this menu building experience because dietitians should be well versed in building well-rounded menus which are suitable for their populations. </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Nutrient Analysis and Recipe Evaluation</span></div>
<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">To plan a successful meal, we needed to convert recipes for mass production, convert ingredients to different units for accurate ordering, and analyze the nutritional value of the recipes. Analyzing the nutritional value of a meal may seem like a no-brainer, but it’s essential for RDs to know how to calculate the nutritional value of a meal without using the crutch of an online tool. And let me tell you--this was a long and tedious task for someone who hasn’t taken a basic math class in 4 years. Now that I’ve had the experience of doing so, I feel competent to calculate a nutrient analysis by hand in the future.</span></div>
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<span style="background-color: transparent; color: black; font-family: "times new roman"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img height="369" src="https://lh6.googleusercontent.com/-92GgMQvFvIRplqeYwWdUJW8GzhrIbuYLvChZ5C8FeLoCFfFAjpVvTLFWUw2feBsOE9EN0uz6IC-LbgDt4L9Q0_OsLbUJIiXg9ZMyOIYnoeqv8AaDFN9LKBfvLAmp_ZRJ55hEyhK0SfAyNSotA" style="-webkit-transform: rotate(0.00rad); border: none; transform: rotate(0.00rad);" width="477" /></span><span style="background-color: transparent; color: black; font-family: "times new roman"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br class="kix-line-break" /></span><span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Hawaiian-decorated dining room for the theme meal</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Budgeting</span></div>
<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">A huge component of planning our theme meal was making sure we stayed on budget. Our budget included food cost and decorations. Thankfully, our food service facility managed the staffing, although we did get to play with the puzzle that is building a schedule of employees with irregular availabilities. Budgeting is a skill that, frankly, everyone needs to perfect. As a future RD, I can foresee using budgeting skills in many areas of dietetics, especially in a management role.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Quality Analysis</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br class="kix-line-break" /></span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">During our meal, we passed out short surveys to ask customers about their opinion of the meal. After the meal was complete, we collected all of the surveys and compiled the results. We used this data to determine the least and most popular menu items and offer suggestions to future interns planning a theme meal. Quality assurance is a practice that I believe is of utmost importance to being a dietitian. Conducting any kind of quality analysis, whether it be formal or informal, is vital to knowing what you’re doing well and how you can improve.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">My partner and I spent many long days working together to carefully prepare and plan for this 2.5 hour event. While the process was not as fun as I thought it would be, I did learn a lot. I am glad I had this opportunity to develop many skills that I will continue to use as a professional; some directly relate to dietetics and some relate to professionalism in general. Thankfully our Hawaiian theme meal was successful, and despite those stressful weeks leading up to the event, I would do it again in a heartbeat.</span></div>
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<br />Anonymoushttp://www.blogger.com/profile/00344303065556705056noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-39486553947131445152017-05-16T20:36:00.000-04:002017-05-18T20:51:00.756-04:00<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Nutrition and Food Science Department Poster Day</span></div>
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<span style="font-family: "calibri"; font-size: 12pt; vertical-align: baseline; white-space: pre-wrap;">The day started off with a keynote speaker, Dr. Eric Brown, Ph.D. Dr. Brown is the director of the Division of Microbiology in the Office of Regulatory Science at the Food and Drug Administration (FDA). The topic of his presentation was “</span><span style="font-family: "calibri"; font-size: 12pt; font-style: italic; vertical-align: baseline; white-space: pre-wrap;">The Rise of Whole Genome Sequencing for Food Safety and its Role in Augmenting Traceback of Foodborne Pathogens Back to Their Source</span><span style="font-family: "calibri"; font-size: 12pt; vertical-align: baseline; white-space: pre-wrap;">.” To put it simply, we learned about the advancements in technology that the FDA is using during foodborne illness outbreaks, such as salmonella, to determine the original source of the bacteria. While the topic is serious, Dr. Brown was able to add an element of humor to this presentation by showing a decision tree for how people determine whether they will eat something they dropped on the ground. Points to be considered included “did anyone see,” “was the food sticky,” etc. </span><br />
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<tr><td class="tr-caption" style="text-align: center;"><span id="docs-internal-guid-9362b197-13c8-bc2c-ef15-6a1530987382"><span style="font-family: "calibri"; vertical-align: baseline; white-space: pre-wrap;"><span style="font-size: x-small;">Dr. Brown and his decision tree presentation slide</span></span></span></td></tr>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">After the keynote presentation and lunch, we presented our posters to four judges, all of whom are in the dietetics field. Posters were either in the “case study” category or “special project” category. We spent approximately ten minutes talking with each judge about our posters, explaining our topic, and answering questions. </span><br />
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<span id="docs-internal-guid-9362b197-13c8-42cf-6a96-fda69e44bb33"><span style="font-family: "calibri"; font-size: 12pt; white-space: pre-wrap;">My abstract poster was about Recovery Record, an application (app) for eating disorder treatment. There are two different apps: one for the clinician and one for the client. The client can log food, feelings and behaviors in their app. The clinician uses the app to see a newsfeed of clients and their current moods, eating patterns, and behaviors. This app can be used for any kind of eating disorder and eliminates the need for a 24-hour food recall or counting on the client’s memory when determining what foods have been eaten recently. The client’s version differs from food trackers in that it does not include calories, macronutrients, or a food database. Food is entered in as free text and then the client is prompted to document if they ate too much food (binged), an adequate amount of food, or not enough (restricted). The clinician can easily see progress being made by the patient in a HIPAA compliant app, and can send messages back. The app allows for more frequent communication between the clinician and client between visits. This is important for those recovering from eating disorders. I believe the concept of this app, encouraging mindful and intuitive eating rather than calorie-based tracking, could be successfully used for apps for weight loss and other disease states. </span></span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span id="docs-internal-guid-9362b197-13ce-e6d4-8668-493bcbdc68f4"><span style="font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-position: normal; vertical-align: baseline;"><span style="font-family: "calibri"; white-space: pre-wrap;"><span style="font-size: x-small;">Me (left), Angela, Ben, Tuesday (middle), and Paula (right) with our abstract posters. (Click to view larger.)</span></span></span></span><br />
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<span id="docs-internal-guid-9362b197-13ce-e6d4-8668-493bcbdc68f4"><span style="font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-position: normal; vertical-align: baseline;">
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<span id="docs-internal-guid-9362b197-13ce-e6d4-8668-493bcbdc68f4"><span style="font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-position: normal; vertical-align: baseline;"><span id="docs-internal-guid-9362b197-13cf-5ae6-69fc-23066bff0527"><span style="font-family: "calibri"; font-size: 12pt; vertical-align: baseline; white-space: pre-wrap;">After presenting my poster to the judges, I was able to view the graduate students’ posters. The research poster topics ranged from social determinants of food insecurity to respiratory quotients in men related to blackberry consumption. The event concluded with a poster award ceremony. From our internship class, Angela won the “case study” category with her abstract poster “</span><span style="font-family: "calibri"; font-size: 12pt; font-style: italic; vertical-align: baseline; white-space: pre-wrap;">MNT in Stage 5 Chronic Kidney Disease (CKD): diet instruction with a cultural twist</span><span style="font-family: "calibri"; font-size: 12pt; vertical-align: baseline; white-space: pre-wrap;">” and I was thrilled to have won the “special project” category with my poster “</span><span style="font-family: "calibri"; font-size: 12pt; font-style: italic; vertical-align: baseline; white-space: pre-wrap;">New Technology Tool: Aid in Eating Disorder Management</span><span style="font-family: "calibri"; font-size: 12pt; vertical-align: baseline; white-space: pre-wrap;">.”</span></span></span></span></div>
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Julia Dugashttp://www.blogger.com/profile/04039812343937050606noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-20008236452990704182017-05-12T08:12:00.002-04:002017-05-28T17:42:02.975-04:00 Hail to the Kidney!<br />
<div dir="ltr" id="docs-internal-guid-cc9b44c4-fc90-1739-cea7-fbce21fdf01b" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">Three years ago while visiting my family in Argentina, I had the opportunity to shadow a renal dietitian at a dialysis center. At that time, I knew little to nothing about the nutritional implications of renal disease or the role the kidney played in maintaining a balance of fluid and chemicals in the body. I learned a little about what a renal dietitian does during that visit, but perhaps more importantly, the exposure piqued my interest. A few weeks ago, I completed a highly anticipated renal rotation where I learned so much about managing renal disease with nutrition and dialysis. Nutritional therapy is critical to manage and slow the progression of renal disease from Chronic Kidney disease (CKD) to end-stage-renal disease (ESRD). Once the disease has progressed to ESRD, dialysis or kidney transplantation is required to stay alive. A dietitian can provide nutrition education critical for successful management of ESRD. Two key nutrients of concern in ESRD patients are phosphorus and albumin. These nutrients are the hardest laboratory values to keep within range.</span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 14pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline;">Phosphorus:</span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">Dialysis does a great job in removing the extra potassium and sodium from the body, but it is less effective with phosphorus or “Phos.” It is very important patients know how to control their dietary phosphorus intake. </span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">So, why is phosphorus hard to control for people in dialysis? During my rotation I became aware that phosphorus is ubiquitous in foods. There are natural sources of phosphorus, such as from dairy products, fish and meat; additionally phosphorus is added to most processed foods, such as Gatorade, twinkies, chocolate pudding, etc. I was able to teach patients how to read food labels to help them recognize and avoid foods that are either naturally high in phos or contain phosphorus additives. They should check the label for long words that contain “phos,” such as “monosodium phosphate,” “dicalcium phosphate,” etc.</span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">Another important topic that I covered with patients was the importance of compliance with phosphate binders. Unfortunately, non-compliance was a common issue. Since keeping phosphate within normal range is so difficult for most people undergoing dialysis, it is vital that they remember to take phosphate binders with each meal. For that purpose, I had fun delivering key chains designed specifically to carry the phosphate binding pills for patients to use when they will be away from home during meal times.</span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 14pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline;">Albumin:</span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">Another potential problem with ESRD is low blood levels of albumin. It was very unusual to see a patient with a normal level of this protein. </span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">Albumin is the most abundant protein in our body. Our body needs protein to help build muscle, repair itself, and fight infections. Since so many patients on dialysis need to eat a good amount of quality protein, I made sure to discuss how to make good protein choices with the patients. It was very challenging, but critically important to tailor a diet specifically for their underlying disease; the diet typically needed to be high in protein but lower in sodium, potassium, and phosphorus. </span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">After having this experience, I have a clearer understanding of the role the kidneys play in normal bodily function. Additionally, I realize the importance of regulating key nutrients such as sodium, potassium, phosphorus, and protein when the kidneys are not functioning properly. I was taken aback with renal nutrition three years ago because of the major impact diet plays in the outcome of this terrible disease. Now, after completing my renal rotation, I understand the complex, but fascinating world of renal nutrition a bit more. I am not only convinced that my true passion lies in renal nutrition, but also about the importance of leading a healthy lifestyle to help keep our kidneys healthy. </span></div>
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Angela Sbodiohttp://www.blogger.com/profile/15935610398444206740noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-36644780126498304492017-05-06T10:51:00.000-04:002017-05-07T22:54:43.824-04:00Maryland Day 2017<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Saturday, April 29th was the 19th annual Maryland Day! Each year, the University of Maryland (UMD) invites families, alumni, faculty, staff, students, and prospective students to “Explore [Their] World of Fearless Ideas.” Maryland Day 2017 offered over 400 events all around campus and had 75,000 visitors!</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br class="kix-line-break" /></span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">This year’s Maryland Day featured events at multiple different “learning neighborhoods”:</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Art & Design Place</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> – The Art & Design place offered theater, music, and dance events, many of which involved getting the whole family up and moving!</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Biz & Society Hall </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">– Events in this neighborhood helped prepare you for the professional world! The Department of Communication offered events to conquer speech anxiety and improve writing.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Science & Tech Way</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> – Learn food safety 101 and the importance of hand washing in this neighborhood!</span></div>
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<span style="background-color: white; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Sports & Rec Row</span><span style="background-color: white; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">- </span><span style="background-color: white; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">This neighborhood was all about games, physical activity, and living a healthy lifestyle. It featured a rock wall, family yoga and dance sessions, sand volleyball, gymnastics and acrobatics, elements of a challenge course, and some free health screenings. Since a good diet is an important part of a healthy lifestyle, the UMD School of Nursing at Shady Grove shared dietary guidance related to obesity, diabetes, and hypertension</span><span style="background-color: white; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">.</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Terp Town Center</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> – Everything you can imagine happened in the middle of Maryland’s campus. BikeUMD offered free bike valet for all attendees, there were 1-hour campus walking tours, the Counseling Center offered mental health and wellness sessions, and UMD chefs discussed initiatives to support food security for everyone. </span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Ag Day Avenue</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> – This is where our booth was. Located in the courtyard of the Animal Sciences Building, our table featured information about portion sizes, sugar sweetened beverages, and how to build a healthy plate. We had information for everyone - from preschoolers to adults!</span></div>
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</ul>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="MD Day 3.jpg" height="186" src="https://lh5.googleusercontent.com/uuhxHdVzLKbIN2O3z2LB0D0tIpv_qgLqHG0aQJQWHAJCW29Ht4U0Rs0kKGd5X9ez94oEk3EJdI4WAOgqrCDc_hdNBfiXxIfkFQh37KTrKBAtVNNQLay1Mojh2wAn0lwvSTf_UjU" style="-webkit-transform: rotate(0.00rad); border: none; transform: rotate(0.00rad);" width="239" /></span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="MD Day 1.jpg" height="235" src="https://lh4.googleusercontent.com/Nc7yQq9SWtvZOHyTi3EGiyox2lXgtEFPBpiiw1lLGXpHSagL2lGbJc3xDx4btceOGjaP1G4MdTMwCcIvwi0N3VyLdrkECLYWzbKn4DJWOmGeD9_kmi5jQNq3tDvc6p2NsB3kkdM" style="border: none; transform: rotate(0rad);" width="178" /></span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span>
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">We also had a corn hole game for kids! Instead of a traditional corn hole game where the two boards are placed across from each other, our boards were placed next to each other to make it easier for kids to get their bean bags in the holes. When placed next to each other, our boards illustrated a healthy plate! The kids had a lot of fun with the game, most of them wanting to play multiple times. Their prizes were a MyPlate coloring book with a word-search and crossword puzzle, and a pack of crayons. </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center; text-indent: 36pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="MD Day 2.jpg" height="400" src="https://lh5.googleusercontent.com/5H4Rix6Sd1ky6omMRVtt6rn75qJeNnlkWSFK99_LIBqnOrg8EbS3oiIEN6V69KSHC9iWo5GfYU2yWyLWbv6JebOqZeK93fsIFBpxx0YQP_VzgbS7H5fhQr5IVwRD-19BA6bq0CQ" style="border: none; transform: rotate(0rad);" width="301" /></span></div>
<b id="docs-internal-guid-664c4892-de3c-a2d9-5b4d-4eb206e88c20" style="font-weight: normal;"><br /></b>
<br />
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">People of all ages were interested in our table! My fellow interns and I greeted visitors to our table and answered their questions on nutrition. People asked about food myths (i.e. “I heard pineapple was bad for you”) and for more information on how to build a healthy plate. Many were shocked at the amount of sugar in sodas and sports drinks. We helped them see why water and unsweetened beverages are a better choice. Our table also featured three examples of healthy plates, complete with food models. One kid even showed off his food knowledge by naming all the foods on the plates! We gave our visitors handouts to take home and hopefully inspired them to eat a healthier diet. </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="MD Day 4.jpg" height="400" src="https://lh3.googleusercontent.com/PZz-X-60nVUbwq4p6Kk67AQrWSiZo8J6r1YREwvob_5PRIrf0RCiVBnyTgdCBeEbWm-_O1kC1Kbdf_mfXyTpiiGvEzlL-CSbX7WYeKkxkbvYNpI8Uu0pierkuhTiqtbTUHq-OQ8" style="border: none; transform: rotate(0rad);" width="300" /></span></div>
<span style="color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;"><br /></span>
<span style="color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">I really enjoyed my time at Maryland Day. I had fun playing with the kids and teaching people about nutrition. As a bonus, I even got to take home an herb plant which I’ll use in cooking endeavors! For more information about Maryland Day or to see the hundreds of events you might be able to expect next year, visit: </span><a href="https://marylandday.umd.edu/index.html" style="text-decoration-line: none;"><span style="color: #1155cc; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">https://marylandday.umd.edu/index.html</span></a><span style="color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">.</span><br />
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
Anonymoushttp://www.blogger.com/profile/10247883455933189597noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-15349397334897556812017-04-24T22:39:00.000-04:002017-04-24T22:40:00.283-04:00Food Insecurity in Montgomery County<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="Manna Logo - Pantone 484 c.jpg" height="97" src="https://lh5.googleusercontent.com/68HPBLv1Q5uY_kIniAvLnz2tJtYMVbvX2ijJten30_vQW5uSRPnnygcEV7n9F8sb-t0s2caxgE9VgYIpqiOttgOc8UEhk6am2AXCw9FSvF850EKNz_RJxYIV0rByNeIraPQNLqYX" style="-webkit-transform: rotate(0.00rad); border: none; transform: rotate(0.00rad);" width="263" /></span></div>
<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Over 42 million Americans suffer from food insecurity, which is over 13% of people in the U.S. People are considered food insecure if they do not have reliable access to a sufficient quantity of affordable, nutritious food. In other words, someone who is food insecure may not know where their next meal is going to come from or may fear that they will run out of food before they have money to buy more. In Montgomery County, Maryland, around 80,000 people are food insecure, including many children. This, along with other things I learned during my rotation at the <a href="http://www.mannafood.org/" target="_blank">Manna Food Center</a>, has inspired me to write this blog post. </span></div>
<h2 style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="font-family: "calibri";"><span style="font-size: 14.6667px; white-space: pre-wrap;">Food Insecurity in Montgomery County</span></span></h2>
<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">According to Montgomery County Public Schools, over 30,000 elementary school students are eligible for <a href="https://www.fns.usda.gov/school-meals/applying-free-and-reduced-price-school-meals" target="_blank">Free and Reduced Meals (FARM)</a>, but only 11% of those are actively participating in the FARM program. Other programs aimed at reducing food insecurity are the <a href="https://www.fns.usda.gov/snap/supplemental-nutrition-assistance-program-snap" target="_blank">Supplemental Nutrition Assistance Program (SNAP)</a>, the <a href="https://www.fns.usda.gov/nslp/national-school-lunch-program-nslp" target="_blank">National School Lunch Program (NSLP)</a>, and the <a href="https://www.fns.usda.gov/wic/women-infants-and-children-wic" target="_blank">Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)</a>. Unfortunately, some Americans don’t know about these programs or don’t know how to enroll in them. To help increase enrollment in these programs, some local organizations offer information, resources, and services to food-insecure members of the community. The <a href="http://www.mocofoodsecuritycollaborative.org/" target="_blank">Montgomery County Food Security Collaborative</a> partners with other local organizations to address this issue. Their mission is to reduce hunger in Montgomery County by 2020 by redistributing fresh, perishable food and increasing collaboration among businesses, non-profits, food providers, and families in need for this purpose. Their partners include <a href="http://www.mannafood.org/" target="_blank">Manna Food Center</a>, <a href="http://www.womenwhocareministries.org/" target="_blank">Women Who Care Ministries</a>, <a href="http://gaithersburghelp.org/" target="_blank">GaithersburgHELP</a>, <a href="https://www.facebook.com/FullPlateVenture" target="_blank">Full Plate Ventures</a>, and more. I also recently heard about <a href="http://www.montgomerycountymd.gov/HHS-Program/OCA/VITA/VITA.html" target="_blank">Volunteer Income Tax Assistance (VITA)</a>, which helps low-income individuals prepare taxes free of charge. There are many dietitians who volunteer to help sign these individuals up for food assistance programs while they are waiting for their appointment.</span></div>
<h2 style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Get Involved</span></h2>
<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">If you’ve read this far and you would like to help reduce food insecurity in your community, one of the easiest ways to get involved is to volunteer your time to a local food bank. Other ways to get involved include donating money or food, organizing a fundraiser, or organizing a food drive. I volunteered at Manna Food Center by helping put together boxes of food for distribution. Each box consisted of fresh fruits and vegetables, non-perishable canned and boxed goods, a few pounds of protein foods, and bread. For most families, it was enough food to last two to three days. That may not sound like much, but it could be the difference between eating and going without until the next paycheck. </span></div>
<h2 style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="font-family: "calibri";"><span style="font-size: 14.6667px; white-space: pre-wrap;">Food Insecurity and Health </span></span></h2>
<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Good nutrition is one of the most important factors that affects a person’s health. People who suffer from food insecurity are also at risk for developing chronic illnesses, such as cardiovascular disease and diabetes. I want to continue to help these individuals by reducing food insecurity and promoting good nutritional health wherever and whenever I can. One way that I was able to do this during my rotation at Manna was to create educational inserts for the food boxes. These inserts accompanied boxes that were designated for special diets. For example, some of the inserts were related to diabetes. Each diabetes insert contained information about diabetes and how it relates to food and had a recipe using five or fewer ingredients so that clients could learn new ways to use the foods that are provided for them to create healthy meals. I’ve included an example below for you to see. This concept can continue to be expanded on so that every box that a client takes home has good, nutritious foods and information that will help make Montgomery County healthier and happier.</span></div>
<span id="docs-internal-guid-5ff3012a-a2f0-d071-f301-d8fe99eae636"></span><br />
<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="Diabetes Myths" height="225" src="https://lh4.googleusercontent.com/sFW3dt21bSo8h0DG2vt0gpVgVAiEbsUDRzwobvAIuZWQXF77UJ2bjYFykaCz6N-s8W6IR1CNvanYGcDXTNx7jndcPddN-o7paMNu8xysD50umulgEuOmS-S8DbIiqJB2G9T39DVg" style="border: none; transform: rotate(0rad);" title="Notes from the Nutritionist: Diabetes Myths" width="400" /></span></div>
Anonymoushttp://www.blogger.com/profile/07744113302081780673noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-18858583761883129062017-04-17T15:27:00.000-04:002017-04-17T15:27:16.945-04:00Joint Class Day: Nutrition Taking A Frontline Role in the Military<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The Walter Reed National Medical Center is one of the nation’s largest military medical centers, and it’s located right in Bethesda, MD! Earlier this spring, our class was able to attend a joint class day to gain a deeper insight on the role RDs play in nourishing the country’s military. Many dietitians influence the success of the US Military, whether they deal directly with the civilian or military population. The nutritional health of civilians determines how many civilians are eligible to become a part of the military. Once enlisted, soldiers are expected to maximize their health and performance, but this isn’t always happening. Currently, 5% of active duty soldiers are prescribed sleep medications, 5% fail their Army Physical Fitness Test (APFT) and 13% are clinically obese. The Performance Triad has been designed to address these issues.</span></div>
<b id="docs-internal-guid-edecc968-7d60-d191-144a-0c82e09a6205" style="font-weight: normal;"><br /></b>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The Performance Triad is a strategic initiative aimed at improving soldier performance by targeting the areas of sleep, physical activity and nutrition. Each of these categories have targets and goals that soldiers work toward in order to maximize their performance:</span></div>
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<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Sleep</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Get 8 hours of quality sleep per 24 hour period</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Go caffeine free 6 hours before bedtime</span></div>
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</ul>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Physical Activity </span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Aim for at least 10,000 steps per day, with the ideal goal of getting an additional 5,000 steps throughout the day</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Include at least 2 days of resistance training per week, plus one day of agility training</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Incorporate at least 150 minutes of moderate aerobic exercise, plus 75 minutes of vigorous intensity exercise per week</span></div>
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</ul>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Nutrition</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Eat at least 8 servings of fruits and vegetables per day</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Re-fuel 30-60 minutes after strenuous exercise</span></div>
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</ul>
<b style="font-weight: normal;"><br /></b>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Nutrition is now on the frontlines of improving military effectiveness. Accomplishing these nutritional targets and goals requires teamwork. It starts with meal planning so that the right nutrients are available. The diet developed to support the Performance Triad consists of 4,875 kcal and 155 g pro, strategically timed as follows: </span></div>
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<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Breakfast (06:00)</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Hot Line and Beverages </span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">1,000 kcal/40 g protein</span></div>
<b style="font-weight: normal;"><br /></b>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Morning Snack (09:00)</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Complex carb, produce, protein source </span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">500 kcal/10 g protein</span></div>
<b style="font-weight: normal;"><br /></b>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Lunch (12:00)</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Meal Ready-to- Eat (MRE)</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">1,345 kcal/45 g pro</span></div>
<b style="font-weight: normal;"><br /></b>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Afternoon Snack (15:00)</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Complex carb, produce, protein source </span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">500 kcal/10 g protein</span></div>
<b style="font-weight: normal;"><br /></b>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Dinner (18:00)</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Hot Line with Beverages, Salad Bar and Dessert</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">1,200 kcal/45 g protein</span></div>
<b style="font-weight: normal;"><br /></b>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Midnight Snack (23:00)</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Complex carb, produce</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">350 kcal, 5 g pro</span></div>
<b style="font-weight: normal;"><br /></b>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">I am surprised to see how much higher, the recommendations are for the active duty military compared to those for the civilian population, but providing all those calories helps support the increased physical activity of active duty military members. This meal pattern is coupled with nutrition education that teaches the importance of different nutrients and promotes increased fruit and vegetable intake. To make it easier green, yellow and red labels are used to make healthier choices immediately identifiable with one glance. Green foods should be eaten often, yellow occasionally and red avoided.</span></div>
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<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img height="113" src="https://lh5.googleusercontent.com/KDADkVIMFfBFnECb4f0dAU0I0o1iyNY1PlfdBbcdti9QGQ8JcV9rUk8droUCKpOS8AtPpOPR1g-xRb8ih4HR_IiHMjUWrwTurhuaZ9N_nnLF7CYbdgQ4HongceP7rt_YiGFGqF-b" style="-webkit-transform: rotate(0.00rad); border: none; transform: rotate(0.00rad);" width="523" /></span></div>
<b style="font-weight: normal;"><br /><br /></b><br />
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The Performance Triad has shown to increase fruit and vegetable intake by 1.5 servings/day, as well as increase the frequency of refueling after exercise. Food is fuel and this program is the perfect example of the impact food choices have on overall health and performance! </span></div>
<b style="font-weight: normal;"><br /></b>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Learning how the military is shifting its focus to nutrition was very encouraging to hear as a dietetic intern. Research has proven that proper nutrition improves performance and the military is listening! As the focus on nutrition continues, RDs will need to continue their advocacy and research to support and empower our country’s military. </span></div>
<br />Kara Carterhttp://www.blogger.com/profile/13111247086869756645noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-10221031802103188402017-04-10T12:42:00.002-04:002017-04-10T12:45:09.998-04:00Renal Nutrition Class Day<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">One of my favorite things about being an “almost dietitian” is that there are so many career options: clinical, community, communications, and food service to name a few. The possibilities seem endless! Along with fellow University of Maryland dietetic interns, I recently visited a DaVita Dialysis Center in Annapolis to learn about renal nutrition from several Registered Dietitians (RDs) and other experts.</span><br />
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
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<a href="https://4.bp.blogspot.com/-ET6gOOd7g4k/WOu2KVa7QnI/AAAAAAAADVA/P-o46RCVk0YkQlSI7ev-BnF_zVQyZzgAACLcB/s1600/NGOG7737.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="181" src="https://4.bp.blogspot.com/-ET6gOOd7g4k/WOu2KVa7QnI/AAAAAAAADVA/P-o46RCVk0YkQlSI7ev-BnF_zVQyZzgAACLcB/s400/NGOG7737.jpg" width="400" /></a></div>
<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 10pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Fellow intern, Julia, and me at our renal nutrition class day.</span><br />
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 10pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The day started out with a brief dialysis overview which touched on the different stages of Chronic Kidney Disease (CKD), including when dialysis is needed (stage IV and V), and what the dialyzer does and how it works. It really helped me understand the incredible filtering capability and limitations of the dialyzer, which will be helpful when I am counseling patients. The next speaker dove a little bit deeper into the stages of CKD by explaining how nutrition needs are different in each stage. She also discussed different options for dialysis home modalities. Before this day, I had no clue that doing dialysis at home was even an option! How cool – and convenient!</span><br />
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Next on the agenda was the renal nutrition lecture which covered calorie, protein, fluid, and mineral (specifically sodium, phosphorus, and calcium) requirements for patients receiving dialysis and their “lab value goals.” I learned that no two patients are alike. It is important for RDs to tailor their care to fit each individual’s lifestyle and meet their specialized needs. As the disease progresses, patients’ needs will likely change, and dietitians can help them transition their diets.</span><br />
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The last speaker talked to us about the role of a renal dietitian at DaVita including their day-to-day responsibilities, their electronic medical record system, and what to expect when working with dialysis patients. This lecture was particularly valuable because it opened my eyes to what life would be like as a renal dietitian. </span><br />
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "cambria"; font-size: 12pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">During the day, DaVita’s divisional vice president popped in to welcome us, share his experience working with DaVita, and answer our questions. All of the speakers seemed very passionate about their work and were very knowledgeable. Overall, I learned a lot from this day and feel more prepared for my renal rotation. I am looking forward to learning even more during my renal rotation next month. </span></div>
<br />Tuesday Brookshttp://www.blogger.com/profile/02665755917486094790noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-89826711979723742272017-04-03T23:51:00.001-04:002017-04-04T09:46:27.039-04:00Celebrating National Nutrition Month at UMD<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">What better way to spend National Nutrition Month than promoting healthy lifestyles to the University of Maryland’s (UMD) students and staff? During my 3 week long rotation with UMD’s dining services, my internship partner and I created “Wellness Walls” with fun posters and infographics filled with tips about nutrition, exercise, cooking, and healthy recipes. Our artsy and creative sides were definitely put to work! </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">T</span><span style="background-color: white; color: #333333; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">o encourage informed meal choices and variety, w</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">e focused on a different food group for each week of March. With fun colors, titles, and pictures, we encouraged our audience to live healthier lifestyles. It was a great time for us to promote healthy habits since the University advanced to “Any-time dining” halls, offering all-you-can-eat food. Some of our tips included: switching from regular to low-fat milk, looking for whole grain ingredients, and eating a variety of colorful fruits and vegetables. We even created some content in Spanish, in order to reach out to employees whose first language was Spanish. Although we were only there for 3 weeks, we were able to design ahead of time and create content for all 4 weeks of National Nutrition month:</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Week 1: “Live a Legen-dairy Lifestyle” focused on choosing healthy dairy options, such as low-fat milk in order to reduce saturated fat intake, while still getting the same vitamins and minerals as whole milk! </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-weight: 400; margin-left: 1em; margin-right: 1em; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="IMG_0026.JPG" height="311" src="https://lh4.googleusercontent.com/zwmM08_5M7Iw_sAskG-JCAbnjSB9zYrNsRBhtOht1miho6uLSf7Gib-IiCYADGlt4TlkT-sgPxqDqUD_dWiut5LSmWtU4aLNLRE011M25rtml2zOd2W1zWB4Pmrbuv7Dp1QTMF9W" style="border: none; transform: rotate(0rad);" width="416" /></span></div>
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<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Week 2: “Lettuce Turnip the Beet” focused on the importance eating a variety of fruits and vegetables. According to CDC’s 2013 State Indicator Report on Fruits and Vegetables, an average of 37.6% of Maryland adults and adolescents reported eating less than 1 fruit per day and 30.9% reported eating less than 1 vegetable per day. Hopefully our wall encouraged UMD students and staff to reach for fruits and veggies more often! </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-weight: 400; margin-left: 1em; margin-right: 1em; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="IMG_0068.JPG" height="312" src="https://lh4.googleusercontent.com/E_dETkAfxQanRh7MthUnBrGvJIMNZMqStKkM67T9YP87lB6Pxhbla5nF6S7vXV0TFt5eOxmqWPjQ5i_ZPqhLUuH5pjTXb29fOevitJt6Leoj-PglGHouEklzB462ZIcfxAYieYoH" style="border: none; transform: rotate(0rad);" width="415" /></span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Week 3: “Promote Health with Protein” introduced different protein sources and snack ideas to promote strong muscles. We made sure to include plant-based protein for those who don’t eat meat! </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-weight: 400; margin-left: 1em; margin-right: 1em; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="FullSizeRender.jpg" height="314" src="https://lh5.googleusercontent.com/n_zn26AL8KzBOplEaRtXO-ZbibW7Bc03JV4CuGaeHbVlOGL1A1gOXmbOXk9OwZGxew3HQOcWngKaEEM7cBAdbSuT6Udb-iSEhPf2N_qEEyr3_Dy0QrAlHTSLiSobVWyfg_nJAS2a" style="border: none; transform: rotate(0rad);" width="418" /></span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-weight: 400; margin-left: 1em; margin-right: 1em; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"></span></div>
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Week 4: “Use Your Brain, Choose Whole Grains” introduced a variety of whole grains and their benefits, such as a healthier GI tract!</span></div>
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<a href="https://lh5.googleusercontent.com/ElDqTtmNfsg24kzc-LuFQloBHvRiwYgU1jqZ1I3d4aG5_X72QyVO_Wo9Ba1XanrWxb-E7tTgowEcwSsPaR2uLH8eJJDU0FsDnLO8C890r3P9SLPolCR-okAjGUjVGCzeCh7naf5o" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="FullSizeRender (1).jpg" border="0" height="330" src="https://lh5.googleusercontent.com/ElDqTtmNfsg24kzc-LuFQloBHvRiwYgU1jqZ1I3d4aG5_X72QyVO_Wo9Ba1XanrWxb-E7tTgowEcwSsPaR2uLH8eJJDU0FsDnLO8C890r3P9SLPolCR-okAjGUjVGCzeCh7naf5o" style="border: none; transform: rotate(0rad);" width="438" /></a></div>
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span>
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">We had an "egg-cellent" time trying out some "punny" titles for our Wellness Walls! Aside from putting together these walls, we also participated in tabling events inside one of the diners, where we distributed handouts about a different food group each week. It was great seeing students eager to learn more about nutrition. In addition, we helped put together newsletters and wrote blogs for the campus’ student nutritionists. Working on all of these unique projects during this rotation made me realize how much I love being creative. </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">National Nutrition Month is a great time to focus on improving eating habits. Even though the month just ended, I hope the UMD students and staff will continue to put their best forks forward.</span></div>
Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-46702911864662893802017-03-27T18:45:00.000-04:002017-03-27T18:45:12.532-04:00The Art of Mastering a Nutrition Education<div style="margin-bottom: 10.0pt; margin-left: 0in; margin-right: 0in; margin-top: 0in;">
It was 9 weeks ago but I remember it like it was
yesterday. My hands were shaking and a glistening sheen of perspiration had
appeared on my forehead. I was unable to create any coherent thoughts; I was
about to give my first nutrition education to a patient. My first nutrition
education was a weight loss education for a 500lb patient. I left this man’s
room questioning the effectiveness of my education. Now that I am nearing the
end of this clinical rotation, I like to think I’ve become more proficient in
delivering nutrition education to patients. Here are a few things I’ve learned
to help me in educating patients.<o:p></o:p></div>
<div style="margin-bottom: 10.0pt; margin-left: 0in; margin-right: 0in; margin-top: 0in;">
<b>Meet People Where They Are</b><o:p></o:p></div>
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To put it simply, “meet people where they are”
means inferring and understanding how likely they are to make dietary changes
in their life. Most of the patients I educated did not seem interested in
altering their diets. To meet them where they were, I usually tried and find
one easy change they could make to their diet and have them focus their efforts
there. In the case of the 500lb man, meeting him where he was involved
understanding the difficulties that come with weight loss, his age, and his
motivation to actually lose weight. This was a middle aged man who had been carrying
extra weight his whole life and he had expressed several times his interest in
an outpatient weight loss clinic. To meet this patient where he is, we decided
that switching from regular soda to diet soda would be the easiest change to
make that would promote weight loss.<o:p></o:p></div>
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<b>Handouts</b><o:p></o:p></div>
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Handouts can be a very useful tool when
providing nutrition education. Some patients are in pain, half conscious, or
uninterested in changing their diet, so they may not hear or retain dietary
guidance when it is provided; this is where handouts come into play. Many
professional organizations offer online nutrition education handouts. I prefer
using handouts from the Nutrition Care Manual (NCM). The NCM is a product of
the Academy of Nutrition and Dietetics and contains a section on client
education with general information about nutrition and varying disease states.
Each handout features the relation between nutrition and the disease, foods
allowed and foods to avoid, and a sample 1-day menu that follows the prescribed
diet, all formatted in a professional manner. The handouts are a great resource
for dietetic interns or new dietitians, too, as they can be a prompt for
important points to cover with patients.<o:p></o:p></div>
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<span style="font-size: 10pt;">A
sneak peek at the NCM diet education page</span><o:p></o:p></div>
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<b>Practice, Practice, Practice</b><o:p></o:p></div>
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As the old cliché goes, practice makes perfect.
In my opinion, nothing prepares you for delivering nutrition educations more
than practice. At my clinical site, we would receive a fair number of nutrition
education consults which allowed for plenty of practice. On days where my
floors lacked education consults, I would ask the dietitians on the other
floors to send me any education consults they received. Being able to practice
has helped me find a balance between simplifying the educations while giving
enough detail to highlight what is most important nutritionally for each
patient.<o:p></o:p></div>
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Although I am not yet an expert educator, I have
learned a lot about providing sound, actionable nutrition education to
patients. I plan to use these three approaches to continue to hone my
counselling skills.<o:p></o:p></div>
Anonymoushttp://www.blogger.com/profile/02393794843843076626noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-79962593192407660382017-03-18T11:49:00.000-04:002017-05-28T17:42:45.032-04:00Food & Friends Joint Class Day: Building Community to Promote Health<div class="separator" style="clear: both; text-align: center;">
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<span style="font-family: "times new roman"; font-size: 12pt; text-align: left; text-indent: 36pt; white-space: pre-wrap;">Eating nutritious meals each day is essential for everyone to maintain a healthy body, especially those suffering from critical illnesses. On Monday, March 13, the University of Maryland (UMD) College Park Dietetic Interns joined interns from several other programs in the area for a joint class day at Food & Friends in NE, DC. We all worked together to prepare and package healthy meals for clients who require special meals because of their illness. It was a day filled with learning, collaborating, and volunteering to help those around the community who suffer from critical illnesses receive healthy food. </span></div>
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<span style="margin-left: 1em; margin-right: 1em;"><span style="margin-left: 1em; margin-right: 1em;"><span style="font-family: "times new roman"; font-size: 12pt; text-align: left; text-indent: 36pt; vertical-align: baseline; white-space: pre-wrap;"><br /></span></span></span></div>
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<span style="font-family: "times new roman"; font-size: 12pt; text-indent: 36pt; white-space: pre-wrap;"><span style="font-family: "times new roman"; font-size: 12pt; text-indent: 36pt; vertical-align: baseline;">The Food & Friends </span><a href="https://www.foodandfriends.org/" style="font-size: 12pt; text-decoration: none; text-indent: 36pt;"><span style="color: #1155cc; font-size: 12pt; text-decoration: underline; vertical-align: baseline;">website</span></a><span style="font-family: "times new roman"; font-size: 12pt; text-indent: 36pt; vertical-align: baseline;"> states, “Food & Friends is the only home-visiting nutrition service that delivers hope by the meal -- specialized, fresh, delicious.” Food & Friends is a nonprofit that employs about 50 staff members and benefits from ~9,000 volunteers per year to “foster a community caring for men, women, and children living with HIV/AIDS, cancer, and other life-threatening illnesses by preparing and delivering specialized meals and groceries in conjunction with nutrition counseling.” On our day of volunteering, we were able to actively participate in the kitchen by expediting meals or helping to package groceries-to-go.</span></span></div>
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<span style="font-family: "times new roman"; font-size: 12pt; text-indent: 36pt; white-space: pre-wrap;">Additionally, on our joint class day we had the opportunity to meet two Registered Dietitians (RDs), Priscilla Dhas, Nutrition Services Manager, and Anna Kinard, Community Dietitian. They explained that the dietitians at Food & Friends provide personalized nutrition counseling, develop 11 specific meal plans for each diet need, perform nutrient analyses, instruct cooking classes, create educational handouts, ensure quality control, and participate on various committees. </span></div>
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<span style="font-family: "times new roman"; font-size: 12pt; text-indent: 36pt; white-space: pre-wrap;">Our class day at Food & Friends was great because we were able to collaborate with interns from other programs, actively participate in the preparation of food for the clients, and learn from several lectures given by RDs. Joint class days are nice because interns have the opportunity to see other interns, but today was extra fun because we actually got to work side by side with people we didn’t know. At the beginning of the day, everyone was assigned to one of two groups, which prevented us from sticking with our usual partners. The groups took turns volunteering in the kitchen and learning from the lectures. We were also provided a delicious lunch!</span></div>
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<span style="font-family: "times new roman"; font-size: 16px; white-space: pre-wrap;">Prior to volunteering at Food & Friends, I didn’t know an organization like this existed. However, I do think organizations like Food & Friends are necessary, especially for those who need special diets and have serious nutrition needs or considerations due to their medical therapies! Moreover, this experience was very insightful as I learned that Food & Friends has no requirements for income. It serves those with life threatening diseases, compromised nutritional status and a limited ability to prepare their own meals. A lot of people don't have a caretaker who can prepare and deliver meals everyday and this area is where Food & Friends really helps. Caretakers typically have to juggle their job, house, and family in addition to now helping their loved ones or in some cases their neighbor or friend go to appointments and receive adequate food. Food and Friends is making a tremendous difference in the lives of both those living with a serious illness and those who are taking care of the patient. Finally, this experience showed me another work option for RDs!</span></div>
Anonymoushttp://www.blogger.com/profile/08621615092716037986noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-65814739246200868622017-03-14T15:49:00.002-04:002017-03-15T09:53:23.564-04:00MAND State Legislative Interactive Workshop<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">On February 8th, 2017, the University of Maryland interns joined forces with members of the Maryland Academy of Nutrition and Dietetics (MAND) in Annapolis to rally for nutrition-related bills. Teams spoke with Maryland Senators, Delegates, and their staff to encourage approval of bills that, if passed, will benefit nutrition professionals and residents alike. Each team leader was equipped with a list of bills to discuss along with related talking points.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><img alt="16472790_10154855316374333_6189455222408238948_n.jpg" height="296" src="https://lh6.googleusercontent.com/8nJOhjNDKPC3cDtHtyEwcoLmxqFphcDsIVfHEok-OtwKhrl7ocEZThf6toEQctUbWs5K-ifoBETtrS5zyibfAQEV-MsiAar8HtyXzp4qto6SejoUdH76lRcrplUclnvYm5YcU7YG" style="-webkit-transform: rotate(0.00rad); border: none; transform: rotate(0.00rad);" width="296" /></span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br class="kix-line-break" /></span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 8pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">My team and me with Maryland Delegate, Alonzo Washington</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The bills that we promoted include:</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Health Care Practitioners-Cost Estimate</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">
A huge barrier to effective healthcare is the cost. This bill will, in theory, would provide the public with estimated costs of services prior treatment. Unfortunately, sometimes the number of treatments or exactly what insurance will pay (or not pay) is not known in advance as it may change depending on later testing results, insurance reimbursement changes, etc. For this reason, MAND supported the concept, but opposed the bill based on its approach, i.e. its “language”.</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Update of Advisory Board & Councils on Health & Wellness</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br class="kix-line-break" /></span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">With the help of MAND testimony given in January, a bill was approved which allows dietitians to serve on the Council on Health & Wellness. During our visit we thanked legislators for supporting the bill.</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Workgroup on Health in All Policies</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br class="kix-line-break" /></span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">We asked that dietitians have the ability to join this workgroup, as dietitians have a unique perspective on health, wellness, and community that can strengthen the group. The mission of this group is to collaborate to improve health and healthcare accessibility in both the private and public sectors.</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Maryland Farms & Families Act</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br class="kix-line-break" /></span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">With this bill, food-insecure Maryland residents will have double the financial support to buy fresh fruit and vegetables at farmers markets. Although this bill will be financially cumbersome for the state, it will help SNAP and WIC participants by allowing for double the purchasing power and will also help local farmers thrive by promoting farmers markets.</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">What I took away from the workshop:</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Before this interactive workshop, I had minimal interest in state legislation. I now have a new respect for lobbyist and the legislation process at the state level. Each representative that my team spoke to was kind and welcoming. I was impressed by the attention that was given to our quick speech. What I appreciated the most, however, was that each conversation was approached with logic and a touch of empathy--the very combination that drove me to a career in nutrition.</span></div>
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<br />
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The week before this workshop, I attended a committee meeting as part of my rotation with the Agency on Aging. This committee is dedicated to increasing accessibility of healthcare in the “Health Enterprise Zone,” an area of Maryland that is a healthcare desert. Before the meeting, I knew nothing about the situation but immediately felt a calling to do something. Little did I know that a week later, I would be promoting the “Workgroup on Health in All Policies” bill, which could help that very situation. My team met with state senator, Joanne C. Benson, who shared our passion for the “Workgroup on Health in All Policies.” She spoke to us about how, if enacted, this bill will improve access to healthcare, especially for those in the Health Enterprise Zone.</span></div>
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<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">This workshop has inspired me to stay informed and active on similar state and local-level nutrition-related bills. It is inspiring to know that I don’t need to a have a career in politics to make a difference. </span></div>
Anonymoushttp://www.blogger.com/profile/00344303065556705056noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-43063148080996473972017-03-06T14:33:00.002-05:002017-05-03T19:17:57.480-04:00Nutrition Informatics Interns take on Critical Care<div align="center" class="MsoNormal" style="text-align: center;">
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As dietetic interns at the University of Maryland College
Park, we have the opportunity to attend joint class days with other internship
classes in the area. We recently attended a critical care joint class day
hosted by the University of Maryland Medical Center in Baltimore. This day of
lectures went in-depth on several critical care topics and really
complemented my clinical rotations.<br />
<span style="text-align: center;"><br /></span>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://4.bp.blogspot.com/-TV8SzeuDw4M/WL258vMY0BI/AAAAAAAAAng/v64euMnfhCImVTh9vUeHQMfk4KUd1vPaACLcB/s1600/Picture2.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="83" src="https://4.bp.blogspot.com/-TV8SzeuDw4M/WL258vMY0BI/AAAAAAAAAng/v64euMnfhCImVTh9vUeHQMfk4KUd1vPaACLcB/s320/Picture2.png" width="320" /></a></div>
<br />
<span style="text-align: center;">Key points from the critical care lectures:</span></div>
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<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Nutrition Assessment
in Critical Care and Trauma<o:p></o:p></b></div>
<div class="MsoNormal">
First, we learned about the starvation and stress responses
of the body.<span style="mso-spacerun: yes;"> </span>A starvation response
occurs in the body when glycogen stores are depleted; this can be reversed by
feeding. A stress response occurs when cytokines and counter-regulatory
hormones induce a catabolic state; this can be blunted by feeding but cannot be
reversed. Nutrition assessment for the critically ill patient includes
nutrition status, etiology and severity, and co-morbidities. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Challenges in Enteral
Nutrition<o:p></o:p></b></div>
<div class="MsoNormal">
Enteral nutrition can be defined as “nutrition support for a
patient with a functional and accessible GI tract who cannot or will not meet
needs on an oral diet.” Enteral nutrition is strongly preferred over parenteral
nutrition, which should only be used when a patient does not have a functioning
gut. Although it is preferred over the latter, complications can still arise
when using this form of nutrition support. Some complications of enteral
nutrition include: high gastric residual volumes, clogged tubes, diarrhea,
medication interactions/the need for some medications to be held, hemodynamic
instability, refeeding syndrome, and the need for specific formulas based on
disease state (e.g. diabetes or chronic kidney disease). <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;">Respiratory Status
and Nutrition Considerations<o:p></o:p></b></div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 9"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
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Respiratory failure can be defined as “the failure of the
respiratory system to oxygenate or ventilate.” There are two types of
respiratory failure: hypoxemic (reduced O2 in the blood), and hypercapnic
(elevated CO2 in the blood). For patients experiencing respiratory failure,
indirect calorimetry is the best way to estimate nutritional needs. In fact,
indirect calorimetry is considered the gold standard for estimating nutritional
needs for most patients.<br />
<span style="text-align: center;"><br /></span>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://3.bp.blogspot.com/-5Sl3FmflKqo/WL26DJO93TI/AAAAAAAAAnk/Md6xkm3gXCwqdY6fQ-NwbwWYeuSMA2B5wCEw/s1600/Picture1.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://3.bp.blogspot.com/-5Sl3FmflKqo/WL26DJO93TI/AAAAAAAAAnk/Md6xkm3gXCwqdY6fQ-NwbwWYeuSMA2B5wCEw/s320/Picture1.png" width="320" /></a></div>
<br />
<span style="text-align: center;">The joint class day at the University of Maryland Medical
Center ended with a game of Jeopardy, which was a fun a way of testing what we had just
learned.</span><span style="text-align: center;"> </span><span style="text-align: center;">All internship classes were
divided into different teams, allowing us to meet interns from other programs .
Overall, our class learned a lot. Even though our program does not have a
clinical emphasis, it is still important that we understand complicated
conditions that may arise in a clinical setting. We now have a stronger
understanding of the nutrition therapy needed for critically ill patients and
complicated disease states.</span></div>
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<o:p></o:p></div>
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Julia Dugashttp://www.blogger.com/profile/04039812343937050606noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-92139359476398337722017-02-27T14:16:00.000-05:002017-02-27T14:35:54.810-05:00A Look Into My Time at Children’s National Medical Center<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial, Helvetica, sans-serif; font-style: normal; font-variant-alternates: normal; font-variant-caps: normal; font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The children at Children’s National Medical Center (CNMC) have something in common besides being adorable; they all need good nutrition to grow and develop. I love kids - I even listed “playing with dogs and babies” as part of my interests in my internship bio. While I didn’t see any dogs at CNMC, I did see a lot of cute babies. It took some self-restraint not to give all of them hugs, but I was there in a professional capacity to learn. The dietitians at CNMC taught me much about helping children meet their nutrient needs.</span></div>
<span style="white-space: pre-wrap;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></span>
<span style="white-space: pre-wrap;"><span style="font-family: Arial, Helvetica, sans-serif;">Having just finished my primary clinical rotation, my mind was still geared towards adult nutrition, so I had to adjust to the fact that children have completely different needs. Pretty much everything is different, from the feeding formulas to the calculations for nutrition prescriptions. Bye bye Mifflin St. Jeor! No longer could I calculate calorie needs without barely thinking; I had to take everything step by step again. When I rotated in general medicine, I used DRI for age to calculate protein and calorie needs. If the child was falling on their growth curve, though, I used an equation for catch-up growth which involved the DRI for age and ideal body weight, which is also determined quite differently than for adults. Needs for children in the oncology unit were calculated by REE (using the WHO or Schofield method) x a weight loss factor of 1.3-2. Needless to say, this was quite the learning experience. </span></span><br />
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<span style="background-color: transparent; color: black; font-family: Arial, Helvetica, sans-serif; font-style: normal; font-variant-alternates: normal; font-variant-caps: normal; font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
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</div>
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<a href="https://4.bp.blogspot.com/--3AKD_mMpoQ/WLRxnvLk9UI/AAAAAAAAATE/IDztbddrL848zZ63_F-x6yxCduQ4afVCQCLcB/s1600/table.blog.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Arial, Helvetica, sans-serif;"><img border="0" height="336" src="https://4.bp.blogspot.com/--3AKD_mMpoQ/WLRxnvLk9UI/AAAAAAAAATE/IDztbddrL848zZ63_F-x6yxCduQ4afVCQCLcB/s400/table.blog.JPG" width="400" /></span></a></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: left;">
<span style="background-color: transparent; color: black; font-family: Arial, Helvetica, sans-serif; font-style: normal; font-variant-alternates: normal; font-variant-caps: normal; font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The conditions of the children I observed were also very different from the common conditions of my patients at my primary clinical rotation. I encountered patients with failure to thrive, various neurological disorders, and some other disorders that I had never heard of such as eosinophilic esophagitis. I participated in the Keto Clinic, where families of children who experience seizures check in with the neurologist and the dietitian regarding the child’s ketogenic diet. In the oncology unit, I was able to learn so much about childhood cancer and see firsthand the ways cancer can affect nutrition status. I was fortunate to get training on some very complex cases, which I know will help me be a stronger dietitian. </span></div>
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<b id="docs-internal-guid-15812e57-80dc-5e48-edcd-6f6bd79948ee" style="font-weight: normal;"><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></b></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="background-color: transparent; color: black; font-style: normal; font-variant-alternates: normal; font-variant-caps: normal; font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Another aspect of CNMC that was different than my primary clinical rotation is that both of the dietitians I shadowed attended rounds every day. After seeing each patient, the doctors asked the dietitian if she had any comments, opinions, or concerns. </span><span style="background-color: transparent; color: black; font-style: normal; font-variant-alternates: normal; font-variant-caps: normal; font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">This happens everyday, for every patient.</span><span style="background-color: transparent; color: black; font-style: normal; font-variant-alternates: normal; font-variant-caps: normal; font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> Children need relatively more nutrition than adults, and in a faster time. If a child isn’t eating, you can’t wait 5 days before considering alternative nutrition, so the dietitian’s role is extremely important. In the oncology unit, the RD worked so closely with some families that she knew all the feeding habits and quirks of the child. This rotation allowed me to see a dietitian working closely with a doctor for the success of a patient, and that was pretty inspiring.</span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: left;">
<span style="background-color: transparent; color: black; font-family: Arial, Helvetica, sans-serif; font-style: normal; font-variant-alternates: normal; font-variant-caps: normal; font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Overall, I was fascinated and blown away by the complexity of caring for children. I knew I would get a variety of experiences with this internship, but the rotation at CNMC solidified that. I now have finished five rotations, and have been exposed to so many different people and work settings, from food service to corporate wellness, and now to pediatric nutrition. Working with children at CNMC is an opportunity that many dietetic interns don’t get to experience, and I am very grateful for my short time there. I got a glimpse into the world of pediatric nutrition, and it is awesome. </span></div>
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<a href="https://2.bp.blogspot.com/-1PfucWVIBoc/WLRyDBhM6eI/AAAAAAAAATM/pvyf0TeLm0wsJZd5pmaXHwIXQMuAWIPHQCLcB/s1600/IMG_1423.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Arial, Helvetica, sans-serif;"><img border="0" height="240" src="https://2.bp.blogspot.com/-1PfucWVIBoc/WLRyDBhM6eI/AAAAAAAAATM/pvyf0TeLm0wsJZd5pmaXHwIXQMuAWIPHQCLcB/s320/IMG_1423.JPG" width="320" /></span></a></div>
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<span style="background-color: transparent; color: black; font-style: normal; font-variant-alternates: normal; font-variant-caps: normal; font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><span id="docs-internal-guid-15812e57-80dd-9041-ea1b-df97adcc4af5" style="font-family: Arial, Helvetica, sans-serif;"></span></span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: Arial, Helvetica, sans-serif; font-style: normal; font-variant-alternates: normal; font-variant-caps: normal; font-variant-east-asian: normal; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Me at my case study presentation on failure to thrive and weight loss in a 6-month old female.</span></div>
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Anonymoushttp://www.blogger.com/profile/10247883455933189597noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-59215170124923401542017-02-19T20:05:00.001-05:002017-02-19T20:05:07.473-05:00Takeaways from my time in Outpatient Diabetes<div dir="ltr" id="docs-internal-guid-acea0720-4298-4328-721a-84b9f7ca739f" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt; text-align: center;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;"><br /></span></div>
<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">While many associate type 2 diabetes with obesity, eating a poor diet can lead to type 2 diabetes regardless of weight status. During my outpatient diabetes rotation, I counseled patients to practice mindful eating and get regular physical activity to prevent or delay Type 2 diabetes. My training taught me also to explain how the body reacts to the food we eat.</span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;"> </span><img height="188" src="https://lh3.googleusercontent.com/p23nsQal7p93e5R-f5J9PNALOsDozFS7kFLKN7PsvbX_Sa1v34roHYuzFFIsNM-yWG5mOGwvM4jH37Y6fTukMAVY5mC_ESKogW0t1EFYVPw2DyDmUND6LDF5XKolPauAapj3ISsXRLBF3z1sKg" style="border: medium none; transform: rotate(0rad);" width="207" /></div>
<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">At the clinical sites where I completed my diabetes rotations, I had the opportunity to learn techniques on how to counsel and educate people with pre-diabetes and diabetes. I learned that diabetes affects 1 in 14 people, and once it is diagnosed it becomes a chronic condition. It cannot be cured, although it can be managed with diet, exercise, and in some instances, with medicine. The good news is that preventive screening can identify people at risk, and with proper intervention, those people can prevent or delay a diabetes diagnosis.</span></div>
<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">One of the most important things I learned is that, in addition to educating people on what to do or what steps to take towards changing their lifestyle, it is also important to explain how the body reacts every time we eat food. Keeping the explanation simple and to the point was the best way to convey the message and to educate the patients. The following is an example of a simple explanation to patients about glucose metabolism: </span></div>
<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-left: 36pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: italic; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">Everything we eat gets converted into glucose, body’s main source of energy. In people without diabetes, glucose stays in a healthy range, because insulin is released at the right time and in the right amount to help glucose enter the cells </span><span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">(I think of insulin as “the door man.”)</span><span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: italic; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;"> In diabetes, blood glucose build-up occurs for several possible reasons: </span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: italic; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">Too little insulin is made </span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: italic; font-variant: normal; font-weight: 400; list-style-type: disc; margin-left: 75.75pt; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.295; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: italic; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">The liver releases too much glucose</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: italic; font-variant: normal; font-weight: 400; list-style-type: disc; margin-left: 75.75pt; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: italic; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">Cells can’t use insulin well = </span><span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: italic; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline;">insulin resistance </span></div>
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<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">Of particular importance is the last bullet – insulin resistance – and helping patients to understand how they can help themselves improve their body’s ability to use insulin: </span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.295; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline;">Exercise: </span><span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">This is the biggest one! If lack of time is an issue, try to exercise first thing in the morning or schedule it as part of your daily routine. Be active in any way you can: take stairs, take a brisk walk, cut your lunch time in half and go for a walk the remaining time. </span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.295; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline;">Lose some central body fat: </span><span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">Fat deposition around the waist and the mid-portion of the body is a risk factor for type 2 diabetes.</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.295; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline;">Healthy eating: </span><span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">Choose foods high in fiber (non-starchy vegetables and whole grains), which are more complicated for our bodies to break down, and thus, are more satisfying. Eat vegetables first, and then protein so you will not be as hungry when eating starchy foods. </span></div>
</li>
<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline;">Portion size control</span><span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">: your plate should look like this:</span><span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline;"> </span></div>
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</ul>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">After taking part in the counseling sessions, I realized how overwhelming this new diagnosis must be for patients. They need to change their eating habits, add exercise into their daily routine, and test their blood glucose after their meals. I also learned that what often worked best for patients is to help them set two or three manageable goals at a time, then help them to think through any challenges that might prevent them for reaching these goals. It is important also to convey to them the importance of flexibility and consistency – it’s OK if one of the goals can’t be reached initially. They can keep that goal on their longer range plan and, in the short term, move on to the next goal to try to reach it. The most important piece of guidance is to help them recognize that taking charge of their health is a work in progress and a lifestyle change. Rome wasn’t built in one day, and, it’s important to help patients remember that.</span></div>
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<span style="background-color: transparent; color: black; font-family: "calibri"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline;">It would be good for most of us, those diagnosed with diabetes or not, to make healthier choices. We can really make a positive impact on our health if we set attainable goals and incorporate reasonable changes into our way of living.</span></div>
Angela Sbodiohttp://www.blogger.com/profile/15935610398444206740noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-92021181033601003472017-02-13T16:46:00.000-05:002017-02-14T12:50:28.353-05:00Sustainability at UMD<div dir="ltr" style="line-height: 1.295; margin-bottom: 8pt; margin-top: 0pt;">
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<span style="font-family: inherit;"><span style="background-color: transparent; color: black; font-style: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">This January I had the opportunity to spend a week interning with the sustainability department for the University of Maryland (UMD</span><span style="background-color: transparent; color: black; font-style: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">)</span><span style="background-color: transparent; color: black; font-style: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> Dining Services. I had an idea about what sustainability was, but never had a chance to really dive into the details of it, so I was looking forward to learning as much as I could in a week. My preceptors here did a great job of scheduling activities for us around campus and on the Terp Farm so I could get a good idea of what sustainability is.</span></span></div>
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<span style="background-color: transparent; color: black; font-family: inherit; font-style: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Sustainability</span></div>
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<span style="font-family: inherit;"><span style="background-color: transparent; color: black; font-style: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Sustainability is the practice of producing foods, such as fruits and vegetables, in a manner that has a protects the environment, wildlife, public health, and communities. </span><span style="background-color: transparent; color: #333333; font-style: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">The Sustainable Agriculture Research and Education Program, a leader in sustainability, has a </span><a href="http://asi.ucdavis.edu/programs/sarep/about/what-is-sustainable-agriculture" style="text-decoration: none;"><span style="background-color: transparent; color: #1155cc; font-style: normal; font-weight: 400; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">website detailing both the philosophy and practical aspects of sustainable agriculture</span></a><span style="background-color: transparent; color: #333333; font-style: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">. It lists three primary goals of sustainable agriculture: environmental health, economic profitability, and social-economic equity.</span><span style="background-color: transparent; color: black; font-style: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> To accomplish these goals, farms use methods of growing and harvesting that promote soil health, reduce water use, and lower pollution levels. These methods can include crop rotation, using organic material to retain soil moisture, and composting. </span></span></div>
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<span style="font-weight: 700; white-space: pre-wrap;"><span style="font-family: inherit;">The Terp Farm </span></span></div>
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<a href="https://lh3.googleusercontent.com/QLypfeydRTKq7su3OjuRmv6MG5zvPuJIIQcXw2kPfXAUZel8LVIg5XwDLoW42xfG8E1pmTWaujYH7cZ5YFE0bi89LnZF1COKNcFhf-IKNbCeplU2rX9qJm0E_BiLSWPsx75UII-bj5x94nqzSA" imageanchor="1" style="clear: right; display: inline; float: right; margin-bottom: 1em; margin-left: 1em; text-align: justify;"><span style="font-family: inherit;"><img border="0" height="135" src="https://lh3.googleusercontent.com/QLypfeydRTKq7su3OjuRmv6MG5zvPuJIIQcXw2kPfXAUZel8LVIg5XwDLoW42xfG8E1pmTWaujYH7cZ5YFE0bi89LnZF1COKNcFhf-IKNbCeplU2rX9qJm0E_BiLSWPsx75UII-bj5x94nqzSA" style="border: none; transform: rotate(0rad);" width="135" /></span></a><span id="docs-internal-guid-9ecd8e4a-396d-ab89-15d5-7a0c3768df80" style="font-family: inherit;"></span><br />
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<span style="font-family: inherit;"><span style="vertical-align: baseline; white-space: pre-wrap;">The </span><a href="http://terpfarm.umd.edu/" style="text-decoration: none;"><span style="color: #0563c1; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Terp Farm</span></a><span style="vertical-align: baseline; white-space: pre-wrap;"> is a sustainable farming operation managed by UMD’s </span><a href="http://dining.umd.edu/" style="text-decoration: none;"><span style="color: #0563c1; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Department of Dining Services</span></a><span style="vertical-align: baseline; white-space: pre-wrap;">, </span><a href="https://agnr.umd.edu/" style="text-decoration: none;"><span style="color: #0563c1; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">College of Agriculture and Natural Resources</span></a><span style="vertical-align: baseline; white-space: pre-wrap;">, and </span><a href="https://sustainability.umd.edu/" style="text-decoration: none;"><span style="color: #0563c1; text-decoration: underline; vertical-align: baseline; white-space: pre-wrap;">Office of Sustainability</span></a><span style="vertical-align: baseline; white-space: pre-wrap;">. It is located about 15 miles from UMD’s College Park campus, where many of the crops are delivered and used to produce meals for students.</span></span></div>
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<a href="https://lh5.googleusercontent.com/KY9ci-wgEDw5yn0yMuAZJydR6YdRItSUP1T5H1ENZRhv12nZKAsBLHifqG0iprOXy64Zr09QLmRFvr-cvdiDRlrRBLJusfnAhbp-VdhP_WUM1Uo6hXQb4N3iyV0zIk1lKAz8fVb43hU23fFfOA" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em; text-align: justify;"><span style="font-family: inherit;"><img border="0" height="135" src="https://lh5.googleusercontent.com/KY9ci-wgEDw5yn0yMuAZJydR6YdRItSUP1T5H1ENZRhv12nZKAsBLHifqG0iprOXy64Zr09QLmRFvr-cvdiDRlrRBLJusfnAhbp-VdhP_WUM1Uo6hXQb4N3iyV0zIk1lKAz8fVb43hU23fFfOA" style="border: none; cursor: move; transform: rotate(0rad);" width="135" /></span></a><span id="docs-internal-guid-9ecd8e4a-396d-ab89-15d5-7a0c3768df80"><span style="vertical-align: baseline; white-space: pre-wrap;"><span style="font-family: inherit; font-size: 11pt;">I had the opportunity to spend a day at the Terp Farm and assist with the harvesting of several crops, including rainbow chard, Siberian kale, red Russian kale, and cilantro. Once harvested and bundled, I assisted with the washing, sanitizing, packing, weighing, and loading. These crops were used the same day by Dining Services, which is common practice for the Terp Farm. Because of the short distance from campus, it is not uncommon for foods to make it from the farm to a person’s plate in only a few hours. </span></span></span></div>
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<span id="docs-internal-guid-9ecd8e4a-396d-ab89-15d5-7a0c3768df80"><span style="font-family: inherit; vertical-align: baseline; white-space: pre-wrap;">The short travel distance and use of a small van reduces the Terp Farm’s transportation costs. This, coupled with reduced water consumption and use of organic fertilizers, among other things, allows the Terp Farm to keep financial costs low and remain profitable.</span></span></div>
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<a href="https://lh3.googleusercontent.com/exfT8T_1-ll7sTTiey1yDEur1gD82Q4TA2WwmtQcjqu2HeNaVJ9tboapQ4WTtGOdlCQ3kxWm8F2Gw54LEtKRpFbAlatKflT2wfEB-oWAYgeglm7Jyx0GWcdOGl6xTKtERtU8FeADhNjgm_NPfg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img alt="C:\Users\Michael\AppData\Local\Microsoft\Windows\INetCacheContent.Word\pantrypic2.png" border="0" height="136" src="https://lh3.googleusercontent.com/exfT8T_1-ll7sTTiey1yDEur1gD82Q4TA2WwmtQcjqu2HeNaVJ9tboapQ4WTtGOdlCQ3kxWm8F2Gw54LEtKRpFbAlatKflT2wfEB-oWAYgeglm7Jyx0GWcdOGl6xTKtERtU8FeADhNjgm_NPfg" style="border: none; transform: rotate(0rad);" width="136" /></a><a href="https://lh6.googleusercontent.com/Bk7zXVQhWtWOgdb4nyBiKJ-A3gijFxbzO8T0CWSgie21Ddj5eN1gxGKtqyjD6oNmceCW_GJ226gevW28sj3vDBh025u1U21d0s1GgcyErnV6Vctd-sxYEUy5YBUtOkWde4A73-DCcol2ZVj_4A" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img alt="C:\Users\Michael\AppData\Local\Microsoft\Windows\INetCacheContent.Word\pantrypic1.png" border="0" height="136" src="https://lh6.googleusercontent.com/Bk7zXVQhWtWOgdb4nyBiKJ-A3gijFxbzO8T0CWSgie21Ddj5eN1gxGKtqyjD6oNmceCW_GJ226gevW28sj3vDBh025u1U21d0s1GgcyErnV6Vctd-sxYEUy5YBUtOkWde4A73-DCcol2ZVj_4A" style="border: none; transform: rotate(0rad);" width="136" /></a><span style="font-family: inherit; font-weight: 700; vertical-align: baseline; white-space: pre-wrap;"><span id="docs-internal-guid-9ecd8e4a-396d-ab89-15d5-7a0c3768df80" style="font-weight: normal; white-space: normal;"><span style="vertical-align: baseline; white-space: pre-wrap;"><span style="vertical-align: baseline;">On one of my last days, I got to volunteer at the </span><a href="http://campuspantry.umd.edu/" style="text-decoration: none;"><span style="color: #0563c1; text-decoration: underline; vertical-align: baseline;">Campus Pantry</span></a><span style="vertical-align: baseline;">. The Campus Pantry </span></span></span><span style="font-weight: normal;">is working to eliminate food hardships at the UMD College Park campus. It provides good quality, nutritious foods to students, faculty, and staff. Some food products are purchased with department funding, which is possible due to the economic profitability of the department’s other projects, but the great majority of foods are donated by the local communities. In this way, the Campus Pantry completes the third goal of sustainability, promoting social and economic equity. Those that have the ability to provide additional resources donate to the Pantry, which allows the pantry to offer low-cost foods and personal products to those that would otherwise go without. </span></span></div>
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<a href="https://lh6.googleusercontent.com/Bk7zXVQhWtWOgdb4nyBiKJ-A3gijFxbzO8T0CWSgie21Ddj5eN1gxGKtqyjD6oNmceCW_GJ226gevW28sj3vDBh025u1U21d0s1GgcyErnV6Vctd-sxYEUy5YBUtOkWde4A73-DCcol2ZVj_4A" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span style="font-family: inherit;"></span></a></div>
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<span id="docs-internal-guid-9ecd8e4a-396d-ab89-15d5-7a0c3768df80"><span style="font-family: inherit; vertical-align: baseline; white-space: pre-wrap;"><span style="font-size: 11pt;">At the moment, the campus pantry is located in the basement of the Campus Health Clinic, but there are plans to move to a larger facility that will allow for cold-storage. During my time volunteering there, I helped to unpack recent donations, screen items for expiration dates and quality, and sort items into their respective categories. The Campus Pantry organizes foods based on the type, such as grains and pasta, beans and soups, and vegetables. They even have a gluten-free section! </span></span></span></div>
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<span id="docs-internal-guid-9ecd8e4a-396d-ab89-15d5-7a0c3768df80"><span style="font-family: inherit; vertical-align: baseline; white-space: pre-wrap;">Overall, I really enjoyed my time working with Campus Dining’s Sustainability department at UMD. I learned a lot about sustainable agriculture and how it strives to protect the health of the environment. Sustainable farming practices also attempt to reduce resource consumption and then give back to the community to promote social and economic equity. Sustainability allows the current generation to meet its needs while protecting future generations’ ability to do the same. The work they are doing at UMD seems to be doing just that.</span></span></div>
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</span>Anonymoushttp://www.blogger.com/profile/07744113302081780673noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-69382553566632074732017-02-06T21:07:00.002-05:002017-02-07T07:52:07.344-05:00From Class to Clinical: What I Didn’t Expect at My Clinical Rotation<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt; text-align: center;">
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<span style="font-size: 11pt;">Prior to starting a clinical rotation, it’s not uncommon for interns to feel intimidated.There’s so much information to know at such a detailed level that it can be overwhelming. Preparation can make the rotation easier but, you can’t prepare for everything. Here are a few things I learned during my clinical rotation: </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">There’s no such thing as a textbook patient. </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">In MNT classes, case studies are typically focused on one specific disease that is being covered, such as stage 4 chronic kidney disease. Students learn how to create a diet for a patient with that disease. In the hospital, though, you’re more likely to see a patient with multiple health issues, such as chronic stage 4 kidney disease with uncontrolled type 2 diabetes and a stage IV pressure ulcer. With the guidance of my preceptors, I have learned how to prioritize the nutritional needs for each disease a patient has in order to create a diet that best fits their immediate needs. </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Oral Nutrition Supplements for the Obese. </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">A common long term goal for obese patients is weight loss, however this is not the goal for these patients while in the hospital. They often have higher needs than normal because they are experiencing some level of stress. To meet these increased needs, many obese patients will receive oral nutrition supplements. While weight loss would be beneficial in the long run, patients need to have a healthy weight loss. Developing malnutrition can only worsen their condition. </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Alcohol for withdrawal</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">. Alcohol addiction is not uncommon in clinical patients. Addiction can further complicate a patient’s treatment, especially if they go through withdrawal. The policy for handling alcohol addiction varies from facility to facility. The hospital where I am currently rotating uses the pharmacological approach to reduce the side effects of withdrawal. In contrast, a hospital that I shadowed at during my undergraduate studies served alcohol to patients with alcohol addiction. The hospital kept a bottle of every type of alcohol - vodka, wine, brandy, etc. The patient would be served their drink of choice with their meals to prevent withdrawal from occurring. </span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-family: Arial; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; list-style-type: decimal; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Doctor’s Orders!</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> Another thing that varies between facilities is who writes tube feeding, parenteral nutrition and diet orders. </span><span style="background-color: white; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">In some facilities dietitians write recommendations for these orders while in other facilities they write the actual orders.</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"> This policy can also vary between doctors at the same facility. Some doctors take the opportunity to be certified to write TPN and maintain their certification by completing continuing education credits. This is beneficial in ensuring the doctors and dietitians are communicating and working together for the patient’s nutrition!</span></div>
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<span style="font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">Clinical rotations have much more to teach interns than just about different disease states and appropriate nutrition. Dietitians work with the rest of the health care team to make decisions that best meet the patient’s needs. How these decisions are made will differ between facilities, but the goal is always to give the best care to each patient. </span>Kara Carterhttp://www.blogger.com/profile/13111247086869756645noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-64101352046800778382017-01-30T07:58:00.003-05:002017-01-30T08:12:23.643-05:00Eat the Rainbow: My Experience Teaching a FSNE Nutrition Education<div class="MsoNormal">
<span style="color: black; mso-ascii-font-family: Cambria; mso-bidi-font-family: "Times New Roman"; mso-hansi-font-family: Cambria;">Early nutrition
intervention in a child’s life may be the optimal window for promoting the
development of healthy eating behaviors. FSNE has several nutrition education
programs geared toward school age children for this reason. During my time at
the University of Maryland Extension’s Food Supplement Nutrition Education
Program (FSNE), I had the opportunity to not only observe, but also teach a few
nutrition education sessions. The curriculum we used is called ReFresh. It
focuses on encouraging 4th and 5th grade students to eat more fruits,
vegetables, and whole grains through hands-on activities, food demonstrations,
and tastings. ReFresh integrates nutrition education into different subjects
already in the schools curriculum like math, art, science, English, technology,
engineering, and social studies.</span></div>
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<span style="color: black; mso-ascii-font-family: Cambria; mso-bidi-font-family: "Times New Roman"; mso-hansi-font-family: Cambria;">We began the lesson
by asking the students some questions. What are some “all the time” foods? Why
are fruits and vegetables healthy? What in them makes them healthy? The kids
knew the answer we were looking for: the vitamins and minerals in fruits and
vegetables are what make them healthy.</span></div>
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<a href="https://3.bp.blogspot.com/-EgXUIHN4SWI/WI837bI3H6I/AAAAAAAACno/35hBeBRC9EgEigIPqycChz2aoq-I1ZvswCLcB/s1600/IMG_0407.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://3.bp.blogspot.com/-EgXUIHN4SWI/WI837bI3H6I/AAAAAAAACno/35hBeBRC9EgEigIPqycChz2aoq-I1ZvswCLcB/s320/IMG_0407.JPG" width="317" /></a></div>
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<span style="color: black; mso-ascii-font-family: Cambria; mso-bidi-font-family: "Times New Roman"; mso-hansi-font-family: Cambria;"><span style="font-size: x-small;">My partner, Ben, and me teaching a ReFresh Lesson.</span></span></div>
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<span style="color: black; mso-ascii-font-family: Cambria; mso-bidi-font-family: "Times New Roman"; mso-hansi-font-family: Cambria;">We then played an
interactive grocery store game to teach the kids which vitamins are in the
different colored fruits and veggies. For example, we read a short passage about
a pilot needing to eat his orange fruits and veggies in order to have great
vision. One student from each table then ran over to the grocery store and put
an orange fruit or vegetable in their bag. We repeated this with three more
colors: red protects against cancer, purple is good for memory, and green for
bones and muscles. This was a fun and hands-on way to get the kids interested
in different vitamins and minerals and to get them moving. </span><span style="font-family: "times"; font-size: 10.0pt;"><o:p></o:p></span></div>
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<span style="color: black; mso-ascii-font-family: Cambria; mso-bidi-font-family: "Times New Roman"; mso-hansi-font-family: Cambria;">The second activity
we did with the class was “cook” a recipe together. The recipe was for a pasta
salad called confetti spaghetti. The recipe included cooked pasta, mozzarella
cheese, dressing, and vegetables of various colors: carrots, red cabbage,
cauliflower, spinach, and red bell peppers. The tables were given a bowl of
cooked pasta and handfuls of each vegetable. The students worked together to
cut up the vegetables and put them in the pasta. We then added dressing and
cheese for the students that wanted it. They then shook up the container and
served each other. FSNE has a rule called “don’t yuck my yum.” The kids are not
supposed to say “yuck,” “ew,” “gross,” etc. to allow their classmates who
enjoyed the tasting to continue eating. They are asked to try at least two
bites. </span><span style="font-family: "times"; font-size: 10.0pt;"><o:p></o:p></span></div>
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<a href="https://1.bp.blogspot.com/-RASL6r4-tTc/WI837jJ7j6I/AAAAAAAACns/FQuTvTuHksQLB2n1PXfc7gx4LC9NwwzeQCEw/s1600/IMG_0395.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://1.bp.blogspot.com/-RASL6r4-tTc/WI837jJ7j6I/AAAAAAAACns/FQuTvTuHksQLB2n1PXfc7gx4LC9NwwzeQCEw/s200/IMG_0395.jpg" width="150" /></a><a href="https://2.bp.blogspot.com/-j0loHpgoXXI/WI837wvemCI/AAAAAAAACnw/MFDnDIlNn5obSqLUT7UQOqYA0YvTM05kwCEw/s1600/IMG_0400.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://2.bp.blogspot.com/-j0loHpgoXXI/WI837wvemCI/AAAAAAAACnw/MFDnDIlNn5obSqLUT7UQOqYA0YvTM05kwCEw/s200/IMG_0400.jpg" width="150" /></a></div>
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<span style="color: black; mso-ascii-font-family: Cambria; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Cambria;">Overall, confetti spaghetti was a big hit. The majority of the
class liked the recipe, and many of the students told me they tried at least
one new vegetable. The tasting was a great way to get the students excited
about some nutrient-rich foods. I was pleasantly surprised to see how many
students wanted the recipe cards to take home to their parents. I am grateful
for this experience of teaching children and making an impact on their lives.
</span><span style="font-family: "times"; font-size: 10.0pt;"><o:p></o:p></span></div>
Tuesday Brookshttp://www.blogger.com/profile/02665755917486094790noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-48713693493992013662017-01-25T02:00:00.001-05:002017-01-25T02:22:02.670-05:00O.A.R.S for Outpatient <div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Using O.A.R.S. to steer counseling sessions can help move patients forward, motivating them to make positive changes.</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-left: 36pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">O</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">= Open Ended Questions</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-left: 36pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">A</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">= Affirmations</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-left: 36pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">R</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">= Reflective Listening</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-left: 36pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">S</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">= Summarizing</span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">I had the exciting opportunity to use O.A.R.S. with real patients in the outpatient setting of my clinical rotation. Motivational interviewing techniques such as O.A.R.S. use a client based approach. Just like oars help a rower steer a boat, O.A.R.S. help the dietitian direct the counseling session, while the patient chooses the destination (the goal, such as weight-loss, healthy eating habits, etc.). There might be a few barriers in the water, but the dietitian guides the patient around them to successfully reach the desired destination. </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Here is how O.A.R.S. can help you guide your clients to their destinations:</span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Open Ended Questions</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">- these are what help you gather information from clients to get a better idea of why they came to see you. You can find out tons of information about their past experiences, feelings, thoughts, and beliefs by letting them explain their story. You want to ask questions that go beyond a simple “yes” or “no” response so they provide you with details. Try asking them “how did you do this” or “what made you do that,” rather than “did you do this?” Remember that you hold the “oars” and your questions are what guide the session. </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Affirmations</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">- these are small statements or actions that acknowledge your clients’ efforts in achieving their goals. This is important in improving clients’ self efficacy, which is their beliefs of their own ability to succeed in tasks. The more positive they feel, the more motivated they will be to reach their goal. Some examples of affirmations are eye contact, relaxed facial expressions, and feedback, such as “It is great that you want to find a way to accomplish this.” </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Reflective listening</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">- this is when you listen to what clients have to say and reflect on what is pertinent to the counseling session. For example, if he or she wants to lose weight, but explains eating a dozen cookies everyday and then stepping on a scale after eating them, you might want to respond with “So you’re feeling a bit guilty every time you eat too many sweets.” They might agree or disagree with your interpretation, but this shows the client that you are trying to understand their situation. </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 700; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Summarizing</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">- this is when you summarize your clients’ thoughts in order to keep the session organized and lead to transitions or closures. It might start with something like “Earlier you explained wanting to make your diet healthier... maybe now we can think of some goals to help you accomplish that.” Summarizing information can also help clients decide when to schedule follow-up appointments</span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;"><br /></span></div>
<div dir="ltr" style="line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 14.666666666666666px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">O.A.R.S tremendously helped structure my counseling sessions. By following the steps of O.A.R.S, I helped patients become more aware of their barriers and create achievable goals. Some of the patients' goals involved weight-loss, weight-gain, and overall healthy eating habits. I had a great learning experience and am excited to do more nutrition counseling in the future-- I’ll remember to bring my oars!</span></div>
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Practicing on my fellow intern/roomie, Alyssa!</div>
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Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-72080504954274311882017-01-22T10:44:00.000-05:002017-01-23T18:01:25.145-05:00Nutrition, Communication and Information Management Area Internship Class Day Conference<div dir="ltr" style="line-height: 1.2; margin-bottom: 0pt; margin-top: 0pt; text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: 16px; white-space: pre-wrap;">What do the Maryland WIC Program, nutrition informatics, sugar sweetened beverage research, social media, and dialog communications training all have in common? These topics were part of the University of Maryland’s Dietetic Internship 2017 Joint Class Day Conference agenda, where area dietetic interns and program directors learned various ways to enhance their communication skills and harness the power of social media and information management. In addition to exploring communications skills through the lectures, dietetic interns from Johns Hopkins, NIH, NOVA/Virginia Tech, Sodexo, UMD, UMMC, and WIC also networked and got to know one another through interactive sessions.</span></div>
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<tr><td style="text-align: center;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><img alt="Macintosh HD:Users:phyllismcshane:Desktop:IMG_1892.JPG" height="177" src="https://lh4.googleusercontent.com/t5lHE4QKREZX5k6NpSjeJLzKffFTZf1kknXP48998l7T-qm5tE0dT0GLyCmcV72VFpOPadrmCXmWl5Cz-QLiXGrWpn23vdWv544wE6hAIsJxh-BVQW_1_ji7Gp4lP5eT5TMo0oMe_-71aMO4Qw" style="border: none; margin-left: auto; margin-right: auto; transform: rotate(0rad);" width="400" /></span></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Joint Class Day - held at Harbor Hospital in Baltimore</span></td></tr>
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<span style="font-family: arial, helvetica, sans-serif; font-size: 16px; white-space: pre-wrap;">The topics, while varied, helped interns know more about the Maryland state affiliate groups and hone their communication skills. Two of the speakers are graduates of the University of Maryland Dietetic Internship who specialize in communication and information management. The interns were engaged and asked many follow-up questions. Presentation PowerPoints are available on our </span><a href="https://www.nfsc.umd.edu/dietetic-internship/2017-joint-class-day" style="font-family: arial, helvetica, sans-serif; font-size: 16px; white-space: pre-wrap;" target="_blank">website</a><span style="font-family: arial, helvetica, sans-serif; font-size: 16px; white-space: pre-wrap;">. Here is a sampling of what was covered in the lectures:</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background-color: transparent; color: black; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">information about the Maryland EBT (E</span><span style="background-color: white; color: #222222; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">lectronic Benefit Transfer) </span><span style="background-color: transparent; color: black; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">card, which is currently being implemented for Maryland WIC recipients, </span></span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-size: 13.3333px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.3800000000000001; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial" , "helvetica" , sans-serif; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">what it takes to implement a successful program to limit sugar intake,</span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-size: 13.3333px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.3800000000000001; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial" , "helvetica" , sans-serif; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">the basics of nutrition informatics, and </span></div>
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<li dir="ltr" style="background-color: transparent; color: black; font-size: 13.3333px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; list-style-type: disc; text-decoration: none; vertical-align: baseline;"><div dir="ltr" style="line-height: 1.3800000000000001; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial" , "helvetica" , sans-serif; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">which are the most relevant social media platforms for RD communicators.</span></div>
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<tr><td style="text-align: center;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><img height="321" src="https://lh5.googleusercontent.com/WCm1Z9OrhcM5vHlVcNiiP-OfLNCVmbYpTTIRKkJi_0-LFNf0sx4WnYOsrEYeEwZDFbIwba4fdK41PAqC4zxcj3nnXPRpEzHnXgIGoFuiiFTEg9zZxIHxvOCx7DL4ZaXGaW2AA6hi" style="border: none; margin-left: auto; margin-right: auto; transform: rotate(0rad);" width="505" /></span></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: "arial" , "helvetica" , sans-serif;">2017 Joint Class Day Agenda</span></td></tr>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: 16px; white-space: pre-wrap;">The final speaker, Lynn Rubin from the Maryland Food Supplemental Nutrition (FSNE/ SNAP-Ed) program, led an interactive training session on dialogue learning for groups. The interns learned practical ways to engage a group of clients and bring about positive behavior change. </span><br />
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<span style="background-color: transparent; color: black; font-family: "arial" , "helvetica" , sans-serif; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 400; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;">Three things came together to make this Nutrition, Communication and Information Management Area Internship Class Day Conference a success: a solid agenda, compelling and knowledgeable presenters, and engaged interns. We would like to thank those who helped make this a fantastic learning experience.</span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: "arial" , "helvetica" , sans-serif;">UMD interns pose for a silly picture</span></td></tr>
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Anonymoushttp://www.blogger.com/profile/14667545624126626271noreply@blogger.com0tag:blogger.com,1999:blog-7035530465774732351.post-9783414151531602972017-01-19T15:04:00.001-05:002017-01-19T15:06:15.548-05:00Pediatric Symposium 2017<div align="center" style="margin-bottom: 10.0pt; margin-left: 0in; margin-right: 0in; margin-top: 0in; text-align: center;">
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The dietitians at Children’s National Medical
Center know first-hand that big challenges can come in small packages. The
University of Maryland Dietetic Interns were given an opportunity to learn this
and more at the Children's National Pediatric Nutrition Symposium. The
Symposium consisted of a series of lectures presented by the dietitians of
Children’s National. The symposium began with the basics of pediatric nutrition
care. As the day progressed, the lectures moved on to more specific disease
states, such as cystic fibrosis and gastrointestinal disorders. The day ended
with breakout sessions on neonatal intensive care, pediatric critical care, and
inborn errors of metabolism.</div>
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<a href="https://4.bp.blogspot.com/-KKGOLomdbW0/WIEa3iIWQ1I/AAAAAAAACIU/S2mNBqWX270HBQ4DfRKK_zE-lXqgidPtQCLcB/s1600/o.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" height="167" src="https://4.bp.blogspot.com/-KKGOLomdbW0/WIEa3iIWQ1I/AAAAAAAACIU/S2mNBqWX270HBQ4DfRKK_zE-lXqgidPtQCLcB/s320/o.jpg" width="320" /></a></div>
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A common theme that appeared during the disease
lectures was monitoring the patient’s development on a growth chart. Abnormally
low growth chart readings are typically indicative of malnutrition caused by a
worsening disease state. With many of these issues, getting enough calories and
protein to prevent further loss of lean body mass is critical. The dietitians
at Children’s National use creative methods to boost calories in their
patients’ meals, such as adding olive oil into dishes or an extra scoop of ice
cream into their patient’s supplement shake. These methods may seem to go
against the conventional view of dietitians as weight loss coaches; however,
they are incredibly important to pediatric care as an imbalance in marco or
micronutrients can result in dire consequences.</div>
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<tr><td style="text-align: center;"><a href="https://2.bp.blogspot.com/-E_hf_xTkEWc/WIEa3qryvUI/AAAAAAAACIY/cSnlqATNpbQ-uvo_oRGgBGuSUXTEgdfcQCLcB/s1600/l.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="240" src="https://2.bp.blogspot.com/-E_hf_xTkEWc/WIEa3qryvUI/AAAAAAAACIY/cSnlqATNpbQ-uvo_oRGgBGuSUXTEgdfcQCLcB/s320/l.jpg" width="320" /></a></td></tr>
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<span style="font-size: 10pt;">Dietetic Interns before the start of the symposium</span></div>
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What stood out to me the most from the symposium
was the way the dietitians described their work. In a morbid area that sports
high levels of burnout, the dietitians of Children’s National Medical Center
displayed passion and excitement as they described their experiences with
pediatric patients. Nothing but positivity could be found in their body
language and their speech throughout the series of lectures. They know they are
truly making a difference in so many lives through their work. I believe I
speak on behalf of all the interns when I say that the Pediatric Symposium has
left me eagerly awaiting my 2 week rotation at Children’s National.</div>
Anonymoushttp://www.blogger.com/profile/02393794843843076626noreply@blogger.com0